CN-370000-CN229-TA12 CO2.pdf

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

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Document Summary

This is a Task Assignment Change Order Form (Change Order No. 02) issued by the Florida Department of Environmental Protection (FDEP) for FDEP Contract No. CN229, Task Assignment No. 12, Project No. 61271C. The project involves the Barnacle Historic State Park Pavilion Replacement located in Coconut Grove, Florida. The consultant is WGI, Inc., represented by Jeffrey Bergmann, P.E., with FDEP Contract Manager Alyssa Skehan overseeing the work. The change order was signed and approved by representatives from both organizations in June 2021.

The change order replaces Subtask 7—Archaeological Monitoring (valued at $16,251.52) with Subtask 7—Architectural Design and Historic Consultation Services (valued at $16,200.00), resulting in a net decrease of $51.52. The architectural services include conceptual sketches, model setup, and rendering work performed by a principal architect, project manager, and drafter at a fixed price cost of $16,200.00. Deliverables consist of REVIT final renderings and Computer Assisted Drafting (CAD) drawings to be submitted in PDF format. The task execution date is June 8, 2020, with an original end date of April 30, 2021, extended to April 30, 2022 through this change order with no net change in days. The total task amount with all change orders is $56,353.90, funded through the identified FLAIR code 61271C with an amount of -$51.52.

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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 02 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

Replacing CN229TA12 Subtask 7- Archaeological Monitoring (-16,251.52) with this change order Subtask 7-Architectural & Historic Consultation (+16,200.00) per the attached proposal dated 6/16/21.

$ 284.80 $ 56,120.62 $ 56,405.42 $ 284.80 $ 56,120.62 $ 56,405.42

-$ 51.52 -$ 51.52 $ 284.80 $ 56,069.10 $ 56,353.90

6/8/2020

4/30/2021

4/30/2022

4/30/2022

Greg Tural Gregory Turral Digitally signed by Gregory Turral Date: 2021.06.17 09:38:42 -04'00'

Theresa Carron Theresa Carron Digitally signed by Theresa Carron Date: 2021.06.21 11:56:37 -04'00'

Alyssa Skehan Alyssa Skehan Digitally signed by Alyssa Skehan Date: 2021.06.21 15:05:08 -04'00'

Brian LaMotte, P.E. brian lamotte Digitally signed by brian lamotte Date: 2021.06.22 10:08:31 -04'00'

Michael W. Foster Jr., P.E. Michael W. Foster Jr.

Digitally signed by Michael W.

Foster Jr.

Date: 2021.06.24 09:49:28 -04'00'

61271C 3705000105 080039/20 000286 U3200 131500 AD -$ 51.52

-$ 51.52

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