CN-370000-CN210-T39CO1.pdf
PDF 570 KB Posted
- Contract number
- CN210
- Issued by
- Florida
About this file
Document Summary
This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) under Contract No. CN210 for the Fort Clinch State Park Road Repair and Waterline Replacements project located in Fort Clinch State Park. The consultant on the project is CPH, Inc., represented by Kayla Sheffield, P.E. The change order was approved on April 4-5, 2024, and is managed by FDEP Contract Manager Ralph Perkins. The document represents an indefinite delivery task assignment vehicle with multiple subtasks spanning surveying, permitting, engineering, design, and construction administration services.
The change order adds professional services for completion of the waterline replacement and connection project to the Ft Clinch Beachside Bath Houses, increasing the net task amount by $65,301.37 for a total task amount of $69,873.88. The project encompasses twelve subtasks with fixed-price and reimbursable components, including gopher tortoise surveys ($5,811.20), FFWCC permitting fees ($6,607.71), ecological services ($4,182.30), topographic surveys ($8,842.88), geotechnical engineering ($5,926.04), 60% through 100% design documents and opinions of probable cost ($16,328.82), City of Fernandina Beach Technical Review Committee submittal and responses ($11,027.23), and construction administration services ($5,490.24). The total overall cost is $65,301.37, with payment contingent upon FDEP approval of deliverables for each subtask. The project execution runs from January 23, 2023, through January 10, 2025.
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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 39 01 61499C
Fort Clinch State Park Road Repair and Waterline Replacements.
CPH, Inc.
Kayla Sheffield 904-332-0999 ksheffield@cphcorp.com
Ralph Perkins 850-245-2640 Ralph.Perkins@FloridaDEP.gov
Adding professional services to original Task Assignment for completion of waterline replacement and connection project, per the attached dated April 2nd, 2024.
$ 4,572.51 $ 4,572.51 $ 4,572.51 $ 4,572.51 $ 65,301.37 $ 65,301.37
$ 0.00 $ 69,873.88 $ 69,873.88
01/23/2023
01/10/2025
01/10/2025
01/10/2025
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2024.04.04 11:37:42 -04'00'
Joel Pollock Joel Pollock Digitally signed by Joel Pollock Date: 2024.04.04 13:13:03 -04'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2024.04.04 13:38:46 -04'00'
Kayla Sheffield, P.E. Kayla Sheffield
2024.04.05 10:36:46-04'00'
Michael W. Foster Jr., P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2024.04.05 16:02:41 -04'00'
61499C 37502000027 080039/23 423001 U3200 131500 QK $ 65,301.37
$ 65,301.37
File details come from the government source that posted it. Updated .