CN-370000-CN210-T21CO3.pdf
PDF 941 KB Posted
- Contract number
- CN210
- 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 construction administration project at St. Andrews State Park. The change order involves CPH, Inc. as the consultant, with Jason Toole, P.E. serving as the consultant representative and Jeffrey Whitfield as the FDEP Contract Manager. The contract is identified as CN210, Task Assignment No. 21, Change Order No. 3, for Project No. 61109C, titled "Campground Reinvestment."
The change order addresses a construction administration time-only extension necessitated by delays in the construction phase. The original task execution date was July 11, 2017, with an original end date of March 30, 2021. The present task end date was extended to March 30, 2022, and this change order further extends the completion date to December 31, 2022, representing a net increase of 277 days. No additional costs were incurred; the total task amount remains $62,686.80, consisting of a fixed fee with no reimbursable expenses. The change order was approved on March 7, 2022, and signed by representatives from FDEP's Budget, Project Management, and Contract Management divisions, as well as the consultant.
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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:
CN210 21 3 61109C
St. Andrews State Park Campground Reinvestment
CPH, Inc.
Jason Toole, P.E. (850) 563-1490 jtoole@cphcorp.com
Jeffrey Whitfield (850) 245-2630 Jeffrey.Whitfield@FloridaDEP.gov
This is a construction administration time only extension due to delays in construction. Please see attached request dated 03/04/2022.
$ 52,165.26 $ 52,165.26 $ 62,686.80 $ 62,686.80
$ 0.00 $ 0.00 $ 62,686.80 $ 62,686.80
07/11/2017
03/30/2021
03/30/2022
12/31/2022
Diane Langston A Diane Langston Digitally signed by A Diane Langston Date: 2022.03.07 08:13:31 -05'00'
Donald Finkbeiner Donald J. Finkbeiner Digitally signed by Donald J.
Finkbeiner Date: 2022.03.07 08:40:39 -05'00'
Jeffrey Whitfield Jeffrey Whitfield Digitally signed by Jeffrey Whitfield Date: 2022.03.07 12:06:12 -05'00'
Jason Toole, P.E.
Digitally signed by Jason L Toole DN: C=US, O=Florida, dnQualifier=A01410C0000017E5468FDBE00018735, CN=Jason L Toole Reason: I am the author of this document Location: your signing location here Date: 2022.03.07 11:24:22-06'00' Foxit PhantomPDF Version: 10.1.4
Jason L Toole
Michael W. Foster Jr., P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2022.03.10 15:23:01 -05'00'
$ 0.00
From: Toole, Jason L. (P.E.)
To: Finkbeiner, Donald Cc: Toole, Jason L. (P.E.)
Subject: CN210 TA 4 and TA 21 - St Andrews State Park Date: Friday, March 4, 2022 11:45:52 AM Attachments: image001.png
EXTERNAL MESSAGE
This email originated outside of DEP. Please use caution when opening attachments, clicking links, or responding to this email.
Don, The above two task orders are set to expire on 3/30/22. Please accept this request for an extension to 12/31/22 in order to fully complete the above two tasks.
Thanks, Jason Toole, P.E., LEED AP Senior Vice President o 850.563.1490 (Ext.4801) c 850.774.9575 jtoole@cphcorp.com
Celebrating 40+ Years of Collaboration and Innovation
Facebook | LinkedIn mailto:jtoole@cphcorp.com mailto:Donald.Finkbeiner@dep.state.fl.us mailto:jtoole@cphcorp.com mailto:jtoole@cphcorp.com https://secure-web.cisco.com/1wFATjA92-KalkMLNHMuAD3Zu7U4S6hyFMbbVHLd4sWZ2sLNq1nyPzeQ7DiGvGoNkFV-JFwDVboZWCu5cXAA1ahwauLZ28EyNwcNAZCG9ChgQhgWx8jGlUrQgvB8Sp7stXWpZbtIZ6IFaEQuM77azm4LWouTbGCJA7wnCFPGhQRN9TIOR9l24PRPtXqbbzaI78KfGrtd5j9dmt2ahQEKyaGaCNwpdmJVGYHGdr1uQ_LEJdn7Zng_WrAJV6UilPG9nSCS_SqNE4VbKGQfqAL6L_pcLfbfygUleGyRyz_MjBOjgL2uenHftmJDpt-UkFQ5v/https%3A%2F%2Fwww.facebook.com%2FCPHCorp%2F https://secure-web.cisco.com/1KdhuIRl2A0uj7pnttrycWxoZoIY_OLhcFIXs6ycfii03Ub734SDIex_UU_TgETATWn-yIgkAMnYycwZKETROCOMXIPYCguVYPWoYD1G8OKqLaahJWmN5jnn2rQcmrR_uxXKJSkMK8gJMo1u0vHKAxeH3lNpuGJl_bfVmixFacVMJc7xLRr0N97RL1lZQ1BFMlJAZIuchVmQIsjGGA7eNRaIc5Q0Av9pSGjyLKJgC7xzlKsSdVaRK0Wx6aZwQ2byXd6xOrwymPlZOCWcIer1Alu-mtkza33_SBb8BgEjwVrC-3Au3YKMstAdhS0TqCo15/https%3A%2F%2Fwww.linkedin.com%2Fcompany%2Fcph-engineers
Matson_D Text Box
CN210 TA21
| 61109C CN210 TA21 CO3 030422.pdf |
| CN210 St Andrews State Park Time Extension.pdf |
File details come from the government source that posted it. Updated .