CN-370000-CN220-T13CO2.pdf
PDF 2 MB Posted
- Contract number
- CN220
- 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 CN220, Task Assignment No. 13. The document involves FDEP, the consultant Dewberry Engineers, Inc., and the Florida Department of Transportation (FDOT). The project pertains to Highland View Boat Ramp Improvements located in Gulf County, Florida. Key FDEP personnel include Contract Manager Jack Brady and Project Manager Jim Oskowis, while Deji Ajose-Adeogun, P.E., serves as the consultant representative from Dewberry Engineers, Inc.
The change order extends the task end date by 182 days from December 31, 2019 to June 30, 2020, at no additional cost to FDEP. The extension was necessitated by delays in obtaining the required FDOT Construction Agreement. The original task amount was $8,481.63, with a reimbursement component and fixed fee structure totaling $13,595.28 across all change orders. The net increase for this change order is $0.00, maintaining the total task amount at $13,595.28. The task execution date remains December 20, 2018. All required signatures from FDEP budget, project management, contract management, and contract authority personnel, as well as the consultant representative, were obtained in December 2019, indicating formal approval of the time extension.
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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:
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 .