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:

CN210 23 03 61188C

Wekiwa Springs SP Park Entrance

CPH, Inc.

Jason Toole, P.E. 850.563.1490 jtoole@cphcorp.com

Alyssa Skehan 850.245.2781 Alyssa.Skehan@FloridaDEP.gov

Deductive change order to remove previously encumbered tasks and additive permitting and design per the attached proposal dated 11/6/2020.

$ 883.25 $ 55,270.35 $ 56,153.60 $ 1,946.25 $ 134,221.32 $ 136,167.57 -$ 770.60 -$ 28,611.04 -$ 29,381.64 $ 1,175.65 $ 105,610.28 $ 106,785.93

8/28/19

12/1/20

8/2/21

8/2/21

Greg Turral Gregory Turral Digitally signed by Gregory Turral Date: 2020.11.09 11:45:03 -05'00'

Theresa Carron Theresa Carron Digitally signed by Theresa Carron Date: 2020.11.09 13:18:09 -05'00'

Alyssa Skehan Alyssa Skehan Digitally signed by Alyssa Skehan Date: 2020.11.09 14:50:24 -05'00'

Jason Toole, P.E.

Digitally signed by Jason L Toole DN: C=US, O=Unaffiliated, OU=A01427D00000166A6FDA0460000440C, CN=Jason L Toole Reason: I am the author of this document Location:

Date: 2020-11-09 15:19:14 Foxit PhantomPDF Version: 9.2.0

Jason L Toole

Bryan Bradner Bryan Bradner Digitally signed by Bryan Bradner Date: 2020.12.09 13:32:15 -05'00'

61188C 37503006080 080039/19 675002 U3200 131500 XR -$ 26,420.20

61188C 37503006080 080039/20 000286 U3200 131500 AD -$ 2,961.44

-$ 29,381.64

11/06/20

Theresa Carron Preconstruction Project Manager Bureau of Design and Construction Florida Department of Environmental Protection 3900 Commonwealth Boulevard, MS 520 Tallahassee, FL 32399

RE: CN210 TA23 CO2

Wekiwa Springs State Park – Right Turn Lane Addition

Dear Theresa

For your review, CPH, Inc., has provided a proposal summary and man-hour documentation for the additional work including the design and permitting of a sidewalk extension and milling and resurfacing of the park entrance road. Please note that this proposal includes transfer/removal of funds from other phases. The following tasks will be added/modified via this change order.

Subtask 6: Park Entrance Plans - (-$13,361.41) Subtask 8: Permitting and Utility Coordination – (-$13,531.34) Subtask 9: Final Construction Documents – (-$10,080.13) Subtask 19: Full Water Management District Permitting - $3,561.56 Subtask 20: Sidewalk Extension and Milling/Resurfacing Design Plans - $4,027.28

Please review the attached Proposal Summary and deliverables.

Sincerely, Jason Toole, P.E.

Wekiwa Springs State Park Right Turn Lane

Contract Number CN210, Task Assignment Number 23, Change Order 02

Following Scope and Fee Removed from the Contract:

Subtask 6: 60% Park Improvement Plans Description:

6A – Civil/Transportation Services - Prepare 60% Park Improvement Plans: Cover Sheet, General Notes, SWPPP E&S Control Plans, Grading, Paving and Drainage Plans, General Details, Drainage Details, Pavement, Signage and Marking Details. Prepare cost estimate for the proposed improvements shown in the Park Improvement Plans.

6B – Architecture/Structural/Electrical (MEP) Services for one (1) new check in booth – Prepare 60% plans for the construction of one new check in booth to service park guests. Booths shall be minimal to include an area for a Park employee to collect fees and check in park guests. In addition, CPH will coordinate with BDC regarding existing Electric/Key Card Access and possible changes/relocation of that feature.

6C - Architecture/Structural/Electrical (MEP) Services for a second check in booth (in addition to Task 6B) – Prepare 60% plans for the construction of a second check in booth to service park guests.

Deliverable:

6A - PDF digital copies of 60% plans and a draft Opinion of Probable (OPC) construction cost to be provided. OPC will include Arch/MEP/Structural OPC from task 6B and 6C as well.

6B – PDF digital copies of 60% plans.

6C – PDF digital copies of 60% plans.

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

Fixed Price Cost:

Subtask 6A - 60% Construction Documents

Firm Name Position Classification Hourly Rate

Hours Total Fixed Price Cost

CPH, Inc. Principal $178.23 2 $356.46 CPH, Inc. Sr. Project Manager $132.61 12 $1,591.32 CPH, Inc. Senior Design Technician $73.34 72 $5,280.48 CPH, Inc. Administrative $59.24 4 $236.96 CPH, Inc. Project Engineer $73.37 20 $1,467.40

Subtask 6B – Architectural/Structural/Electrical (MEP) Services

Firm Name Position Classification Hourly Rate

Hours Total Fixed Price Cost

CPH, Inc. Principal Architect $130.60 .5 $65.30 CPH, Inc. Senior Architectural Manager $87.45 6 $524.70 CPH, Inc. Architectural Designer $63.17 4 $252.68 CPH, Inc. Architectural Coordinator $56.68 8 $453.44 CPH, Inc. Administrative $59.24 2 $118.48 CPH, Inc. Senior Structural Engineer $112.39 4 $449.56 CPH, Inc. Senior Design Technician $73.34 4 $293.36 CPH, Inc. Principal MEP Engineer $125.59 2 $251.18 CPH, Inc. MEP Project Designer $69.44 5 $347.20 CPH, Inc. MEP Design Technician $52.88 10 $528.80

Subtask 6C – Architectural/Structural/Electrical (MEP) Services

Rate

Hours Total Fixed Price Cost

CPH, Inc. Principal Architect $130.60 .5 $65.30 CPH, Inc. Senior Architectural Manager $87.45 1 $87.45 CPH, Inc. Architectural Designer $63.17 2 $126.34 CPH, Inc. Architectural Coordinator $56.68 1 $56.68 CPH, Inc. Administrative $59.24 .5 $29.62 CPH, Inc. Senior Structural Engineer $112.39 1 $112.39 CPH, Inc. Senior Design Technician $73.34 2 $146.68 CPH, Inc. Principal MEP Engineer $125.59 1 $125.59 CPH, Inc. MEP Project Designer $69.44 2 $138.88 CPH, Inc. MEP Design Technician $52.88 2 $105.76

Reimbursable Cost:

Postage $0.00 Printing 100 Sheets x $0.96/Sheet = $96.00 Overnight Travel (if applicable)

N/A

Mileage (@ $0.445 per mile) 120 Miles (3 trips) = $53.40 Reimbursable Total Cost $149.40

Total for Subtask 6: $13,361.41

Subtask 8: Permitting and Utility Coordination Description:

8A – Orange County Right of Way Permit – Submit Proposed Park Improvement Plans to Orange County for review and approval of the widening of the access point. This scope includes initial submittal and revision and resubmittal to one round of comments from the County. Estimate application fees of $150.

8B – Orange County Drainage Connection Permit – Submit Proposed Park Improvement Plans to Orange County for review and approval of a potential Drainage Connection. This scope includes initial submittal and revision and resubmittal to one round of comments from the County.

Estimate application fees of $150

8C –Water Management District (WMD) Permit Exemption – Prepare for and submit for a formal exemption to stormwater requirements for the entrance road widening project. Estimate application fees of $100.

8D – Utility Coordination – Coordinate with appropriate utility companies in order to have the existing utility poles relocated for the entrance road widening. This scope does not cover any fees that will be charged by the utility company for the actual work of relocating.

8A – PDF copies of all applications and RAI’s submitted to Orange County. PDF copy of Permit Approval.

8B – PDF copies of all applications and RAI’s submitted to Orange County. PDF copy of Permit Approval.

8C – PDF copies of all applications and RAI’s submitted to WMD. PDF copy of Permit Exemption.

8D – Email coordination regarding relocation.

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

Fixed Price Cost:

Subtask 8A – Orange County Right of Way Permit Firm Name Position Classification Hourly

Rate Hours Total Fixed Price

Cost CPH, Inc. Project Manager $98.73 10 $987.30 CPH, Inc. Sr. Design Technician $73.34 24 $1,760.16

CPH, Inc. Project Engineer $73.37 24 $1,760.88

Subtask 8B – Orange County Drainage Connection Permit

Rate Hours Total Fixed Price

Cost CPH, Inc. Project Manager $98.73 10 $987.30 CPH, Inc. Sr. Design Technician $73.34 24 $1,760.16

CPH, Inc. Project Engineer $73.37 24 $1,760.88

Subtask 8C – WMD Permit Exemption

Rate Hours Total Fixed Price

Cost CPH, Inc. Project Manager $98.73 4 $394.92 CPH, Inc. Sr. Design Technician $73.34 8 $586.72

CPH, Inc. Project Engineer $73.37 8 $586.96

Subtask 8D – Utility Coordination

Rate Hours Total Fixed Price

Cost CPH, Inc. Project Manager $98.73 2 $197.46 CPH, Inc. Sr. Design Technician $73.34 4 $293.36 CPH, Inc. Administrative $59.24 10 $592.40 CPH, Inc. Project Engineer $73.37 8 $586.96

Postage $100.00 Printing $65.00(800 Sheets x $0.05/Sheet = $40; 100 Sheets x $0.25 = $25) Overnight Travel (if applicable)

N/A

Mileage (@ $0.445 per mile) N/A Application Fees $400 (See scope description above) Reimbursable Total Cost $565.00

Total for Subtask 8: $13,531.34

Subtask 9: Final Construction Documents Description:

9A – Civil/Transportation Services - Prepare Final Park Improvement Plans: Cover Sheet, General Notes, SWPPP E&S Control Plans, Grading, Paving and Drainage Plans, General Details, Drainage Details, Pavement, Signage and Marking Details. Prepare cost estimate for the proposed improvements shown in the Park Improvement Plans.

9B – Architecture/Structural/Electrical (MEP) Services for one (1) new check in booth – Prepare Final plans for the construction of one new check in booth to service park guests. Booths shall be minimal to include an area for a Park employee to collect fees and check in park guests.

9C - Architecture/Structural/Electrical (MEP) Services for a second check in booth (in addition to Task 9B) – Prepare Final plans for the construction of a second check in booth to service park guests.

Deliverable:

9A - Five (5) hard copy signed/sealed sets of Final Construction Plans, Supplemental Specifications not covered by FDOT Specifications and Permits. PDF file copies of Opinion of Probable (OPC) construction cost, Final Plans, Specifications and Permits. CD containing final CAD Drawings.

9B – Five (5) hard copy signed/sealed sets of Final Construction Plans for Proposed Check in Booth.

CD containing final CAD Drawings.

9C – Five (5) hard copy signed/sealed sets of Final Construction Plans for Proposed Additional Check in Booth. CD containing final CAD Drawings.

Subtask 9A – Final Construction Documents

Firm Name Position Classification Hourly Rate

Hours Total Fixed Price Cost

CPH, Inc. Principal $178.23 2 $356.46 CPH, Inc. Sr. Project Manager $132.61 12 $1,591.32 CPH, Inc. Senior Design Technician $73.34 60 $4,400.40

CPH, Inc. Project Engineer $73.37 20 $1,467.40

Subtask 9B – Architectural/Structural/Electrical (MEP) Services

Rate

Hours Total Fixed Price Cost

CPH, Inc. Principal Architect $130.60 .5 $65.30 CPH, Inc. Senior Architectural Manager $87.45 3 $262.35 CPH, Inc. Architectural Designer $63.17 2 $126.34 CPH, Inc. Architectural Coordinator $56.68 2 $113.36 CPH, Inc. Administrative $59.24 1 $59.24 CPH, Inc. Senior Structural Engineer $112.39 2 $224.78 CPH, Inc. Senior Design Technician $73.34 2 $146.68 CPH, Inc. Principal MEP Engineer $125.59 1 $125.59 CPH, Inc. MEP Project Designer $69.44 2 $138.88 CPH, Inc. MEP Design Technician $52.88 4 $211.52

Subtask 9C – Architectural/Structural/Electrical (MEP) Services

Rate

Hours Total Fixed Price Cost

CPH, Inc. Principal Architect $130.60 .25 $32.65 CPH, Inc. Senior Architectural Manager $87.45 .5 $43.73 CPH, Inc. Architectural Designer $63.17 1 $63.17 CPH, Inc. Architectural Coordinator $56.68 .5 $28.34 CPH, Inc. Administrative $59.24 .25 $14.81 CPH, Inc. Senior Structural Engineer $112.39 .5 $56.20 CPH, Inc. Senior Design Technician $73.34 1 $73.34 CPH, Inc. Principal MEP Engineer $125.59 .5 $62.80 CPH, Inc. MEP Project Designer $69.44 1 $69.44 CPH, Inc. MEP Design Technician $52.88 1 $52.88

Postage $0.00 Printing 40 Sheets x $0.96/Sheet = $38.40 Overnight Travel N/A

(if applicable) Mileage (@ $0.445 per mile) 40 Miles (1 trips) = $17.80 Reimbursable Total Cost $56.20

Total for Subtask 9: $10,080.14

Following Scope and Fee Added to the Contract:

Subtask 19: Full Water Management District Permitting Description:

Water Management District (WMD) ERP Permit – Prepare for and submit for an ERP Permit for the stormwater requirements for the Proposed Turn Lane and Sidewalk improvements.

PDF copy of WMD ERP Permit.

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

Fixed Price Cost:

Subtask 19 – Full Water Management District Permitting Firm Name Position Classification Hourly

Rate Hours Total Fixed Price

Cost CPH, Inc. Principal $178.23 2 $356.46 CPH, Inc. Senior Project Manager $132.61 10 $1,326.10 CPH, Inc. Sr. Design Technician $73.34 12 $880.08 CPH, Inc. Administrative $59.24 2 $118.48 CPH, Inc. Project Engineer $73.37 12 $880.44

Application Fees $0 Reimbursable Total Cost $0

Total for Subtask 19: $3,561.56

Subtask 20: Sidewalk Extension and Milling/Resurfacing Design Plans Description:

Prepare final design of a sidewalk extension and milling and resurfacing from the Turn Lane to the onsite Toll Booths. Quantities and Opinion of Probable Cost will be updated to reflect these additional areas.

Design will be included in the final design plans being submitted under previous sub-tasks within the contract. Costs will be included in the Final OPC for the project.

Subtask 20 – Sidewalk Extension and Milling/Resurfacing Design Plans

Firm Name Position Classification Hourly Rate

Hours Total Fixed Price Cost

CPH, Inc. Principal $178.23 2 $356.46 CPH, Inc. Sr. Project Manager $132.61 8 $1,060.88 CPH, Inc. Senior Design Technician $73.34 24 $1,760.16 CPH, Inc. Administrative $59.24 2 $118.48 CPH, Inc. Project Engineer $73.37 10 $733.70

Total for Subtask 20: $4,029.68

Summary of Fees:

Subtask Subtask Fixed Price Cost Reimbursable Subtask 6 -$13,212.01 -$149.40

Subtask 8 -$12,966.34 -$565.00

Subtask 9 -$10,023.93 -$56.20

Subtask 19 $3,561.56 $0

Subtask 20 $4,029.68 $0

Total Fixed Price Cost: -$28,611.04

Total Reimbursable Cost: -$770.60

Overall Change Order Total Cost:

-$29,381.64

Payment will be made upon approval of deliverables for each subtask by the FDEP in the amount specified.