Florida Department of Environmental Protection

TASK ASSIGNMENT CHANGE ORDER FORM

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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:

CN306 19 02 61492C

Alafia River State Park Hurrah Creek Bridge Replacement

Hydra Engineering & Construction, LLC

Leslie Weiss, PE, GCG, F.ASCE 850-926-2593 lahope@hydraengineering.com

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

Additional services to secure the TECO Joint Use Permit per the attached proposal dated 3/4/2024.

$ 100.00 $ 98,521.01 $ 98,621.01 $ 250.00 $ 100,753.87 $ 101,003.87 $ 500.00 $ 5,905.93 $ 6,405.93 $ 750.00 $ 106,659.80 $ 107,409.80

5/10/2023

4/24/2025

4/24/2025

4/24/2025

Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2024.03.06 16:22:28 -05'00'

Theresa Carron T.Carron Digitally signed by T.Carron Date: 2024.03.06 16:26:06 -05'00'

Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2024.03.07 13:36:26 -05'00'

Leslie Weiss, PE, GCG, F.ASCE Leslie Weiss Digitally signed by Leslie Weiss Date: 2024.03.07 15:08:55 -05'00'

Bryan Bradner Bryan Bradner Digitally signed by Bryan Bradner Date: 2024.03.12 15:27:02 -04'00'

61492C 37504000251 080039/23 423001 U3200 131500 QK $ 6,405.93

$ 6,405.93

HYDRA ENGINEERING & CONSTRUCTION, LLC

36 Jasper Thomas Road, Crawfordville, Florida 32327 (850) 926-2593 www.hydraec.com

March 4, 2024

Theresa Carron Project Manager Bureau of Design and Construction Florida Department of Environmental Protection 3900 Commonwealth Boulevard 260K, MS 520 Tallahassee, FL 32399

RE: CN306 TA 19, BDC Project No. 61492C

Alafia River State Park – Bridge Replacement

Dear Ms. Carron:

Hydra Engineering & Construction, LLC is pleased to provide the attached change order summary and man-hour documentation for the additional utility corridor permitting for the Bridge Replacement at Alafia River State Park.

Please see the attached proposal summary and deliverables.

Sincerely, Leslie Weiss, P.E., C.G.C., F.ASCE Hydra Engineering & Construction, LLC

Change Order 02

Change Order for Bridge Replacement Alafia River State Park

The purpose of this change order request is due to the proposed bridge being located withing the Tampa Electric Company’s (TECO) utility easement. TECO requires a Right-Of-Way Joint Use application be submitted for the proposed construction.

Subtask 1C: TECO Application – Survey Updates

Description: For the TECO Right-of-way Joint Use Application, the survey prepared for FDEP will be updated to show the limits of the TECO Right of Way (TECO Easement/RW per OR 4131/97). O’Neal Surveying and Mapping Inc. will convert the Datum for the section corner (18-31-22) that the TECO legal is written from to match FDEP’s survey datum.

Deliverable: Consultant will provide survey updates on the TECO application in PDF format to the FDEP project manager.

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 1C: TECO Application - Survey Updates

Firm Name Position Classification Hourly Rate Hours

Total Fixed Price Cost

O'Neal Surveying & Mapping, Inc. Survey Field Crew (3 Man Crew) $150.00 0 $0.00

O'Neal Surveying & Mapping, Inc. Licensed Surveyor $155.00 2 $310.00 O'Neal Surveying & Mapping, Inc. Drafting $80.00 4 $320.00 Hydra Engineering & Construction, LLC Principal Engineer $279.80 1 $279.80

Hydra Engineering & Construction, LLC Project Engineer $111.92 1.5 $167.88

Hydra Engineering & Construction, LLC Office Administrator $62.94 0.5 $31.47

Fixed Price Cost Total: $1,109.15

Total for Subtask 1C: (Fixed Price Cost + Reimbursable) = $1,109.15

Change Order 02

Subtask 5A: TECO Right-Of-Way Joint Use Application

Description: Due to the proposed project lies within the existing TECO easement, permitting through TECO for the Right-Of-Way Joint Use application will be necessary. This task includes correspondence with TECO staff and response to ONE Request for Additional Information, if needed. If any Request for Additional Information requires redesign or relocation of the previously designed bridge, then an additional change order will be necessary. Specifically, this task does not include additional structural design to meet 90,000 lb. loading requirements requested by TECO.

Deliverable: Consultant will prepare the permit application in PDF format to the FDEP project manager.

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 5A Civil submittal - TECO ROW Application

Firm Name Position Classification Hourly Rate Hours Total Fixed

Price Cost Hydra Engineering & Construction, LLC Project Engineer $111.92 16 $1,790.72

Hydra Engineering & Construction, LLC Principal Engineer $279.80 6 $1,678.80

Hydra Engineering & Construction, LLC Office Administrator $62.94 1 $62.94

Fixed Price Cost Total: $3,532.46

Reimbursable Cost:

Permit Fees $500.00 Printing N/A Electronic submittals Overnight Travel (if applicable)

N/A

Mileage (@ $0.445 per mile)

0 miles * trip * 0.445 = $0.00

Reimbursable Total Cost $500.00

Total for Subtask 5A: (Fixed Price Cost + Reimbursable) = $4,032.36

5B

5B

Subtask 5B: Structural Assistance- TECO Right-Of-Way Joint Use Application

Description: This task includes correspondence with the project structural engineer to complete sections of the TECO Right-Of-Way Joint Use Application. These sections will be determined by the relevancy to the structural design of the bridge.

Deliverable: Consultant will prepare permit application in PDF format to the FDEP project manager.

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 5B Structural Assistance- TECO Right-Of-Way Joint Use Application

Firm Name Position Classification Hourly Rate Hours Total Fixed

Price Cost GS Preble Engineering, Inc. Structural Engineer $158.04 8 $1,264.32

Hydra Engineering & Construction, LLC Project Engineer $111.92 0 $0.00

Hydra Engineering & Construction, LLC Principal Engineer $279.80 0 $0.00

Hydra Engineering & Construction, LLC Office Administrator $62.94 0 $0.00

Fixed Price Cost Total: $1,264.32

Total for Subtask 5B: (Fixed Price Cost + Reimbursable) = $1,264.32

Project Schedule:

Activity Duration (Calendar Days) Dates Subtask 1C: TECO Application - Survey Updates

60 TBD

Subtask 5A Civil submittal - TECO ROW Application

60 TBD

Subtask 5B Structural Assistance- TECO Right-Of-Way Joint Use Application

60 TBD

5C

5B

5C

5C

Summary of Fees:

Subtask Subtask Fixed Price Cost Subtask Reimbursable

Subtask 1C: TECO Application - Survey Updates $1,109.15 $0.00

Subtask 5A Civil submittal - TECO ROW Application $3,532.46 $500.00

Subtask 5B Structural Assistance- TECO Right-Of-Way Joint Use Application $1,264.32 $0.00

Total Fixed Price Cost: $5,905.93 Total Reimbursable Cost: $500.00

Overall Total Cost: $6,405.93

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