CN-370000-CN229-T12CO5.pdf
PDF 6 MB Posted
- Contract number
- CN229
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. 05) issued by the Florida Department of Environmental Protection (FDEP) for a contract with WGI, Inc. The change order pertains to FDEP Contract No. CN229, Task Assignment No. 12, for the Barnacle Pavilion Replacement project located at Barnacle, Florida (Project No. 61271C). The consultant representative is Jeffrey Bergmann, P.E., and the FDEP Contract Manager is Ralph Perkins. The change order was approved on May 22, 2023, by all required signatories.
This change order extends the task execution timeline only, with no modification to the contract amount. The original task end date of April 30, 2021, was extended to June 28, 2023, and this change order further extends the new task end date to June 28, 2024—an additional 367 days. The extension was requested by WGI, Inc. to allow additional time for Survey and Historical approval, Bidding, and Construction Phase Services. The total task amount remains $88,427.72, comprised of $318.62 in reimbursable expenses and $88,109.10 in fixed fees. No budget adjustment was required for this time-only extension.
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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 05 61271C
Barnacle Pavilion Replacement
WGI, Inc.
Jeffrey Bergmann, P.E. 561-687-2220 jeffrey.bergmann@wginc.com
Ralph Perkins 850-245-2460 ralph.perkins@floridadep.gov
Time only extention per the attached request dated May 3, 2023.
$ 284.80 $ 56,120.62 $ 56,405.42 $ 318.62 $ 88,109.10 $ 88,427.72 $ 0.00 $ 0.00 $ 0.00
$ 318.62 $ 88,109.10 $ 88,427.72
6/8/2020
4/30/2021
6/28/2023
6/28/2024
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2023.05.11 15:56:38 -04'00'
Theresa Carron T.Carron Digitally signed by T.Carron Date: 2023.05.11 15:59:04 -04'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2023.05.12 10:41:42 -04'00'
Jeffrey Bergmann, P.E. Digitally signed by Jeffrey R Bergmann
Date: 2023.05.12 11:32:40-04'00'
Michael W. Foster Jr., P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2023.05.22 09:34:30 -04'00'
$ 0.00
Carron, Theresa
From: S. Ken Widjaja <Ken.Widjaja@wginc.com> Sent: Wednesday, May 3, 2023 2:06 PM To: Carron, Theresa Cc: Kim Droggos; Jeffrey Bergmann Subject: FW: Time Extensions for Barnacle Pavilion Repair
EXTERNAL MESSAGE
This email originated outside of DEP. Please use caution when opening attachments, clicking links, or responding to this email.
Please accept this request for Ɵme extension only for CN229-61271C TA12 (Barnacle Pavilion Repair) as addiƟonal Ɵme is needed for the Survey and Historical approval Bidding and ConstrucƟon Phase Services. Please add 365 days to the current end date of 06/28/2023 and use the new end date of 06/28/2024.
S. Ken Widjaja, PE, SI
Project Manager
2035 Vista Parkway West Palm Beach, FL 33411
561.687.2220 | 561.268.5681 (direct)
Williams_BrD Text Box
CN229 TA12 CO5
File details come from the government source that posted it. Updated .