CN-370000-CN210-T25CO1.pdf

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Master Agreement FL|CN210|c74bacc1301afbdccbbd4f57e12bda99
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 a contract with CPH, Inc., a full-service architecture and engineering firm. The change order was executed in November 2020 and involves FDEP Contract No. CN210, Task Assignment No. 25, for Project No. RM1903 located at the Guana Tolomato Matanzas National Estuarine Research Reserve (GTMNERR).

This no-cost change order extends the task assignment expiration date by one year due to construction delays on the HVAC engineering project. The original task end date of December 31, 2020, was extended to December 31, 2021—a net increase of 365 days. The task amount remains unchanged at $15,407.30, comprised of $172.66 in reimbursable expenses and $15,234.64 in fixed fees. The original task execution date was April 15, 2020. All required approvals were obtained from FDEP's Budget Representative (Greg Turral), Project Manager (Laura Ross), Contract Manager (Philip Stone), Contract Authority (Michael W. Foster Jr.), and the consultant representative (Doug Kramer of CPH, Inc.), with digital signatures executed between November 5 and November 12, 2020.

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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 25 1 RM1903

GTMNERR HVAC Engineering

CPH, Inc.

Doug Kramer 407-322-6841 DKramer@cphcorp.com

Philip Stone or successor 850-245-2570 Philip.Stone@FloridaDEP.gov

This is no-cost change order to extend the expiration date by a year. (See email dated 11/2/2020.)

$ 172.66 $ 15,234.64 $ 15,407.30 $ 172.66 $ 15,234.64 $ 15,407.30 $ 0.00 $ 0.00 $ 0.00

$ 172.66 $ 15,234.64 $ 15,407.30

4/15/2020

12/31/2020

12/31/2020

12/31/2021

Greg Turral Gregory Turral Digitally signed by Gregory Turral Date: 2020.11.05 10:06:09 -05'00'

Laura Ross Laura S. Ross Digitally signed by Laura S. Ross Date: 2020.11.05 11:11:58 -05'00'

Philip Stone P.T. Stone Digitally signed by P.T. Stone Date: 2020.11.08 10:18:43 -05'00'

Doug Kramer Kramer, Doug Digitally signed by Kramer, Doug DN: E=dkramer@cphcorp.com, CN="Kramer, Doug", OU=MEP, OU=01-Sanford, OU=1-People, DC=cph, DC=cphengineers, DC=com Date: 2020.11.09 10:31:30-05'00'

Michael W. Foster Jr. Michael W. Foster Jr., P.E.

Digitally signed by Michael W.

Foster Jr., P.E.

Date: 2020.11.12 15:24:54 -05'00'

$ 0.00

Ross, Laura S.

From: Toole, Jason L. (P.E.) <jtoole@cphcorp.com> Sent: Monday, November 2, 2020 1:25 PM To: Ross, Laura S.

Cc: Toole, Jason L. (P.E.)

Subject: GTMNERR HVAC Design

Follow Up Flag: Follow up Flag Status: Flagged

Laura, Please except this email as a request to extend the expiration date for one (1) year for our Task Assignment for RM1903

– GTMNERR HVAC engineering. My understanding is that construction has not yet started on this project and therefore we need to extend the date for us completing our portion of the work.

Thanks, Jason Toole, P.E., LEED AP Senior Vice President o 850.563.1490 (Ext.4801) c 850.774.9575 jtoole@cphcorp.com

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