CN-370000-CN202-T38CO2.pdf
PDF 2 MB Posted
- Contract number
- CN202
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form from the Florida Department of Environmental Protection (FDEP) issued to Michael Baker International, a consulting firm. The change order pertains to Contract No. CN202, Task Assignment No. TA38, for the D5 Office Building Upgrades project at Johnathan Dickinson State Park. The document was processed and approved by FDEP representatives including Budget Representative Tamika Bass, Project Manager Jim McGuire, and Contract Manager Ralph Perkins, along with consultant representative Jeff Roberts, P.E., RSP, and Contract Authority Michael W. Foster Jr., P.E.
This change order represents a time-only extension with no cost increase to the current task assignment. The original task amount of $39,280.90 (comprising $100.00 reimbursement and $39,180.90 fixed fee) remains unchanged. The extension extends the task end date by 184 days from the original expiration date of June 30, 2023, to a new expiration date of December 31, 2023. The task execution date is November 15, 2021. No budget line items or FLAIR code funding allocations were modified as part of this extension. The change order was signed and approved on March 22-28, 2023.
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Text version
Florida Department of Environmental Protection
TASK ASSIGNMENT CHANGE ORDER FORM
(Revised 9-26-2018) 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:
CN202 TA38 2 61246C - 6A016C
Johnathan Dickinson State Park D5 Office Building Upgrades
Michael Baker International
Jeff Roberts P.E., RSP 850-701-2303 jeff.roberts@mbakerintl.com
Ralph Perkins 850-245-2460 Ralph.Perkins@FloridaDEP.gov
For a time only (no cost) extension to the current TA expiration date. We request the new expiration date of 12/31/23. Back up E mail attached.
$ 100.00 $ 39,180.90 $ 39,280.90 $ 100.00 $ 33,382.38 $ 33,482.38
$ 0.00 $ 100.00 $ 33,382.38 $ 33,482.38
11/15/2021
06/30/2023
06/30/2023
12/31/2023
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2023.03.22 12:57:49 -04'00'
Jim McGuire Jim McGuire Digitally signed by Jim McGuire Date: 2023.03.23 08:48:43 -04'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2023.03.23 10:30:42 -04'00'
Jeff Roberts P.E. RSP Jeff Roberts Digitally signed by Jeff Roberts Date: 2023.03.23 14:39:11 -04'00'
Micheal W. Foster Jr., P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2023.03.28 11:28:32 -04'00'
$ 0.00
Miklos, Steven
From: Roberts, Jeff <Jeff.Roberts@mbakerintl.com> Sent: Tuesday, March 21, 2023 10:31 AM To: McGuire, Jim Cc: Miklos, Steven Subject: CN202, TA 38 Johnathon Dickenson SP Building Upgrades
EXTERNAL MESSAGE
This email originated outside of DEP. Please use caution when opening attachments, clicking links, or responding to this email.
Jim, This email is to request a time only (no cost) extension to the current TA expiration date. We request the new expiration date of 12/31/23. Please let m know if you need anything else for this request.
Thank you, Jeff Roberts, PE, RSP1 | AVP | Office Leader Michael Baker International | 80 Years of Making a Difference 2316 Killearn Center Blvd. Suite 201-A | Tallahassee, FL 32309 [O] 850-701-2303 | [M] 850-766-8992 jeff.roberts@mbakerintl.com | www.mbakerintl.com
File details come from the government source that posted it. Updated .