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:

CN211 4 01 6A017C (Formally 61359C)

Fort George SP Ribault Clubhouse HVAC

CRA

James Lewis 850-545-0896 jlewis@craarchitects.com

Ralph Perkins 850-245-2460 Ralph.Perkins@FloridaDEP.gov

Construction administration services per the attached proposal dated 5/30/2023.

$ 1,949.35 $ 115,267.02 $ 117,216.37 $ 1,949.35 $ 115,267.02 $ 117,216.37 $ 2,029.20 $ 56,772.67 $ 58,801.87 $ 3,978.55 $ 172,039.69 $ 176,018.24

6/23/2022

12/31/2023

12/31/2023

12/31/2024

Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2023.06.13 15:01:53 -04'00'

JR Keen Uyles W. Keen Jr Digitally signed by Uyles W. Keen Jr Date: 2023.06.13 15:43:42 -04'00'

Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2023.06.13 16:03:40 -04'00'

James Lewis Digitally signed by: James Lewis Date: 2023.06.14 08:55:30 -04'00' Reason: I am approving this document

Bryan Bradner Bryan Bradner Digitally signed by Bryan Bradner Date: 2023.06.22 15:39:57 -04'00'

6A017C CSFRF 37502002227 085154/22 000286 U3200 131500 AD $ 58,801.87

$ 58,801.87

May 30, 2023

Theresa Carron Florida Department of Environmental Protection Project Manager, Bureau of Design and Construction 3800 Commonwealth Boulevard Tallahassee, FL 32399

RE: DEP – CN 211 Task Assignment TA4

Ribault Clubhouse HVAC Replacement Change Order #1 – Bidding and CA Services (revised and supersedes prior CO #1 proposals)

Dear Ms. Carron;

For your review, Clemons, Rutherford & Associates, inc., has provided a proposal summary and man-hour documentation for the service tasks identified below:

Generally speaking, we understand the project scope is to replace portions of the exiting HVAC systems serving the Ribault Clubhouse in Fort George Island, Florida. A/E services will include review of existing plans (Completed in prior authorization), preparation of bid documents (Completed in prior authorization); Services to be completed in this Change Order include, bidding assistance and contract administration services including site visits.

Some or our assumptions to prepare proposal are as follows:

Client to provide plans of existing building and systems.

Design Plan reviews will be in Tallahassee or virtual. (Completed in prior authorization) Bid opening and review will be in Tallahassee or virtual.

No structural effort (design or evaluation) is included in scope but could become necessary if for example new loading conditions are created due to new or additional equipment. If structural engineering services become necessary, an add service proposal will be provided prior to any services being performed.

No plumbing or fire protection design is included.

Electrical design is limited to distribution and circuitry required to support the HVAC renovation scope. (Completed in prior authorization) Hazardous material surveys are excluded from scope and will be provided by Client.

Clubhouse is not on the State or National Register of Historic Places, and no submittal or coordination with Florida Department of State, Division of Historical Resources is required.

CRA will attend Substantial Inspection, other site visits from Intermediate to Final Inspection will only be attended by H2.

Please review the attached Proposal Summary and deliverables.

Sincerely, James Lewis Production Manager/Architect

CRA

HVAC Replacement – Ribault Clubhouse

Ft. George Island Cultural State Park DEP – CN 211, Task Assignment #4

Change Order #1

Subtask 1: Preliminary Phase (Completed in prior authorization)

Subtask 2: Prepare 30% Documents (Completed in prior authorization)

Subtask 3: 100% documents (Completed in prior authorization)

Subtask 4: Bidding Description:

In-office consultation Respond to contractor RFI’s

Deliverable:

Copies of addenda, if applicable

Performance Measure: Deliverables will be reviewed by the Department to confirm they are complete, accurate, and timely. (Please do not alter this language)

Fixed Price Cost:

Subtask 4 - Bidding/Pricing Assistance

Firm Name Position Classification Hourly Rate Hours Total Fixed Price Cost

Clemons, Rutherford & Associates, Incorporated

President - CEO $203.28 1 $203.28

Project Manager $134.13 10 $1,341.30

Production VP $112.17 1 $112.17

CADD Technician $60.57 3 $181.71

Spec writer $102.90 3 $308.70

Contract Administration $91.86 8 $734.88

Admin $73.83 4 $295.32

H2Engineering, Incorporated

Principal $185.30 2 $370.60

Sr. Engineer $136.58 10 $1,365.80

Graduate Engineer $86.03 8 $688.24

Designer $67.50 8 $540.00

CADD Tech $44.05 8 $352.40

Administration $56.90 2 $113.80

Total $6,608.20

Reimbursable Cost:

Postage Provide an estimated amount

Printing - Plans

(0) 24x36 sets of Prints x 10 sheets x $2/sheet

$0.00

Printing - Specifications

(0) 8.5 x 11 set of Specifications 200 shts x 0.15

$0.00

Subsistence per FS 112.061 Not Allowed $0.00

Mileage (@ $0.445 per mile)

(2) trips x 380 miles x $.445/mile

$338.20

Reimbursable Total Cost $338.20

Total for Subtask 4: (Fixed Price Cost + Reimbursable) $6,946.40

Subtask 5: Contract Administration - Pre-construction and Shop Drawing Review Description:

Attend kickoff meeting.

Review shop drawings and product data.

Respond to RFI’s

Deliverable:

Meeting minutes Copies of shop drawings and product data

Performance Measure: Deliverables will be reviewed by the Department to confirm they are complete, accurate, and timely. (Please do not alter this language)

Fixed Price Cost:

Subtask 5 - Contract Administration - Pre-construction and Shop Drawing Review

Firm Name Position Classification Hourly Rate Hours Total Fixed Price Cost

President - CEO $203.28 2 $406.56

Project Manager $134.13 4 $536.52

Production VP $112.17 2 $224.34

CADD Technician $60.57 4 $242.28

Spec writer $102.90 $0.00

Contract Administration $91.86 24 $2,204.64

Admin $73.83 8 $590.64

Principal $185.30 10 $1,853.00

Sr. Engineer $136.58 24 $3,277.92

Graduate Engineer $86.03 25 $2,150.75

Designer $67.50 12 $810.00

CADD Tech $44.05 12 $528.60

Administration $56.90 6 $341.40

Total $13,166.65

Provide an estimated amount

$0.00

Printing - Plans

(0) 24 x 36 sets of Prints x 10 sheets x $2/sheet

$0.00

Printing - Specifications

(0) 8.5 x 11 set of Specifications 200 shts x 0.15

$0.00

Subsistence per FS 112.061 Not Allowed $0.00

Mileage (@ $0.445 per mile)

(1) trips x 380 miles x $.445/mile

$169.10

Reimbursable Total Cost $169.10

Total for Subtask 5a: (Fixed Price Cost + Reimbursable) $13,335.75

Subtask 6: Contract Administration - Site visits - Pay Application Review Description:

Respond to RFI’s Complete progress site visits, H2 only Complete substantial completion site visit, H2, CRA.

Complete final completion site visit, H2 only

Deliverable:

Copies of field reports Substantial completion field report with punch list Final completion field report

Performance Measure: Deliverables will be reviewed by the Department to confirm they are complete, accurate, and timely. (Please do not alter this language)

Fixed Price Cost:

Subtask 6 - Contract Administration - Site visits - Pay Application Review

Firm Name Position Classification Hourly Rate Hours Total Fixed Price Cost

President - CEO $203.28 1 $203.28

Project Manager $134.13 1 $134.13

Production VP $112.17 1 $112.17

CADD Technician $60.57 1 $60.57

Spec writer $102.90 $0.00

Contract Administration $91.86 24 $2,204.64

Admin $73.83 6 $442.98

Principal $185.30 10 $1,853.00

Sr. Engineer $136.58 24 $3,277.92

Graduate Engineer $86.03 35 $3,011.05

Designer $67.50 0 $0.00

CADD Tech $44.05 0 $0.00

Administration $56.90 6 $341.40

Total $11,641.14

(0) 24 x 36 sets of Prints x 10 sheets x $2/sheet

$0.00

Printing - Specifications

(0) 8.5 x 11 set of Specifications 200 shts x 0.15

$0.00

Subsistence per FS 112.061 Not Allowed $0.00

Mileage (@ $0.445 per mile)

(6) trips x 380 miles x $.445/mile

$1,014.60

Reimbursable Total Cost $1,014.60

Total for Subtask 5b: (Fixed Price Cost + Reimbursable) $12,655.74

Subtask 7: Life Cycle Cost Analysis

Life Cycle Cost Analysis as required by code Deliverable:

Copy of final Life Cycle Cost Analysis Performance Measure: Deliverables will be reviewed by the Department to confirm they are complete, accurate, and timely. (Please do not alter this language) Fixed Price Cost:

Subtask 7 - Life Cycle Cost Analysis

Firm Name Position Classification Hourly Rate Hours Total Fixed Price Cost

President - CEO $203.28 0.5 $101.64

Production VP $112.17 1 $112.17

CADD Technician $60.57 $0.00

Spec writer $102.90 $0.00

Contract Administration $91.86 $0.00

Admin $73.83 1 $73.83

Principal $185.30 3 $555.90

Sr. Engineer $136.58 8 $1,092.64

Graduate Engineer $86.03 43 $3,699.29

Designer $67.50 $0.00

CADD Tech $44.05 $0.00

Administration $56.90 $0.00

Total $6,171.99

10 sheets x $2/sheet

$0.00

Printing - Specifications

(0) 8.5 x 11 set of Specifications 200 shts x 0.15

$0.00

Subsistence per FS 112.061 Not Allowed $0.00

Mileage (@ $0.445 per mile)

(0) trips x 374 miles x $.445/mile

$0.00

Reimbursable Total Cost $0.00

Total for Subtask 7: (Fixed Price Cost + Reimbursable) $6,171.99

Subtask 8: HVAC Commissioning

Commissioning of HVAC Systems. Minimum as required by code.

o 50% of AHU’s o 100% of Chillers o 100% of Pumps

Commissioning of Building Automation System.

Deliverable:

Copy of commissioning plan Copy of commissioning report

Performance Measure: Deliverables will be reviewed by the Department to confirm they are complete, accurate, and timely. (Please do not alter this language) Fixed Price Cost:

Subtask 8 - HVAC Commissioning

Firm Name Position Classification Hourly Rate Hours Total Fixed Price Cost

President - CEO $203.28 0.5 $101.64

Production VP $112.17 1 $112.17

CADD Technician $60.57 $0.00

Spec writer $102.90 2 $205.80

Contract Administration $91.86 4 $367.44

Admin $73.83 2 $147.66

Principal $185.30 13 $2,408.90

Sr. Engineer $136.58 66 $9,014.28

Graduate Engineer $86.03 46 $3,957.38

Designer $67.50 $0.00

CADD Tech $44.05 $0.00

Administration $56.90 41 $2,332.90

Total $19,184.69

10 sheets x $2/sheet

$0.00

Printing - Specifications

(0) 8.5 x 11 set of Specifications 200 shts x 0.15

$0.00

Subsistence per FS 112.061 Not Allowed $0.00

Mileage (@ $0.445 per mile)

(3) trips x 380 miles x $.445/mile

$507.30

Reimbursable Total Cost $507.30

Total for Subtask 8: (Fixed Price Cost + Reimbursable) $19,691.99

Project Schedule:

Activity Duration (Calendar Days)

Subtask 4 – Bid Estimated 45 days Subtask 5 – Contract Admin - Pre-construction and Shop Drawing Review

Estimated 90 days from contractor Notice to Proceed

Subtask 6 – Contract Admin - Site visits - Pay App Review

Estimated 240 days from contractor Notice to Proceed

Subtask 7 – Life Cycle Cost Analysis

45 days from Notice to Proceed

Subtask 8 – HVAC Commissioning Services

At Final Completion

Summary of Fees:

Subtask Subtask Fixed Price Cost Subtask Reimbursable

Subtask 4: Bidding Assistance

$6,608.20 $338.20

Subtask 5: 50 % Construction Administration

$13,166.65 $169.10

Subtask 6: 100% Construction Administration

$11,641.14 $1,014.60

Subtask 7: Life Cycle Cost Analysis

$6,171.99 $0.00

Subtask 8: HVAC Commissioning

$19,184.69 $507.30

Total Fixed Price Cost: $56,772.67

Total Reimbursable Cost: $2,029.20

Overall Total Cost: $58,801.87

Payment will be made upon approval of deliverables for each subtask by the FDEP in the amount specified. (Please do not alter this language)

May 30, 2023