CN-370000-CN200-TA12 CO1.pdf
PDF 348 KB Posted
- Contract number
- CN200
- 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 CN200, Task Assignment 12, Change Order 1. The document involves FDEP as the contracting state agency and George F. Young, Inc., an engineering consulting firm based in Gainesville, Florida, serving as the consultant. The project is located at Topsail Hill Preserve State Park and concerns the Campground Bathhouse Replacement project (Project No. N3703). Key personnel include Jacob Nussel, P.E., as the consultant representative, and Alyssa Skehan as the FDEP Contract Manager.
This no-cost change order extends the task execution period by 517 days, with the original task end date of July 1, 2021, extended to December 1, 2022. The extension was requested to encompass the construction duration of the project and allow for utilization of contracted Construction Administration Services under Subtask 6. The fixed fee for the task remains unchanged at $26,823.88, with no reimbursable costs or net increase in the total contract amount. The original task execution date was January 23, 2020. All required FDEP signatures—from the Budget Representative, Project Manager, Contract Manager, and Contract Authority—and the consultant signature were obtained between May 13 and June 1, 2021.
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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:
CN200 12 1 N3703
Topsail Hill Preserve State Park Campground Bathhouse Replacement
George F. Young, Inc.
Jacob Nussel, P.E. 352-378-1444 jnussel@georgefyoung.com
Alyssa Skehan or successor 850-245-2781 Alyssa.Skehan@FloridaDEP.gov
This is a no-cost change order to extend the expiration date by 17 months per email dated 5/12/2021.
$ 0.00 $ 26,823.88 $ 26,823.88 $ 0.00 $ 26,823.88 $ 26,823.88 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 26,823.88 $ 26,823.88
1/23/2020
7/1/2021
7/1/2021
12/1/2022
Greg Turral Gregory Turral Digitally signed by Gregory Turral Date: 2021.05.13 12:10:26 -04'00'
Laura Ross Laura S. Ross Digitally signed by Laura S. Ross Date: 2021.05.13 12:13:54 -04'00'
Alyssa Skehan Alyssa Skehan Digitally signed by Alyssa Skehan Date: 2021.05.13 13:29:28 -04'00'
Jacob Nussel Digitally signed by Jacob T Nussel DN: cn=Jacob T Nussel, c=US, o=Unaffiliated, ou=A01427E0000016750D5A0B500002EDF, email=jnussel@georgefyoung.com Date: 2021.05.14 08:06:31 -04'00'
Jacob T Nussel
Michael W. Foster Jr.
$ 0.00
Michael W. Foster Jr.
Digitally signed by Michael W.
Foster Jr.
Date: 2021.06.01 13:49:01 -04'00'
Ross, Laura S.
From: Nussel, Jacob <jnussel@georgefyoung.com> Sent: Wednesday, May 12, 2021 9:43 AM To: Ross, Laura S.
Cc: Page, Don; Thoenes, Stefan Subject: Topsail Hill SP Bathhouse - Attachments: TSH - CN200 TA12 FE, 1-23-20.pdf
Good morning Laura, Please accept the email as an official request for a Change Order (CO) of TA12. This would be CO1 as it is the first one for the TA12. It will consist of only a time extension to 12/01/2022. This is so the construction duration of the project is included during this TA12, as to utilize the contracted “Construction Administration Services”, Subtask 6.
The original TA12 is attached for convenience.
Thank you, Jacob Nussel, PE Project Engineer
To help protect your privacy, Micro so ft Office prevented auto matic downlo ad of this picture from the Internet. George F. Young, Inc.
1905 South Main Street Gainesville, FL 32601 Phone: 352-378-1444 Direct:(352) 647-0629 Cell:352-538-1322 Check out our new Web Site!
www.georgefyoung.com
PRIVACY/CONFIDENTIALITY NOTICE:
This message contains private, confidential, or legally privileged information and is intended for the recipient ONLY. If you are not the intended recipient or have received this e-mail in error, please notify postmaster@georgefyoung.com immediately by return e-mail or phone and delete all copies of this e-mail, including all attachments without reading them or saving to any storage device. If you are the intended recipient(s) you will need to secure the contents conforming to all applicable state and/or federal requirements relating to the privacy and confidentiality of such information. E-mail transmission cannot be guaranteed to be secure or error-free as information could be intercepted, corrupted, lost, destroyed, arrive late or incomplete, or contain viruses. The sender and George F. Young, Inc.
therefore do not accept liability for any errors or omissions in the contents of this message, which arise as a result of e-mail transmission. If verification is required please request a hard-copy version.
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