CN-370000-CN229-T15CO1.pdf
PDF 1 MB Posted
- Contract number
- CN229
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form submitted by Wantman Group, Inc. (WGI) to the Florida Department of Environmental Protection (FDEP) for modifications to an existing consulting services contract. The document identifies FDEP Contract Number CN229, Task Assignment Number 15, and Change Order Number 01, covering structural assessment and historic preservation work for the Marjory Stoneman Douglas House located at 3744 Stewart Avenue in Miami, Florida. The consultant representative is Jeffrey Bergmann, PE, and the FDEP contract manager is Ralph Perkins. The change order was approved by FDEP personnel including Tamika Bass (Budget Representative), Theresa Carron (Project Manager), and Michael W. Foster Jr., PE (Contract Authority), with all signatures executed between April 17-20, 2023.
The change order adds permit fees totaling $1,125.00 to cover Special Certificate of Appropriateness application costs for the historic property. The itemized reimbursable application fees include a lien search ($200.00), Special Certificate of Appropriateness ($250.00), applicant notice for 50 units at $4.50 per unit ($225.00), property owner notice for 50 units at $4.50 per unit ($225.00), and land use policy notice for 50 units at $4.50 per unit ($225.00). The net increase in task amount for this change order is $1,125.00 in reimbursable costs with no change to the fixed fee component. The total task amount with all change orders is $74,847.45, consisting of $3,136.62 in reimbursable costs and $71,710.83 in fixed fees. The task execution date remains December 5, 2022, with an unchanged end date of November 15, 2024. Payment is conditioned upon FDEP approval of deliverables for each subtask.
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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 15 01 61244C
The Barnacle Structural Ass. Marjory Stoneman Douglas House
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 permit fees per the attached proposal dated April 10, 2023.
$ 2,011.62 $ 71,710.83 $ 73,722.45 $ 2,011.62 $ 71,710.83 $ 73,722.45 $ 1,125.00 $ 0.00 $ 1,125.00 $ 3,136.62 $ 71,710.83 $ 74,847.45
12/5/2022
11/15/2024
11/15/2024
11/15/2024
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2023.04.17 11:53:13 -04'00'
Theresa Carron T.Carron Digitally signed by T.Carron Date: 2023.04.17 12:11:14 -04'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2023.04.18 10:35:11 -04'00'
Jeffrey Bergmann, PE Digitally signed by Jeffrey R Bergmann
Date: 2023.04.18 16:55:19-04'00'
Michael W. Foster Jr., PE Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2023.04.20 16:54:23 -04'00'
61244C 37505000105 080039/21 675002 U3100 131500 XR $ 1,125.00
$ 1,125.00
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File details come from the government source that posted it. Updated .