CN-370000-CN214-T32CO1.pdf

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 32 1 61372C

Crystal River Preserve State Park Boardwalk Replacement

George & Associates Consulting Engineers Inc.

Brian Miller P.E. 850-521-0345 bmiller@gaceng.net

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

Contract time extension due to delays in obtaining USACE permit.

$ 2,321.14 $ 87,630.98 $ 89,952.12 $ 2,321.14 $ 87,630.98 $ 89,952.12

$ 0.00 $ 0.00 $ 0.00 $ 2,321.14 $ 87,630.98 $ 89,952.12

11/15/2021

06/30/2023

06/30/2023

06/30/2024

Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2023.05.31 13:00:38 -04'00'

Uyles W. Keen Jr. Uyles W. Keen Jr Digitally signed by Uyles W. Keen Jr Date: 2023.06.01 09:06:53 -04'00'

David Matson for Ralph Perkins David Matson Digitally signed by David Matson Date: 2023.06.01 09:37:57 -04'00'

Brian Miller, P.E. Brian Miller Digitally signed by Brian Miller Date: 2023.06.05 09:05:09 -04'00'

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

Digitally signed by Michael W.

Foster Jr., P.E.

Date: 2023.06.06 16:43:00 -04'00'

$ 0.00

From: Keen, Uyles (JR) To: Signe Ulsamer Cc: Brian Miller; Gebhardt, Jasper Subject: RE: Crystal River Boardwalk project #61372C Date: Tuesday, May 30, 2023 7:53:30 PM Attachments: image001.png image002.png image003.png

Thank you. We will prepare a change order for the additional days.

Sent from my Verizon, Samsung Galaxy smartphone

-------- Original message -------- From: Signe Ulsamer <sulsamer@gaceng.net> Date: 5/30/23 5:37 PM (GMT-05:00) To: "Keen, Uyles (JR)" <Uyles.Keen@dep.state.fl.us> Cc: Brian Miller <bmiller@gaceng.net>, "Gebhardt, Jasper" <Jasper.Gebhardt@FloridaDEP.gov> Subject: RE: Crystal River Boardwalk project #61372C

EXTERNAL MESSAGE

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

Hi JR, Crystal River Preserve State Park - Boardwalk Replacement Project, CN214 TA32, is set to expire 6/30/2023. Due to the US Army Corps Of Engineer’s making little effort to issue the permit in a timely manner, we are still awaiting the permit. In order to fulfill the remainder of the services of the original task assignment we respectfully request a 365-day extension to the task assignment, for a new expiration date of 6/30/2024. Thank you.

Thank you, Signe

Signe Ulsamer, E.I.

George & Associates Consulting Engineers, Inc.

P: 850-521-0344 F: 850-521-0345

From: Keen, Uyles (JR) <Uyles.Keen@dep.state.fl.us> Sent: Tuesday, May 30, 2023 3:20 PM To: Signe Ulsamer <sulsamer@gaceng.net> Cc: Brian Miller <bmiller@gaceng.net>; Gebhardt, Jasper <Jasper.Gebhardt@FloridaDEP.gov> Subject: RE: Crystal River Boardwalk project #61372C

Signe, Please forward an email requesting a 365 day extension. I appreciate your assistance.

Respectfully, Uyles W. Keen Jr Construction Project Consultant II Bureau of Design and Construction Department of Environmental Protection 200 Buckman Locks Road Palatka, FL 32177 Uyles.Keen@dep.state.fl.us Cell: 352-339-5101

This communication does not constitute an authorization for any increase in the scope of work, cost, or time for the project being discussed. All changes to services, cost, or time must be accomplished in accordance with the formal process outlined in the contract. The DEP objects to, and shall not be responsible for, any changes to services, costs, or additional time not authorized by an executed Contract Amendment, Task Assignment Change Order, Construction Change Order, or Construction Change Directive, as appropriate for this contract

From: Signe Ulsamer <sulsamer@gaceng.net> Sent: Tuesday, May 30, 2023 8:24 AM To: Keen, Uyles (JR) <Uyles.Keen@dep.state.fl.us> Cc: Brian Miller <bmiller@gaceng.net> Subject: Crystal River Boardwalk project #61372C mailto:Uyles.Keen@dep.state.fl.us mailto:sulsamer@gaceng.net mailto:bmiller@gaceng.net mailto:Jasper.Gebhardt@FloridaDEP.gov http://gaceng.net/ mailto:Uyles.Keen@dep.state.fl.us

EXTERNAL MESSAGE

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

Hi JR, The contract for the Crystal River Boardwalk Replacement expires on 6/30/2023. You may want to file for an extension given that we still have not received the USACE permit.

The contract is attached for reference.

Thank you, Signe Ulsamer

Signe Ulsamer, E.I.

Project Engineer George & Associates Consulting Engineers, Inc.

1967 Commonwealth Lane, Suite 200 Tallahassee, Florida 32303 P 850-521-0344 ext.115 F 850-521-0345 sulsamer@gaceng.net www.gaceng.net

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Users of this electronic format are responsible for checking its consistency with current original signed and sealed plans and specifications as prepared, issued, and held by George & Associates, Consulting Engineers, Inc. George & Associates, Consulting Engineers, Inc. shall not be responsible or liable for any changes made electronically or otherwise. Information regarding any alleged conflicts, errors, or omissions should be submitted in writing to George & Associates, Consulting Engineers, Inc. Use of this electronic format by any party constitutes acceptance of this Waiver of Liability. If you have received this message in error, please notify the sender immediately by e-mail and delete all copies of the message.

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