CN-370000-CN208-T6CO1.pdf

This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) for Contract CN208 with Calvin, Giordano & Associates, Inc. The document modifies Task Assignment TA06 for the Oleta River State Park Sewer Connection Project (Project No. 61191C). The consultant representative is James Messick, P.E., and the FDEP Contract Manager is Jack Brady. The change order was digitally signed and approved on March 12, 2019, by multiple parties including the Budget Representative, Project Manager, Contract Manager, Consultant, and Contract Authority.

The change order adds reimbursable permit fees under Subtask 5 as requested on March 11, 2019. The modification increases the net task amount by $688.00, bringing the total task amount from $40,770.99 to $41,458.99. The reimbursement breakdown includes $1,198.00 in permit fees and surcharges (comprised of DERM Force Main Application Fee of $390, DERM Lift Station Application Fee of $250, and an additional 7.5% surcharge of $48 on the combined fees). The fixed fee portion remains $40,260.99. The task execution period runs from September 14, 2018, through February 1, 2020. Funding for this $688.00 increase is allocated to Project 61191C under Organization Code 37505000138, Fund 675002, Module U3200, Object Code 131500, with EO designation XR.