CN-370000-CN306-T19CO3.pdf

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Master Agreement FL|CN306|0213c5976ed74492a857f85bd20cc16d
Contract number
CN306
Issued by
Florida

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Task Assignment Change Order Summary

This is a Task Assignment Change Order Form (Change Order No. 03) issued by the Florida Department of Environmental Protection (FDEP) for Contract No. CN306, Task Assignment No. 19, Project No. 61492C. The change order involves FDEP, the Bureau of Design and Construction, and Hydra Engineering & Construction, LLC, with Leslie Weiss, P.E., serving as the consultant representative and Ralph Perkins as the FDEP Contract Manager. The project concerns the Hurrah Creek Bridge Replacement at Alafia River State Park.

The change order authorizes additional survey services to support the TECO Joint Use Permit application as detailed in the consultant's proposal dated May 22, 2024. The net increase for this change order is $1,490.00 in fixed fee costs, bringing the total task amount with all change orders to $108,899.80 (comprised of $750.00 reimbursement and $108,149.80 fixed fee). The work consists of a TECO Vertical Survey subtask performed by O'Neal Surveying & Mapping, Inc., which includes survey field crew services (6 hours at $150.00/hour), licensed surveyor services (2 hours at $155.00/hour), and drafting services (3.5 hours at $80.00/hour). The work is scheduled for completion within 14 calendar days upon receiving authorization, with the original task end date of April 24, 2025 remaining unchanged. Payment will be made upon FDEP's approval of deliverables, which consist of electronically signed and sealed topographic survey documents in Autocad and PDF formats.

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Text version

Florida Department of Environmental Protection

TASK ASSIGNMENT CHANGE ORDER FORM

( ) 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:

CN306 19 03 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 survey services to support the TECO Joint Use Permit per the attached proposal dated 5/22/2024.

$ 100.00 $ 98,521.01 $ 98,621.01 $ 750.00 $ 106,659.80 $ 107,409.80 $ 0.00 $ 1,490.00 $ 1,490.00

$ 750.00 $ 108,149.80 $ 108,899.80

5/10/2023

4/24/2025

4/24/2025

4/24/2025

Tamika Bass

Theresa Carron

Ralph Perkins

Leslie Weiss, PE, GCG, F.ASCE

Bryan J. Bradner

61492C 37504000251 080039/23 423001 U3200 131500 QK $ 1,490.00

$ 1,490.00

File details come from the government source that posted it. Updated .