CN-370000-CN225-T17CO3.pdf

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Attached to
Master Agreement FL|CN225|fa3c1529a78703092d8e1ac8c5b9f699
Contract number
CN225
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 No. CN225. The document modifies an existing task assignment between FDEP and DRMP, Inc., a consulting firm based in Tallahassee, Florida. The project involves Sewer Improvements at Camp Helen State Park, with Benjamin Lennon serving as the consultant representative and Jeffrey Whitfield as the FDEP Contract Manager. The change order was approved on April 8, 2022, by authorized representatives from both FDEP and the consultant.

The change order extends the task assignment timeline only, with no adjustment to the contract amount. The original task execution date was October 18, 2019, with an end date of June 30, 2020. The task amount remained constant at $36,329.05 throughout all change orders. The modification extends the task end date by 365 days to June 30, 2023, to allow the consultant adequate time before construction commences. This time-only extension was necessitated because the original task assignment was set to expire before the start of construction activities. No additional costs or reimbursement changes were associated with this change order.

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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:

CN225 17 3 61249C

Camp Helen State Park Sewer Improvements

DRMP, Inc.

Benjamin Lennon 850-562-9600 Blennon@drmp.com

Jeffrey Whitfield 850-245-2630 Jeffrey.Whitfield@FloridaDEP.gov

The current task assignment will expire before the commencement of construction. This is a time only extension. Please see request dated 04/07/2022.

$ 36,329.05 $ 36,329.05 $ 36,329.05 $ 36,329.05

$ 0.00 $ 0.00 $ 36,329.05 $ 36,329.05

10/18/19

6/30/20

6/30/22

6/30/23

Diane Langston Diane Langston Digitally signed by Diane Langston Date: 2022.04.08 15:02:38 -04'00'

Donald J. Finkbeiner Donald J. Finkbeiner Digitally signed by Donald J.

Finkbeiner Date: 2022.04.08 15:05:35 -04'00'

Jeffrey Whitfield Jeffrey Whitfield Digitally signed by Jeffrey Whitfield Date: 2022.04.08 15:12:38 -04'00'

Benjamin Lennon, P.E. Benjamin R Lennon

2022.04.08 15:30:43-04'00'

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

Digitally signed by Michael W.

Foster Jr., P.E.

Date: 2022.04.15 09:56:28 -04'00'

$ 0.00

61249C CN225 TA17 CO3 time 040822.pdf
61249C CN225 TA17 CO3 req 040722.pdf

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