CN-370000-CN213-T16CO1.pdf
PDF 1 MB Posted
- Contract number
- CN213
- 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 No. CN213. The document modifies an existing task assignment between FDEP and Halff Associates, Inc. (formerly Genesis Group, Genesis Halff), a consulting firm represented by David Hutcheson, P.E., PSM. The change order was processed on December 7, 2020, and approved by FDEP's Budget Representative Greg Turral, Project Manager Theresa Carron, Contract Manager Alyssa Skehan, and Contract Authority Michael W. Foster Jr., P.E.
The change order addresses the Butler Mill Creek Realignment project (Project No. 61158C) located at Lake Jackson Mounds. This modification is a time-only extension with no change to the task amount; the original task end date of December 15, 2020, was extended by 240 days to August 12, 2021. The total task amount remains $23,725.69, comprised of $5,850.00 in reimbursable costs and $17,875.69 in fixed fees. The extension was requested by the consultant due to delays in obtaining signed permit applications. No additional compensation was authorized under this change order, as indicated by the $0.00 net increase in task amount.
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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:
CN213 16 01 61158C
Lake Jackson Mounds Butler Mill Creek Realignment
Halff (previously Genesis Group, Genesis Halff)
David Hutcheson, P.E., PSM (850) 848-9414 dhutcheson@Halff.com
Alyssa Skehan (850) 245-2781 Alyssa.skehan@FloridaDEP.gov
Time only extension request per the attached email dated 12/7/2020.
$ 5,850.00 $ 17,875.69 $ 23,725.69 $ 5,850.00 $ 17,875.69 $ 23,725.69
$ 0.00 $ 5,850.00 $ 17,875.69 $ 23,725.69
1/13/20
12/15/20
12/15/20
8/12/2021
Greg Turral Gregory Turral Digitally signed by Gregory Turral Date: 2020.12.07 12:39:59 -05'00'
Theresa Carron Theresa Carron Digitally signed by Theresa Carron Date: 2020.12.07 13:30:43 -05'00'
Alyssa Skehan Alyssa Skehan Digitally signed by Alyssa Skehan Date: 2020.12.07 13:41:08 -05'00'
David Hutcheson, P.E., PSM David W Hutcheson Digitally signed by David W Hutcheson Date: 2020.12.07 14:00:36 -05'00'
Michael W. Foster Jr., P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2020.12.08 10:32:52 -05'00'
$ 0.00
Carron, Theresa
From: Hutcheson, David W. <dhutcheson@Halff.com> Sent: Monday, December 7, 2020 10:30 AM To: Carron, Theresa Cc: Bibler, Carolyn S.
Subject: Butler Mill Creek Time Extension
Terri, Halff Associates is hereby requesting a time extension due to delays in permitting (getting permit applications signed) for the Butler Mill Creek project’s task assignment that expires 12/15/20.
Regards, David W. Hutcheson, PE, PSM Senior Vice President Tallahassee Operations Manager
O: (850) 848-9414 C: (850) 545-6071
Halff Associates, Inc.
2507 Callaway Road, Suite 100 Tallahassee, FL 32303
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