CN-370000-CN210-T41CO2.pdf
PDF 325 KB Posted
- Contract number
- CN210
- Issued by
- Florida
About this file
This document is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) for contract CN210, Task Assignment TA41. The change order was processed for CPH, Inc., a consulting firm represented by Kayla Sheffield, P.E., with FDEP Contract Manager Ralph Perkins overseeing the project. The project involves improvements to the Yellow Bluff Fort Historic State Park ADA Parking Lot located in Jacksonville, Florida.
Change Order No. CO2 increases the task amount by $2,437.32, bringing the total with all previous change orders to $26,414.08. The net increase consists of $0.00 in reimbursement and $2,437.32 in fixed fees. The change addresses additional City of Jacksonville permitting requirements for the Yellow Bluff Parking Lot Improvements, specifically requiring special approval from the City of Jacksonville City Engineer per a proposal dated March 25, 2024. Subtask 7A involves CPH preparing and submitting revised construction documents, coordinating with FDEP and the City Engineer, and addressing comments received. The fixed price cost for this subtask is $2,437.32, covering labor from a Senior Project Manager, Project Manager, Senior Design Technician, and Administrative personnel over a combined 28 hours. The task execution period extends from February 20, 2023 through February 27, 2025, with no change to the timeline in this change order. Payment will be made upon FDEP approval of deliverables.
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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 CO2 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
Additional City of Jacksonville Permitting for the Yellow Bluff Parking Lot Improvements needing special approval from the City of Jacksonville City Engineer per Proposal dated 03/25/2024.
$ 1,290.00 $ 22,686.76 $ 23,976.76 $ 1,290.00 $ 22,686.76 $ 23,976.76
$ 0.00 $ 2,437.32 $ 2,437.32 $ 1,290.00 $ 25,124.08 $ 26,414.08
02/20/2023
02/28/2024
02//27/2025
02/27/2025
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2024.03.29 13:04:57 -04'00'
Del Cobb Del Cobb Digitally signed by Del Cobb Date: 2024.04.01 08:51:24 -04'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2024.04.01 09:50:16 -04'00'
Kayla Sheffield, P.E. Kayla Sheffield
2024.04.01 10:24:24-04'00'
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 09:41:23 -04'00'
61502C 37502002049 080039/23 423001 U3200 131500 QK $ 2,437.32
$ 2,437.32
File details come from the government source that posted it. Updated .