CN-370000-CN210-T31CO1.pdf
PDF 6 MB Posted
- Contract number
- CN210
- Issued by
- Florida
About this file
This Task Assignment Change Order Form (Change Order No. 01) is issued by the Florida Department of Environmental Protection (FDEP) for Contract CN210, Task Assignment 31, involving the consultant firm CPH, Inc. The project, William J. Rish Park ADA Improvements, is located in Florida and managed by FDEP Contract Manager Ralph Perkins. Jason Toole, PE, serves as the consultant representative for CPH, Inc.
The change order authorizes additional design work for electrical site connections related to the development of two RV Host ADA campsites at William J. Rish Park. Specifically, CPH will revise MEP (mechanical, electrical, and plumbing) plans to provide a 25kVA pole mount transformer and reduce electrical capacity to serve only the two RV Host sites and a proposed grinder pump station. The deliverable consists of a PDF copy of the final design plans. The fixed price cost for this subtask is $2,864.53, comprised of Principal MEP Engineer services (12 hours at $125.59/hour), Sr. Project Manager services (5 hours at $132.61/hour), and MEP Project Designer services (10 hours at $69.44/hour). The original task end date of October 10, 2022, is extended by 300 calendar days to August 6, 2023, to accommodate additional design and permitting work and construction administration. The total contract amount increases from $32,178.13 to $35,042.66 with this change order. Payment will be made upon FDEP approval of deliverables.
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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 31 01 61409C
William J. Rish Park ADA Improvements
CPH, Inc.
Jason Toole, PE 850.563.1490 jtoole@cphcorp.com
Ralph Perkins 850-245-2460 ralph.perkins@FloridaDEP.gov
Additional design work for the electrical site connections per the attached proposal dated 7-15-2022. Time for additional design and permitting, and performance of construction administration.
$ 198.25 $ 31,979.88 $ 32,178.13 $ 198.25 $ 31,979.88 $ 32,178.13
$ 2,864.53 $ 2,864.53 $ 198.25 $ 34,844.41 $ 35,042.66
3/21/22
10/10/22
10/10/22
8/6/23
Diane Langston Diane Langston Digitally signed by Diane Langston Date: 2022.07.20 11:45:58 -04'00'
Theresa Carron T.Carron Digitally signed by T.Carron Date: 2022.07.18 08:30:20 -04'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2022.07.20 14:03:53 -04'00'
Jason Toole, PE 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: 2022.07.20 13:36:54-05'00' 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: 2022.07.27 08:51:37 -04'00'
61409C 37501017177 140696/23 423001 U3200 134000 QZ $ 2,864.53
$ 2,864.53
7‐15‐2022
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 TA31 CO 1
William J Rish Park – ADA Improvements
Dear Theresa
For your review, CPH, Inc., has provided a Change Order request for the additional work to be performed for the Electrical Connections.
Please review the attached Proposal Summary and deliverables.
Sincerely, Jason Toole, P.E.
1031-C W. 23rd Street Panama City, FL 32405
Phone: 850.563.1490 Fax: 850.563.1495
Campground Reinvestment
William J Rish Park
Contract Number CN210, Task Assignment Number 31 – Change Order 01
Subtask 8: Revised MEP Plans for servicing the 2 RV Host ADA Campsites Description:
MEP electrical Final design for servicing the 2 RV Host ADA Campsites. CPH will revise the current design to provide a small (25kVA) pole mount transformer (or use of existing transformer if determined adequate) and reduce as needed to feed just the 2 RV Host sites and proposed grinder pump station.
Deliverable:
PDF copy of Final design plans.
Performance Measure: Deliverables will be reviewed by the Department to confirm they are complete, accurate, and timely.
Fixed Price Cost:
Subtask 8 – Revised MEP Plans for servicing the 2 RV Host ADA Campsites
Firm Name Position Classification Hourly Rate
Hours Total Fixed Price Cost
CPH Principal MEP Engineer $125.59 12 $1,507.08
CPH Sr. Project Manager $132.61 5 $663.05
CPH MEP Project Designer $69.44 10 $694.40
Total for Subtask 8: $2,864.53
Project Schedule:
Activity Duration (Calendar Days)
Subtask 8 – Revised MEP Plans 21
Summary of Fees:
Subtask Subtask Fixed Price Cost Subtask Reimbursable
Subtask 8 $2,864.53 $0
Total Fixed Price Cost: $2,864.53
Total Reimbursable Cost: $0
Overall Total Cost: $2,864.53
Payment will be made upon approval of deliverables for each subtask by the FDEP in the amount specified.
File details come from the government source that posted it. Updated .