CN-370000-CN210-T36CO1.pdf

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 36 1 61345C

Dagny Johnson Key Largo Hammock Botanical State P Restroom Replacement

CPH, Inc.

Kyle Bechtelheimer, P.E. 305-274-4805 kbechtelheimer@cphcorp.com

Ralph Perkins 850-245-2460 ralph.perkins@floridadep.gov

Time only to complete bidding and construction services per the attached letter dated 11/17/2023.

$ 0.00 $ 91,543.34 $ 91,543.34 $ 0.00 $ 91,543.34 $ 91,543.34 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 91,543.34 $ 91,543.34

09/29/2022

12/31/2023

12/31/2023

8/15/2024

Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2023.11.27 10:04:36 -05'00'

Garland Sandel Garland Sandel Digitally signed by Garland Sandel Date: 2023.11.17 09:22:56 -05'00'

Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2023.11.27 13:29:47 -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: 2023.11.28 08:54:13-05'00' Foxit PhantomPDF Version: 10.1.3

Kyle M Bechtelheimer 11/28/2023

Michael W. Foster Jr., PE

$ 0.00

Michael W. Foster Jr., P.E.

Digitally signed by Michael W.

Foster Jr., P.E.

Date: 2023.11.30 15:53:02 -05'00'

Pollock, Joel

From: Sandel, Garland Sent: Friday, November 17, 2023 8:03 AM To: Pollock, Joel Subject: FW: Dagny Johnson Restroom - CO for Time Attachments: image002.jpg; image003.png; image004.png; image005.jpg

FYI

Thanks Garland

Garland Sandel Florida Department of Environmental ProtecƟon Division of RecreaƟon and Parks Bureau of Design and ConstrucƟon Design Project Manager Garland.Sandel@FloridaDEP.gov O: 850-245-2798 C: 850-756-0063

This communicaƟon does not consƟtute an authorizaƟon for any increase in the scope of work, cost, or Ɵme for the project being discussed. All changes to services, cost, or Ɵme must be accomplished in accordance with the formal process outlined in the contract. The DEP objects to, and shall not be responsible for, any changes to services, costs, or addiƟonal Ɵme not authorized by an executed Contract Amendment, Task Assignment Change Order, ConstrucƟon Change Order, or ConstrucƟon Change DirecƟve, as appropriate for this contract.

-----Original Message----- From: Bechtelheimer, Kyle P.E. <kbechtelheimer@cphcorp.com> Sent: Friday, November 17, 2023 7:49 AM To: Sandel, Garland <Garland.Sandel@FloridaDEP.gov> Subject: Re: Dagny Johnson Restroom - CO for Time

EXTERNAL MESSAGE

This email originated outside of DEP. Please use cauƟon when opening aƩachments, clicking links, or responding to this email.

Garland, Sorry I misunderstood.

May we please request addiƟonal Ɵme be added to our contract for bidding and construcƟon services. The requested extension is 228 days, extending the contract to 8/15/2024.

Thank you, Sent from my iPhone