CN-370000-CN202-TA28 CO3.pdf

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Master Agreement FL|CN202|9b407d6bfa6024fb9fbbd1ce9e29e157
Contract number
CN202
Issued by
Florida

About this file

This document is a Task Assignment Change Order Form (Change Order No. 3) issued by the Florida Department of Environmental Protection (FDEP) for Statewide Contract CN202, Task Assignment 28. The consultant on the contract is Michael Baker International, Inc., represented by Chad A. Schroeder, PE, Senior Project Manager. The project involves the Oleta River State Park Fishing Pier Repair, located at Oleta River State Park in Florida. FDEP's contract manager is Alyssa Skehan, and the project manager is Wayne Thomas. The change order was approved by FDEP's Budget Representative (Greg Turral), Project Manager (Wayne Thomas), Contract Manager (Alyssa Skehan), and Contract Authority (Michael W. Foster Jr., P.E.) on June 15, 2021.

The change order extends the task assignment completion date by 184 days, from June 30, 2020 to December 31, 2021, to accommodate the execution of bidding and construction administration services. The extension was necessary because the original task assignment would expire before construction commenced. The fixed fee for the task is $14,944.65, bringing the total task amount to $27,733.14. This change order contains no increase to the reimbursement or fixed fee amounts, as only a time extension was requested. The net change in task duration is 184 days, with the new task end date established as December 31, 2021.

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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 28 3 61264

Oleta River Sate Park Fishing Pier Repair

Michael Baker International, Inc

Chad A. Schroeder 8507012318 chad.schroeder@mbakerintl.com

Alyssa Skehan 850.245.2781 Alyssa.Skehan@FloridaDEP.gov

The current task assignment will expire before construction commence. This extension is required to accommodate execution of bidding and construction administration services provided in this task assignment.

$ 0.00 $ 14,944.65 $ 14,944.65 $ 0.00 $ 27,733.14 $ 27,733.14 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 27,733.14 $ 27,733.14

10/15/2019

6/30/2020

6/30/2021

12/31/2021

Greg Turral Gregory Turral Digitally signed by Gregory Turral Date: 2021.05.28 12:10:43 -04'00'

Wayne Thomas Wayne Thomas Digitally signed by Wayne Thomas Date: 2021.05.28 15:56:59 -04'00'

Alyssa Skehan Alyssa Skehan Digitally signed by Alyssa Skehan Date: 2021.06.10 08:54:58 -04'00'

Jeff Roberts P.E. Jeff Roberts Digitally signed by Jeff Roberts Date: 2021.06.10 10:46:50 -04'00'

Michael W. Foster Jr P.E. Michael W. Foster Jr.

Digitally signed by Michael W.

Foster Jr.

Date: 2021.06.15 13:55:33 -04'00'

$ 0.00

2316 Killearn Center Blvd, Tallahassee, FL 32309

Office: 850-205-0460

May 27, 2021

Mr. Wayne Thomas, Project Manager Bureau of Design and Construction Florida Department of Environmental Protection 3900 Commonwealth Boulevard 260K, MS 520 Tallahassee, FL 32399

Re: Statewide Contract: CN202, Task Assignment 28 Oleta State Park Fishing Pier Inspection & Rehabilitation Report Contract Change Order Request #3

Mr. Thomas, Per our discussion today, we are submitting an official time extension request for the subject project.

Based on the revised FDEP project bid timeframe of mid-2021, we request that the end date for the completion of our work be extended from 6/30/21 to 12/31/21.

Please let me know if there are any questions on this request.

Sincerely, Chad A. Schroeder, PE Senior Project Manager

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