CN-370000-CN225-T17CO5.pdf
PDF 5 MB Posted
- Contract number
- CN225
- Issued by
- Florida
About this file
Task Assignment Change Order Summary
This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) for a contract with DRMP, Inc., a consulting engineering firm based in Tallahassee, Florida. The change order modifies Task Assignment No. 17 under FDEP Agreement No. CN225 for the Camp Helen State Park Sewer Improvements project located in Bay County, Florida. The contract involves coordination between FDEP, the project owner, and DRMP, Inc., with Ralph Perkins serving as the FDEP Contract Manager and Benjamin Lennon as the consultant representative. The change order was signed and approved on August 25, 2023, by all required parties, including budget, project management, contract management, and contract authority representatives.
Change Order No. 5 increases the task amount by $1,052.78 for permit close-out services, bringing the total task amount to $37,381.83. The scope of work requires DRMP, Inc. to coordinate and complete the "Notification of Completion of Construction for a Domestic Wastewater" FDEP permit close-out documentation, including collecting signatures and required information from the permitee, facility owner, wastewater facility operator, and engineer certifications with test records and record drawings. The fixed-fee cost of $1,052.78 covers 6 hours of project manager time at $159.52 per hour and 2 hours of secretary time at $47.83 per hour, with a 10-week performance schedule from the change order date. The original task execution period was October 18, 2019, to June 30, 2020, with the present task end date extended to October 31, 2023, and the new task end date set for January 8, 2024.
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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:
CN225 17 5 61249C
Camp Helen State Park Sewer Improvements
DRMP, Inc.
Benjamin Lennon 850-562-9600 BLennon@drmp.com
Ralph Perkins 850-245-2460 Ralph.Perkins@FloridaDEP.gov
The Consultant will coordinate and complete the “Notification of Completion of Construction for a Domestic Wastewater” FDEP permit close-out documentation for the project. See agreement dated 8/22/23 attached.
$ 36,329.05 $ 36,329.05 $ 36,329.05 $ 36,329.05 $ 1,052.78 $ 1,052.78
$ 0.00 $ 37,381.83 $ 37,381.83
10/18/19
6/30/20
10/31/23
1/8/24
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2023.08.25 15:49:51 -04'00'
Kenny Franklin Kenny Franklin Digitally signed by Kenny Franklin Date: 2023.08.25 14:57:18 -05'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2023.08.25 16:05:10 -04'00'
Ben Lennon Benjamin R Lennon Digitally signed by Benjamin R Lennon Date: 2023.08.25 16:43:28-04'00'
Michael W. Foster Jr., P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2023.09.08 15:04:44 -04'00'
61249C 37501000247 080039/21 423001 U3200 131500 QK $ 1,052.78
$ 1,052.78
1625 Summit Lake Drive, Suite 200, Tallahassee, Florida 32317 Phone: 850.562.9600 | Fax: 850.575.5544
August 22, 2023 DRMP Project #: 14-0210.017
Kenny Franklin
Florida Department of Environmental Protection
Bureau of Design and Construction
Construction Project Consultant II
Subject: FDEP Agreement #CN225 – Task Assignment #17 Camp Helen State Park Sewer Improvements – Change order #5 Proposal for Professional Services
Dear Mr. Franklin:
Our understanding of the Department needs assistance with the permitting close-out for the project.
For your review, DRMP, Inc., has provided a proposal summary and man-hour documentation for the services task identified below:
Please review the attached Proposal Summary and Deliverables.
Sincerely, _ ___ ____ 8/22/2023____ Benjamin Lennon, P.E. Date Senior Project Manager
Attachment(s): DRMP, Inc. Proposal
CC: Richard Rowe, FDEP
Camp Helen State Park – Bay County, Florida FDEP Agreement #CN225 – Task Assignment #17
Change Order 5 Proposal for Professional Services
Subtask 7F: Permit Close-out
Description: The Consultant will coordinate and complete the “Notification of Completion of Construction for a Domestic Wastewater” FDEP permit close-out documentation for the project. This will require signatures and information from the Permitee (FDEP), owner of the collection/transmission system, Wastewater Facility Serving Collection/Transmission System, and engineers certification requiring test records and record drawings provided by the contractor or owner.
Deliverables:
• FDEP Notification to be submitted (.pdf)) and submittal documentation.
Performance Measures: Deliverables shall be reviewed by the Department to confirm they are complete, accurate, and timely.
Firm Name Position Classification Hourly Rate Hours Total Fixed Price
Cost
DRMP Project Manager $159.52 6 $957.12
DRMP Secretary $47.83 2 $95.66
$1,052.78
SUBTASK 7E TOTAL: $1,052.78
Subtask 7F: Permit Close-out 10 weeks from CO#5
Project Schedule
Subtask: Duration
Subtask 7F: Permit Close-out
LABOR SUBTOTAL:
| CN225 TA17 CO5 form.pdf |
| CN225 TA17 CO5 backup (2).pdf |
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