CN-370000-CN210-T44CO5.pdf

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Attached to
Master Agreement FL|CN210|c74bacc1301afbdccbbd4f57e12bda99
Contract number
CN210
Issued by
Florida

About this file

This is a Task Assignment Change Order Form (CO5) issued by the Florida Department of Environmental Protection (FDEP) for the Orman House Historical State Park Pavilion & Restroom project. The change order involves FDEP as the contracting agency and CPH, Inc. (represented by Brook K. Sherrard, A.I.A.) as the consultant. The contract is identified as CN 210, Task Assignment TA 44, and Project Number 61444C. FDEP's Contract Manager is Ralph Perkins, and the project location is Orman House Historical State Park in Florida.

The change order authorizes Additional Architectural and Mechanical, Electrical, and Plumbing (MEP) Design Services for the removal of the HVAC system from the restrooms and conversion to mechanically assisted natural ventilation. This work is identified as Subtask 18. The net increase in the fixed fee task amount for this change order is $2,485.90, bringing the total task amount with all change orders to $150,238.40. The fixed fee cost breakdown includes labor from various CPH, LLC positions: Sr. Project Manager (2 hours at $132.61/hour), Principal Architect (2 hours at $130.60/hour), Architectural Designer (8 hours at $63.17/hour), Principal MEP Engineer (4 hours at $125.59/hour), MEP Project Designer (12 hours at $69.44/hour), and Administrative support (2 hours at $59.24/hour). The deliverable consists of a PDF copy of final design plans. The new task end date is March 3, 2025, with payment to be made upon FDEP approval of deliverables. The change order was signed by all required FDEP and consultant representatives in July 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:

CN 210 TA 44 CO5 61444C

Orman House Historical State Park Pavilion & Restroom

CPH, Inc.

Brook K. Sherrard, A.I.A. (407) 322-6841 bsherrard@cphcorp.com

Ralph Perkins, or successor (850) 245-2640 Ralph.Perkins@FloridaDEP.gov

Additional Architectural & MEP Design Services for the removal of the HVAC system from the restrooms & conversion to mechanically assisted natural ventilation per Change Order dated July 16, 2024.

$ 0.00 $ 99,188.28 $ 99,188.28 $ 600.00 $ 147,152.50 $ 147,752.50 $ 0.00 $ 2,485.90 $ 2,485.90

$ 600.00 $ 149,638.40 $ 150,238.40

05/22/2023

04/11/2026

03/03/2025

03/03/2025

Tamika Bass

Del Cobb

Ralph Perkins

Brook K. Sherrard, A.I.A.

Brook K Sherrard Digitally signed by Brook K. Sherrard

2024.07.23 13:37:06-04'00'

Bryan Bradner

61444C 37501000260 080039/23 000286 U3100 134000 AD $ 2,485.90

$ 2,485.90

File details come from the government source that posted it. Updated .