CN-370000-CN210-T30CO2.pdf
PDF 977 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 Contract No. CN210, Task Assignment No. TA30. The change order involves CPH, Inc., represented by consultant John Lenti, AIA, and FDEP's project management team led by Contract Manager Ralph Perkins. The project is located at De Leon Springs State Park and concerns a Residence Renovation initiative identified as Project No. 61375C.
The change order extends the project timeline by 365 days, moving the task end date from June 30, 2023 to June 29, 2024. No changes to the task amount are included in this change order; the total task amount remains $44,490.06, comprised of $1,184.11 in reimbursable costs and $43,305.95 in fixed fees. The change order was executed on June 22-23, 2023, with approvals from FDEP Budget Representative Tamika Bass, Project Manager Del Cobb, Contract Manager Ralph Perkins, and Contract Authority Michael W. Foster Jr., P.E., as well as consultant signature from John Lenti, AIA.
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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 TA30 2 61375C
De Leon Springs State Park Residence Renovation
CPH, Inc.
John Lenti, AIA (813) 288-0233 jlenti@cphcorp.com
Ralph Perkins, or successor (850) 245-2640 Ralph.Perkins@FloridaDEP.gov
365 day time extension per the attached dated 6/21/23.
$ 6,303.72 $ 6,303.72 $ 1,184.11 $ 43,305.95 $ 44,490.06
$ 0.00 $ 0.00 $ 0.00 $ 1,184.11 $ 43,305.95 $ 44,490.06
10/08/2021
6/30/2023
6/30/2023
6/29/2024
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2023.06.22 12:25:02 -04'00'
Del Cobb Del Cobb Digitally signed by Del Cobb Date: 2023.06.22 14:10:01 -04'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2023.06.22 16:33:48 -04'00'
John Lenti, AIA
Michael W. Foster Jr.,P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2023.06.29 08:50:54 -04'00'
$ 0.00 john lenti Digitally signed by John Lenti
2023.06.23 10:50:03-04'00'john lenti
From: Toole, Jason L. (P.E.)
To: Cobb, Del L Cc: Lenti, John; Toole, Jason L. (P.E.)
Subject: Request for Time Extension: CN210 TA30 CO1: De Leon Springs Residence Renovation Date: Wednesday, June 21, 2023 3:49:34 PM Attachments: image001.png
EXTERNAL MESSAGE
This email originated outside of DEP. Please use caution when opening attachments, clicking links, or responding to this email.
Del, Please let this email serve as a request for a 365 day time extension for the above project.
John L, Please provide Del a status update for this project.
Thanks, Jason Toole, P.E., LEED AP Chief Revenue Officer 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:Del.L.Cobb@FloridaDEP.gov mailto:jlenti@cphcorp.com mailto:jtoole@cphcorp.com mailto:jtoole@cphcorp.com https://www.facebook.com/CPHCorp/ https://www.linkedin.com/company/cph-engineers
| Request for Time Extension_ CN210 TA30 CO1_ De Leon Springs Residence Renovation.pdf |
| BLANK TA CO FORM.pdf |
File details come from the government source that posted it. Updated .