CN-370000-CN225-T17CO4.pdf
PDF 1018 KB Posted
- 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 extends an existing task assignment between FDEP and DRMP, Inc., a consulting firm based in Cary, North Carolina. The project involves sewer improvements at Camp Helen State Park in Florida. Key personnel include Benjamin Lennon, P.E., serving as the consultant representative, and Ralph Perkins as the FDEP Contract Manager. The change order was approved on April 25, 2023, with all required signatures obtained by May 3, 2023.
This change order represents a time-only extension with no modification to the contracted amount. The original task amount of $36,329.05 remains unchanged, with no net increase or decrease associated with this modification. The original task execution period ran from October 18, 2019, to June 30, 2020; however, the present task end date had already been extended to June 30, 2023. This change order extends the task completion deadline by 123 days to October 31, 2023, to allow for final project completion before the task assignment expired. No additional reimbursement or fixed fees are associated with this extension.
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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 4 61249C
Camp Helen State Park Sewer Improvements
DRMP, Inc.
Benjamin Lennon 850-562-9600 BLennon@drmp.com
Ralph Perkins 850-245-2460 Ralph.Perkins@FloridaDEP.gov
The current task assignment will expire before final completion of the project. This is a time only extension, please see request dated 04/25/23.
$ 36,329.05 $ 36,329.05 $ 36,329.05 $ 36,329.05
$ 0.00 $ 0.00 $ 0.00 $ 36,329.05 $ 36,329.05
10/18/19
6/30/20
6/30/23
10/31/23
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2023.04.25 13:21:46 -04'00'
Kenny Franklin Kenny Franklin Digitally signed by Kenny Franklin Date: 2023.04.26 07:26:07 -05'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2023.04.26 09:34:49 -04'00'
Benjamin Lennon, P.E. Benjamin R Lennon Digitally signed by Benjamin R Lennon DN: CN=Benjamin R Lennon, dnQualifier=A01410C00000186B4D6E064000660B6, O=DRMP INC., C=US
Date: 2023.04.27 10:41:46-04'00'
Michael W. Foster Jr., P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2023.05.03 15:38:18 -04'00'
$ 0.00
| 61249C CN225 TA17 CO4 042523.pdf |
| 61249C CN225 TA17 TimeExt 042523.pdf |
File details come from the government source that posted it. Updated .