CN-370000-CN213-T22CO1.pdf

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Attached to
Master Agreement FL|CN213|b9c692f990a10778da60a76aaae4387a
Contract number
CN213
Issued by
Florida

About this file

Rainbow Springs State Park Task Assignment Change Order Summary

This document is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) for a consulting services contract with Halff Associates, Inc. The change order pertains to Task Assignment TA22 under FDEP Contract CN213 for the Rainbow Springs State Park project located in Florida. The consultant is represented by Bryant King, P.E., and the FDEP project manager is Ralph Perkins. The change order was executed on April 9, 2024, with all required signatures from FDEP budget, project management, and contract authority representatives, as well as the consultant.

This change order extends the task completion timeline by 313 days, moving the task end date from April 24, 2024, to March 3, 2025, to allow for completion of plans development. The extension was requested via email on April 8, 2024, by Austin Cushing of Halff Associates. No adjustment to the task amount is included in this change order; the total task amount remains $169,628.64, consisting of $500.00 in reimbursement and $169,128.64 in fixed fees. The FLAIR code allocation shows project 61462C with no additional EO amount associated with this time extension.

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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:

CN213 TA22 CO1 61462C

Rainbow Springs State Park Repave Park Drive

Halff Associates, Inc.

Bryant King, P.E. 850-848-9436 bking@halff.com

Ralph Perkins or successor 850-245-2460 ralph.perkins@floridadep.gov

In order to complete plans development, this time extension has been requested per the email dated April 8, 2024.

$ 500.00 $ 169,128.64 $ 169,628.64 $ 500.00 $ 169,128.64 $ 169,628.64 $ 0.00 $ 0.00 $ 0.00

$ 500.00 $ 169,128.64 $ 169,628.64

06/02/2023

04/24/2024

04/24/2024

03/03/2025

Tamika Bass

Richard Marcil

Ralph Perkins

Bryant King, P.E.

Bryan Bradner

61462C

$ 0.00

From: Austin Cushing To: Marcil, Richard Subject: Rainbow Springs State Park Time Extension Date: Monday, April 8, 2024 8:08:19 AM

EXTERNAL MESSAGE

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

Rene, We would like to request a time extension for the Rainbow Springs State Park project to March 3, 2025. Please let me know if you have any questions.

Regards, Austin

Austin Cushing, PE Civil Engineer

Halff O: 850.848.9426 E: acushing@halff.com

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