CN-370000-CN210-T37CO1.pdf
PDF 963 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 a time-only contract extension. The contract involves FDEP as the state agency, CPH, Inc. as the consultant, and relates to improvements at Ravine Gardens State Park. The document was executed on June 9, 2023, with approvals from FDEP budget, project management, and contract authority representatives, as well as the consultant representative Christopher J. DeWaal, P.E.
The change order extends Task Assignment No. 37 under FDEP Contract No. CN210 for the Civic Center HVAC Improvements project by 365 days, with a new end date of December 31, 2024. The extension is time-only with no change to the task amount; the fixed fee remains $33,743.56 with zero reimbursement costs and zero net increase. The original task execution date was May 18, 2022, with the original end date of December 31, 2023. The extension was requested by CPH, Inc. on June 9, 2023, to accommodate ongoing project requirements and was processed through FDEP's formal change order procedures as required by contract.
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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 37 1 61292C
Ravine Gardens State Park Civic Center HVAC Improvements
CPH, Inc.
Christopher J. DeWaal, P.E. 920-241-4465 cdewaal@cphcorp.com
Ralph Perkins 850-245-2460 ralph.perkins@floridadep.gov
365 day time-only contract extension. Per the attached dated 6/9/23.
$ 0.00 $ 33,743.56 $ 33,743.56 $ 0.00 $ 33,743.56 $ 33,743.56 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 33,743.56 $ 33,743.56
05/18/2022
12/31/2023
12/31/2023
12/31/2024
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2023.06.09 15:12:15 -04'00'
Uyles W. Keen Jr. Uyles W. Keen Jr Digitally signed by Uyles W. Keen Jr Date: 2023.06.09 17:07:50 -04'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2023.06.12 10:57:21 -04'00'
Christopher J. DeWaal, P.E. Christopher J DeWaal Digitally signed by Christopher J DeWaal DN: CN=Christopher J DeWaal, dnQualifier=A01410D0000017C315F8B260000CCBE, O=Florida, C=US Date: 2023.06.19 12:24:42-04'00'
Michael W. Foster Jr., P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2023.06.22 14:48:53 -04'00'
$ 0.00
From: Cobb, Del L To: Gebhardt, Jasper Cc: Keen, Uyles (JR) Subject: FW: Time only extension for task assignment 37 Date: Friday, June 9, 2023 10:55:54 AM Attachments: image003.png
Please see correspondence below regarding the TA extension. Let me know if you have any questions or concerns.
Regards.
DEL COBB
Florida Department of Environmental Protection Division of Recreation & Parks Bureau of Design and Construction Project Manager – Engineering Specialists IV Del.L.Cobb@FloridaDEP.gov Office: (850) 245-2570 Cell: (850) 694-2919
This communication does not constitute an authorization for any increase in the scope of work, cost, or time for the project being discussed. All changes to services, cost, or time 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 additional time not authorized by an executed Contract Amendment, Task Assignment Change Order, Construction Change Order, or Construction Change Directive, as appropriate for this contract.
From: Deal, Jeffrey P.E. <jdeal@cphcorp.com> Sent: Friday, June 9, 2023 10:53 AM To: Cobb, Del L <Del.L.Cobb@FloridaDEP.gov> Cc: Keen, Uyles (JR) <Uyles.Keen@dep.state.fl.us> Subject: Time only extension for task assignment 37
EXTERNAL MESSAGE
This email originated outside of DEP. Please use caution when opening attachments, clicking links, or responding to this email.
Del, Please extend our task assignment 365 days.
Thank you, Jeffrey Deal, PE Senior Project Engineer o 407.322.6841 (Ext.1113) c 904.613.2638 jdeal@cphcorp.com mailto:Del.L.Cobb@FloridaDEP.gov mailto:Jasper.Gebhardt@FloridaDEP.gov mailto:Uyles.Keen@dep.state.fl.us mailto:Del.L.Cobb@FloridaDEP.gov mailto:jdeal@cphcorp.com
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| CN210 TA37 CO1 Ravine Gardens - Civic Center HVAC Improvements.pdf |
| FW_ Time only extension for task assignment 37.pdf |
File details come from the government source that posted it. Updated .