CN-370000-CN205-T7CO4.pdf

Florida Department of Environmental Protection

TASK ASSIGNMENT CHANGE ORDER FORM

(Revised 9-26-2018) Page 1 of 1

Required Signatures: Adobe Signature

FDEP Contract No.: Task Assignment No.: Change Order No.: Project No.:

Project Location: Project Name:

Consultant Name:

Consultant Representative: Phone: Email:

FDEP Contract Manager: Phone: Email:

Description and Justification of Change:

Change in Task Amount:

Item Reimbursement Fixed Fee Total

Original Task Amount:

Task amount including all previous Change Orders:

Net increase/decrease in task amount for this Change Order:

Total Amounts with all Change Orders:

Change in Task Time:

Original Task Execution Date:

Original Task End Date:

Present Task End Date:

Net Change in Days:

New Task End Date:

Approval Signatures:

Budget Representative, FDEP Signature Date

Project Manager, FDEP Signature Date

Contract Manager, FDEP Signature Date

Consultant Signature Date

Contract Authority, FDEP Signature Date

Project # Grant # Org Code Cat/Year Fund Module Object Code EO Amount

29 Digit FLAIR Code: Total:

CN205 TA07 04 61253

Weeki Wachee Springs State Park Waterslide Engineering Inspections

Ayres Associates, Inc.

Hisham Sunna, PhD, PE 813-978-8688 sunnah@ayresassociates.com

Ralph Perkins 850-245-2460 Ralph.Perkins@FloridaDEP.gov

Provide yearly engineering report on the condition of the waterslides at Weeki Wachee Springs per proposal dated May 2, 2023.

$ 42.72 $ 1,220.14 $ 1,262.86 $ 341.76 $ 13,354.84 $ 13,696.60 $ 85.44 $ 3,634.70 $ 3,720.14 $ 427.20 $ 16,989.54 $ 17,416.74

08/14/2019

07/31/2020

07/31/2023

07/31/2024

Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2023.06.28 15:26:10 -04'00'

Richard Rowe for Stephen Pindel Richard J. Rowe Digitally signed by Richard J.

Rowe Date: 2023.06.30 13:38:34 -04'00'

Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2023.07.05 10:41:30 -04'00'

Hisham Sunna, PhD, PE Hisham N Sunna Digitally signed by Hisham N Sunna Date: 2023.07.05 12:23:50 -04'00'

Michael W. Foster Jr., P.E. Michael W. Foster Jr., P.E.

Digitally signed by Michael W.

Foster Jr., P.E.

Date: 2023.07.07 16:20:18 -04'00'

61253 37504000281 080039/22 423001 U3200 131500 QK $ 3,720.14

$ 3,720.14

May 02, 2023

Stephen Pindel Construction Project Consultant II Bureau of Design and Construction Florida Department of Environmental Protection 3900 Commonwealth Boulevard, MS 520 Tallahassee, FL 32399

RE: CN205, Task Assignment Number 07, Change Order 04

Weeki Wachee Springs State Park Water Slide Inspection

Dear Mr. Pindel;

For your review, Ayres Associates, has provided a proposal summary and man-hour documentation for the services tasks identified below:

Schedule:

1. Ayres Associates will provide an inspection of the slide tower, Pirates Revenge slide and the Cannonball slide between October 2, 2023, and October 13, 2023. The report will be due by October 27, 2023 and used as the bidding scope of work.

2. Ayres Associates will provide inspection of slide structure between January 29, 2024, and February 9, 2024, to confirm completion of the repairs. The Affidavit of Compliance and will be completed and forwarded to the Department of Agriculture by February 16, 2024. Department of Agriculture inspection will be completed in the last (2) weeks of February 2024.

The Scope includes:

1. Provide complete inspection of Tower, Pirates Revenge slide, Cannonball slide and structure and provide an inspection report in a pdf and excel format.

2. Provide a signed and sealed Affidavit of Compliance to the Department of Agriculture and DEP.

Please review the attached Proposal Summary and deliverables.

Sincerely, Rick Maslyn, CBI Supervisor- Structural Inspection 813.318.1577 8875 Hidden River Parkway, Suite 200 Tampa, FL 33637

Project Description Weeki Wachee Springs State Park

CN205, Task Assignment Number 07, Change Order 04

Task 1: Slide Inspection and Report Deliverable Description: Perform field inspection of Weeki Wachee Springs State Park Water Slide Tower, Pirate’s Revenge Slide and Cannonball Slide and provide inspection report to be used as basis for contractor bid repairs.

Deliverable:

• 1 – Inspect structure and provide one pdf, 8 ½ x 11, report deliverable to include list of defects, corrective actions taken since the prior inspection, and repair recommendations with photos and slide layout sketches. Report will also include an Excel Spreadsheet of repair recommendations, submitted by October 27, 2023.

Performance Measure: Deliverables will be reviewed by the Department to confirm they are complete, accurate, and timely. (Please do not alter this language)

Fixed Price Cost:

Subtask 1 Firm Name Position Classification Hourly Rate Hours Total Fixed

Price Cost Ayres Associates Project Manager 150.34 2.5 375.85 Ayres Associates Sr. Structural Engineer (PE) 144.20 3 432.60 Ayres Associates Structural Inspector (CBI) 100.89 10 1,008.90

Reimbursable Cost: (if applicable – provide for each task in which reimbursables are required)

Postage $0 Printing $0 Overnight Travel (if applicable)

$0

Mileage (@ $0.445 per mile) Provide the calculation and number for trips and provide total estimated cost 48 mile trip from office to park and back (96 miles)

Reimbursable Total Cost $42.72 Total for Subtask 1: (Fixed Price Cost + Reimbursable)

Project Schedule:

Activity Duration (Calendar Days) Subtask 1 12 days. Between October 2, 2023, and October 13, 2023. The report will be due by October 27, 2023.

Task 2: Slide Inspection and Report Deliverable Description: Perform field inspection of Weeki Wachee Springs State Park Water Slide Tower, Pirate’s Revenge Slide and Cannonball Slide and provide inspection report to be used as basis for documentation/confirmation of contractor repairs.

Deliverable:

• 2 – Inspect structure and provide one pdf, 8 ½ x 11, report deliverable to include list of defects, corrective actions taken since the prior inspection, and repair recommendations with photos and slide layout sketches. Report will also include a signed and sealed Affidavit of Compliance and an Excel Spreadsheet of repair recommendations, submitted by February 17, 2023.

Performance Measure: Deliverables will be reviewed by the Department to confirm they are complete, accurate, and timely. (Please do not alter this language)

Fixed Price Cost:

Subtask 2 Firm Name Position Classification Hourly Rate Hours Total Fixed

Price Cost Ayres Associates Project Manager 150.34 2.5 375.85 Ayres Associates Sr. Structural Engineer (PE) 144.20 3 432.60 Ayres Associates Structural Inspector (CBI) 100.89 10 1,008.90

Reimbursable Cost: (if applicable – provide for each task in which reimbursables are required)

Postage $0 Printing $0 Overnight Travel (if applicable)

$0

Mileage (@ $0.445 per mile) Provide the calculation and number for trips and provide total estimated cost 48 mile trip from office to park and back (96 miles)

Reimbursable Total Cost $42.72 Total for Subtask 2: (Fixed Price Cost + Reimbursable)

Project Schedule:

Activity Duration (Calendar Days) Subtask 2 12 days. Between January 29, 2024, and February 9, 2024, to confirm completion of the repairs. The Affidavit of Compliance and will be completed and forwarded to the Department of Agriculture by February 16, 2024.

Summary of Fees:

Subtask Subtask Fixed Price Cost Subtask Reimbursable Subtask 1 $1,817.35 $42.72 Subtask 2 $1,817.35 $42.72

Total Fixed Price Cost: $3,634.70 Total Reimbursable Cost: $85.44

Overall Total Cost: $3,720.14 Payment will be made upon approval of deliverables for each subtask by the FDEP in the amount specified.

(Please do not alter this language)