CN-370000-CN213-T16CO3.pdf

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Attached to
Master Agreement FL|CN213|b9c692f990a10778da60a76aaae4387a
Contract number
CN213
Issued by
Florida

About this file

This is a Task Assignment Change Order Form (Change Order No. 03) issued by the Florida Department of Environmental Protection (FDEP) for Contract No. CN213, Task Assignment No. 16, Project No. 61185C. The project involves the Butler Mill Creek Realignment at Lake Jackson Mounds Archaeological State Park. The consultant is Halff (formerly Genesis Group, Genesis Halff), represented by David Hutcheson, P.E., PSM. The FDEP Contract Manager is Alyssa Skehan. The change order was executed on August 19-25, 2021, with all required signatures from FDEP budget, project management, contract management, and contract authority representatives, as well as the consultant.

The change order authorizes additional archaeological services through Subtask 9, specifically requiring Halff's subconsultant PaleoWest Archaeology to complete 17 additional shovel test pits to increase testing frequency from 25-meter intervals to 12.5-meter intervals, as requested by the Division of Historical Resources. The work must comply with Florida Rule 1A-46 and DHR standards. The net increase in task amount for this change order is $1,555.00 in fixed fees, bringing the total task amount from $66,714.23 to $68,269.23. The cost breakdown includes labor from PaleoWest staff (Laboratory Manager, Crew Chief, and Technician) and a Halff Project Engineer. The project completion date remains December 31, 2022, with deliverables including a report of findings and 1A-32 application copy to be submitted within 30 business days of task assignment execution.

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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:

CN213 16 03 61185C

Lake Jackson Mounds Butler Mill Creek Realignment

Halff (previously Genesis Group, Genesis Halff)

David Hutcheson, P.E., PSM (850) 848-9414 dhutcheson@Halff.com

Alyssa Skehan (850) 245-2781 Alyssa.skehan@FloridaDEP.gov

Additional archaeological test pit frequency doubled per the attached proposal dated 8/19/2021.

$ 5,850.00 $ 17,875.69 $ 23,725.69 $ 5,850.00 $ 60,864.23 $ 66,714.23

$ 1,555.00 $ 1,555.00 $ 5,850.00 $ 62,419.23 $ 68,269.23

1/13/20

12/15/20

12/31/2022

12/31/2022

Greg Turral Gregory Turral Digitally signed by Gregory Turral Date: 2021.08.19 16:56:53 -04'00'

Theresa Carron Theresa Carron Digitally signed by Theresa Carron Date: 2021.08.19 14:00:31 -04'00'

Alyssa Skehan Alyssa Skehan Digitally signed by Alyssa Skehan Date: 2021.08.20 09:06:23 -04'00'

David Hutcheson, PE, PSM David W Hutcheson Digitally signed by David W Hutcheson Date: 2021.08.20 10:03:52 -04'00'

Michael W. Foster Jr., PE Michael W. Foster Jr.

Digitally signed by Michael W.

Foster Jr.

Date: 2021.08.25 10:06:31 -04'00'

61185C 37501000047 08003/22 423001 U32000 131500 QK $ 1,555.00

$ 1,555.00

SUPPLEMENTAL SCOPE OF SERVICES

FOR

BUTLER MILL CREEK REALIGNMENT

LAKE JACKSON MOUNDS ARCHAEOLOGICAL STATE PARK

DEP CONTRACT NO: CN213, TASK ASSIGNMENT NO: 16 CO , PROJECT NO: 61185C

Revision Item 1: Additional Work for Completion of Subtask

Subtask 9: Archaeological Services

Description of Additional Work: Halff’s subconsultant, PaleoWest Archaeology, will complete 17 additional shovel test pits in order to increase frequency from 25-meter intervals to 12.5-meter intervals as requested by the 1A-32 Permit Administrator, Division of Historical Resources (DHR), Florida Department of State. The work will be completed to DHR standards to comply with Module 3, Guidelines for use by Historical Preservation Professionals. PaleoWest will record all sites according to Florida Master Site File standards, and the resulting report will comply with Florida Rule 1A-46.

Deliverables Subtask 9: Report of findings per 1A-46 and copy of 1A-32 application in PDF format to include the additional data.

Schedule Subtask 9: Consultant shall deliver the digital draft Report and copy of application to the DEP project manager within thirty (30) business days following receipt of executed Task Assignment.

The final report for 1A-46 and final 1A-32 application data shall also be submitted in digital format.

Performance Measures Subtask 9: Deliverables will be reviewed by the Department to confirm they are complete, accurate and timely.

Additional Fixed Price Cost to increase frequency of shovel tests: $1,555.00 Firm Description Unit

Cost Hours Total

Cost PaleoWest Laboratory Manager $ 70.00 2.5 $ 175.00 PaleoWest Crew Chief $ 70.00 8.0 $ 560.00

PaleoWest Technician $ 55.00 8.0 $ 440.00

Halff Project Engineer $ 95.00 4.0 $ 380.00

TOTAL $ 1,555.00

The additional work required is not expected to affect the overall project completion date of 12/31/2022.

CO3

9: Archaeological Services, CN213 TA16 CO2

CN213 TA16 CO3

Subtask 13:

August 19, 2021

13:

13:

13:

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