CN-370000-CN210-TA14 CO2.pdf
PDF 406 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 the Blue Spring State Park ADA Boardwalk Replacement project located in Volusia County, Florida. The change order involves FDEP, the consultant firm CPH, Inc., and Volusia County Building Department. FDEP Contract No. CN210 is the governing agreement under which this task assignment change order is being executed.
The change order addresses additional work required for Volusia County permitting that was not originally anticipated in the initial task order. Specifically, the consultant is adding Subtask 10 for efforts involved in securing a Volusia County Permit, which the county originally stated was not required but subsequently changed its position. The net increase in task amount is $6,278.90, consisting of $2,160.00 in reimbursable costs and $4,118.98 in fixed fees. The total task amount including all previous change orders is $56,213.98. The change order also extends the task end date by 185 days, from the original June 30, 2020 completion date to December 31, 2021, to accommodate construction administration services at no additional cost. All required approvals have been obtained as of March 1, 2021.
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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 14 2 61202
Blue Spring ADA Boardwalk Replacement
CPH
Jason Toole 850-563-1490 jtoole@cphcorp.com
Alyssa Skehan 850-245-2781 alyssa.skehan@floridadep.gov
Volusia County Building Department requiring site permit approval, see attached proposal dated 2/18/2021.
Also no cost time extension for construction administration during the construction period.
$ 675.00 $ 49,260.08 $ 49,935.08 $ 675.00 $ 49,260.08 $ 49,935.08 $ 2,160.00 $ 4,118.98 $ 6,278.90 $ 2,835.00 $ 53,379.06 $ 56,213.98
3/26/2019
6/30/2020
6/30/2021
12/31/2021
Greg Turral Gregory Turral Digitally signed by Gregory Turral Date: 2021.02.25 09:49:57 -05'00'
Bill Brown William R Brown Digitally signed by William R Brown Date: 2021.02.25 10:17:47 -05'00'
Alyssa Skehan
Jason Toole
Michael W. Foster Jr., P.E.
61202 37503000101 088130/19 675002 U3200 131500 XR $ 6,278.90
$ 6,278.90
Alyssa Skehan Digitally signed by Alyssa Skehan Date: 2021.02.25 13:55:46 -05'00'
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: 2021.02.25 16:02:16-06'00' Foxit PhantomPDF Version: 10.1.1
Jason L Toole
Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2021.03.01 13:44:23 -05'00'
Wiman_A Cross-Out
Wiman_A Cross-Out
Wiman_A Text Box 6,278.98
Wiman_A Text Box 6,278.98
2,160.00
Wiman_A Underline
Wiman_A Underline
Wiman_A Sticky Note it was always correct, however, the amount encumbered was short
File details come from the government source that posted it. Updated .