CN-370000-CN211-T4CO2.pdf

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Master Agreement FL|CN211|4b7998480e7f8de3650dfd0117cc6681
Contract number
CN211
Issued by
Florida

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Document Summary

This is a Task Assignment Change Order Form (Change Order No. 2) issued by the Florida Department of Environmental Protection (FDEP) for Contract No. CN211 involving the Ribault Clubhouse HVAC project located at Fort George Island Cultural State Park. The consultant is CRA (Clemons, Rutherford & Assoc., Inc.), with James Lewis serving as the consultant representative. Ralph Perkins serves as the FDEP Contract Manager, and the change order was approved by FDEP personnel including Budget Representative Tamika Bass, Project Manager Uyles W. Keen Jr., and Contract Manager Ralph Perkins, along with Contract Authority Bryan Bradner.

The change order extends the task execution period by 62 days, moving the task end date from December 31, 2024 to March 3, 2025. The original task amount was $117,216.37 (comprising $1,949.35 in reimbursement and $115,267.02 in fixed fee). The task amount including all previous change orders is $176,018.24. This change order results in no net increase or decrease in task amount, with total amounts remaining at $176,018.24 across all change orders. The extension was requested to allow uninterrupted services on the task and was approved on December 16, 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:

CN211 4 2 6A017C (Formally 61359C)

Ribault Clubhouse HVAC

CRA

James Lewis (850) 545-0896 jlewis@craarchitects.com

Ralph Perkins or successor (850) 245-2460 Ralph.Perkins@FloridaDEP.gov

62 day time contract extension. Per attached dated 12/12/2024.

$ 1,949.35 $ 115,267.02 $ 117,216.37 $ 3,978.55 $ 172,039.69 $ 176,018.24

$ 0.00 $ 0.00 $ 0.00 $ 3,978.55 $ 172,039.69 $ 176,018.24

06/23/2022

12/31/2023

12/31/2024

03/03/2025

Tamika Bass

Uyles W. Keen, Jr.

Ralph Perkins

James Lewis Digitally signed by: James Lewis Date: 2024.12.16 16:49:42 -05'00' Reason: I am approving this document

Bryan Bradner

$ 0.00

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