CN-370000-CN306-T28CO2.pdf

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 TA28 2 6G802

Hugh Taylor Birch State Park Culvert 2 Replace and Seawall

Hydra Engineering & Construction, LLC

Leslie Weiss 850-926-2593 lahope@hydraengineering.com

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

Hugh Taylor Birch State Park Culvert Repair Broward County Permitting. Per Proposal dated 10/2/24

$ 1,500.00 $ 28,232.18 $ 29,732.18 $ 1,500.00 $ 53,733.92 $ 55,233.92 $ 100.00 $ 3,251.54 $ 3,351.54

$ 1,600.00 $ 56,985.46 $ 58,585.46

11.30.2023

11.01.2024

03/31/2025

03/31/2025

Tamika Bass

Garland Sandel

Ralph Perkins

Leslie Weiss

Michael W. Foster Jr., P.E.

6G802 6G802 37505000039 080039/21 423001 U3200 131500 QK $ 3,351.54

$ 3,351.54

HYDRA ENGINEERING & CONSTRUCTION, LLC

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

October 2, 2024

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

RE: CN306, BDC Project No. 6G802 TA-28 (CO-2)

Hugh Taylor Birch State Park Culvert Repairs

Dear Mr. Sandel:

Hydra Engineering & Construction, LLC is pleased to provide the attached change order summary and man-hour documentation for the services tasks identified below:

Hugh Taylor Birch State Park Culvert Repair Broward County Permitting.

Please see the attached proposal summary and deliverables.

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

Culvert Repair Hugh Taylor Birch State Park

Subtask 7: Broward County Permitting

Description: Per the Broward County Development and Environmental Review, the only required permit for Broward County for the proposed project is an Environmental Resource License. FELSI will coordinate with Hydra to prepare and submit an Environmental Resource License permit application to Broward County for the culvert replacement project. The application fee to Broward County is anticipated to be $100.00 and will be invoiced as a reimbursable expense. It is anticipated that the approved plans for the state permit application for the project will be suitable for this application. Additional site visits are not anticipated and are not included in this task. FELSI will coordinate with Broward County during the review process for the application and provide the Environmental Resource License upon issuance.

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 7 Broward County Permitting

Firm Name Position Classification Hourly Rate Hours

Total Fixed

Price Cost

Florida Environmental & Land Services, Inc.

Principal Environmental

Consultant $109.83 16 $1,757.28

Florida Environmental & Land Services, Inc. Staff Project Asst. $60.00 8 $480.00

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

Hydra Engineering & Construction, LLC Project Engineer $111.92 6 $671.52

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

Fixed Cost Price Total: $3,251.54

Reimbursable Cost:

Estimated Permit Fees $100.00 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 $100.00

Total for Subtask 7: (Fixed Price Cost + Reimbursable) = $3,351.54

Project Schedule:

Activity Duration Subtask 7: Broward County Permitting 90 Days from Start

Summary of Fees:

Subtask Subtask Fixed Price Cost Subtask Reimbursable

Subtask 7: Broward County Permitting $3,251.54 $100.00 Total Fixed Price Cost: $3,251.54 Total Reimbursable Cost: $100.00

Overall Total Cost: $3,351.54

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