CN-370000-CN210-T44CO6.pdf
PDF 405 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) for contract CN210 between FDEP and CPH, LLC. The change order, designated as CO6 for Task Assignment TA44, establishes professional design services for a Cultural Resource Assessment Survey (CRAS) at Orman House Historic State Park. The project involves a Multi-Use Pavilion and Restroom facility located at the state park. FDEP's Project Manager is Meena Senthil, with Ralph Perkins serving as Contract Manager. CPH, LLC is represented by Jason Toole, P.E., as Program Manager, with offices located in Panama City, Florida.
The change order authorizes three primary subtasks for CRAS report services with a total fixed-fee cost of $17,688.93. Subtask 15 covers the 1A-32 Permit application, background research, and field survey work at a cost of $5,958.05, with an estimated 45-day duration from January 6 to February 20, 2025. Subtask 16, Laboratory Analysis and Curation (optional), is budgeted at $4,182.83 for a 10-day period ending March 2, 2025, contingent upon artifact recovery. Subtask 17, the Technical Report, totals $7,548.05 and encompasses 60 calendar days from March 2 to May 1, 2025. Payment is contingent upon FDEP approval of deliverables for each subtask. The change order increased the total task amount from the original $150,238.40 to $167,927.33, representing a net increase of $17,688.93 with no change to the task end date of March 3, 2025. All required approvals were executed digitally between December 18, 2024, and January 13, 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 TA44 CO6 61444C
Orman House Historic State Park Multi-Use Pavilion & Restroom
CPH, Inc.
Jason Toole 850.563.1490 jtoole@cphcorp.com
Ralph Perkins, or successor 850.245.2640 ralph.perkins@floridadep.gov
This change order is for performing Cultural Resource Assessment Survey (CRAS) for the Multi-Use Pavilion & Restroom project per attached proposal dated 12/10/2024.
$ 0.00 $ 99,188.28 $ 99,188.28 $ 600.00 $ 149,638.40 $ 150,238.40 $ 0.00 $ 17,688.93 $ 17,688.93
$ 600.00 $ 167,327.33 $ 167,927.33
05/22/2023
04/11/2026
03/03/2025
03/03/2025
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2024.12.18 11:43:31 -05'00'
Meena Senthil Meena Senthil Digitally signed by Meena Senthil Date: 2024.12.18 14:32:23 -05'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2024.12.18 14:43:16 -05'00'
Jason Toole Digitally signed by Jason L Toole DN: C=US, O=Florida, dnQualifier=A01410C0000017E5468FDBE00018735, CN=Jason L Toole Reason: I am the author of this document Location: Florida Date: 2024.12.18 16:11:29-06'00' Foxit PhantomPDF Version: 10.1.0
Jason L Toole
Bryan Bradner Bryan Bradner Digitally signed by Bryan Bradner Date: 2025.01.13 10:56:17 -05'00'
61444C 37501000260 080039/23 000286 U3100 134000 AD $ 17,688.93
$ 17,688.93
1031-C W. 23rd Street Panama City, FL 32405
Phone: 850.563.1490 Fax: 850.563.1495
CN210 TA44 CO6
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