CN-370000-CN220-T21CO1.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 21. The document represents a change order modification to an existing consulting services agreement with Dewberry, represented by Joshua Baxley, P.E. The change order was approved on March 7, 2022, and is associated with the PM & APM Residence Replacement project at TH Stone St Joseph Peninsula State Park.
The change order extends the task execution period by 285 days, moving the original task end date from March 22, 2022, to December 31, 2022. This extension is attributed to delays in construction and pertains exclusively to construction administration services. The financial impact of this change order is $23,405.23, representing a fixed fee with no net increase or decrease from the original task amount. All required approvals have been obtained from FDEP representatives including the Budget Representative, Project Manager, and Contract Manager, as well as from the consultant and Contract Authority.
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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 21 01 6M110C
TH Stone St Joseph Peninsula State Park PM & APM Residence Replacement
Dewberry
Joshua Baxley, P.E. (850)354-5187 jbaxley@Dewberry.com
Jeffrey Whitfield (850)245-2630 Jeffrey.Whitfield@FloridaDEP.gov
This is a construction administration time only extension due to delays in construction. Please see attached request dated 3/3/2022.
$ 23,405.23 $ 23,405.23 $ 23,405.23 $ 23,405.23
$ 0.00 $ 0.00 $ 0.00 $ 23,405.23 $ 23,405.23
03/22/2021
03/22/2022
03/22/2022
12/31/2022
Diane Langston A Diane Langston Digitally signed by A Diane Langston Date: 2022.03.07 08:35:44 -05'00'
Donald Finkbeiner Donald J. Finkbeiner Digitally signed by Donald J.
Finkbeiner Date: 2022.03.07 08:44:47 -05'00'
Jeffrey Whitfield Jeffrey Whitfield Digitally signed by Jeffrey Whitfield Date: 2022.03.07 10:37:28 -05'00'
Joshua Baxley, P.E. 3/13/22
Michael W. Foster Jr., P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2022.03.17 13:53:35 -04'00'
$ 0.00
From: Baxley, Joshua To: Finkbeiner, Donald Subject: CN220 TA21 - time extension Date: Thursday, March 3, 2022 9:15:31 AM Attachments: image001.png image002.png image003.png image004.png image005.png
EXTERNAL MESSAGE
This email originated outside of DEP. Please use caution when opening attachments, clicking links, or responding to this email.
Don, I am requesting an extension to the subject contract until 12/31/22. Please let me know if this is acceptable.
Josh Baxley, PE
Associate, Branch Manager 324 Marina Drive Port St Joe, FL 32456-1832 D 850.354.5187 C 850.693.2181
LICENSED PE: FL
www.dewberry.com
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.
mailto:jbaxley@Dewberry.com mailto:Donald.Finkbeiner@dep.state.fl.us tel:850.354.5187 tel:850.693.2181 https://secure-web.cisco.com/1tAexF4ew_VcFNY4mM-KnXDB9sn9USRyjHQdbZ9R7K7svWJcUIYKcEVwIU4gx11FIG-j4gBfMQSEVtcPXB9hggGl0xGZXawCWulG_NRk_BCuDsA3MjUUEeC_j5M2W09mVuyD2D8KIXZHDopVZ6kkuxbglP4QvpAzh4fYWKkjcTXzH8U6q0459wHkDQDHLjUZmHcl5ylKHafITQ5ECtF-AV1DhFbsPy2uDqf6i0DrffMonh2PaFlNpDYEC3Mi_YS8vsOQZ19Q83x6_UVg0cdTbQ3GPuadBw01B1JL6BQrBUW2D715pk53AA7EbmiMHm2-uf79p6paZ7yl-6_4_DhcfkA/https%3A%2F%2Fwww.dewberry.com%2F https://secure-web.cisco.com/1tAexF4ew_VcFNY4mM-KnXDB9sn9USRyjHQdbZ9R7K7svWJcUIYKcEVwIU4gx11FIG-j4gBfMQSEVtcPXB9hggGl0xGZXawCWulG_NRk_BCuDsA3MjUUEeC_j5M2W09mVuyD2D8KIXZHDopVZ6kkuxbglP4QvpAzh4fYWKkjcTXzH8U6q0459wHkDQDHLjUZmHcl5ylKHafITQ5ECtF-AV1DhFbsPy2uDqf6i0DrffMonh2PaFlNpDYEC3Mi_YS8vsOQZ19Q83x6_UVg0cdTbQ3GPuadBw01B1JL6BQrBUW2D715pk53AA7EbmiMHm2-uf79p6paZ7yl-6_4_DhcfkA/https%3A%2F%2Fwww.dewberry.com%2F https://secure-web.cisco.com/1K-J9XnD_aNPw3RTCy9l7eXzIsEDK0BRT5Ohd9qexIsTLsT51QkZ7bT97yCdGu0Y2V00k5oUYjr3FHdRjN8YhLyy0gbfu5R3PkJqIV6HZc2ecFp11oXJC3l4db54OvWqlR0wgcRA_Wi2M97-0kXCqHA_-MFROMYveA7VBpeo1vh07KGkjbkPkr3jTuI-VmV7oMjC5uAig55MppMJp7ljmC0zu7BbRWGuLt3PZWZ6iQ1SjXWTu_tBGpPn4eMONdNlPD0KDUAtcAeXvW3A3nyq0TKArEmFGERwY5fd2Rj421IMZsvK-jDWQvAjE1QEw8eIXd4GHIj3-SVqFiITX0lIVjg/https%3A%2F%2Fwww.dewberry.com
| 6M110C CN220 TA21 CO1 030322.pdf |
| CN220 TA21 - time extension.pdf |
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