CN-370000-CN229-T10CO5.pdf

PDF 6 MB Posted

Attached to
Master Agreement FL|CN229|dfa41f8fd7aaf35fff759ae62d3eefeb
Contract number
CN229
Issued by
Florida

About this file

This document is a Task Assignment Change Order Form (Change Order No. 05) issued by the Florida Department of Environmental Protection (FDEP) under FDEP Contract No. CN229. The change order involves Wantman Group, Inc. (WGI), a consulting firm specializing in specialty structures, with Jeffrey Bergmann, PE, serving as the consultant representative. The project is located at The Barnacle Historic State Park in Coconut Grove, Florida, and pertains to dock repair improvements at the boathouse facility.

The change order authorizes additional services consisting of a boundary survey and permit fees related to a Special Certificate of Appropriateness application. The net increase to the task amount is $27,370.20, bringing the total task amount to $114,581.81 when combined with all previous change orders. The services are broken down into two subtasks: Subtask 12 (Boundary Survey) at a fixed price cost of $26,245.20 and Subtask 13 (Reimbursable Application Fees) at $1,125.00. The boundary survey deliverables include an electronically signed plot and AutoCAD files prepared in accordance with Florida land surveying standards, while the application fees cover lien searches, special certificate processing, applicant notices, property owner notifications, and land use policy notices. The original task execution date was October 11, 2019, with the original end date of April 15, 2022, extended to June 28, 2024, representing a net change of 365 days. All required FDEP approvals were obtained and digitally signed as of April 25, 2023.

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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 05 6i508C

The Barnacle Dock Repair

Wantman Group, Inc (WGI)

Jeffrey Bergmann, PE 561-687-2220 jeffrey.bergmann@wginc.com

Ralph Perkins 850-245-2460 Ralph.Perkins@FloridaDEP.gov

Addition of boundary survey and permit fees per the attached proposal dated April 10, 2023.

$ 2,903.60 $ 60,773.85 $ 63,677.45 $ 2,937.42 $ 84,274.19 $ 87,211.61 $ 1,125.00 $ 26,245.20 $ 27,370.20 $ 4,062.42 $ 110,519.39 $ 114,581.81

10/11/2019

4/15/2022

6/28/2023

6/28/2024

Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2023.04.14 09:45:58 -04'00'

Theresa Carron T.Carron Digitally signed by T.Carron Date: 2023.04.14 10:13:00 -04'00'

Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2023.04.17 10:28:52 -04'00'

Jeffrey Bergmann, PE Digitally signed by Jeffrey R Bergmann

Date: 2023.04.17 13:30:42-04'00'

Bryan Bradner Bryan Bradner Digitally signed by Bryan Bradner Date: 2023.04.25 10:30:14 -04'00'

6I508C FD073 37505000105 088130/19 675002 U3200 131500 XR $ 27,370.20

$ 27,370.20

Carron_T Text Box and AutoCAD files.

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