CN-370000-CN210-T44CO1.pdf

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Attached to
Master Agreement FL|CN210|c74bacc1301afbdccbbd4f57e12bda99
Contract number
CN210
Issued by
Florida

About this file

This is a Task Assignment Change Order Form (C.O.1) issued by the Florida Department of Environmental Protection (FDEP) for a design services contract with CPH, Inc. The change order modifies Task Assignment 44 (TA 44) under FDEP Contract CN 210 for the Orman House Historical State Park Multi-Use Pavilion in Garden Area and Restroom project, located in Panama City, Florida. The consultant representative is Jason Toole, P.E., with the FDEP Contract Manager being Ralph Perkins. The change order was executed on July 17, 2023, with all required signatures from FDEP budget, project management, and contract authority representatives, as well as the consultant.

The change order adds Subtask 4A for Additional Geotechnical Services, which includes two 30-foot deep Standard Penetration Test (SPT) borings within the restroom footprint to evaluate soil samples and provide structural foundation recommendations for the building. The deliverable is a PDF Geotechnical Report containing recommended structural foundation requirements. The fixed price cost for this task is $3,202.71, consisting of $1,272.71 in labor costs (NOVA staff and engineering personnel) and $1,930.00 in testing and field services (drill rig mobilization, borings, and laboratory analysis). There is no reimbursable cost associated with this change order. The total task amount with all change orders is $102,390.99, and the task end date remains April 11, 2026. Performance of the geotechnical services is scheduled for July 28, 2023 through August 27, 2023, with payment due 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:

CN 210 TA 44 C.O.1 61444C

Orman House Historical State Park Multi-Use Pavilion in Garden Area & Restroom W/changing area

CPH, Inc.

Jason Toole P.E. (850) 563-1490 jtoole@cphcorp.com

Ralph Perkins, or successor (850) 245-2640 Ralph.Perkins@FloridaDEP.gov

Additional Geo-tech testing needed for foundation design per the attached Proposal dated 7/14/2023.

$ 0.00 $ 99,188.28 $ 99,188.28 $ 0.00 $ 99,188.28 $ 99,188.28 $ 0.00 $ 3,202.71 $ 3,202.71 $ 0.00 $ 102,390.99 $ 102,390.99

5/22/23

4/11/2026

4/11/2026

4/11/2026

Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2023.07.14 16:29:42 -04'00'

Del Cobb Del Cobb Digitally signed by Del Cobb Date: 2023.07.17 07:16:39 -04'00'

Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2023.07.17 08:58:09 -04'00'

Jason Toole P.E.

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: 2023.07.17 20:10:29-05'00' Foxit PhantomPDF Version: 10.1.0

Jason L Toole

Bryan Bradner Bryan Bradner Digitally signed by Bryan Bradner Date: 2023.08.01 15:27:54 -04'00'

61444C 3750100260 080039/23 000286 U3100 134000 AD $ 3,202.71

$ 3,202.71

July 14, 2023

Mr. Del Cobb Project Manager Bureau of Design and Construction Florida Department of Environmental Protection 3900 Commonwealth Boulevard, MS 520 Tallahassee, FL 32399

RE: Orman House Historical State Park

Additional Geotech Testing needed for Foundation Design

Dear Del:

For your review, CPH, LLC., has provided a proposal summary and man-hour documentation for the additional Geotech testing needed for foundation design. This additional testing is needed based on the materials encountered during the initial Geotech site investigation.

Please review the attached Proposal Summary and deliverables.

Sincerely, Jason Toole, P.E.

Program Manager

CPH, LLC.

1031-C W. 23rd Street Panama City, FL 32405

Phone: 850.563.1490 Fax: 850.563.1495

Robinson_MS Text Box

CN210 TA44 CO1

Orman House Historical State Park New Pavilion Building

Facility Design Services

Subtask 4A: Geotechnical Services Description:

• CPH will hire a subconsultant to perform the following services: Two (2) 30 foot deep SPT boring within the footprint of the restroom.

• Soil samples will be collected and evaluated in order to provide structural foundation recommendations for the proposed building.

Deliverable:

• PDF copy of the additional Geotechnical Report containing the recommended structural foundation requirements.

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

Fixed Price Cost:

Subtask 4A – Geotechnical Services Firm Name Position Classification Hourly

Rate Hours Total Fixed Price

Cost NOVA Staff Engineer $78.03 7 $546.21 NOVA Project Engineer $96.32 4 $385.28 NOVA Senior Project Engineer $141.61 2 $283.22 NOVA Administrator $58.00 1 $58.00

Subtotal Task 4A $1,272.71

Subtask 4A – Geotechnical Services Firm Name Position Classification Hourly

Rate Hours Total Fixed Price

Cost NOVA Drill Rig Mobilizatoin $500 1 $500.00 NOVA Borings $12 60 $720.00 NOVA Percent Finer 200 Sieve $65 4 $260.00 NOVA Atterberg $75.00 2 $150.00 NOVA Organic Content $75.00 4 $300.00

Subtotal Task 4A $1,930.00

Project Schedule:

Activity Estimated Duration

(Calendar Days) Proposed Dates

Subtask 4A – Additional Geotechnical Services 30 7/28/2023 – 8/27/2023

Robinson_MS Text Box

CN210 TA44 CO1

Summary of Fees:

Subtask Subtask Fixed Price Cost Reimbursable Subtask 4 – Geotechnical Services $3,202.71

Total Reimbursable Cost: $0

Overall Total Cost: $3,202.71

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

CN210 TA44 CO1 Orman House-New Pavilion Building.pdf
July 14, 2023

BLANK TA CO FORM.pdf

File details come from the government source that posted it. Updated .