CN-370000-CN214-T36CO1.pdf
PDF 5 MB Posted
- Contract number
- CN214
- 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 CN214, Task Assignment 36, involving the Silver Springs State Park Water Plant Modifications project. The consultant on the contract is Robert George & Associates, with Robert George serving as the consultant representative and Ralph Perkins designated as the FDEP Contract Manager.
The change order authorizes a time-only extension of the Construction Administration Services previously agreed upon in the original task assignment. The task execution period is extended from the original end date of December 31, 2022, to December 31, 2023, representing a net increase of 365 days. The extension was requested due to permitting delays that prevented construction completion within the original timeframe. The financial terms remain unchanged, with reimbursement costs of $1,338.20 and fixed fees of $23,605.96, for a total task amount of $24,944.16. All approval signatures from FDEP budget, project management, contract management, and contract authority representatives were obtained in December 2022.
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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 36 1 61412C
Silver Springs State Park Water Plant Modifications
Robert George & Assc.
Robert George 850-521-0344 rgeorge@gaceng.net
Ralph Perkins 850-245-2460 ralph.perkins@FloridaDEP.gov
This is a time only extension to utilize the Construction Administration Services previously agreed upon.
Please see the attached email dated 11/15/2022 regarding the request.
$ 1,338.20 $ 23,605.96 $ 24,944.16 $ 1,338.20 $ 23,605.96 $ 24,944.16
$ 0.00 $ 0.00 $ 0.00 $ 1,338.20 $ 23,605.96 $ 24,944.16
03/04/2022
12/31/2022
12/31/2022
12/31/2023
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2022.11.30 08:34:36 -05'00'
Edward Straight Edward Straight Digitally signed by Edward Straight Date: 2022.11.21 13:55:14 -05'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2022.11.30 09:02:52 -05'00'
Robert George Robert D George Digitally signed by Robert D George Date: 2022.12.02 16:32:57 -05'00'
Michael W. Foster Jr., P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2022.12.06 16:49:56 -05'00'
$ 0.00
From: Brian Miller To: Straight, Edward Cc: Signe Ulsamer; Accounts Subject: Silver Springs State Park Water Plant Alterations, CN214 TA36, time extension request Date: Tuesday, November 15, 2022 2:41:56 PM Attachments: image001.png
EXTERNAL MESSAGE
This email originated outside of DEP. Please use caution when opening attachments, clicking links, or responding to this email.
Edward, As you are aware the current Task Assignment for the Silver Springs State Park Water Plant Alterations, CN214 TA36, is set to expire on 12/31/2022. Due to the length of permitting, the construction will not be able to be completed prior to that date. We respectively request that the Task Assignment be extended to 12/31/2023 in order to fulfill the Construction Administration portion of the task.
Brian Miller, P.E.
Project Engineer George & Associates Consulting Engineers, Inc.
1967 Commonwealth Lane, Suite 200 Tallahassee, Florida 32303 P 850-521-0344 ext. 103 M 850-766-3154 bmiller@gaceng.net www.gaceng.net
Waiver of Liability Notice:
This electronic format is provided for informational purposes only. It is intended exclusively for the individual or entity to which it is addressed. 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 mailto:bmiller@gaceng.net mailto:Edward.Straight@FloridaDEP.gov mailto:sulsamer@gaceng.net mailto:accounts@gaceng.net http://gaceng.net/ mailto:bmiller@gaceng.net http://secure-web.cisco.com/1A_n76yhjGa6na9oExAqozsxcxd8siGx4ZpBMmb6RTpGuOb6lhvedUckmbFAdBqSxAf_KH1UIYLCph9QO-ajchLEvwl8QKApShikfjNfsseAlNvFNIxUQDhim8qwZ53E7xXJ9RYtShrX4Ylik9ZpRtH-wgTay5sMjijcEwGsa7HkPwsYFGD3oWjx9hc4Qlyw2xTw1fAE5iv9RZQUPRwiE_nRA5YU7D4h54rke38rKzCNiA1XJJhwRpBIt7N0WkQ37Alb2VfqavkAOs611kIUwEtTfDYTZv-bAaimlZUSXVLveqOLFFytbHliQBRXZ0kyH/http%3A%2F%2Fwww.gaceng.net%2F
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| Silver Springs State Park Water Plant Alterations, CN214 TA36, time extension request |
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