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:

CN212 TA18 CO2 61354C

Ponce De Leon Springs Restroom Additions

Dodstone Architects

Karin Zawrotny, AIA (850) 656-7326 kzawrotny@dodstone.com

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

Services to replace the existing below grade sewer lines between the restroom/ranger station to the sewer main per the attached proposal dated 5/3/2023.

$ 100.00 $ 59,314.94 $ 59,414.94 $ 100.00 $ 79,626.52 $ 79,726.52 $ 750.00 $ 29,079.53 $ 29,829.53 $ 850.00 $ 108,706.05 $ 109,556.05

7/1/2023

7/1/2023

12/31/2023

12/31/2023

Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2023.05.23 15:06:43 -04'00'

Del Cobb Del Cobb Digitally signed by Del Cobb Date: 2023.05.24 16:28:38 -04'00'

David Matson for Ralph Perkins David Matson Digitally signed by David Matson Date: 2023.05.31 11:15:09 -04'00'

Karin Zawrotny, AIA Karin I Zawrotny Digitally signed by Karin I Zawrotny Date: 2023.06.02 10:56:58 -04'00'

Bryan Bradner Bryan Bradner Digitally signed by Bryan Bradner Date: 2023.06.06 14:22:20 -04'00'

61354C 37501000094 080039/23 423001 U3200 131500 QK $ 29,829.53

$ 29,829.53

Dodstone Architects | 3011-1 Powell Road | Tallahassee, FL 32308 | 850.656.7326 | #AR0015211

May 3, 2023

Mr. Del Cobb Project Manager Florida Department of Environmental Protection Bureau of Design & Construction 3900 Commonwealth Blvd. MS520 Tallahassee, Florida 32399

Re: Restroom Additions, CN212, TA18, 61354C CO2 – Sanitary Sewer Improvements Ponce De Leon State Park 2860 Ponce De Leon Springs Road Ponce de Leon, FL 32455 Holms County

Mr. Cobb, As requested, we are submitting this proposal to include services necessary to prepare Construction Documents, Bidding, Permitting, and Construction Administration Services to replace the existing below grade sewer lines between the restroom/ranger station to the sewer main located across the street from Ponce de Leon State Park.

Only site visits and on-site meetings authorized by BDC will be conducted. Any fees associated with unused site visits would not be invoiced.

Our approach to the project would be as follows:

Subtask 1e: Site Specific Survey, Utility Designation, & Data Collection Description: Steve Stinson & Associates (SSA) will provide site specific topographical survey for the proposed sanitary sewer route from the existing bathhouse and ranger station that will connect to the existing gravity sewer main located on east side of County Road. The survey will include the following:

• Locate all improvements and utilities, as evidenced by above ground features or if designated and marked by the Utility Owners, their designated representative, or a contracted service at the original time of field visit.

• Obtain spot elevations on natural ground and existing improvements suitable for interpolation of one-foot contours to be shown on the final drawing.

• Establish a minimum of two (2) site benchmarks.

• Topographic coverage will be limited to preliminary sewer route provided by George & Associates, Consulting Engineers, Inc.

• Locate trees 12” inch diameter and larger measured at breast height (DBH).

SSA will locate horizontally field marking (paint & flags) all public subsurface utility mains found excluding service lines, gravity sewer lines and irrigation. These marked utilities will be picked up by the topographic survey elements.

Deliverable:

• Site-specific 24”x36” survey, signed and sealed, pdf

• Electronic AutoCAD file, .dwg

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

Matson_D Text Box

CO2

Matson_D Inserted Text

Total Task 1e Costs:

$ 5,480.00

Subtask 1f: On-Site Project Review Description: George & Associates, Consulting Engineers, Inc. (G&A) will make a site visit to review the survey and existing conditions.

The intent will be to review the existing conditions survey and verify the proposed route of the sanitary sewer service, location of proposed pump station and coordination of the proposed connection into the existing sewage collection system. As well as reviewing the available electrical service connection for the proposed lift station.

Deliverables:

• Site Visit report in portable document file (pdf)

Subtask 1e

Position Classification Hourly Rate Hours Total Fixed Price Cost

Principal $168.00 1 $168.00 Registered Architect $133.00 2 $266.00

$434.00

Principal Surveyor $130.00 4 $520.00 GPS Survey Crew $150.00 4 $600.00 CADD Operator $80.00 10 $800.00 2-Person Survey Crew $125.00 18 $2,250.00 Project Surveyor $90.00 4 $360.00

$4,530.00

Project Manager $129.00 4 $516.00 $516.00

Subtask 1e $5,480.00 Site Specific Survey, Utility Designation, & Data Collection

Steve Stinson & Assiciates, Inc.

Site Specific Survey, Utility Designation, & Data Collection

Firm Name

Dodstone Architects

George & Associates

Subtask 1f

Position Classification Hourly Rate Hours Total Fixed Price Cost

Principal $168.00 0.5 $84.00 Registered Architect $133.00 2 $266.00

$350.00

Project Manager $129.00 7 $903.00 $903.00

Subtask 1f $1,253.00

George & Associates

On-Site Project Review

On-Site Project Review

Firm Name

Dodstone Architects

Total Task 1f Costs:

$ 1,253.00

Subtask 3c: 60% Construction Documents Description: G&A will prepare 60% design plans for construction of a new sanitary sewer route that will tie the existing bathhouse and ranger station into a new lift station that will connect to existing collection system located directly east of the State Park along County Road 181A. It is anticipated that the connection of the proposed forcemain will require a directional drill beneath the existing County Road 181A.

Services include the hydraulic analysis/modeling of the proposed sanitary sewer force main system improvements. We propose to use the program SewerCAD to model and determine the appropriate size of pumps for the proposed pump station.

The new pump station construction documents are anticipated to include seven plan sheets including cover, general notes, existing conditions/demolition/erosion & sedimentation control, site/grading, and details sheets.

Applied Research & Design (ARD) will provide Electrical Engineering Design to include the following: electrical symbology and notes, electrical sitework, demolition/reuse plans, preliminary power one line, load calculations, control scope and description. Plan sheets to include an electrical site plan and electrical details.

Relevant specifications will be provided either on the drawings or as a separate booklet as determined by the design team.

A preliminary cost estimate based off the quantities in the construction documents with unit prices will be submitted as part of the plans package.

Deliverables:

• 60% Construction Plans, pdf

• 60% Construction Specifications, pdf

• 60% Engineer’s Opinion of Probable Cost, pdf

Total Task 3c Costs:

$ 10,810.23

Subtask 3d: FDEP Permitting Description: G&A will prepare a Domestic Wastewater Collection Transmission Application package for submittal to Florida Department of Environmental Protection (FDEP) for the construction of the proposed lift station.

Deliverables:

• FDEP Application for Domestic Wastewater Collection Transmission System Application, Form 62- 604.333(8)(a) in pdf

• SJRWMD Notice of Intent to Use an Environmental Resource General Permit, 62-330.402(1)

• Design calculations and construction documents to support FDEP permit application, pdf

Subtask 3c

Price Cost

Principal $168.00 0.5 $84.00 Registered Architect $133.00 4 $532.00

$616.00

Engineer $134.00 3 $402.00 CAD Designer $59.00 4 $236.00

$638.00

Chief Engineer $203.43 1 $203.43 Project Manager $129.00 16 $2,064.00 Project Engineer II $76.44 20 $1,528.80 Sr. Engineer Technician $72.00 80 $5,760.00

$9,556.23

Subtask 3c $10,810.23

Dodstone Architects

George & Associates

60% Construction Documents - Site

Applied Research & Design

60% Construction Documents - Site

Firm Name

Subtask 3d

Position Classification Hourly Rate Hours Total Fixed Price Cost

Registered Architect $133.00 1.5 $199.50 $199.50

Project Manager $129.00 2 $258.00 Project Engineer II $76.44 6 $458.64

$716.64

Subtask 3d $916.14

FDEP Permitting

Firm Name

Dodstone Architects

George & Associates

FDEP Permitting

Total Task 3d Costs:

$ 1,166.14

Subtask 3e: Holmes County Public Works Permit Description: G&A will prepare a Utility Connection permit application for the construction of the proposed forcemain that will connect into the existing sanitary sewer collection system within the existing right-of-way of County Road 181A.

Deliverables:

• Holes County Utility Connection Application in pdf

• Design calculations and construction documents to support permit application, pdf

Total Task 3e Costs:

$ 1,166.14

Subtask 4d: Final (100%) Construction Documents Description: G&A and ARD will finalize the construction plans and incorporate any agency review comments and Bureau of Design and Recreation comments. G&A will re-submit to Florida Department of Environmental Protection, and the Bureau of Design & Construction. Civil and Electrical plans will be a continuation of all the plan sheets provided in the 60% submittal.

Deliverables:

• Response to 60% Constructions Plans comments from BDC, pdf

• 100% Construction Plans, pdf and AutoCAD

• 100% Construction Specifications, pdf

$250.00

Reimbursable Total $250.00

FDEP Construct PWS Components 62-555.900(1) Reimbursable Cost:

Subtask 3e

Position Classification Hourly Rate Hours Total Fixed Price Cost

Registered Architect $133.00 1.5 $199.50 $199.50

Project Manager $129.00 2 $258.00 Project Engineer II $76.44 6 $458.64

$716.64

Subtask 3e $916.14Holms Country Public Works Permit

Holms Country Public Works Permit

Firm Name

Dodstone Architects

George & Associates

$250.00

Reimbursable Total $250.00

Reimbursable Cost:

FDEP Construt PWS Components 62-555.900(1)

• Final Engineer’s Opinion of Probable Cost, pdf

Total Task 4d Costs:

$ 2,689.52

Subtask 5d: Bidding Services - Site Description: Respond to bidders written questions regarding interpretation and clarification of Contract Documents related to the sewer improvements, responding only in compliance with Department policies and procedures. Interpret or clarify the Bid Documents, prepare appropriate addenda in accordance with Department policy and procedures, to be approved by the Department Project Manager, and reviewed and issued by the Department.

Deliverable: Consultant will provide written responses to bidder’s questions, addenda, consisting of a reproducible set of plans and/or specification in PDF format.

Subtask 4d

Position Classification Hourly Rate Hours Total Fixed Price Cost

Principal $168.00 0.5 $84.00 Registered Architect $133.00 2 $266.00

$350.00

Engineer $134.00 2 $268.00 CAD Designer $59.00 2 $118.00

$386.00

Project Manager $129.00 4 $516.00 Project Engineer II $76.44 8 $611.52 Sr. Engineer Technician $72.00 8 $576.00

$1,703.52

Subtask 4d $2,439.52

George & Associates

100% Construction Documents - Site

100% Construction Documents - Site

Firm Name

Dodstone Architects

Applied Research & Design

$250.00

Reimbursable Total $250.00

Reimbursable Cost:

Printing (NTE)

Total Task 5d Costs:

$ 1,000.00

Subtask 6j: Pre-Construction Meeting Description: G&A and DS to have staff attend the on-site pre-construction meeting (to be conducted by the BDC) upon request by BDC. Be prepared to discuss and respond to Contractor questions about technical aspects of the projects.

Deliverable: Consultant will deliver an 8- 1/2”x11” report in PDF format to project manager. This report will summarize items discussed at the pre-bid meeting.

Total Task 6j Costs:

$ 1,918.00

Subtask 6k: Additional Limited CA Services Description: Provide qualified representation to the Department during the construction phase to address issues concerning the intent and interpretation of the construction contract plans and documents prepared for

Subtask 5d

Position Classification Hourly Rate Hours Total Fixed Price Cost

Principal $168.00 0.5 $84.00 Registered Architect $133.00 2 $266.00

$350.00

Engineer $134.00 1 $134.00 $134.00

Project Manager $129.00 4 $516.00 $516.00

Subtask 5d $1,000.00

George & Associates

Bidding Services - Site

Bidding Services - Site

Firm Name

Dodstone Architects

Applied Research &

Subtask 6j

Position Classification Hourly Rate Hours Total Fixed Price Cost

Principal $168.00 0.5 $84.00 Registered Architect $133.00 7 $931.00

$1,015.00

Project Manager $129.00 7 $903.00 $903.00

Subtask 6j $1,918.00

George & Associates

Pre-Construction Meeting

Pre-Construction Meeting

Firm Name

Dodstone Architects the project related to the sewer improvements. Should changed conditions be encountered in the field, and when requested by the Department, respond in a timely manner with suitable engineering solutions that consider the changed conditions.

From time to time during construction, the design team may be requested by the Department or its designated representative to review contractor proposed field changes or to respond with a recommended solution to remedy particular field situations not covered by the plans and specifications or respond to requests made by the Contractor for information (RFl's).

Review Contractor’s shop drawings/submittals. Contractor’s shop drawings/submittals shall be prepared and submitted in accordance with the Department Specifications.

Deliverable: Provide in electronic format Responses to Contractor’s Requests for Information (RFI), Reviewed Contractor Shop Drawing or other Submittals.

Total Task 6k Costs:

$ 938.50

Subtask 6l: Additional Civil Site Visit 1 - Civil Description: Staff from G&A will visit site during construction upon request by BDC to review ongoing construction progress, or work completed during prior phase. Inspection to include review of construction/demolition to date. On-going documentation in the form of photos, field notes and/or recommendations to be provided after each site visit.

Deliverable:

• Field notes and documentation of construction progress in pdf

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

Subtask 6k

Position Classification Hourly Rate Hours Total Fixed Price Cost

Principal $168.00 0.5 $84.00 Registered Architect $133.00 1.5 $199.50

$283.50

Engineer $134.00 2 $268.00 $268.00

Project Manager $129.00 3 $387.00 $387.00

Subtask 6k $938.50

George & Associates

Additional Limited CA Services

Additional Limited CA Services

Firm Name

Dodstone Architects

Applied Research & Design

Total Task 6l Costs:

$ 1,169.00

Subtask 6m: Additional Civil Site Visit 2 - Civil Description: Staff from G&A will visit site during construction upon request by BDC to review ongoing construction progress, or work completed during prior phase. Inspection to include review of construction/demolition to date. On-going documentation in the form of photos, field notes and/or recommendations to be provided after each site visit.

Deliverable:

• Field notes and documentation of construction progress in pdf

Total Task 6m Costs:

$ 1,169.00

Task 6n – Additional Site Visit - Electrical Description: The electrical engineer shall visit the project site upon request by DEP. A report will be issued noting progress observed on the site and any electrical items noticed that warrant correction by the contractor.

Deliverables: Field report will be delivered within 7 working days of the site visit in pdf format.

Performance Measures: Deliverables will be reviewed by the Department to confirm they are complete, accurate, timely, and reflect DEP’s intent for the project.

Subtask 6l

Position Classification Hourly Rate Hours Total Fixed Price Cost

Registered Architect $133.00 2 $266.00 $266.00

Project Manager $129.00 7 $903.00 $903.00

Subtask 6l $1,169.00Additional Site Visit 1 - Civil

Additional Site Visit 1 - Civil

Firm Name

Dodstone Architects

George & Associates

Subtask 6m

Position Classification Hourly Rate Hours Total Fixed Price Cost

Registered Architect $133.00 2 $266.00 $266.00

Project Manager $129.00 7 $903.00 $903.00

Subtask 6m $1,169.00

Additional Site Visit 2 - Civil

Firm Name

Dodstone Architects

George & Associates

Additional Site Visit 2 - Civil

Total Task 6n Costs:

$ 1,070.00

Subtask 6n

Price Cost

Registered Architect $133.00 2 $266.00 $266.00

Engineer $134.00 6 $804.00 $804.00

Subtask 6n $1,070.00

Additional Site Visit - Electrical

Firm Name

Dodstone Architects

Applied Research & Design

Additional Site Visit - Electrical

General Conditions

We agree to complete the work as outlined in the proposal for the following lump sum amounts:

CO2 Total: $29,829.53

Subtask Provider Base Service Additional

Service Subtotal Reimb. Total

1e DS $434.00 $5,480.00 $5,480.00

SSA $4,530.00

G&A $516.00

DS $350.00 $1,253.00 $1,253.00

G&A $903.00 3c DS $616.00 $10,810.23 $10,810.23

ARD $638.00

G&A $9,556.23

3d DS $199.50 $916.14 $250.00 $1,166.14 G&A $716.64

3e DS $199.50 $916.14 $250.00 $1,166.14 G&A $716.64

DS $350.00 $2,439.52 $250.00 $2,689.52

ARD $386.00

G&A $1,703.52

5d DS $350.00 $1,000.00 $1,000.00

ARD $134.00

G&A $516.00

DS $1,015.00 $1,918.00 $1,918.00

G&A $903.00

DS $283.50 $938.50 $938.50

ARD $268.00

G&A $387.00

DS $266.00 $1,169.00 $1,169.00

G&A $903.00

DS $266.00 $1,169.00 $1,169.00

G&A $903.00

DS $266.00 $1,070.00 $1,070.00

ARD $804.00

Design Phases 1e, 1f, 3c, 4d $0.00 $19,982.75 $19,982.75 $250.00 $20,232.75 Bidding & Permitting 3d, 3e, 5d $0.00 $2,832.28 $2,832.28 $500.00 $3,332.28 Pre-Con & CA 6j, 6k $0.00 $2,856.50 $2,856.50 $0.00 $2,856.50 CA Site Visits 6l, 6m, 6n $0.00 $3,408.00 $3,408.00 $0.00 $3,408.00

$0.00 $29,079.53 $29,079.53 $750.00 $29,829.53

$34,256.51 $25,058.43 $59,314.94 $100.00 $59,414.94

CO1 $16,804.70 $3,506.88 $20,311.58 $0.00 $20,311.58

$51,061.21 $57,644.84 $108,706.05 $850.00 $109,556.05

Holms Country Public Works Permit

4d 100% Construction Documents - Site

Bidding Services - Site

CO2 - SANITARY SEWER IMPROVEMENTS

Site Specific Survey, Utility Designation, & Data Collection

1f On-Site Project Review

60% Construction Documents - Site

FDEP Permitting

6j Pre-Construction Meeting

6k Additional Limited CA Services

6l Additional Site Visit 1 - Civil

Original Contract Sum

New Project Total

6m Additional Site Visit 2 - Civil

6n Additional Site Visit - Electrical

CO2 Total

Matson_D Highlight

Matson_D Highlight

Project Schedule Summary:

In all cases, the deliverables for a given Task will be provided to DEP on or before the time frame listed below. DEP review times are not included, but are assumed to occur between each Task. Written acceptance of a submission from DEP are assumed to include all comments pertaining to that submission.

Receipt of additional comments later may require an extension of the subsequent deadline.

Subtask Working Days From Subtask 1e: Site Specific Survey 25 Date of execution of agreement Subtask 1f: On-Site Project Review 7 Upon completion of survey Subtask 3c: 60% CDs - Site 35 Upon completion of 1f Subtask 3d & 3e: FDEP & Holms 32 Upon completion of 3c & Receipt written BDC comments Subtask 4c: 100% CDs - Site 15 Upon receipt of written permitting comments Subtask 5d: Bidding Services - Site TBD Subtask 6j: Pre-Const. Meeting TBD Subtask 6k: Additional CA Services TBD Subtask 6l: Additional Civil Site Visit TBD Subtask 6m: Add’l Civil Site Visit TBD Subtask 6n: Add’l Electrical Site Visit TBD

Only site visits (Subtasks 6j-6n) authorized by DEP will be conducted and invoiced.

Client’s Responsibilities The Client and/or User shall provide the following:

1. Full information about the objectives, schedule, constraints and existing conditions of the Project.

2. Establishment of a construction budget with reasonable contingencies that meets the Project

Requirements.

3. Employment of a qualified General Contractor to perform the construction Work.

4. Prompt responses to questions issued by DG regarding information necessary to complete the work on schedule.

5. Access to the site as necessary to perform the work (to be coordinated in advance with Park Staff). Some pre-design tasks will need to be conducted during times when the public is not on site (early morning or evening).

6. Provide any existing information available on file regarding the existing building, roof upgrade etc.

7. Provide a letter from the roofing contractor regarding lead paint and/or asbestos content of the installed roofing system.

8. Provide a copy of DEP’s latest CAD Guidelines/Standards.

9. Provide all necessary communication and coordination with the State’s Historic Preservation Department.

10. All work associated with the identification, testing, and abatement of any existing hazardous materials beyond what was specifically listed in the contract.

11. Payment of permitting fees assessed by the State Fire Marshal’s office.

Miscellaneous Provisions

1. DG shall have no responsibility for the identification, discovery, presence, handling, removal or disposal of, or exposure of persons to, hazardous materials.

2. Application for a septic permit is not anticipated to be required and is therefore not included.

3. All deliverables are electronic unless specifically noted otherwise.

4. Procurement of the actual building permit is not included. We will provide the drawings necessary to obtain a permit and will assist in filling out any required forms relating to the actual work performed. No energy forms are included. BDC (or their contractor) will be responsible for delivering the drawings to the permitting agencies.

5. Site visitation by the design team is limited as described previously. Additional site visits can be included for an additional fee.

6. Any services provided beyond the scope of this project will be billed at the hourly rates agreed upon within the 2014 Open End contract with DEP or based upon a negotiated lump sum. No Additional services will be conducted without an executed supplemental agreement issued by DEP.

7. Cost estimating services except as previously stated, are not included.

8. It is our understanding that all Pay Application review will be performed by DEP and is therefore not included with this proposal.

10. FEMA maps posted of this area at the time this proposal was written indicate that the project site is not located within a flood plain. Addressing FEMA regulations related to flood zones is therefore not included.

Should FEMA update their maps prior to this project being submitted for permit review, this issue may need to be reassessed. If this area is shown to be in a flood plain, the project scope and fees will need to be re-evaluated.

11. No changes, revisions, or updates are included to the previously submitted Construction Documents or Projected Construction Costs for the Restroom Addition.

Limit of Liability

Pursuant to section 558.0035 Florida statutes, DodStone Group Architects, Inc. is the responsible party for the professional services it agrees to provide under this agreement. No individual professional employee, agent, director, officer or principal may be individually liable for negligence arising out of this contract.

Payment

Payment request for each Task will be made upon submission of each deliverable and approval of the deliverables by BDC. During the Construction Administration Phase, site visits will be invoiced after they have been completed and the field report issued.

Financial Consequences

It is understood that no payment will be made for unsatisfactory deliverables. In the event that a deliverable is deemed unsatisfactory, the DodStone Group shall re-perform the services needed for submittal of a satisfactory deliverable, at no additional cost to BDC within 15 consecutive days. If a satisfactory deliverable in not submitted within the specified timeframe, BDC may, in its sole discretion terminate the Contract for failure to perform.

Notification of any deliverables deemed unsatisfactory by BDC must be transmitted in writing to DG within 20 consecutive days of receipt of that deliverable. After that time frame deliverables are assumed approved by BDC.

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