CN-370000-CN204-T37CO2.pdf

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:

CN204 37 02 61266C

Myakka River Downs Dam Water Control Struct.- ResMgmt-6G106

WSP USA Environment & Infrastructure Inc.

Tiffany Davies, PE 917-204-2504 tiffany.davies@wsp.com

Ralph Perkins 850-245-2460 Ralph.Perkins@FloridaDEP.gov

Additional time per the attached request dated 8/28/23.

$ 5,808.33 $ 98,230.95 $ 104,039.28 $ 6,079.78 $ 116,318.39 $ 122,398.17

$ 0.00 $ 0.00 $ 0.00 $ 6,079.78 $ 116,318.39 $ 122,398.17

9-7-2021

8-20-2023

12-18-2023

12-31-24

Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2023.08.29 13:20:57 -04'00'

Theresa Carron T.Carron Digitally signed by T.Carron Date: 2023.08.29 13:33:48 -04'00'

Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2023.09.06 11:13:10 -04'00'

Christine Mehle Digitally signed by Mehle, Christine

(USCM717518)

DN: cn=Mehle, Christine (USCM717518), ou=Active, email=christine.mehle@wsp.com Date: 2023.09.15 14:55:51 -04'00'

Mehle, Christine

(USCM717518)

Bryan Bradner Bryan Bradner Digitally signed by Bryan Bradner Date: 2023.09.25 15:21:41 -04'00'

$ 0.00

3701 NW 98th Street Gainesville, FL 32606-5004 wsp.com August 28, 2023

Theresa Carron Via Email: Theresa.Carron@FloridaDEP.gov0 Project Manager Bureau of Design and Construction Division of Recreation and Parks 3800 Commonwealth Boulevard, MS 520 Tallahassee, FL 32303

RE: Downs’ Dam Water Control Structure 6G106 Request for Time Extension, CN204 TA 37 WSP project No. 600639X8

Dear Ms. Carron:

WSP USA Environment and Infrastructure Inc. (WSP) would like to request a time extension to the subject project, Contract No. CN204 TA 37. There has been ongoing coordination with the adjacent landowner that is not yet resolved, which has delayed the project. Therefore, we are requesting a time extension until December 31, 2024. Please note this is a time extension request only, and no fee changes are requested at this time.

If you have any questions or would like to discuss this request further, please contact me at the phone number listed below. We look forward to continuing this important work and finalizing the Downs’ Dam project.

Sincerely, WSP USA Environment and Infrastructure Inc.

Tiffany Davies, PE Assistant Vice President/ Water Engineering Team Lead

(917) 204-2504 mailto:Theresa.Carron@FloridaDEP.gov Matson_D Text Box

CO2