CN-370000-CN210-T35CO4.pdf
PDF 415 KB Posted
- Contract number
- CN210
- Issued by
- Florida
About this file
Task Assignment Change Order Summary
This document is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) for a project involving CPH, LLC, a consulting firm. The change order, designated as Change Order No. 1 under FDEP Contract No. CN210, Task Assignment No. 35, pertains to the Administration Building Replacement project located at Fort Zachary Taylor Historic State Park in Florida. The consultant representative is Kyle Bechtelheimer, P.E., and the FDEP Contract Manager is Ralph Perkins or successor.
The change order authorizes a time-only extension of 365 days for Task Assignment 35, extending the task end date from July 29, 2022, to December 28, 2024. This extension allows CPH, LLC to continue providing professional services through the bidding and construction phases of the project. The total task amount remains unchanged at $49,099.09, comprising $2,000.00 in reimbursable costs and $47,099.09 in fixed fees, with no net increase or decrease in cost associated with this change order. The change order was approved and digitally signed by all required FDEP representatives and the consultant on December 19-20, 2023.
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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 4 61390C
Administration Building Replacement
CPH, LLC.
Kyle Bechtelheimer, P.E. (305) 274-4805 kbechtelheimer@cphcorp.com
Ralph Perkins or successor (850) 245-2460 Ralph.Perkins@FloridaDEP.gov
Time-only extension to the task assignment to continue services through construction. See attached dated 12/18/23.
$ 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
03/21/2022
07/29/2022
12/29/2023
12/28/2024
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2023.12.19 08:35:51 -05'00'
Terry McCullum, Jr. Terry McCullum Jr Digitally signed by Terry McCullum Jr Date: 2023.12.19 08:38:02 -05'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2023.12.19 10:21:45 -05'00'
Kyle Bechtelheimer, P.E.
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: 2023.12.19 11:31:09-05'00' Foxit PhantomPDF Version: 10.1.3
Kyle M Bechtelheimer 12/19/2023
Michael W. Foster Jr., P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2023.12.20 13:26:29 -05'00'
$ 0.00
Fort Zachary Taylor Historic State Park
McCullum, Terry
From: Bechtelheimer, Kyle P.E. <kbechtelheimer@cphcorp.com> Sent: Monday, December 18, 2023 11:33 AM To: McCullum, Terry Subject: CN210 - TA35 - Time Extension Request
EXTERNAL MESSAGE
This email originated outside of DEP. Please use caution when opening attachments, clicking links, or responding to this email.
Good morning, Terry.
May we please request a me extension on Task Assignment 35 for 365 days, to allow me for bidding and construc on of the work?
Thank you, Kyle Bechtelheimer, P.E.
Vice President / Associate o 305.274.4805 (Ext.3610) c 352.279.2534 kbechtelheimer@cphcorp.com
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