CN-370000-CN210-T41CO1.pdf
PDF 415 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 extension to an existing task assignment. The consultant on the contract is CPH, Inc., with Kayla Sheffield, P.E. serving as the consultant representative. The FDEP Contract Manager is Ralph Perkins. The project concerns improvements to the ADA Parking Lot at Yellow Bluff Fort Historic State Park and is identified under FDEP Contract No. CN210, Task Assignment No. TA41, Change Order No. CO1, and Project No. 61502C.
The change order extends the task execution period by 365 days, with the new task end date established as February 27, 2025, while maintaining the original financial amounts. The task retains a total value of $23,976.76, comprised of $1,290.00 in reimbursement costs and $22,686.76 in fixed fees, with no change in compensation. The original task execution date was February 20, 2023, with the previous end date of February 28, 2024. The change order was requested via email dated February 16, 2024, and received all required approvals from FDEP budget, project management, and contract authority representatives, as well as the consultant, between February 20 and February 26, 2024.
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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 TA41 CO1 61502C
Yellow Bluff Fort Historic State Park Yellow Bluff Historic S.P. ADA Parking Lot Improvem
CPH, Inc.
Kayla Sheffield, P.E. (904) 332-0999 ksheffield@cphcorp.com
Ralph Perkins, or successor (850) 245-2640 Ralph.Perkins@FloridaDEP.gov
This is a Time - Extension Change Order per the email attached dated 2/16/24 requesting an additional 365 days added to the Existing TA.
$ 1,290.00 $ 22,686.76 $ 23,976.76 $ 1,290.00 $ 22,686.76 $ 23,976.76
$ 0.00 $ 0.00 $ 0.00 $ 1,290.00 $ 22,686.76 $ 23,976.76
02/20/2023
02/28/2024
02/28/2024
02/27/2025
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2024.02.20 14:29:42 -05'00'
Del Cobb Del Cobb Digitally signed by Del Cobb Date: 2024.02.20 16:35:15 -05'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2024.02.21 14:16:56 -05'00'
Kayla Sheffield, P.E. Kayla Sheffield
2024.02.22 16:02:19-05'00'
Michael W. Foster Jr., P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2024.02.26 09:54:21 -05'00'
$ 0.00
Kayla Sheffield, P.E.
Branch Manager - Jacksonville ksheffield@cphcorp.com o 904.332.0999x4401 c 904.705.3125
BUILDING STRONGER COMMUNITIES TOGETHER
From: Sheffield, Kayla To: Cobb, Del L Subject: Yellow Bluff TA Extension Date: Friday, February 16, 2024 4:10:40 PM Attachments: image001.png image002.png image003.png
EXTERNAL MESSAGE
This email originated outside of DEP. Please use caution when opening attachments, clicking links, or responding to this email.
Del, Can you please extend TA41 for 365 days?
Thank you,
File details come from the government source that posted it. Updated .