CN-370000-CN214-T30CO5.pdf
PDF 5 MB Posted
- Contract number
- CN214
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. 5) issued by the Florida Department of Environmental Protection (FDEP) for Contract CN214, Task Assignment 30. The project involves Florida Caverns State Park's Campground Well replacement and is being executed by George and Associates Consulting Engineers, Inc., with Robert George, PE serving as the consultant representative. The FDEP Contract Manager is Alyssa Skehan, and the project is located at Florida Caverns State Park.
Change Order 5 authorizes additional construction administration services for a final completion inspection of the campground well project. The scope includes conducting a final inspection site visit to confirm completion of punch list items and verify water plant infrastructure compliance with project specifications, with deliverables consisting of field notes and documentation in PDF format. The fixed fee cost for this subtask is $1,548.00 for 12 hours of Project Manager time at $129.00 per hour, plus reimbursable mileage of $55.18 (124 miles at $0.445 per mile), resulting in a total change order amount of $1,603.18. The new task end date is December 31, 2021, with no change in the number of days from the previous task end date of June 30, 2020. The change order was approved and digitally signed by all required parties on November 9, 2021, and November 15, 2021.
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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:
CN214 30 5 6M112C
Florida Caverns State Park Campground Well
George and Associates Consulting Engineers
Robert George, PE 850-521-0344 rgeorge@gaceng.net
Alyssa Skehan 850-245-2781 Alyssa.Skehan@FloridaDEP.gov
Consultant will conduct a final completion inspection of the campground well project. See proposal dated 10/12/21.
$ 1,331.08 $ 30,870.16 $ 32,201.24 $ 1,613.21 $ 47,046.38 $ 48,659.59
$ 55.18 $ 1,548.00 $ 1,603.18 $ 1,668.39 $ 48,594.38 $ 50,262.77
10/22/19
6/30/2020
12/31/2021
12/31/21
Greg Turral Gregory Turral Digitally signed by Gregory Turral Date: 2021.11.04 12:01:02 -04'00'
Don Page Don Page Digitally signed by Don Page Date: 2021.11.09 10:07:02 -05'00'
Alyssa Skehan Alyssa Skehan Digitally signed by Alyssa Skehan Date: 2021.11.09 10:21:37 -05'00'
Robert George, PE Robert D George Digitally signed by Robert D George Date: 2021.11.09 15:10:47 -05'00' 11/9/2021
Michael W. Foster Jr., P.E. Michael W. Foster Jr.
Digitally signed by Michael W.
Foster Jr.
Date: 2021.11.15 09:30:14 -05'00'
6M112C FD079 37501000025 088130/19 675002 U3200 131500 XR $ 1,603.18
$ 1,603.18
File details come from the government source that posted it. Updated .