CN-370000-CN225-T27CO1.pdf

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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, Task Assignment No. 27. The document involves FDEP as the contracting agency and DRMP, Inc. as the consultant. Key personnel include Benjamin Lennon as the consultant representative and David Matson as the FDEP Contract Manager. The project is located at Gilchrist Blue Springs State Park and focuses on shoreline stabilization efforts.

This is a no-cost change order dated June 30, 2022, that extends the task expiration date by 365 days without any modification to the contract amount. The original task execution date was May 7, 2021, with an original end date of June 30, 2022. The new task end date is extended to June 30, 2023. The total task amount remains unchanged at $91,142.90, consisting of a $5,000.00 reimbursement item and an $86,142.90 fixed fee. All required approvals have been obtained from FDEP's Budget Representative, Project Manager, and Contract Manager, as well as from the consultant and Contract Authority.

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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 27 1 61322C

Gilchrist Blue Springs State Park Shoreline Stabilization

DRMP, Inc.

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

David Matson 850-245-2594 David.Matson@FloridaDEP.gov

This is a no-cost change order to extend the expiration date by 365 days per attached dated 6/30/2022.

$ 5,000.00 $ 86,142.90 $ 91,142.90 $ 5,000.00 $ 86,142.90 $ 91,142.90

$ 0.00 $ 0.00 $ 0.00 $ 5,000.00 $ 86,142.90 $ 91,142.90

5-07-2021

6-30-2022

6-30-2022

6-30-2023

Uyles W. Keen Jr Uyles W. Keen Jr Digitally signed by Uyles W. Keen Jr Date: 2022.06.30 15:53:23 -04'00'

David Matson David Matson Digitally signed by David Matson Date: 2022.06.30 16:31:27 -04'00'

Benjamin Lennon Benjamin R Lennon

2022.06.30 16:54:20-04'00'

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

Digitally signed by Michael W.

Foster Jr., P.E.

Date: 2022.06.30 17:07:48 -04'00'

$ 0.00

File details come from the government source that posted it. Updated .