CN-370000-CN229-TA8 CO3.pdf
PDF 2 MB Posted
- Contract number
- CN229
- Issued by
- Florida
About this file
This document is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) for Contract No. CN229. The change order involves WGI, Inc., a consulting firm represented by Jeffrey Bergmann, P.E., with FDEP Contract Manager Alyssa Skehan overseeing the project. The project is located at Mizell-Johnson State Park and concerns the repair of a pier.
The change order is a time extension only, with no modification to task amounts. The original task execution date was March 22, 2019, with an original end date of September 20, 2021. The change order extends the task completion deadline by 365 days to September 20, 2022, to allow additional time for permitting, final design, and construction administration services. The total task amount remains $132,046.40, consisting of $1,716.52 in reimbursement costs and $130,329.88 in fixed fees. The change order was requested on March 10, 2021, and was approved by all required FDEP representatives and the consultant by April 20, 2021.
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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 08 03 61200C
Mizell-Johnson State Park Repair Pier
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 construction-phase services per the attached request dated 3/10/2021.
$ 755.90 $ 55,952.19 $ 56,708.09 $ 1,716.52 $ 130,329.88 $ 132,046.40
$ 0.00 $ 0.00 $ 0.00 $ 1,716.52 $ 130,329.88 $ 132,046.40
3/22/2019
9/20/2021
9/20/2021
9/20/2022
Greg Turral Gregory Turral Digitally signed by Gregory Turral Date: 2021.03.12 11:34:02 -05'00'
Theresa Carron Theresa Carron Digitally signed by Theresa Carron Date: 2021.03.12 11:42:57 -05'00'
Alyssa Skehan Alyssa Skehan Digitally signed by Alyssa Skehan Date: 2021.03.12 11:46:18 -05'00'
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
2021.03.19 09:21:10 -04'00'
Bryan Bradner Bryan Bradner Digitally signed by Bryan Bradner Date: 2021.04.20 10:44:02 -04'00'
$ 0.00
Carron, Theresa
From: Jeffrey Bergmann <Jeffrey.Bergmann@wginc.com> Sent: Wednesday, March 10, 2021 3:18 PM To: Carron, Theresa Subject: Mizelle-Johnson Time Extension
Follow Up Flag: FollowUp Flag Status: Flagged
Theresa, Please accept this request for time extension only of CN229-61200C TA08 as additional time is needed for permitting, final design, and construction administration. Please add 365 days to the current end date of 9/20/2021, and use the new end date of 9/20/2022.
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 .