CN-370000-CN220-T13CO2.pdf

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Attached to
Master Agreement FL|WQ157|f2b8858ba64509427ed9c9f1f780f788
Contract number
WQ157
Issued by
Florida

About this file

This document is a Task Assignment Change Order Form from the Florida Department of Environmental Protection (FDEP), involving Dewberry Engineers, Inc. as the consultant for the Highland View Boat Ramp Improvements project in Gulf County, Florida. The change order is for Task Assignment No. 13 under Contract CN220, specifically Change Order No. 2, and involves extending the task end date to June 30, 2020.

The change order does not modify the task amount, which remains at $13,595.28, but extends the project timeline by 182 days due to delays in obtaining the FDOT Construction Agreement. The project's original execution date was December 20, 2018, with an initial end date of December 31, 2019. The extension will allow Dewberry to continue providing construction management services until the project's completion. The document includes digital signatures from key FDEP personnel, including the Budget Representative, Project Manager, Contract Manager, and Contract Authority, as well as the consultant's representative.

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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:

CN220 13 2 N2004

Gulf County, FL Highland View Boat Ramp Improvements

Dewberry Engineers, Inc

Deji Ajose-Adeogun, P.E. 850-523-0062 AAjose-Adeogun@Dewberry.com

Jack Brady 850-245-2535 Jack.Brady@FloridaDEP.gov

Extends the task end date to June 30, 2020 due to a delay in obtaining the FDOT Construction Agreement as required by the project.

$ 8,481.63 $ 8,481.63 $ 13,595.28 $ 13,595.28

$ 0.00 $ 0.00 $ 0.00 $ 13,595.28 $ 13,595.28

December 20, 2018

December 31, 2019

December 31, 2019

June 30, 2020

Janet Parramore Janet Parramore Digitally signed by Janet Parramore Date: 2019.12.13 10:05:57 -05'00'

Jim Oskowis, P.E. James J. Oskowis Digitally signed by James J.

Oskowis Date: 2019.12.12 13:48:40 -05'00'

Jack Brady Jack Brady Digitally signed by Jack Brady Date: 2019.12.13 13:15:46 -05'00'

Deji Ajose-Adeogun, PE Ayodeji Ajose-Adeogun Digitally signed by Ayodeji Ajose-Adeogun DN: C=US, E=aajose-adeogun@dewberry.com, O=Dewberry, CN=Ayodeji Ajose-Adeogun Date: 2019.12.13 13:38:46-05'00'

Phil Coram, P.E. Phillip Coram Digitally signed by Phillip Coram Date: 2019.12.13 15:04:38 -05'00'

$ 0.00

$ 0.0037202099005372201000008365412

Pigott, Carolyn

From: Ajose-Adeogun, Ayodeji <AAjose-Adeogun@Dewberry.com> Sent: Monday, December 9, 2019 11:21 AM To: Oskowis, Jim Cc: Pigott, Carolyn Subject: Task Assignment No. 13 for Contract CN220 (Extension)

Jim, This email serves as a formal request to extend the above referenced Task Assignment at no cost to 06/30/2020. The extension is necessary due a lengthy delay in obtaining the FDOT Construction Agreement and will allow Dewberry to continue providing construction management services until completion of the project.

Thanks, Deji Ajose‐Adeogun, PE Senior Project Manager Dewberry 850.354.5181

Visit Dewberry’s website at www.dewberry.com If you’ve received this email even though it’s intended for someone else, then please delete the email, don’t share its contents with others, and don’t read its attachments. Thank you.

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