CN-370000-CN331-T13CO4.pdf

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Attached to
Master Agreement FL|CN331|fe7bede2f31aebfb9d3246ac73b5aa57
Contract number
CN331
Issued by
Florida

About this file

This document is a Task Assignment Change Order Form (Change Order No. 4) issued by the Florida Department of Environmental Protection (FDEP) for Agreement CN331 with Humiston & Moore Engineers. The project involves seawall replacement and riverbank stabilization at Hillsborough River State Park in Florida. The change order was authorized by FDEP's Bureau of Design and Construction and signed by all required parties between October 22 and November 6, 2024.

Change Order No. 4 reinstates the original Subtask 4 (redesignated as Subtask 9) for processing of State and County environmental permits, including environmental support services from ESA. The subtask encompasses permit application preparation and filing with the Southwest Florida Water Management District (SWFWMD) and the Hillsborough County Environmental Protection Commission/Permit Technical Branch (HEPC/PTB). The work is budgeted at a fixed price of $10,043.80 with no reimbursable costs, comprised of Project Manager hours (15 hours at $206.00), Engineer II hours (25 hours at $96.00), AutoCAD Tech II hours (10 hours at $85.00), and ESA Chief Scientist hours (20 hours at $185.19). The maximum duration for permit processing is 150 calendar days from authorization, with the task end date established as July 27, 2026. Payment will be issued upon FDEP approval of deliverables, which include copies of all state and local authorizations provided to the Project Manager.

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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:

CN331 TA13 CO4 61265C

Hillsborough River State Park Riverbank Stabilization

Humiston & Moore Engineers

Brett D. Moore, P.E. 239-825-6518 bdm@humistonandmoore.com

Ralph Perkins 850-245-2460 ralph.perkins@floridadep.gov

To reinstate the original Subtask 4 for processing of State and County environmental permits, with environmental support from ESA, per the attached dated 09/20/2024.

$ 0.00 $ 50,896.61 $ 50,896.61 $ 713.00 $ 130,564.60 $ 131,277.60 $ 0.00 $ 10,043.80 $ 10,043.80

$ 713.00 $ 140,608.40 $ 141,321.40

12/16/2019

03/10/2021

07/27/2026

07/27/2026

Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2024.10.22 13:23:18 -04'00'

Richard Marcil Richard Rene Marcil, III Digitally signed by Richard Rene Marcil, III Date: 2024.10.22 15:11:47 -04'00'

Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2024.10.23 08:53:03 -04'00'

Brett D. Moore, P.E. Brett D. Moore Digitally signed by Brett D. Moore Date: 2024.10.23 12:00:34 -04'00'

Bryan Bradner Bryan Bradner Digitally signed by Bryan Bradner Date: 2024.11.06 15:31:46 -05'00'

61265C 37504015037 100718/00 675005 U1300 131500 X2 $ 10,043.80

$ 10,043.80

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