CN-370000-CN220-T25CO1.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 a project at TH Stone Memorial St Joseph Peninsula State Park. The change order involves FDEP as the contracting agency and Dewberry, a consulting firm, represented by Joshua Baxley, P.E., as the consultant. The contract is managed by Ralph Perkins for FDEP and approved by multiple FDEP officials including Budget Representative Tamika Bass, Project Manager Donald Finkbeiner, Contract Manager Ralph Perkins, and Contract Authority Michael W. Foster Jr., P.E.
This change order extends the time for completion of Task Assignment No. 25 under FDEP Contract No. CN220 for the Park Redevelopment project (Project No. 6M113C). The task involves shore stabilization design, permitting, and construction administration at the culvert of St. Joseph Peninsula. The change order is a time-only extension with no financial adjustment; the fixed fee remains $21,738.78 with no increase or decrease in task amount. The original task end date of June 30, 2024, has been extended by 365 days to June 30, 2025, with the original execution date of August 1, 2023, remaining unchanged. All approvals were digitally signed on May 31, 2024, and June 5-12, 2024.
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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 25 1 6M113C
TH Stone Memorial St Joseph Peninsula State Park Park Redevelopment
Dewberry
Joshua Baxley, P.E. 850-354-5187 jbaxley@Dewberry.com
Raplph Perkins 850-245-2560 ralph.perkins@floridadep.gov
This is a time only extension. This task will provide shore stabilization design, permitting and construction administration at the culvert of St. Joseph Peninsula. Please see attached request dated May 31, 2024.
$ 21,738.78 $ 21,738.78 $ 21,738.78 $ 21,738.78
$ 0.00 $ 0.00 $ 0.00 $ 21,738.78 $ 21,738.78
August 1, 2023
June 30, 2024
June 30, 2024
June 30, 2025
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2024.05.31 14:58:00 -04'00'
Donald Finkbeiner Donald J. Finkbeiner Digitally signed by Donald J.
Finkbeiner Date: 2024.05.31 15:06:51 -04'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2024.05.31 15:11:30 -04'00'
Joshua Baxley, P.E. Josh Baxley Date: 2024.06.05 15:20:35-04'00'
Michael W. Foster Jr., P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2024.06.12 12:53:14 -04'00'
$ 0.00
File details come from the government source that posted it. Updated .