CN-370000-CN214-T44CO1.pdf
PDF 1 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 a project involving the Paynes Creek Historic State Park sewer connection. The consultant on the contract is George & Associates Consulting Engineers, with James Peterson, P.E., serving as the consultant representative. The FDEP Contract Manager is Ralph Perkins. The change order was approved by multiple FDEP officials including Budget Representative Tamika Bass, Project Manager Joel Pollock, and Contract Authority Bryan Bradner, along with consultant signature from James Peterson.
The change order extends the project completion timeline by 184 days due to legal coordination required between the City of Bowling Green and the FDEP regarding a utility service agreement. The original task end date of August 31, 2024, has been extended to March 3, 2025. This is a time-only extension with no adjustment to the task amount; the total project cost remains $159,917.46, consisting of a $1,500.00 reimbursement item and a $158,417.46 fixed fee. The original task execution date was April 11, 2023, and the project number is 61508C under FDEP Contract No. CN214.
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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:
CN214 44 01 61508C
Paynes Creek Historic State Park Sewer Connection
George & Associates Consulting Engineers
James Peterson, P.E. 8505210344 jpeterson@gaceng.net
Ralph Perkins or successor 8502452460 Ralph.Perkins@FloridaDEP.gov
Time only extension to complete legal coordination for utility service agreement per the attached letter dated:
July 11, 2024.
$ 1,500.00 $ 158,417.46 $ 159,917.46 $ 159,917.46 $ 159,917.46
$ 0.00 $ 0.00 $ 0.00 $ 159,917.46 $ 159,917.46
04/11/2023
08/31/2024
08/31/2024
03/03/2025
Tamika Bass
Joel Pollock
Ralph Perkins
James Peterson
Bryan Bradner
$ 0.00
1967 COMMONWEALTH LANE, SUITE 200 - TALLAHASSEE, FLORIDA 32303
PHONE 850-521-0344 - FAX 850-521-0345
www.gaceng.net CIVIL ENGINEERING - LAND USE PLANNING - ENVIRONMENTAL - SYSTEMS PLANNING - TRANSPORTATION
, 2024
RE: Paynes Creek Historic State Park – Sewer Connection (61508C) Project Completion Extension
George & Associates is requesting that the completion date for Paynes Creek Historic State Park – Sewer Connection, project #61508C be extended from 08/31/2024 to 03/03/2025. Legal coordination between The City of Bowling Green and the FDEP has added extra time to this project.
Sincerely, Signe Ulsamer
File details come from the government source that posted it. Updated .