CN-370000-CN230-T14CO2.pdf

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Attached to
Master Agreement FL|CN230|5f4ec01f5eb38b1957861cb8292c2183
Contract number
CN230
Issued by
Florida

About this file

This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) for consultant services provided by Weiler Engineering. The change order, numbered 02, modifies Task Assignment 14 under FDEP Contract CN230 for the Indian Key Historic State Park Dock and Pavilion Replacement project located at Indian Key Historic State Park. The project is managed by FDEP Contract Manager Alyssa Skehan, with Jeff Weiler, P.E., serving as the consultant representative.

The change order is a time-only modification to extend the task completion date to allow for continued permitting activities, as documented in an email dated December 2, 2020. The original task execution date of April 22, 2019, and original end date of June 30, 2020, are extended by 181 days to a new end date of June 30, 2021. No adjustments to the contract amount are included in this change order; the total task amount remains $64,415.39, consisting of $4,986.71 in reimbursement and $59,428.68 in fixed fees. All required approvals from FDEP budget, project management, contract management, and contract authority personnel, as well as consultant authorization, were obtained with digital signatures on December 2 and December 11, 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:

CN230 14 02 6I506C

Indian Key Historic State Park Dock and Pavilion Replacement

Weiler Engineering

Jeff Weiler, P.E. 941-505-1700 weiler7@mac.com

Alyssa Skehan or successor 850-245-2781 Alyssa.Skehan@FloridaDEP.gov

Time-only change order to complete permitting. See attached email dated 12/2/20.

$ 4,986.71 $ 53,811.88 $ 58,798.59 $ 4,986.71 $ 59,428.68 $ 64,415.39

$ 0.00 $ 0.00 $ 0.00 $ 4,986.71 $ 59,428.68 $ 64,415.39

4/22/2019

6/30/2020

12/31/2020

6/30/2021

Greg Turral Gregory Turral Digitally signed by Gregory Turral Date: 2020.12.02 14:56:30 -05'00'

C Hewitt C Hewitt Digitally signed by C Hewitt Date: 2020.12.02 15:02:23 -05'00'

Alyssa Skehan Alyssa Skehan Digitally signed by Alyssa Skehan Date: 2020.12.02 15:19:56 -05'00'

Jeff Weiler, P.E. R. Jeff Weiler Digitally signed by R. Jeff Weiler Date: 2020.12.11 09:45:38 -05'00'

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

Digitally signed by Michael W.

Foster Jr., P.E.

Date: 2020.12.11 14:41:19 -05'00'

$ 0.00

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