CN-370000-CN229-T10CO4.pdf
PDF 2 MB Posted
- Contract number
- CN229
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. 04) issued by the Florida Department of Environmental Protection (FDEP) for work performed by WGI, Inc., a consulting firm based in West Palm Beach, Florida. The change order modifies Contract No. CN229, Task Assignment No. 10, for the Barnacle Historic State Park Boathouse Dock Improvements project located in Coconut Grove, Florida. Key parties include FDEP Contract Manager Ralph Perkins, FDEP Project Manager Theresa Carron, WGI consultant representative Jeffrey Bergmann, P.E., and Contract Authority Michael W. Foster Jr., P.E. The document was executed on November 10, 2022, with all required signatures from FDEP budget, project management, contract management, and contract authority representatives, as well as the consultant.
This change order authorizes additional professional services for historic preservation permitting and related activities. The scope includes two subtasks: Subtask 10 for Special Certificate of Appropriateness (SCOA) Application and Subtask 11 for Historic Preservation Board Attendance, with support from Archaeological and Historical Conservancy, Inc. for archaeological monitoring. The net increase in task amount is $13,783.48, comprised of $13,749.66 in fixed fees and $33.82 in reimbursable costs (mileage). The task execution period extends from the original date of October 11, 2019, with the present end date extended 180 days from December 30, 2022, to June 28, 2023. Funding is allocated through FDEP Project 6I508C using Grant FD073 and Object Code 131500, with the total change order amount of $13,783.48 bringing the cumulative task total to $87,211.61.
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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:
CN229 10 04 6i508c
Barnacle Dock Repair
WGI, Inc.
Jeffrey Bergmann, P.E. 561-687-2220 jeffrey.bergmann@wginc.com
Ralph Perkins 850-245-2460 ralph.perkins@floridadep.gov
New professional services to provide historic permitting per the attached proposal dated November 3, 2022.
$ 60,773.85 $ 60,773.85 $ 2,903.60 $ 70,524.53 $ 73,428.13
$ 33.82 $ 13,749.66 $ 13,783.48 $ 2,937.42 $ 84,274.19 $ 87,211.61
10/11/2019
4/15/2022
12/30/2022
6/28/2023
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2022.11.10 09:46:17 -05'00'
Theresa Carron T.Carron Digitally signed by T.Carron Date: 2022.11.10 10:23:50 -05'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2022.11.10 11:41:06 -05'00'
Jeffrey Bergmann, P.E. Jeffrey R. Bergmann
PE
Digitally signed by Jeffrey R.
Bergmann PE Date: 2022.11.10 12:47:32 -05'00'
Michael W. Foster Jr., P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2022.11.14 11:10:39 -05'00'
6I508C FD073 37505000105 088130/19 675002 U3200 131500 XR $ 13,783.48
$ 13,783.48
Change Order 04
$7,285.26
$7,285.26
$6,498.22
File details come from the government source that posted it. Updated .