CN-370000-CN222-T10CO1.pdf

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Master Agreement FL|CN222|f80a64586864e81a5dff663bf259d494
Contract number
CN222
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 CN222, Task Assignment 10. The change order involves FDEP as the contracting agency and Stantec as the consultant. The project pertains to boardwalk improvements at Fakahatchee Strand Preserve State Park (Project 61487C).

The change order extends the construction administration task completion deadline from June 15, 2024, to April 29, 2025, representing an additional 318 days. The fixed fee associated with this time extension is $51,978.30, with no change to reimbursable or total contract amounts. The original task execution began on January 11, 2023, and the task amount remains $51,978.30 with all change orders combined. The modification was approved by FDEP representatives including Budget Representative Tamika Bass, Project Manager Theresa Carron, and Contract Manager Ralph Perkins, as well as by Stantec representative Chris E. Brockmeier, PE, and FDEP Contract Authority Michael W. Foster Jr., PE, with all signatures executed digitally between March 21 and April 5, 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:

CN222 10 1 61487C

Fakahatchee Strand Preserve SP Boardwalk Improvements

Stantec

Chris E. Brockmeier, PE 239-263-4040 chris.brockmeier@stantec.com

Ralph Perkins 850-245-2560 ralph.perkins@floridadep.gov

Additional time to complete construction administration tasks per the attached request dated 3/21/2024.

$ 0.00 $ 51,978.30 $ 51,978.30 $ 0.00 $ 51,978.30 $ 51,978.30 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 51,978.30 $ 51,978.30

1/11/2023

6/15/2024

6/15/2024

4/29/2025

Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2024.03.21 16:14:04 -04'00'

Theresa Carron T.Carron Digitally signed by T.Carron Date: 2024.03.22 08:04:02 -04'00'

Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2024.03.22 11:50:37 -04'00'

Chris E. Brockmeier, PE Brockmeier, Chris Digitally signed by Brockmeier, Chris Date: 2024.04.04 13:36:13 -04'00'

Michael W. Foster Jr., P.E. Michael W. Foster Jr., P.E.

Digitally signed by Michael W.

Foster Jr., P.E.

Date: 2024.04.05 09:56:49 -04'00'

$ 0.00

Carron, Theresa

From: Kelly, Michelle <Michelle.Kelly@stantec.com> Sent: Thursday, March 21, 2024 3:33 PM To: Carron, Theresa Cc: Brockmeier, Chris; Goss, John Subject: CN222 TA10 expires 6/15/24 Fakahatchee Boardwalk

EXTERNAL MESSAGE

This email originated outside of DEP. Please use caution when opening attachments, clicking links, or responding to this email.

Good afternoon, Teri.

In connection with the

Michelle Kelly, PE

Sr Project Manager, Civil Engineering CommDev-US South-Naples FL

Direct: 239.649.7649 michelle.kelly@stantec.com

Stantec 3510 Kraft Road Suite 200 Naples FL 34105-5029

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Stantec

The content of this email is the confidential property of Stantec and should not be copied, modified, retransmitted, or used for any purpose except with Stantec's written authorization. If you are not the intended recipient, please delete all copies and notify us immediately.

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