CN-370000-CN214-T47CO1.pdf

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Master Agreement FL|CN214|9ee31443e44a9c909ef0ca196a4906cb
Contract number
CN214
Issued by
Florida

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Task Assignment Change Order Summary

This is a Task Assignment Change Order Form (Change Order No. 01) issued by the Florida Department of Environmental Protection (FDEP) for work performed by George & Associates Consulting Engineers. The change order modifies Task Assignment No. TA47 under FDEP Contract No. CN214, with Project No. 61530 located at Wakulla Springs State Park. The consultant representative is James Peterson, and the FDEP contract manager is Ralph Perkins.

The change order constitutes a time-only extension with no modification to task amounts. The original task execution date was July 21, 2023, with an original end date of December 30, 2024. This change order extends the task end date by 63 days to March 3, 2025. The total task amount remains unchanged at $55,601.15, consisting of a $50.00 reimbursement item and a $55,551.15 fixed fee. The extension was requested on October 14, 2024, due to remaining construction administration tasks that are likely to surpass the original contract expiration date of December 30, 2024. All required FDEP approvals have been obtained, including signatures from the Budget Representative, Project Manager, Contract Manager, and Contract Authority.

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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 TA47 01 61530

Wakulla Springs State Park HVAC Injection well

George & Associates Consulting Engineers

James Peterson 850-521-0344 jpeterson@gaceng.net

Ralph Perkins 850-245-2560 ralph.perkins@floridadep.gov

This is a time only extension to the end of the contract. Please see attached request dated October 14, 2024.

$ 50.00 $ 55,551.15 $ 55,601.15 $ 50.00 $ 55,551.15 $ 55,601.15 $ 0.00 $ 0.00 $ 0.00 $ 50.00 $ 55,551.15 $ 55,601.15

07/21/2023

12/30/2024

12/30/2024

03/03/2025

Tamika Bass

Donald Finkbeiner

Ralph Perkins

James Peterson

Michael W. Foster Jr., P.E.

$ 0.00

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