CN-370000-CN220-T21CO2.pdf
PDF 896 KB Posted
- Contract number
- CN220
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form from the Florida Department of Environmental Protection (FDEP) involving Dewberry, a consulting firm, for work at TH Stone St Joseph Peninsula State Park. The change order, designated as CN220-21-02, was approved on November 14, 2022, and includes signatures from FDEP representatives (Budget Representative Tamika Bass, Project Manager Donald Finkbeiner, Contract Manager Ralph Perkins, and Contract Authority Michael W. Foster Jr., P.E.) and consultant Joshua Baxley, P.E. from Dewberry.
This change order is a construction time extension only with no adjustment to the task amount. The original task execution date was March 22, 2021, with an original end date of March 22, 2022. The present task end date of December 31, 2022, was extended by 181 days to a new end date of June 30, 2023. The total task amount remains $23,405.23 across all change orders, with no net increase or decrease in this particular change order ($0.00). The extension was requested to accommodate additional construction time needed for the PM & APM Residence Replacement project at the state park, as documented in the consultant's request dated November 2, 2022.
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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 02 6M110C
TH Stone St Joseph Peninsula State Park PM & APM Residence Replacement
Dewberry
Joshua Baxley, P.E. (850)354-5187 jbaxley@Dewberry.com
Ralph Perkins 850-245-2460 ralph.perkins@FloridaDEP.gov
This is a construction time only extension. Please see attached request dated 11/02/2022.
$ 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
12/31/2022
06/30/2023
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2022.11.14 09:26:22 -05'00'
Donald Finkbeiner Donald J. Finkbeiner Digitally signed by Donald J.
Finkbeiner Date: 2022.11.14 10:29:58 -05'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2022.11.14 11:10:11 -05'00'
Joshua Baxley, P.E. Josh Baxley Date: 2022.11.14 12:08:43-05'00'
Michael W. Foster Jr., P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2022.11.21 12:01:56 -05'00'
$ 0.00
From: Baxley, Joshua To: Finkbeiner, Donald Subject: St. Joseph Peninsula - CN220, Task Assignment 21, Change Order 01 Date: Wednesday, November 2, 2022 7:32:34 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, It is my understanding the subject task assignment for St. Joseph Peninsula expires on 12/31/22. The purpose of this email is to request a time extension until 6/30/2023.
Sincerely
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
CONFIDENTIALITY NOTICE: This e-mail message, including any attachments, is intended only for the use of the person(s) to whom it is addressed and may contain confidential and privileged information. Any unauthorized review, use, disclosure, copying, or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.
mailto:jbaxley@Dewberry.com mailto:Donald.Finkbeiner@FloridaDEP.gov tel:850.354.5187 tel:850.693.2181 https://secure-web.cisco.com/10P3_zTlbZ9a8SK0MRYO0g44u9FwKHwpyTXTYiePE8TgkXrWdMpaa9YJVXf_C1hIw67UHCBo7bQoMl8GKaIsxPeY2f4t5dMI9WDWKu0wCTfo3xsayfwH40SyCYKeDDm2M32y5k4Qgg7Q15erBbN-GhN4UXrXZb_jo_bHfTQDG-i2GEEkRc9JxN0PgT7TQ4ndj_xQ6EFctZvmrPXDBMqjVC0MA94_mkeWAZFynx1yesIsqrzj3-fFWTD45wDFfhDALaW5zPmz3ajqziuBcsHSgpXA_XSLkKeQoSC7NYwxPQxwnCU-ARTX_AtyB0mxRqlYwlm66IYEb7Wjs46c1Q1w39Q/https%3A%2F%2Fwww.dewberry.com%2F https://secure-web.cisco.com/10P3_zTlbZ9a8SK0MRYO0g44u9FwKHwpyTXTYiePE8TgkXrWdMpaa9YJVXf_C1hIw67UHCBo7bQoMl8GKaIsxPeY2f4t5dMI9WDWKu0wCTfo3xsayfwH40SyCYKeDDm2M32y5k4Qgg7Q15erBbN-GhN4UXrXZb_jo_bHfTQDG-i2GEEkRc9JxN0PgT7TQ4ndj_xQ6EFctZvmrPXDBMqjVC0MA94_mkeWAZFynx1yesIsqrzj3-fFWTD45wDFfhDALaW5zPmz3ajqziuBcsHSgpXA_XSLkKeQoSC7NYwxPQxwnCU-ARTX_AtyB0mxRqlYwlm66IYEb7Wjs46c1Q1w39Q/https%3A%2F%2Fwww.dewberry.com%2F
| CN220 TA 21 CO2 T.H. Stone St Joseph Peninsula State Park - PM & APM Residence Replacement |
| CN220 TA21 CO2 Time extension request |
File details come from the government source that posted it. Updated .