CN-370000-CN213-T26CO1.pdf

PDF 12 MB Posted

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

About this file

This is a Task Assignment Change Order Form (Change Order No. 01) issued by the Florida Department of Environmental Protection (FDEP) for contract CN213, Task Assignment No. 26, Project No. 61185C. The project involves the Lake Jackson Mounds Butler Mill Creek Realignment located at Lake Jackson Mounds Archaeological State Park. The consultant is Halff Associates, Inc., represented by Bryant King, PE. The FDEP Contract Manager is Ralph Perkins. The change order was approved on July 22, 2024, with digital signatures from all required parties including the Budget Representative, Project Manager, Contract Manager, Consultant, and Contract Authority.

The change order authorizes supplemental professional services for construction administration and permit support per Halff's proposal dated March 29, 2024. The net increase in task amount is $23,115.00, consisting of $3,711.58 in reimbursable costs and $23,115.00 in fixed fees, bringing the total task amount to $40,521.58. Services include five subtasks: Florida Building Code updates to final construction plans ($2,925.00); Leon County environmental permit submittal and permitting updates ($5,790.58); bid support services ($4,980.00); construction support services including pre-construction meetings, weekly site visits, monthly progress meetings, and substantial/final certifications ($19,725.00); and wetland monitoring and related agency coordination ($3,390.00). The original task execution date was April 5, 2024, with an end date of October 7, 2025, and no change in task duration. Payment will be made upon FDEP approval of deliverables for each subtask as specified. The funding is allocated through FDEP's 29-digit FLAIR code 61185C-37501004047-100718/00-675005-U1300-131500-X2.

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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:

CN213 26 01 61185C

Lake Jackson Mounds Butler Mill Creek Realignment

Halff

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

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

Professional services to provide construction administration and permit support per the attached proposal dated 3/29/2024.

$ 3,711.58 $ 13,695.00 $ 17,406.58 $ 3,711.58 $ 13,695.00 $ 17,406.58

$ 23,115.00 $ 23,115.00 $ 3,711.58 $ 36,810.00 $ 40,521.58

04/05/2024

10/07/2025

10/07/2025

Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2024.07.11 10:37:59 -04'00'

Theresa Carron T.Carron Digitally signed by T.Carron Date: 2024.07.11 11:21:28 -04'00'

Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2024.07.11 13:04:32 -04'00'

Bryant King, PE Bryant King

2024.07.18 13:35:30 -04'00'

Michael W. Foster Jr., P.E. Michael W. Foster Jr., P.E.

Digitally signed by Michael W.

Foster Jr., P.E.

Date: 2024.07.22 16:13:35 -04'00'

61185C 37501004047 100718/00 675005 U1300 131500 X2 $ 23,115.00

$ 23,115.00

File details come from the government source that posted it. Updated .