CN-370000-CN212-T14CO3.pdf
PDF 1 MB Posted
- Contract number
- CN212
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) for a contract with DodStone Architects. The change order modifies Task Assignment No. 14 under FDEP Contract No. CN212 for the Little Talbot Island State Park Electrical and ADA Modification project (Project No. 6A018C-61295C). The consultant representative is Karin Zawrotny, and the FDEP Contract Manager is Ralph Perkins. The change order was approved on June 22, 2023, with signatures from FDEP's Budget Representative, Project Manager, Contract Manager, Contract Authority, and the consultant.
This change order implements a time-only extension with no cost increase to the contract. The original task end date of July 1, 2023, was extended by 490 days to December 31, 2024, to allow completion of construction administration services. The total contract amount remains $148,265.09, consisting of $6,848.78 in reimbursement costs and $141,416.31 in fixed fees. The extension accommodates a delayed construction start date scheduled for later summer 2023. No changes were made to the financial terms, and the extension was processed as Change Order No. 3 with no cost impact to the project.
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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:
CN212 14 3 6A018C-61295C
Little Talbot Island State Park Electrical and ADA Modification
DodStone
Karin Zawrotny 850-656-7326 kzawrotny@dodstone.com
Ralph Perkins 850-245-2460 ralph.perkins@floridadep.gov
Time only extension to complete the construction administration as per the requested dated 6-21-23.
$ 3,558.14 $ 94,205.60 $ 97,763.74 $ 6,848.78 $ 141,416.31 $ 148,265.09
$ 0.00 $ 0.00 $ 0.00 $ 6,848.78 $ 141,416.31 $ 148,265.09
06/15/2021
07/01/2023
08/30/2023
12/31/2024
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2023.06.22 11:30:00 -04'00'
Uyles W. Keen Jr Uyles W. Keen Jr Digitally signed by Uyles W. Keen Jr Date: 2023.06.22 13:33:30 -04'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2023.06.22 13:51:00 -04'00'
Karin Zawrotny Karin I. Zawrotny Digitally signed by Karin I.
Zawrotny Date: 2023.06.22 18:42:49 -04'00'
Bryan Bradner Bryan Bradner Digitally signed by Bryan Bradner Date: 2023.06.30 15:11:13 -04'00'
$ 0.00
From: Karin Zawrotny To: Keen, Uyles (JR) Subject: Little Talbot, Project No. 6A018C-61354C Time Extension Request Date: Wednesday, June 21, 2023 4:04:54 PM
EXTERNAL MESSAGE
This email originated outside of DEP. Please use caution when opening attachments, clicking links, or responding to this email.
JR,
Since construction is not starting until later this summer, we are requesting a no-cost time extension of 490 days for the CN212 - TA14 contract (project no. 6A018C-61354C), bringing the contract end date to 12/31/24. This will be
CO 3.
Karin Zawrotny, AIA
LEED AP BD+C
Dodstone Architects
#AR0015211
3011-1 Powell Road Tallahassee, FL 32308 P: 850.656.7326 www.dodstone.com
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| CN212 TA 14 CO 3 Time Only.pdf |
| Little Talbot, Project No. 6A018C-61354C Time Extension Request.pdf |
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