CN-370000-CN206-TA4 CO3.pdf

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Master Agreement FL|EX005|bea0ea5a82ffb693d5ae42d796f8412b
Contract number
EX005
Issued by
Florida

About this file

This is a Task Assignment Change Order Form (Change Order No. 03) issued by the Florida Department of Environmental Protection (FDEP) for Contract No. CN206, Task Assignment No. 04. The project involves Kissimmee Prairie Preserve State Park's Bunk House facility (Project No. 61243C) and is being executed by Barnett Fronczak Barlowe & Schuler Architects (BFBSA), a consulting architectural firm. The FDEP Contract Manager is Alyssa Skehan, and the consultant representative is David Fronczak, AIA. The change order was approved and executed on June 9, 2021.

The change order authorizes BFBSA to provide design services to revise the construction documents to meet the requirements of the 2020 Florida Building Code, including modifications to structural engineering documents and delivery of three full-size 24"x36" signed and sealed hardcopies plus PDF-format electronic files. The net increase in task amount for this change order is $2,216.08, consisting of $22.20 in reimbursable costs (printing of 12 sheets at $1.85 per sheet) and $2,193.88 in fixed-price costs for architectural and engineering labor. The original task end date of December 30, 2020 was extended to December 31, 2021, with no net change in calendar days recorded. The total contract amount with all change orders is $71,978.28, and payment will be made upon FDEP approval of deliverables for each subtask.

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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:

CN206 04 03 61243C

Kissimmee Prairie Preserve State Park Bunk House

Barnett Fronczak Barlowe & Schuler Architects

David Fronczak, AIA 850-224-6301 dfronczak@bfbsa.com

Alyssa Skehan 850-245-2781 alyssa.skehan@FloridaDEP.gov

Consultant to provide design services to revise the drawings to reflect new code requirements of the 2020 Florida Building Code and provide signed and sealed hardcopies. See attached proposal dated May 4, 2021.

$ 4,333.70 $ 57,402.24 $ 61,735.94 $ 4,333.70 $ 65,428.50 $ 69,762.20

$ 22.20 $ 2,193.88 $ 2,216.08 $ 4,355.90 $ 67,622.38 $ 71,978.28

9/6/19

12/30/20

12/31/21

12/31/21

Greg Turral Gregory Turral Digitally signed by Gregory Turral Date: 2021.05.07 14:06:23 -04'00'

C Hewitt C Hewitt Digitally signed by C Hewitt Date: 2021.05.07 14:42:31 -04'00'

Alyssa Skehan Alyssa Skehan Digitally signed by Alyssa Skehan Date: 2021.05.07 14:45:27 -04'00'

David Fronczak, AIA

Michael W. Foster Jr., P.E.

61243C 37503000252 080039/20 423001 U3200 131500 QK $ 2,216.08

$ 2,216.08

DocuSign Envelope ID: E9AEA531-62DD-4FB9-BE6E-8EFD83624301

6/9/2021

Michael W. Foster Jr.

Digitally signed by Michael W. Foster Jr.

Date: 2021.06.09 14:51:34 -04'00'

DocuSign Envelope ID: E9AEA531-62DD-4FB9-BE6E-8EFD83624301

File details come from the government source that posted it. Updated .