CN-370000-CN210-T14CO2.pdf
PDF 401 KB Posted
- Contract number
- CN210
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) for the Blue Spring State Park ADA Boardwalk Replacement project located in Volusia County. The consultant performing the work is CPH, Inc., represented by Jason Toole. The FDEP Contract Manager is Alyssa Skehan. The change order was executed on February 25, 2021, and approved by FDEP's Budget Representative, Project Manager, Contract Manager, and Contract Authority.
Subtask 10 of the change order addresses additional Volusia County permitting requirements that were not originally anticipated. The original task end date of June 30, 2020, was extended by 185 days to December 31, 2021, to accommodate the permit review process. The net increase to the task amount is $6,278.90, consisting of $2,160.00 in reimbursable costs and $4,118.98 in fixed-price costs. Fixed-price costs include labor by CPH personnel (Sr. Project Manager, Project Manager, Project Engineer, Senior Design Technician, and Administrative staff) totaling $4,118.98. Reimbursable costs of $2,160.00 cover permit fees for tree removal and site plan preparation. The overall total cost for Subtask 10 is $6,278.98, with a new task end date of December 31, 2021. All required FDEP signatures and consultant authorization were obtained.
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Text version
Florida Department of Environmental Protection
TASK ASSIGNMENT CHANGE ORDER FORM
( ) 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:
CN210 14 2 61202
Blue Spring ADA Boardwalk Replacement
CPH
Jason Toole 850-563-1490 jtoole@cphcorp.com
Alyssa Skehan 850-245-2781 alyssa.skehan@floridadep.gov
Volusia County Building Department requiring site permit approval, see attached proposal dated 2/18/2021.
Also no cost time extension for construction administration during the construction period.
$ 675.00 $ 49,260.08 $ 49,935.08 $ 675.00 $ 49,260.08 $ 49,935.08 $ 2,160.00 $ 4,118.98 $ 6,278.90 $ 2,835.00 $ 53,379.06 $ 56,213.98
3/26/2019
6/30/2020
6/30/2021
12/31/2021
Greg Turral Gregory Turral Digitally signed by Gregory Turral Date: 2021.02.25 09:49:57 -05'00'
Bill Brown William R Brown Digitally signed by William R Brown Date: 2021.02.25 10:17:47 -05'00'
Alyssa Skehan
Jason Toole
Michael W. Foster Jr., P.E.
61202 37503000101 088130/19 675002 U3200 131500 XR $ 6,278.90
$ 6,278.90
Alyssa Skehan Digitally signed by Alyssa Skehan Date: 2021.02.25 13:55:46 -05'00'
Digitally signed by Jason L Toole
DN: C=US, O=CPH INC.,
OU=A01427E000001677A3D2EC900002789, CN=Jason L Toole Reason: I am the author of this document Location: your signing location here Date: 2021.02.25 16:02:16-06'00' Foxit PhantomPDF Version: 10.1.1
Jason L Toole
Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2021.03.01 13:44:23 -05'00'
2,160.00
File details come from the government source that posted it. Updated .