CN-370000-CN212-T15CO3.pdf

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Master Agreement FL|CN212|aec15af757aa90b3e69d3dac479b0889
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 project involving Dodstone Architects, the consulting firm responsible for the O'Leno State Park Middle Campground Bathhouse Replacement/Renovation project. The change order was processed on April 3, 2024, and involves FDEP Contract No. CN212, Task Assignment No. 15, and Change Order No. CO3 for Project No. 61281 located at O'Leno State Park. The consultant representative is Joel Dodson of Dodstone Architects, and the FDEP Contract Manager is Ralph Perkins.

The change order represents a no-cost time extension of 150 days with no modification to the contract amount. The original task end date of June 30, 2022, was previously extended to April 26, 2024, and this change order extends it further to September 22, 2024. The total task amount remains unchanged at $62,646.15, comprised of a $122.50 reimbursement item and a $62,523.65 fixed fee. The original task execution date was August 31, 2021. The change order was approved by authorized FDEP representatives including Budget Representative Tamika Bass, Project Manager Uyles W. Keen Jr., Contract Manager Ralph Perkins, and Contract Authority Michael W. Foster Jr., P.E., as well as consultant Joel Dodson.

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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:

CN212 15 CO3 61281

O'Leno State Park Middle Campground Bathhouse Replacement/Renovati

Dodstone Architects

Joel Dodson 850-656-7326 jdodson@dodstone.com

Ralph Perkins 850-245-2460 Ralph.Perkins@FloridaDEP.gov

Based upon where the project stands now, we are requesting a 150 day, no cost time extension.

$ 122.50 $ 62,523.65 $ 62,646.15 $ 122.50 $ 62,523.65 $ 62,646.15 $ 0.00 $ 0.00 $ 0.00

$ 122.50 $ 62,523.65 $ 62,646.15

08/31/2021

6/30/2022

04/26/2024

09/22/2024

Tamika Bass

Uyles W.Keen Jr.

Ralph Perkins

Joel Dodson

Michael W. Foster Jr., P.E.

$ 0.00

From: Karin Zawrotny To: Keen, Uyles (JR) Subject: O"Leno - time extension request Date: Friday, March 22, 2024 8:06:59 AM

EXTERNAL MESSAGE

This email originated outside of DEP. Please use caution when opening attachments, clicking links, or responding to this email.

JR,

Our contract for O'Leno expires at the end of the next month. Based upon where the project stands now, we are requesting a 150 day, no cost time extension.

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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