CN-370000-CN210-T4CO5.pdf
PDF 3 MB 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 a consulting services contract. The change order involves CPH, Inc., represented by Jason Toole, P.E., with FDEP Contract Manager Alyssa Skehan overseeing the project. The project concerns the St. Andrews State Park Campground Reinvestment located in Florida and is identified as FDEP Contract No. CN210, Task Assignment No. 4, Change Order No. 5, and Project No. 61109C.
The change order is for time extension only, with no modification to task amounts. The original task execution date was March 7, 2017, with an original end date of December 30, 2018. The present task end date of March 30, 2021, is being extended by 365 days to March 30, 2022, to complete permitting and construction administration tasks. The total task amount remains $298,775.69, comprising $8,889.38 in reimbursable expenses and $289,886.31 in fixed fees. All required signatures from FDEP budget, project management, and contract authority representatives, as well as the consultant, were obtained on March 3-9, 2021, in digital format.
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Text version
Florida Department of Environmental Protection
TASK ASSIGNMENT CHANGE ORDER FORM
(Revised 9-26-2018) 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 4 5 61109C
St. Andrews State Park Campground Reinvestment
CPH, Inc.
Jason Toole, P.E. 850-563-1490 jtoole@cphcorp.com
Alyssa Skehan 850-245-2781 Alyssa Skehan@FloridaDEP.gov
Change order for time only to complete permitting and construction administration tasks per the attached email dated 02/23/2021.
$ 9,010.48 $ 214,665.12 $ 223,675.60 $ 8,889.38 $ 289,886.31 $ 298,775.69
$ 0.00 $ 0.00 $ 0.00 $ 8,889.38 $ 289,886.31 $ 298,775.69
3/7/17
12/30/18
3/30/2021
3/30/2022
Greg Turral Gregory Turral Digitally signed by Gregory Turral Date: 2021.03.03 16:13:06 -05'00'
Donald Finkbeiner Donald J. Finkbeiner Digitally signed by Donald J.
Finkbeiner Date: 2021.03.03 16:11:54 -05'00'
Alyssa Skehan Alyssa Skehan Digitally signed by Alyssa Skehan Date: 2021.03.03 16:16:32 -05'00'
Jason Toole, P.E.
Digitally signed by Jason L Toole
DN: C=US, O=CPH INC.,
OU=A01427E000001677A3D2EC900002789, CN=Jason L Toole Reason: I am the author of this document Location: your signing location here Date: 2021.03.03 20:05:36-06'00' Foxit PhantomPDF Version: 10.1.1
Jason L Toole
Bryan Bradner Bryan Bradner Digitally signed by Bryan Bradner Date: 2021.03.09 10:54:42 -05'00'
$ 0.00
File details come from the government source that posted it. Updated .