CN-370000-CN210-T14CO3.pdf
PDF 6 MB Posted
- Contract number
- GC905
- Issued by
- Florida
About this file
This document is a Task Assignment Change Order Form from the Florida Department of Environmental Protection (FDEP), involving CPH, Inc. as the consultant for the Blue Spring State Park ADA Boardwalk Replacement project. The change order is associated with FDEP Contract No. 210, Task Assignment No. 14, and Change Order No. 3, with Project No. 61202. The document includes multiple signatures from FDEP representatives and the consultant representative.
The change order authorizes a no-cost time extension for construction administration during the construction period, extending the task end date from 12/31/2021 to 12/31/2022, with a net change of 366 days. The original task amount was $49,935.08, comprised of $675.00 in reimbursement and $49,260.08 in fixed fee. The change order does not modify the total task amount, maintaining the existing financial structure of $56,214.06, which includes previous change orders. The project involves the replacement of an ADA boardwalk at Blue Spring State Park, with CPH, Inc. providing consulting services to FDEP.
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Other files
| File | Type | Posted |
|---|---|---|
| CN-370000-GC905-A3R1.pdf | ||
| CN-370000-GC905.pdf | ||
| CN-370000-GC905-A1.pdf | ||
| CN-370000-GC905-A4.pdf | ||
| CN-370000-GC905-A5.pdf | ||
| CN-370000-GC905-A2.pdf | ||
| CN-370000-GC905-CMC1.pdf | ||
| CN-370000-GC905-CMC2.pdf | ||
| ContractBudgetExport.csv | CSV file |
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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:
210 14 3 61202
Blue Spring State Park ADA Boardwalk Replacement
CPH, Inc.
Jason Toole 850-563-1490 jtoole@cphcorp.com
Alyssa Skehan 850-245-2781 alyssa.skehan@floridadep.gov
No Cost time extension for construction administration during the construction period, per attached dated 12/1/21.
$ 675.00 $ 49,260.08 $ 49,935.08 $ 2,835.00 $ 53,379.06 $ 56,214.06
$ 0.00 $ 0.00 $ 2,835.00 $ 53,379.06 $ 56,214.06
3/26/2019
6/30/2020
12/31/2021
12/31/2022
Greg Turral Gregory Turral Digitally signed by Gregory Turral Date: 2021.12.28 11:49:49 -05'00'
Bill Brown William R Brown Digitally signed by William R Brown Date: 2021.12.28 11:55:08 -05'00'
Alyssa Skehan Alyssa Skehan Digitally signed by Alyssa Skehan Date: 2021.12.29 09:36:06 -05'00'
Jason Toole Digitally signed by Toole, Jason L. P.E.
DN: DC=com, DC=cphengineers, DC=cph, OU=1-People, OU=15-PanamaCity, CN="Toole, Jason L. P.E.", E=jtoole@cphcorp.com Reason: I am the author of this document Location: your signing location here Date: 2021.12.29 09:31:50-06'00' Foxit PhantomPDF Version: 10.1.6
Toole, Jason L.
P.E.
Michael W. Foster Jr. P.E. Michael W. Foster Jr.
Digitally signed by Michael W.
Foster Jr.
Date: 2021.12.29 13:57:11 -05'00'
$ 0.00
File details come from the government source that posted it. Updated .