CN-370000-CN210-T46CO2.pdf

Florida Department of Environmental Protection

TASK ASSIGNMENT CHANGE ORDER FORM

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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 TA46 2 61517C

Repair/Replace Boardwalk

CPH, LLC.

Jason Toole, P.E. (850) 774-9575 jtoole@cphcorp.com

Ralph Perkins or successor (850) 245-2460 Ralph.Perkins@FloridaDEP.gov

Code revisions and plan updates to the 2023 plan set, per attached proposal dated January 17, 2025, and contact date reduction to the end of the current continuing services agreement.

$ 0.00 $ 78,340.45 $ 78,340.45 $ 0.00 $ 82,520.29 $ 82,520.29 $ 0.00 $ 5,508.17 $ 5,508.17 $ 0.00 $ 88,028.46 $ 88,028.46

03/31/2023

08/29/2025

03/03/2025

-179

03/03/2025

Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2025.01.21 10:58:19 -05'00'

Terry McCullum, Jr. Terry McCullum Jr.

Digitally signed by Terry McCullum Jr.

Date: 2025.01.27 08:36:00 -05'00'

Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2025.01.27 09:46:02 -05'00'

Jason Toole, P.E.

Digitally signed by Jason L Toole DN: C=US, O=Unaffiliated, dnQualifier=A01410D000001929B9D924C00073E35, CN=Jason L Toole Reason: I am the author of this document Location: Florida Date: 2025.01.27 09:20:04-06'00' 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: 2025.02.03 09:55:18 -05'00'

61517C 37501000247 080039/23 000286 U3200 134000 AD $ 5,508.17

$ 5,508.17

Camp Helen State Park

January 17, 2025

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

RE: CN 210 TA 46

Camp Helen ADA Path to Beach – Change Order #2

Dear Terry;

For your review, CPH LLC, has provided an additional services proposal summary and man-hour documentation for the services tasks identified below:

- Updating the ADA Boardwalk project plan set to current codes and providing a final set to the Contractor for permitting with the County. Additionally, no permitting services are proposed for this subtask.

Please review the attached Proposal Summary and deliverables.

Sincerely, Jason Toole, P.E.

CPH, LLC

Camp Helen State Park – ADA Path to Beach Change Order #2

CN 210, TA 46 61517C

Subtask 10: Plan Updates for Code Revisions Description:

• CPH will update the set of plans per current Florida Building Codes. These revisions will include Civil, Architectural, and Structural revisions.

• Upon completion of the revisions, CPH will provide the Contractor a signed pdf for their use in permitting the project with Bay County.

Deliverable:

• PDFs of the Final Signed and Sealed Plan Set.

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

Fixed Price Cost:

Subtask 10 – Plan Updates for Code Revisions Firm Name Position Classification Hourly

Rate Hours Total Fixed Price

Cost CPH, LLC Sr. Project Manager $132.61 6 $795.66 CPH, LLC Senior Design Technician $73.34 8 $586.72 CPH, LLC Principal Architect $130.60 8 $1,044.80 CPH, LLC Senior Architect Manager $87.45 12 $1,049.40 CPH, LLC Senior Design Tech (Architect) $73.34 8 $ 586.72 CPH, LLC Senior Structural Engineer $112.39 5 $ 561.95 CPH, LLC Senior Design Tech (Structural) $73.34 8 $ 586.72 CPH, LLC Administrative $59.24 5 $ 296.20

Subtotal Task 10 $5,508.17

Project Schedule:

Activity Date and Duration (Calendar Days)

Subtask 10: Plan Updates for Code Revisions 10 Days

Summary of Fees:

Subtask Subtask Fixed Price Cost Subtask Reimbursable

Subtask 10: Plan Updates for Code Revisions $5,508.17 Total Fixed Price Cost: $5,508.17

Total Reimbursable Cost: $ 0 Overall Total Cost: $ 5,508.17

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