CN-370000-CN229-T10CO6.pdf

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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. 06) issued by the Florida Department of Environmental Protection (FDEP) for professional services related to The Barnacle Historic State Park Repair Dock project located in Miami, Florida. The consultant is WGI, Inc., represented by S. Ken Widjaja, P.E., with FDEP Contract Manager Richard Marcil overseeing the contract (FDEP Contract No. CN229, Task Assignment No. TA10, Project No. 6I508C).

Change Order 06 extends the project timeline by 682 days, moving the task end date from June 28, 2024, to May 11, 2026, and adds $29,453.50 to the task amount for time extension and additional permitting services. The change order includes four subtasks: Subtask 14 (Dry Run of Building Permit) for $14,270.10 in fixed costs; Subtask 15a (Benthic Survey and Mangrove Shoreline Assessment) for $4,341.06; Subtask 15b (Permit/No Permits Required Applications) for $6,077.52 in fixed costs and $7,031.60 in reimbursable costs; and Subtask 15c (Representation and Coordination) for $4,231.44. The net increase in task amount is $6,997.78 in reimbursement costs and $22,455.72 in fixed fees, bringing the total task amount with all change orders to $144,035.31. The change order also deducts $6,498.22 from Subtask 11 in a previous change order (CO4). Payment will be made upon FDEP approval of deliverables for each subtask.

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Florida Department of Environmental Protection

TASK ASSIGNMENT CHANGE ORDER FORM

( ) 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 TA10 CO6 6I508C

The Barnacle Historic State Park Repair Dock

WGI, Inc.

S. Ken Widjaja, P.E. 561-268-5681 ken.widjaja@wginc.com

Richard Marcil 850-245-3103 Richard.Marcil@FloridaDEP.gov

Time extension and additional permitting services per the letter dated April 8, 2024 and attached proposal dated April 8, 2024. This change order also deducts $6,498.22 from Subtask 11 in CN229 TA10 CO4.

$ 2,903.60 $ 60,773.85 $ 63,677.45 $ 4,062.42 $ 110,519.39 $ 114,581.81 $ 6,997.78 $ 22,455.72 $ 29,453.50

$ 11,060.20 $ 132,975.11 $ 144,035.31

10/11/2019

04/15/2022

06/28/2024

05/11/2026

Tamika Bass

Richard Marcil

Ralph Perkins

Jeffrey Bergmann, P.E.

Bryan Bradner

6I508C FD073 37505000105 088130/21 675002 U3200 131500 XR $ 29,453.50

$ 29,453.50

Florida Department of Environmental Protection

TASK ASSIGNMENT CHANGE ORDER FORM

( ) 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 .