CN-370000-CN212-T18CO4.pdf
PDF 1 MB Posted
- Contract number
- CN212
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. 04) issued by the Florida Department of Environmental Protection (FDEP) for a contract with Dodstone Group Architects, Inc. The change order pertains to the Ponce De Leon Springs State Park Restroom Additions project (Contract No. CN212, Task Assignment No. 18, Project No. 61354C). The contract manager is Ralph Perkins, and the consultant representative is Karin Zawrotny. All required signatures from FDEP budget, project management, and contract authority personnel, as well as consultant authorization, have been obtained and digitally executed as of December 2024.
This change order requests a no-cost time extension of 62 days due to contract expiration on December 31, 2024, extending the task completion date to March 2, 2025. The original task execution date was January 21, 2022, with an original end date of July 1, 2023. The total contract amount remains $109,556.05, consisting of $850.00 in reimbursement and $108,706.05 in fixed fees, with no additional costs associated with this time extension. The net increase in task amount for this change order is $0.00, as this extension is granted at no cost to accommodate ongoing construction activities that will not be completed by the original contract expiration date.
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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 18 04 61354C
Ponce De Leon Springs State Park Restroom Additions
Dodstone Group Architects, Inc.
Karin Zawrotny 850-656-7326 kzawrotny@dodstone.com
Ralph Perkins
Requesting a no-cost time extension for 62 days due to contract expiration on December 31, 2024.
$ 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
01/21/2022
07/01/2023
12/31/2024
03/02/25
Tamika Bass
Kenny Franklin
Ralph Perkins
Karin Zawrotny
Bryan Bradner
$ 0.00
From: Karin Zawrotny To: Franklin, Kenny Cc: Micheels, Laurinda Subject: Ponce de Leon - time extension request Date: Monday, December 9, 2024 4:16:23 PM
EXTERNAL MESSAGE
This email originated outside of DEP. Please use caution when opening attachments, clicking links, or responding to this email.
Kenny, Kenny, Our contract for Ponce de Leon (CN212 TA18) is set to expire 12/31/24. As construction will not be completed by then, I would like to request a no-cost time extension until March 2, 2025.
This will be CO 4 for this project.
Karin Zawrotny, AIA Dodstone Architects
#AR0015211
3011-1 Powell Road Tallahassee, FL 32308 P: 850.656.7326 www.dodstone.com
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File details come from the government source that posted it. Updated .