CN-370000-CN331-T3C01.pdf
PDF 427 KB Posted
- Contract number
- CN331
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) for Contract CN331 with Humiston & Moore Engineers (H&M), a consulting firm providing engineering services for the Gasparilla Island State Park project. The change order modifies Task Assignment TA#03 through Change Order CO#01, dated January 8, 2019. The document reflects approval from FDEP representatives including Budget Representative Lisa A. Harper, Project Manager Marshall W. Flake, and Contract Manager Jack Brady, as well as consultant representative Brett D. Moore from H&M and Contract Authority Valinda Subic from FDEP.
This change order authorizes post-permitting services for extended beach fill work at Gasparilla Island State Park, specifically Subtask 5: Pre-Construction Documents and Coordination. The services include final assistance to the U.S. Army Corps of Engineers (USACE) in project coordination, expedited permit finalization, support for FEMA funding applications, and pre-construction coordination with County, State, and Federal offices. The task is valued at a fixed price of $8,270.00 with no reimbursable costs, bringing the total task amount including all previous change orders to $51,224.00. The work is scheduled for 180 calendar days, with an original task execution date of October 5, 2016, and an extended end date of June 30, 2019. Payment is contingent upon FDEP approval of deliverables, which consist of updated permit plans incorporating August 2018 USACE survey data and DEP permit modifications, to be provided in PDF format to FDEP Parks Service. The overall contract CN331 is scheduled to terminate July 27, 2021.
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Text version
Florida
ASSIGNMENT CHANGE ORDER FORM
OOO – 012 (Effective )
Change in Task Amount:
Project Org Code Cat Year
FLAIR :
Task amount Net increase/decrease in task amount for this Change Order:
Required Signatures:
FDEP Contract No.: Task Assignment No.: Change Order No.:
Project Location: Project Name:
Consultant Name:
Description and Justification of Change:
Consultant Representative: Phone: Email:
Original Task End Date:
Project No.:
CN331 TA#03 CO#01 40740
Sand Extension Permitting, USACE & DEP
Humiston & Moore Engineers (H&M)
Brett Moore
Jack Brady 850-245-2535
Post Permitting services, as per the attached CN331-TA#03-CO#01 Statement of Work (SOW).
October 05, 2016 January 01, 2019 January 01, 2019
June 30, 2019
Lisa A. Harper FDEP, DRP
Marshall W. Flake, FDEP, DRP
Jack Brady FDEP,DRP
Brett D. Moore, (H&M)
Valinda Subic, FDEP, DRP
Digitally signed by Lisa A. Harper Date: 2019.01.08 08:42:23 -05'00'
Digitally signed by Marshall Flake Date: 2019.01.08 14:59:18 -05'00'
Jack Brady Digitally signed by Jack Brady Date: 2019.01.08 10:12:46 -05'00'
Brett D. Moore, P.E.
Digitally signed by Brett D.
Moore, P.E.
Date: 2019.01.08 12:56:39 -05'00'
Valinda Subic Digitally signed by Valinda Subic Date: 2019.01.08 09:57:29 -05'00'
January 08, 2019
January 08, 2019
January 08, 2019
January 08, 2019
January 08, 2019
40740 N/A 3750 4003 191 080039-19 675002 U1640 131500 XR $ 8,270.00
$ 0.00 $ 0.00
$ 8,270.0037202675002375003000008003919
$ 0.00 $ 0.00 $ 0.00 $ 0.00
$ 42,954.00 $ 42,954.00
$ 8,270.00 $ 51,224.00
$ 42,954.00 $ 42,954.00 $ 8,270.00
BDM@humistonandmoore.com Ex 102239-594-2021 239-825-6518
52466 Jack.Brady@floridadep.gov
Gasparilla Island S.P.
$ 51,224.00
CN3 1-TA#03-CO#01 SOW, Page 2 of 3
SOW
Post Permitting Services for Extended Beach Fill
GASPARILLA ISLAND STATE PARK
Contract Number CN331, Task Assignment TA#03
CHANGE ORDER CO#01
POST PERMITTING SERVICES
Subtask 5: Pre-Construction Documents and Coordination Description: This task assignment is to provide final assistance to the USACE in project coordination and finalization of expedited permit, support to the Department relating to FEMA funding support, pre-construction coordination with County, State and Federal offices:
As needed support for post storm impact assessments relating to FEMA funding opportunities Assist USACE staff in expediting federal permit Amend DEP JCP Parks permit to include borrow area upon approval of USACE Gasparilla Project by FDEP Update permit plans with recent (August 2018) USACE survey data for inclusion with USACE bids modify DEP permit to include USACE borrow area after DEP permit issued to USACE.
pre-construction coordination with USACE as needed for project bidding and contractor selection.
Coordination with Local, State, and Federal agencies on permit compliance review.
Deliverable: Deliverables for this task will consist of updated permit plans with August 2018 data and DEP permit modification. All deliverables will be provided electronically in .pdf format to the FDEP Parks Service.
Schedule: Some deliverables depend upon agency timelines which are beyond the control of Humiston & Moore Engineers. Although H&M is pushing to complete these tasks as soon as feasible, it is anticipated that all deliverables will be completed prior to January 31, 2019.
Subtask 5 will terminate June 30, 2019. Contract CN3 1 terminates July 27, 2021
Performance Measure: Deliverables shall be reviewed by the Department, to confirm they are complete, accurate, and timely.
Fixed Price Cost Subtask 5:
Subtask 5
Firm Name Position Classification Hourly Rate Hours Total Fixed Price Cost Humiston & Moore Eng. Principal Engineer (PM) $206.00 19 $3,914.00 Humiston & Moore Eng. Engineer I (E1) $94.00 34 $3,196.00 Humiston & Moore Eng. AutoCad Tech II (A2) $85.00 10 $850.00 Humiston & Moore Eng. Administrative $62.00 5 $310.00
CN3 1-TA#03-CO#01 SOW, Page 3 of 3
Reimbursable Cost Subtask 5:
Postage $0.00 Printing $0.00 Overnight Travel (if applicable) $0.00 Mileage (@ $0.445 per mile) $0.00 Reimbursable Total Cost $0.00
Project Schedule Subtask 5:
Activity Duration (Calendar Days) Subtask 5 – Pre-Con. Docs 180 Days
Summary of Fees Subtask 5:
Subtask 5 Subtask 5 Fixed Price Cost Subtask 5 Reimbursable
Subtask 5 – Site visit/mapping $8,270.00 $0.00 Total Fixed Price Cost: $8,270.00 $0.00 Total Reimbursable Cost: $0.00 $0.00 Overall Total Cost Subtask 5: $8,270.00 $0.00
Payment will be made upon approval of deliverables for each subtask by the FDEP, in the amount specified.
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