CN-370000-CN206-T4CO4.pdf.crdownload
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- Contract number
- CN206
- Issued by
- Florida
About this file
This document is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) for a design and permitting project at Kissimmee Prairie Preserve State Park. The consultant on the contract is Barnett Fronczak Barlowe & Schuler Architects, represented by David Fronczak. The project involves the design and construction of a new bunkhouse facility at the state park, with FDEP project management provided by Alyssa Skehan and contract authority oversight by Michael W. Foster Jr.
The change order (CO4) adds $4,355.90 in reimbursable expenses and extends the task completion timeline by 365 days to December 31, 2022, due to additional time needed to complete design and permitting of life safety equipment required by the State Fire Marshal. The original task amount was $61,735.94, and with this change order, the total task amount reaches $71,978.28. The original task execution date began September 6, 2019, with an initial end date of December 30, 2020, which has now been extended to December 31, 2022. The change order was fully executed with digital signatures from all required parties between December 14 and December 22, 2021.
Text of this file
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:
CN206 04 04 61243C
Kissimmee Prairie Preserve State Park New Bunkhouse
Barnett Fronczak Barlowe & Schuler Architects
David Fronczak 850-224-6301 dfronczak@bfbsa.com
Alyssa Skehan 850-245-2781 alyssa.skehan@FloridaDEP.gov
Additional time needed to complete design and permitting of life safety equipment required by the State Fire Marshal. See request from consultant dated 12/13/2021 attached.
$ 4,333.70 $ 57,402.24 $ 61,735.94 $ 4,355.90 $ 67,622.38 $ 71,978.28
$ 0.00 $ 0.00 $ 0.00 $ 4,355.90 $ 67,622.38 $ 71,978.28
9/6/2019
12/30/2020
12/31/2021
12/31/2022
Greg Turral Gregory Turral Digitally signed by Gregory Turral Date: 2021.12.14 16:52:07 -05'00'
Richard J. Rowe Richard J. Rowe Digitally signed by Richard J.
Rowe Date: 2021.12.14 16:53:30 -05'00'
Alyssa Skehan Alyssa Skehan Digitally signed by Alyssa Skehan Date: 2021.12.15 09:11:14 -05'00'
David Fronczak David Fronczak Digitally signed by David Fronczak Date: 2021.12.20 11:15:09 -05'00'
Michael Foster Michael W. Foster Jr.
Digitally signed by Michael W.
Foster Jr.
Date: 2021.12.22 08:49:53 -05'00'
$ 0.00
| CN206 TA4 CO4 form |
| CN206 TA4 CO4 backup |
Other files
| File | Type | Posted |
|---|---|---|
| CN-370000-CN206-T4.pdf | ||
| CN-370000-CN206-T4CO5.pdf | ||
| CN-370000-CN206-TA1.pdf | ||
| CN-370000-CN206-TA2.pdf | ||
| CN-370000-CN206.pdf | ||
| CN-370000-CN206-A1.pdf | ||
| CN-370000-CN206-CMC1.pdf | ||
| CN-370000-CN206-T3CO1.pdf | ||
| CN-370000-CN206-T4CO6.pdf | ||
| CN-370000-CN206-T3.pdf | ||
| CN-370000-CN206-T4CO2.pdf | ||
| CN-370000-PL272-VCMC.pdf | ||
| CN-370000-CN206-CMC2.pdf | ||
| CN-370000-CN206-CMC3.pdf | ||
| CN-370000-CN206-T4CO4.pdf | ||
| CN-370000-CN206-T4CO7.pdf |
Show all 16
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