CN-370000-CN220-T23CO2.pdf
PDF 1 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 the Grayton Beach State Park Boardwalk Replacement project. The change order involves Dewberry Engineers Inc as the consultant, with Christopher Shortt, PE serving as the consultant representative and Ralph Perkins as the FDEP Contract Manager. The document was executed on April 9, 2024, and required approvals from FDEP representatives including Budget Representative Tamika Bass, Project Manager Theresa Carron, Contract Manager Ralph Perkins, and Contract Authority Michael W. Foster Jr., PE, as well as consultant signature from Christopher Shortt, PE.
The change order extends the task assignment timeline to allow for completion of permitting and construction administration services. The original task end date of June 30, 2023 was extended by 340 days to a new task end date of April 30, 2025 to coincide with the overall CN220 contract conclusion. There is no additional cost associated with this change order; the fixed fee remains $29,654.48, resulting in a total task amount of $29,654.48 with zero net increase or decrease in the contract amount. The change order is designated as Change Order No. 02 under FDEP Contract No. CN220, Task Assignment No. 23, and Project No. 61360C.
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Text version
Florida Department of Environmental Protection
TASK ASSIGNMENT CHANGE ORDER FORM
( ) 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 23 02 61360C
Grayton Beach State Park Boardwalk Replacement
Dewberry Engineers Inc
Christopher Shortt, PE 850.571.1199 CShortt@Dewberry.com
Ralph Perkins 850.245.2460 Ralph.Perkins@FloridaDEP.gov
Change order for time to complete permitting and to perform construction administration per the email request dated 4/9/2024.
$ 29,654.48 $ 29,654.48 $ 29,654.48 $ 29,654.48
$ 0.00 $ 0.00 $ 0.00 $ 29,654.48 $ 29,654.48
1/21/2022
6/30/2023
5/25/2024
4/30/2025
Tamika Bass
Theresa Carron
Ralph Perkins
Christopher Shortt, PE
Michael W. Foster Jr., P.E.
$ 0.00
File details come from the government source that posted it. Updated .