CN-370000-CN212-T14CO1.pdf

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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:

FDEP Contract No: CN212

Task Assignment No: 14

Change Order No: 1

Project No: 61295C

Project Location: Little Talbot Island State Park

Project Name: Campground Bathhouse ADA Renovations

Consultant Name: DodStone

Consultant Representative: Karin Zawrotny

Phone: 850-656-7326

Email: kzawrotny@dodstone.com

FDEP Contract Manager: Jeffrey Whitfield

Phone_2: 850-245-2630

Email_2: Jeffrey.Whitfield@FloridaDEP.gov

Description and Justification of Change: This is a modification to the Task Assignment to separate Subtask 5b Permitting Services into Subtask 5b-a (Civil Permitting Services) and Subtask 5b-b (Building Permitting Services) per proposal dated 10/8/2021. This would increase the encumbered amount by $5510.08, as this needs to be completed in the design phase.

ReimbursementOriginal Task Amount: 3558.14

Fixed FeeOriginal Task Amount: 94205.60

TotalOriginal Task Amount: 97763.74

ReimbursementTask amount including all previous Change Orders: 3558.14

Fixed FeeTask amount including all previous Change Orders: 94205.60

TotalTask amount including all previous Change Orders: 97763.74

ReimbursementNet increasedecrease in task amount for this Change Order: 1000

Fixed FeeNet increasedecrease in task amount for this Change Order: 4510.08

TotalNet increasedecrease in task amount for this Change Order: 5510.08

ReimbursementTotal Amounts with all Change Orders: 4558.14

Fixed FeeTotal Amounts with all Change Orders: 98715.68

TotalTotal Amounts with all Change Orders: 103273.82

Original Task Execution Date: 6/15/2021

Original Task End Date: 7/1/2023

Present Task End Date: 7/1/2023

Net Change in Days: 0

New Task End Date: 7/1/2023

Budget Representative FDEP: Greg Turral

2022-01-11T09:47:28-0500

Gregory Turral

Date:

Project Manager FDEP: Laura S. Ross

2022-01-11T15:02:47-0500

Laura S. Ross

Date_2:

Contract Manager FDEP: Jeffrey Whitfield

2022-02-01T13:56:40-0500

Jeffrey Whitfield

Date_3:

Consultant: Joel Dodson

2022-02-22T10:15:05-0500

Jodie Dodson

Date_4:

Contract Authority FDEP: Bryan Bradner

2022-03-10T16:16:09-0500

Bryan Bradner

Date_5:

Project Row1: 61295C

Grant Row1:

Org CodeRow1: 37502002049

CatYearRow1: 088130/21

FundRow1: 675002

ModuleRow1: U3200

Object CodeRow1: 131500

EORow1: XR

AmountRow1: 5510.08

Project Row2:

Grant Row2:

Org CodeRow2:

CatYearRow2:

FundRow2:

ModuleRow2:

Object CodeRow2:

EORow2:

AmountRow2:

Project Row3:

Grant Row3:

Org CodeRow3:

CatYearRow3:

FundRow3:

ModuleRow3:

Object CodeRow3:

EORow3:

AmountRow3:

Amount29 Digit FLAIR Code Total:

0: 5510.08

1:

ARCHITECTS

October 8, 2021

Ms. Laura Ross Project Manager Florida Department of Environmental Protection Bureau of Design & Construction 3900 Commonwealth Blvd. MS520 Tallahassee, Florida 32399

Re: CO1: Shift Civil Permitting to Design Phase Electrical and ADA modifications Little Talbot Island State Park 12157 Heckscher Drive Jacksonville, FL

Ms. Ross, In our original contract, we had combined all of the permitting work into a single Subtask (Subtask 5b).

This would have been fine if we were moving straight into Bidding and Permitting once the drawings were all completed. The Civil permitting effort, however, typically occurs during the design phase. This requested change order, is breaking the original Subtask into two separate Subtasks. The net total of the design fees will remain the same.

We are requesting that the Subtask 5b-a Services be added to the current contract scope.

Subtask 5b-a: Civil Permitting Services G&A will assist in obtaining site plan approval as part of the permitting process though the City of Jacksonville. G&A will submit site plan drawings, marratives, and design calculations to the City of Jacksonville Development Services Review Group through their online permitting portal.

Deliverables: A copy of the Site Development Set Review Non-Subdivision permit application and a copy of the Site Work Permit will be provided in pdf format.

George & Associates Project Manager $129.00 16 $2,064.00 Project Manager II $76.44 32 $2,446.08

$4,510.08 Reimbursable Costs:

Site work permit: 1,000.00

Total Subtask 5b-a $5,510.08

It is assumed that Subtask 5b-b would only be contracted when the rest of the Construction Administration Phase Subtasks are added to the scope.

Subtask 5b-b: Permitting Services This will include the remaining permitting services as outlined in the original contract.

Deliverables: As previously described.

Dodstone Architects Principal $168.00 0.5 $84.00

Registered Architect $133.00 4 $532.00 $616.00

Whitfield_J

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Matson_D

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CN212 TA14

Dodstone Architects | 3011-1 Powell Road | Tallahassee, FL 32308 | 850.656.7326 | #AA26001632

Applied Research Professional Engineer $134.00 2 $268.00 $268.00

FSM Engineering Principal/Senior Engineer $130.64

3.25 $424.58

Project Engineer $110.15 0 $0.00 Staff Engineer $80.38 2 $160.76 CADD Tech $49.23 1.5 $73.85 Admin $34.02 1 $34.02 $693.21 Subtask 5b Permitting Services $1,577.21

Total Subtask 5b-b $1,577.21

All previous provisions, limits of liability, and client responsibilities would remain unchanged.

Sincerely, Joel L. Dodson, AIA Principal Architect Dodstone Architects, Inc.

Whitfield_J

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