CN-370000-CN229-T12CO1.pdf
PDF 2 MB Posted
- Contract number
- CN229
- Issued by
- Florida
About this file
Task Assignment Change Order Summary
This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) for Contract CN229 involving WGI, Inc., a consulting firm based in West Palm Beach, Florida. The change order modifies Task Assignment No. 12 for Project No. 61271C, the Barnacle Pavilion Replacement project located in Barnacle, Florida. The document was executed on March 17-22, 2021, and required signatures from FDEP representatives including Budget Representative Greg Turral, Project Manager Theresa Carron, Contract Manager Alyssa Skehan, and Contract Authority Michael W. Foster Jr., P.E., as well as consultant representative Jeffrey Bergmann, P.E. from WGI, Inc.
The change order is a time extension only with no adjustment to the contract amount. The original task end date of April 30, 2021, was extended by 365 days to April 30, 2022, to allow completion of design, permitting, and archaeological and construction-phase services. The total task amount remains $56,405.42, comprised of $284.80 in reimbursable costs and $56,120.62 in fixed fees. No net increase or decrease in task amount is associated with this change order. The original task execution date was June 8, 2020.
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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 12 01 61271C
Barnacle Pavilion Replacement
WGI, Inc
Jeffrey Bergmann, P.E. 561-687-2220 jeffrey.bergmann@wginc.com
Alyssa Skehan 850-245-2781 Alyssa.skehan@FloridaDEP.gov
Time extension to allow completion of design, permitting, and archaeological/construction-phase services per the attached request dated 3/10/2021.
$ 284.80 $ 56,120.62 $ 56,405.42 $ 284.80 $ 56,120.62 $ 56,405.42 $ 0.00 $ 0.00 $ 0.00
$ 284.80 $ 56,120.62 $ 56,405.42
6/8/2020
4/30/2021
4/30/2021
4/30/2022
Greg Turral Gregory Turral Digitally signed by Gregory Turral Date: 2021.03.17 10:22:14 -04'00'
Theresa Carron Theresa Carron Digitally signed by Theresa Carron Date: 2021.03.17 10:50:54 -04'00'
Alyssa Skehan Alyssa Skehan Digitally signed by Alyssa Skehan Date: 2021.03.17 11:01:26 -04'00'
Jeffrey Bergmann, P.E.
Jeffrey R. Bergmann PE cn=Jeffrey R. Bergmann PE, o=This document has been electronically signed and sealed by Jeffrey R. Bergmann PE using a Digital Signature. Printed copies of this document are not considered signed and sealed and the signature must be verified on any electronic copies., ou, email=jeffrey.bergmann@wginc.com, c=US
2021.03.17 11:33:28 -04'00'
Michael W. Foster Jr., P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2021.03.22 14:01:32 -04'00'
$ 0.00
Carron, Theresa
From: Jeffrey Bergmann <Jeffrey.Bergmann@wginc.com> Sent: Wednesday, March 10, 2021 3:38 PM To: Carron, Theresa Subject: Barnacle House Pavilion Project 61271C
Follow Up Flag: Follow up Flag Status: Flagged
Theresa, Please accept this request for time extension only of CN 229 – 61271C TA12 as additional time is needed for final design and construction administration. Please add 365 days to the current end date of 4/30/2021, and use the new end date of 4/30/2022.
Thanks, Jeffrey
Jeffrey Bergmann, PE
Director, Specialty Structures
2035 Vista Parkway West Palm Beach, FL 33411
561.687.2220 | 561.225.4875 (cell)
File details come from the government source that posted it. Updated .