CN-370000-CN212-T18CO3.pdf
PDF 5 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 Contract CN212, Task Assignment TA18, Change Order CO3. The consultant on this contract is Dodstone Architects, represented by Karin Zawrotny, AIA. The contract manager for FDEP is Ralph Perkins. The project is located at Ponce De Leon Springs and involves restroom additions.
The change order extends the task execution timeline by 365 days with no increase to the contract amount. The original task end date of July 1, 2023, is extended to December 31, 2024. The total contract amount remains $109,556.05, comprised of a reimbursement component of $850.00 and a fixed fee of $108,706.05. The consultant requested this no-cost time extension due to bidding, permitting, and construction activities yet to commence. The change order was approved and executed by all required parties on October 17-25, 2023.
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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 TA18 CO3 61354C
Ponce De Leon Springs Restroom Additions
Dodstone Architects
Karin Zawrotny, AIA (850) 656-7326 kzawrotny@dodstone.com
Ralph Perkins, or successor (850) 245-2460 Ralph.Perkins@FloridaDEP.gov
The purpose of this Change Order is for a time extension of 365 days. please see attached email dated 10/7/2023.
$ 100.00 $ 59,314.94 $ 59,414.94 $ 850.00 $ 108,706.05 $ 109,556.05
$ 0.00 $ 850.00 $ 108,706.05 $ 109,556.05
07/1/2023
07/1/2023
12/31/2023
12/31/2024
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2023.10.17 11:11:57 -04'00'
Del Cobb Del Cobb Digitally signed by Del Cobb Date: 2023.10.17 11:39:10 -04'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2023.10.17 12:37:11 -04'00'
Karin Zawrotny, AIA Karin I. Zawrotny Digitally signed by Karin I.
Zawrotny Date: 2023.10.17 13:18:01 -04'00'
Bryan Bradner Bryan Bradner Digitally signed by Bryan Bradner Date: 2023.10.25 14:22:49 -04'00'
$ 0.00
From: Karin Zawrotny To: Cobb, Del L Subject: Ponce de Leon Time extension request CN212 TA18 Date: Saturday, October 7, 2023 11:58:55 AM
EXTERNAL MESSAGE
This email originated outside of DEP. Please use caution when opening attachments, clicking links, or responding to this email.
Del, Our current contract for Ponce de Leon is set to expire 12/31/2023.
With Bidding, Permitting, and Construction yet to begin, we are requesting a no-cost time extension of 365 days.
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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Facebook | Instagram mailto:kzawrotny@dodstone.com mailto:Del.L.Cobb@FloridaDEP.gov https://secure-web.cisco.com/1_IP0bO_71cP7-yiL_Pt4FjRZDpq8dvZVqqGGB0Jg4oKUQKSI027KPLjPK2sh4j8VrWy_viYO_yM0B2BCk4-WqNqZgl3IDkJKN16Mr481zdqVlMZxJ3X7men9eI2bT3VKSsAfZ448ptGOmxigvrXN-IvgPvrYHJPzlH17ysm6hkjVyvDuqcHqGoEoqDBUUqal0RBvgTCeluMeGPMoq6Kh6MFQ07LwI8sGnNKZhErhIWGddmmKLHnmY9MqHxFgPgpmXab7xkGf479Pc2RcwcJ_OZQTpV7rRc34Ifm6ffUVlcRKzBZ1-oxfL9P3HlY6Da_x/https%3A%2F%2Fg.page%2FDodstoneArchitects%3Fshare https://secure-web.cisco.com/1_IP0bO_71cP7-yiL_Pt4FjRZDpq8dvZVqqGGB0Jg4oKUQKSI027KPLjPK2sh4j8VrWy_viYO_yM0B2BCk4-WqNqZgl3IDkJKN16Mr481zdqVlMZxJ3X7men9eI2bT3VKSsAfZ448ptGOmxigvrXN-IvgPvrYHJPzlH17ysm6hkjVyvDuqcHqGoEoqDBUUqal0RBvgTCeluMeGPMoq6Kh6MFQ07LwI8sGnNKZhErhIWGddmmKLHnmY9MqHxFgPgpmXab7xkGf479Pc2RcwcJ_OZQTpV7rRc34Ifm6ffUVlcRKzBZ1-oxfL9P3HlY6Da_x/https%3A%2F%2Fg.page%2FDodstoneArchitects%3Fshare http://secure-web.cisco.com/1vs3fDxiu6SAet005scW9nzMyI0mdjyYgWR7dZm8UGIEgqUUpmnL3uzC1Ua2VT_DsHUS0qh1rR_NPkHSaXwAO0EU6pHWecglUshISUgx6Uol2G2bkUAJ3KVkLOVbpjTc5zpdebmbDNZROkbQiKQ0bUxRV0Mz5JSTA-7MqCYHmXIPMkLcZMVqDF8q1vqK1WjGIlTX7e27zG1IEOf_GrefOCfekspxbEnSHABAE2tqFjBcAEsK3tXAOomyTH7Xzr1ZhoRlcx86c0F7It4enks16SpWniRjcGh-zhfFWmAZpmt7tZ781t5kIKZoj1cD_HW8e/http%3A%2F%2Fwww.dodstone.com%2F https://secure-web.cisco.com/18p4VMK_gxiiQ5DvDjO86vyslx9Rtw0GDCfABvk4Qqt-WmmUlusWxmbp5T2AGPittajppH0Vv22oa6ECrHPSGQagRvgs0QdgqCpfsa4pSeKRYiaOYRjgl05Hq8T8S-cBz_jyDwPdAXCRtGwMNq7pXeFUZZdu3QjwdOcxqdiJ_pad92kstuOWoJ5KyjP1bdJxY4GDBrogshxltaNplcB9E6CZThfVSv6gW6LusWlpLqvZ3JjDXO3P2cf8Wtuoqtft9QlxebSplkbyOSYIC5-ze33TOZQc--bU0N54s2fh58Qv6ADfuWPwIpWVoxoDrub5M/https%3A%2F%2Fwww.facebook.com%2FDodstoneArchitects%2F https://secure-web.cisco.com/1DumVEgHo5jlLBj6G488qoRiL65lY__YLk4olAE-770KgWhmwRMMiA-b323PZZ8MsA7xVPN_-8R9HMTSwhIQJQ6cRfW4RARv_-dkhy43R0Fo-IxPzhja7IQIhowqU7vRLhmCV2pnH-0d9R7uKMbt7nJpMZQqwUBgDSGCCDinXaFiFljR8mb38aat30CD9EUXl5JyxXD5hdb1yAUg3mT1b-TQmhrlYOAC77KtfTUqta0ClWdtI8l7EuMz19M-xgzzzL1bSISNx-3Dzme7rQSveK3ylDxtqOpcr9yxj3lMRYp8REbjL3V9gkJDL_ZbrYF9J/https%3A%2F%2Fwww.instagram.com%2Fdodstone%2F
| BLANK TA CO FORM.pdf |
| Ponce de Leon Time extension request CN212 TA18.pdf |
File details come from the government source that posted it. Updated .