CN-370000-CN219-T2CO1.pdf

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Attached to
Master Agreement FL|CN219|7378511dffcb5104292e352ae77154ba
Contract number
CN219
Issued by
Florida

About this file

This document is a Task Assignment Change Order Form from the Florida Department of Environmental Protection (FDEP) for a contract with Lyman Davidson Dooley, Inc. The project is located at the Rookery Bay National Estuarine Research Reserve (NERR) on Marco Island, specifically for the Goodland Field Station. The change order involves the CN219 contract, with the consultant representative being Steven Lyman and the FDEP contract manager being Alyssa Skehan.

The change order is a time extension to allow the consultant to provide construction administration services, extending the task end date from 12/31/20 to 06/30/21, with a net increase of 181 days. The total task amount remains unchanged at $99,694.04, with no modifications to the reimbursement or fixed fee components. The document is dated 12/16/2020 and includes digital signatures from various FDEP representatives and the consultant, indicating approval of the time extension for the ongoing project.

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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:

CN219 02 01 CN1605

Rookery Bay NERR - Marco Island Goodland Field Station

Lyman Davidson Dooley, Inc.

Steven Lyman 770-850-8494 lymans@lddi-atl.com

Alyssa Skehan 850-245-2535 alyssa.skehan@floridadep.gov

This is a time only extension to allow the consultant to provide construction administration services. Please see attached letter from the consultant dated 12/15/2020.

$ 0.00 $ 99,694.04 $ 99,694.04 $ 0.00 $ 99,694.04 $ 99,694.04 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 99,694.04 $ 99,694.04

2/18/20

12/31/20

12/31/20

06/30/21

Lisa Yarborough Lisa Yarborough Digitally signed by Lisa Yarborough Date: 2020.12.16 10:32:40 -05'00'

Andy Carrier Andrew J Carrier Digitally signed by Andrew J Carrier Date: 2020.12.16 10:57:26 -05'00'

Alyssa Skehan Alyssa Skehan Digitally signed by Alyssa Skehan Date: 2020.12.16 11:11:25 -05'00'

Steven Lyman Steven G Lyman Digitally signed by Steven G Lyman DN: CN=Steven G Lyman, OU=A01410C0000016C90C7C6AA0000116E, O=Unaffiliated, C=US Location: Jacksonville, Florida Reason: I am approving this document Contact Info: lymans@lddi-atl.com Date: 2020.12.16 13:56:18-05'00'

12/16/2020

Lisa Yarborough Lisa Yarborough Digitally signed by Lisa Yarborough Date: 2020.12.16 14:53:56 -05'00'

CN219 F1031 37538020000 102080/00 261019 U3210 241000 LH $ 99,964.04

$ 99,964.0437-20-2-261019-37500400-00-102080-00

CN219 LDD TA 2 CO1 12102020
Lyman Request with signature

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