CN-370000-CN210-T49CO1.pdf
PDF 5 MB Posted
- Contract number
- CN210
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form submitted by the Florida Department of Environmental Protection (FDEP) for Contract No. CN210, Task Assignment No. TA49, Change Order No. 01. The project involves Big Shoals State Park Septic Replacement and is being executed by CPH, Inc., a consulting firm based in Jacksonville, Florida. The FDEP Contract Manager is Ralph Perkins, with Project Manager Joel Pollock and Budget Representative Tamika Bass overseeing the work. The change order was digitally signed and approved by all relevant parties between June 25 and July 8, 2024.
The change order authorizes an underground locate survey to determine the exact location of five existing septic tanks and associated drainfields at Big Shoals State Park, as detailed in the proposal dated May 23, 2024. Subtask 7A involves Southeastern Surveying conducting horizontal location and field marking of the septic tanks and drainfields with a fixed cost of $4,261.00, while Subtask 8A requires CPH Consulting to update the original survey files with the utility information at a fixed cost of $1,007.99, for a total change order amount of $5,268.99 with no reimbursable costs. The project schedule allocates 30 calendar days for the underground locates and 5 calendar days for survey updates, with a new task end date of June 13, 2026. The total task amount including all change orders is $47,099.75, with payment contingent 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 TA49 01 61518C
Big Shoals State Park Septic Replacement
CPH, Inc.
Kayla Sheffield P.E. (904) 332-0999 ksheffield@cphcorp.com
Ralph Perkins, or successor 850-245-2460 Ralph.Perkins@FloridaDEP.gov
Adding an underground locate survey to locate exact location of septic tanks per the the proposal dated 05/23/2024
$ 2,139.00 $ 39,691.76 $ 41,830.76 $ 41,830.76 $ 41,830.76 $ 5,268.99 $ 5,268.99
$ 0.00 $ 47,099.75 $ 47,099.75
06/22/2023
06/13/2026
06/13/2026
06/13/2026
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2024.06.25 14:18:12 -04'00'
Joel Pollock Joel Pollock Digitally signed by Joel Pollock Date: 2024.06.25 15:15:04 -04'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2024.06.25 16:02:45 -04'00'
Kayla Sheffield P.E. Kayla Sheffield
2024.06.26 09:20:17-04'00'
Michael W. Foster Jr., P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2024.07.08 09:55:23 -04'00'
61518C 37502000213 080039/23 423001 U3200 131500 QK $ 5,268.99
$ 5,268.99
May 23, 2024
Mr. Joel Pollock
Project Manager Bureau of Design and Construction Florida Department of Environmental Protection 3900 Commonwealth Boulevard, MS 520 Tallahassee, FL 32399
RE: CN210
Big Shoals Septic Replacement – Change Order 1
Dear Joel, For your review, CPH, Inc., has provided a proposal summary and man-hour documentation for the service tasks identified below:
- Underground locates of five (5) existing septic tanks and associated drainfields
- Update original survey files
Sincerely, Kayla Sheffield
Kayla Sheffield, PE CPH, Inc.
5200 Belfort Road Suite 220
Jacksonville, FL 32256
Phone: 904.332.0999 Fax: 904.332.0997
Big Shoals State Park
Septic Replacement
Change Order 1
Subtask 7: Underground Locates
Description:
7A – Southeastern Surveying shall horizontally locate and field mark (paint and flags) the existing five (5) septic tanks and drain fields. Southeastern Surveying shall locate all utility data using GPS or conventional surveying equipment and control furnished by CPH Consulting, LLC.
Deliverable:
7A – One (1) CAD file of utility information
Performance Measure: Deliverables will be reviewed by the Department to confirm they are complete, accurate, and timely.
Fixed Price Cost:
Subtask 7A – Additional City of Jacksonville Permitting
Firm Name Position Classification Hourly Rate Hours Total Fixed Price Cost
Southeastern Surveying 2-man SUE crew $210.00 16 $3,360.00
Southeastern Surveying 2-man survey crew $130.00 5 $650.00
Southeastern Surveying Project Manager $130.00 1 $130.00
Southeastern Surveying CAD $86.00 1 $86.00
Southeastern Surveying Clerical $35.00 1 $35.00
Subtotal $4,261.00
Total for Subtask 7: $4,261.00
Subtask 8: Survey Updates
Description:
8A – CPH Consulting, LLC shall coordinate field locations of five (5) existing septic tank systems with Southeastern Surveying. CPH shall incorporate the underground utility information furnished by Southeastern Surveying in the original survey files.
Deliverable:
8A – One (1) PDF and one (1) CAD file of updated survey
Perf Performance Measure: Deliverables will be reviewed by the Department to confirm they are complete, accurate, and timely.
Fixed Price Cost:
Subtask 8A – Survey Updates
Firm Name Position Classification Hourly Rate Hours Total Fixed Price Cost
Southeastern Surveying Survey Project Manager/CADD $80.47 8 $643.76
Southeastern Surveying Principal Surveyor $121.41 3 $364.23
Subtotal $1,007.99
Total for Subtask 8: $1,007.99
Project Schedule:
Activity Duration (Calendar Days)
Subtask 7A Underground Locates 30 days
Subtask 8A Survey Updates 5 days
Summary of Fees:
Subtask Subtask Fixed Price Cost
Subtask Reimbursable
Subtask 7A Underground Locates $4,261.00
Subtask 8A Survey Updates $1,007.99
Total Fixed Price Cost: $5,268.99
Total Reimbursable Cost: $0.00
Overall Total Cost: $5,268.99.00
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 .