CN-370000-CN210-T30CO1.pdf
PDF 5 MB Posted
- Contract number
- CN210
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) for a renovation project at De Leon Springs State Park. The contract involves FDEP as the state agency and CPH, Inc., a consulting firm based in Sanford, Florida, as the service provider. The change order (Change Order No. 1) modifies Task Assignment No. 30 under FDEP Contract No. CN210, with Project No. 61375C. The consultant representative is Ariel Elvambuena, and the FDEP Contract Manager is Ralph Perkins. The document was signed on June 15, 2022, with all required approvals from FDEP budget, project management, and contract authority representatives.
The change order increases the task amount by $1,184.11 in reimbursable costs and $37,002.23 in fixed fees, bringing the total task amount to $44,490.06. CPH, Inc. is contracted to provide full construction documents to bring the De Leon Springs State Park residence building up to code. The scope includes four subtasks: Subtask 2 (Building 3D survey at $4,214.43), Subtask 3 (Construction documents including architectural, structural, mechanical, electrical, and plumbing plans at $30,988.24), Subtask 4 (Permitting coordination and submittal at $1,805.56 in labor plus $1,184.11 in reimbursable fees), with delivery of all documents required by June 30, 2023. Payment is contingent upon FDEP approval of deliverables for each subtask.
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Text version
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 30 1 61375C
De Leon Springs State Park Residence Renovation
CPH, Inc.
Ariel Elvambuena 813-288-2408 aelvambuena@cphcorp.com
Ralph Perkins 850-245-2640 Ralph.Perkins@FloridaDEP.gov
Consultant to provide full construction documents to bring building up to code per attached proposal dated 3/8/22.
$ 6,303.72 $ 6,303.72 $ 6,303.72 $ 6,303.72
$ 1,184.11 $ 37,002.23 $ 38,186.34 $ 1,184.11 $ 43,305.95 $ 44,490.06
10/08/21
6/30/23
6/30/23
6/30/23
Diane Langston Diane Langston Digitally signed by Diane Langston Date: 2022.06.15 11:10:34 -04'00'
Andrew Lippens Andrew Lippens Digitally signed by Andrew Lippens Date: 2022.06.15 12:18:57 -04'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2022.06.15 12:41:54 -04'00'
Jason Toole Digitally signed by Jason L Toole DN: C=US, O=Florida, dnQualifier=A01410C0000017E5468FDBE00018735, CN=Jason L Toole Reason: I am the author of this document Location: your signing location here Date: 2022.06.28 09:03:55-05'00' Foxit PhantomPDF Version: 10.1.0
Jason L Toole
Michael W. Foster Jr., P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2022.06.29 15:46:17 -04'00'
61375C 37503000145 080039/22 423001 U3200 131500 QK $ 38,186.34
$ 38,186.34
March 8, 2022
Andrew Lippens Project Manager Bureau of Design and Construction Florida Department of Environmental Protection 3900 Commonwealth Boulevard 260K, MS 520 Tallahassee, FL 32399
RE: De Leon Springs State Park Residence Building Renovation improvements to an existing structure on State Park property.
Dear Andrew;
FDEP has requested a change order for the DeLeon State Park Residence Renovation project. For your review, CPH, Inc., has provided a summary and man‐hour documentation for the services tasks identified below. Per the FDEP change order request, CPH is to provide construction documents for the residence renovation at DeLeon State Park. The construction documents will include the following areas:
Architectural and Structural plans – Plans to identify repairs and renovations to the exterior and interior elements of the existing residence structure to renovate the structure to code and livable condition.
Mechanical, Electrical and Plumbing Plans – Plans to identify repairs and renovations to the mechanical, electrical and plumbing systems in the residence to updated codes for livable conditions.
Please review the attached Proposal Summary and deliverables.
Sincerely, John A. Baer, AIA CPH, Inc.
500 West Fulton Street Sanford, FL 32771
Phone: 407.322.6841 Fax: 407.330.0639
DeLeon Springs State Park Residence Renovation
March 8, 2022
Subtask 2: Survey
Description: Building 3D scan – Full interior and exterior 3D scan for accurate identification and location of all existing elements of the current structure to aid in the production of construction documents.
Deliverable: PDF/CAD file of survey for use in renovation design.
Performance Measure: Deliverables will be reviewed by the Department to confirm they are complete, accurate, and timely.
Fixed Price Cost:
Subtask 2– Survey
Firm Name Position Classification Hourly Rate
Hours Total Fixed Price Cost
CPH, Inc. Survey Crew (2 man) $119.16 8 $953.28
CPH, Inc. Survey Project Manager/CADD $80.47 36 $2,896.92
CPH, Inc. Principal Surveyor $121.41 3 $364.23
Total $4,214.43
Total for Subtask 2: $4,214.43
Subtask 3: Construction Documents
Description: Architecture/Structure/Mechanical/Electrical/Plumbing Services to provide construction document for the restoration of the residence building, not to include the adjacent car port/connected storage room, to submit for construction permitting.
Deliverable: PDF digital copies of 100% construction documents of residence improvement plans.
Performance Measure: Deliverables will be reviewed by the Department to confirm they are complete, accurate, and timely.
Fixed Price Cost:
Subtask 3– Construction Documents
Firm Name Position Classification Hourly Rate Hours Total Fixed Price Cost
CPH, Inc. Principal Architect $130.60 5 $653.00
CPH, Inc. Senior Architectural Manager $87.45 20 $1,749.00
CPH, Inc. Architectural Designer $63.17 102 $6,443.34
CPH, Inc. Senior Structural Engineer $112.39 12 $1,348.68
CPH, Inc. Senior Design Technician $73.34 74 $5,427.16
CPH, Inc. Senior CADD Technician $59.54 87 $5,179.98
CPH, Inc. Principal MEP Engineer $125.59 12 $1,507.08
CPH, Inc. MEP Project Designer $69.44 125 $8,680.00
Total $30,988.24
Total for Subtask 3: $30,988.24
Subtask 4: Permitting
Description: Permitting coordination and submittal of plans to Volusia County to obtain building permit.
Deliverable: PDF copies of all applications and RAI’s submitted to Volusia County. PDF copy of permit approval.
Performance Measure: Deliverables will be reviewed by the Department to confirm they are complete, accurate, and timely.
Subtask 4– Permitting
Firm Name Position Classification Hourly Rate
Hours Total Fixed Price Cost
CPH, Inc. Project Manager $98.73 4 $394.92
CPH, Inc. Senior Design Technician $73.34 8 $586.72
CPH, Inc. Administrative $59.24 4 $236.96
CPH, Inc. Project Engineer $73.37 8 $586.96
Total $1,805.56
Reimbursable Cost:
Application Fee $163.61
Permit Fee $914.23
Plan Review Fee $106.27
Total for Subtask 4: $2,989.67
Project Schedule: (Start date TBD)
Activity Duration (Calendar Days) Dates
Subtask 2 – Survey 14 TBD
Subtask 3 – Construction Documents
21 TBD
Subtask 4– Permitting 7 TBD
FDEP Review 14 TBD
Summary of Fees:
Subtask Subtask Fixed Price Cost Reimbursable
Subtask 2 – Survey $4,214.43 $0.00
Subtask 3– Construction Documents
$30,982.24 $0.00
Subtask 4– Permitting $1,805.56 $1,184.11
Total Fixed Cost: $37,002.23
Total Reimbursable Cost: $1,184.11
Overall Total Cost: $38,192.34
Payment will be made upon approval of deliverables for each subtask by the FDEP in the amount specified.
Williams_BrD Text Box $38,186.34
| CN210 TA30 CO1.pdf |
| FDEP De Leon Springs Residence Building Restoration change order proposal.pdf |
File details come from the government source that posted it. Updated .