CN-370000-CN210-T38CO2.pdf
PDF 1 MB 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 professional design services at St Andrews State Park. The change order involves FDEP Contract No. 210, Task Assignment No. 38, Change Order No. 02, with CPH, Inc. serving as the consultant. Key personnel include Jason Toole, PE, as the consultant representative, and Ralph Perkins as the FDEP Contract Manager. The project is located at St Andrews State Park and concerns the Lagoon Concessions Building facility.
The change order authorizes stormwater design and permitting services per CPH's proposal dated May 17, 2024. The scope includes Subtask 8E for pond design and Northwest Florida Water Management District (NWFWMD) permitting services, encompassing revised grading design to incorporate two stormwater ponds and submission of a permit modification application. The net increase for this change order is $4,537.56, consisting of $1,000.00 in reimbursable costs (application fees) and $3,537.56 in fixed fees covering labor from CPH personnel at various classifications. The total task amount including all previous change orders is $165,195.98. The project timeline extends from the original execution date of December 15, 2022, with a task end date of December 12, 2025, with no net change in days from this change order. Payment will be made upon FDEP approval of deliverables, which include PDF copies of revised civil design plans and permit modification approval documentation.
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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:
210 38 02 61441C
St Andrews State Park Lagoon Concessions Building
CPH Inc.
Jason Toole, PE 850.563.1490 x4801jtoole@cphcorp.com
Ralph Perkins 850.245.2460 ralph.perkins@floridadep.gov
Stormwater design and permitting per the attached proposal dated 5/17/24.
$ 3,060.16 $ 3,060.16 $ 6,511.43 $ 154,146.99 $ 160,658.42 $ 1,000.00 $ 3,537.56 $ 4,537.56 $ 7,511.43 $ 157,684.55 $ 165,195.98
12/15/22
12/12/25
12/12/25
Tamika Bass
Theresa Carron
Ralph Perkins
Jason Toole, PE
Bryan Bradner
61441C 37501000067 080039/23 000286 U3100 131500 AD $ 4,537.56
$ 4,537.56
File details come from the government source that posted it. Updated .