CN-370000-CN206-T4CO5.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:

CN206 04 05 61243C

Kissimmee Prairie Preserve State Park New Bunkhouse

Barnett Fronczak Barlowe & Schuler Architects

David Fronczak 850-224-6301 dfronczak@bfbsa.com

Ralph Perkins 850-245-2460 ralph.perkins@floridaDEP.gov

Complete design and permitting for a fire protection system for the bunkhouse as well as a 6,000 gallon water storage tank as required by State Fire Marshal office.

$ 4,333.70 $ 57,402.24 $ 61,735.94 $ 4,355.90 $ 67,622.38 $ 71,978.28

$ 0.00 $ 12,664.40 $ 12,664.40 $ 4,355.90 $ 80,286.78 $ 84,642.68

9/6/2019

12/30/2020

12/31/2021

12/31/2022

Diane Langston Diane Langston Digitally signed by Diane Langston Date: 2022.06.30 15:50:07 -04'00'

Jeffrey Whitfield Jeffrey Whitfield Digitally signed by Jeffrey Whitfield Date: 2022.07.01 10:16:12 -04'00'

Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2022.07.06 13:35:41 -04'00'

David Fronczak David Fronczak Digitally signed by David Fronczak Date: 2022.07.06 13:55:46 -04'00'

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

Digitally signed by Michael W.

Foster Jr., P.E.

Date: 2022.07.07 09:46:54 -04'00'

61243C 37503000252 080039/20 423001 U3100 131500 QK $ 12,664.40

$ 12,664.40 chang_ld Inserted Text

Williams_BrD Text Box $12,664.59

Matson_d

CN206 TA 04

Kissimmee Prairie Bunk House (rev. 06/28/2022) FDEP Contract Number 61243C

Subtask 4E Revisions to the 100% Construction Documents to add Fire Protection

Description: The Architect and his Consultants will modify the 100% Construction Documents entitled Kissimmee Prairie ADA Cabin, Kissimmee Prairie Preserve State Park to add a wet pipe sprinkler system to the cabin and a 6,000 gallon fire water tank and jockey pump adjacent to the site to provide the local fire department a water source to contain a fire if needed.

The Scope of Work will include review of shop drawings, hydraulic calculations, the design of the fire water tank and calculations, a jockey pump to supply pressure to the system and material recommendations. The Scope of Work will also include electrical modifications for a new 2HP pump and controller and modifications to the existing Drawings to delineate fire alarm and power connections to the pump. The Work will also include design of a housekeeping pad to support the water tank.

Deliverable: The deliverable for this task is three full size 24"x36" hardcopies and one PDF format electronic file of 90% level of completion - 90% Construction Documents.

Performance Measure: Deliverables will be reviewed by the Department to confirm they are complete, accurate, and timely.

Fixed Price Cost:

Subtask 4E: Revisions to Add Fire Protection Firm Name Position Classification Hourly Hours Total Fixed

Rate Price Cost Winton En.e.ineering Professional Engineer 140.00 20 $2,800.00 Winton Eneineering CADD Technician 59.60 37 $2,205.00

Winton Eneineering Prof. Eng. Travel (2 trips) 140.00 16 $2,240.00

Applied Research (Elec.) Professional Engineer 134.00 02 $268.00 Applied Research (Elec) CAD/Designer 59.00 02 $118.00

BNI Senior Principal 178.77 02 $357.54 BNI CADD Manager 93.86 02 $187.72

BFB&S (Architectural) Partner 108.55 04 $434.20 BFB&S Office Manager 48.10 08.514 $409.52

Total for Subtask 4E: $9,020.18 chang_ld Text Box $2,205.20 chang_ld

Kissimmee Prairie Bunk House (rev. 06/28/2022) FDEP Contract Number 61243C

Subtask 4F Fire Protection - 100% Construction Documents

Description: The Architect and his Consultants will provide final construction Documents described in Subtask 4E incorporating or addressing any Owner Review comments from the 90% submittal review.

Deliverable: The deliverable for this task is three full size 24"x36" signed and sealed hardcopies and one PDF format electronic file of 100% level of completion - 100% Construction

Documents.

Performance Measure: Deliverables will be reviewed by the Department to confirm they are complete, accurate, and timely.

Fixed Price Cost:

Subtask 4F: Fire Protection - 100% Construction Documents Firm Name Position Classification Hourly Hours Total Fixed

Rate Price Cost Winton Engineering Professional Engineer 140.00 10 $1,400.00 Winton Engineering CADD Technician 59.60 06 $ 357.60

Winton Engineering Prof. Eng. Travel (2 trips) 140.00 08 $1,120.00

BFB&S (Architectural) Partner 108.55 04 $434.20 BFB&S Office Manager 48.10 6.911 $332.41

Total for Subtask 4F: $3,644.21 chang_ld Text Box chang_ld

Williams_BrD

3,644.22

Williams_BrD Text Box 9,020.18 chang_ld Text Box chang_ld