CN-370000-CN210-T35CO2.pdf
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- Contract number
- CN210
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. 02) issued by the Florida Department of Environmental Protection (FDEP) for Contract No. CN210. The contracting parties are FDEP and CPH, Inc., a consulting firm. The change order pertains to Task Assignment No. 35 for the Fort Zachary Taylor State Park Administration Building Replacement project located at Fort Zachary Taylor State Park. Kyle Bechtelheimer, P.E., serves as the consultant representative, while Ralph Perkins acts as the FDEP Contract Manager.
The change order grants a time extension of 365 days to the project, with the new task end date set for December 29, 2023. The original task end date of July 29, 2022, was extended to December 29, 2022, and this change order further extends it by one additional year. There is no net increase or decrease in the task amount; the total task amount remains $49,099.09, comprised of $2,000.00 in reimbursement and $47,099.09 in fixed fees. The time extension was requested by CPH, Inc., on December 12, 2022, to allow for continued design and permitting work pending FDEP approval of the current floorplan. The change order was approved and digitally signed by all required FDEP representatives and the consultant on December 13 and 15, 2022.
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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 35 02 61390C
Fort Zachary Taylor State Park Administration Building Replacement
CPH, Inc.
CPH, Inc. 305-274-4805 kbechtelheimer@cphcorp.com
Ralph Perkins 850-245-2460 Ralph.Perkins@FloridaDEP.gov
Time extension per the request dated 12/12/2022.
$ 2,000.00 $ 47,099.09 $ 49,099.09 $ 2,000.00 $ 47,099.09 $ 49,099.09
$ 0.00 $ 0.00 $ 0.00 $ 2,000.00 $ 47,099.09 $ 49,099.09
Upon TA execution
7/29/2022
12/29/2022
12/29/2023
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2022.12.13 09:40:42 -05'00'
Theresa Carron
Ralph Perkins
Kyle Bechtelheimer, P.E.
Michael W. Foster Jr., P.E.
$ 0.00
T.Carron Digitally signed by T.Carron Date: 2022.12.13 10:18:40 -05'00'
Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2022.12.13 10:35:10 -05'00'
Digitally signed by Kyle M Bechtelheimer DN: C=US, O=CPH INC., dnQualifier=A01410D0000017E96D48F500004E671, CN=Kyle M Bechtelheimer Reason: I am the author of this document Location: your signing location here Date: 2022.12.13 10:40:55-05'00' Foxit PhantomPDF Version: 10.1.3
Kyle M Bechtelheimer
Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2022.12.15 16:05:26 -05'00'
Carron, Theresa
To: 'theresa.carron@floridadep.gov' Subject: FW: CN210 TA35 CO2
From: Bechtelheimer, Kyle P.E. <kbechtelheimer@cphcorp.com> Sent: Monday, December 12, 2022 11:32 AM To: Matson, David <David.Matson@FloridaDEP.gov> Cc: Martin, Amanda <amartin@cphcorp.com> Subject: RE: CN210 TA35 CO2
EXTERNAL MESSAGE
This email originated outside of DEP. Please use caution when opening attachments, clicking links, or responding to this email.
Good morning, David.
Can we please request a time extension of 365 days on this project, CN210_141737.3?
We have also been waiting on FDEP approval of the current floorplan, attached. Has there been a new project manager assigned to this project that we can coordinate with?
We can wrap up the design and permitting fairly quickly once we are all in agreeance with the floorplan.
Thank you!
Kyle Bechtelheimer, P.E.
Vice President / Associate o 305.274.4805 (Ext.3610) c 352.279.2534 kbechtelheimer@cphcorp.com
Celebrating 40+ Years of Collaboration and Innovation
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From: Matson, David <David.Matson@FloridaDEP.gov> Sent: Thursday, November 3, 2022 2:55 PM
File details come from the government source that posted it. Updated .