CN-370000-CN230-T19CO2.pdf

PDF 6 MB Posted

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

About this file

This document is a Task Assignment Change Order Form submitted to the Florida Department of Environmental Protection (FDEP) by Weiler Engineering, an environmental engineering consultant. The change order involves Contract No. CN230, Task Assignment No. 19, for the Ft. Pierce Inlet State Park Beach Access Day Use Restroom Replacement project (Project No. 61245C). The form was processed and approved by FDEP personnel including Budget Representative Gregory Turral, Project Manager Jim McGuire, and Contract Manager Jeffrey Whitfield, with final authorization from Contract Authority Michael W. Foster Jr. All signatures were digitally executed in December 2021.

The change order requests a time-only extension with no cost increase to allow for completion of construction administration services. The original task end date of December 31, 2021 was extended by 244 days to August 31, 2022, at no additional expense. The total task amount with all change orders remains $88,281.06, comprised of $5,464.30 in reimbursable costs and $82,816.76 in fixed fees. No modifications to the contract amount were made, as this extension solely addresses schedule adjustments necessary to complete the consultant's construction administration obligations on the project.

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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 19 2 61245C

Ft. Pierce Inlet State Park Beach Access Day Use Restroom Replacement

Weiler Engineering

Jeff Weiler 941-505-1700 weiler7@mac.com

Jeff Whitfield 850-245-2630 jefferywhitfield@floridadep.gov

Time only extension needed to allow completion of construction administration services. See attached Email back up dated 12/2/21.

$ 2,952.10 $ 67,804.26 $ 70,756.36 $ 5,464.30 $ 82,816.76 $ 88,281.06

$ 0.00 $ 0.00 $ 0.00 $ 5,464.30 $ 82,816.76 $ 88,281.06

12/31/2020

12/31/2021

12/31/2021

8/31/2022

Greg Turral Gregory Turral Digitally signed by Gregory Turral Date: 2021.12.08 14:19:30 -05'00'

Jim McGuire James McGuire Digitally signed by James McGuire Date: 2021.12.08 14:23:09 -05'00'

Jeffrey Whitfield Jeffrey Whitfield Digitally signed by Jeffrey Whitfield Date: 2021.12.09 08:03:11 -05'00'

Jeff Weiler R. Jeff Weiler Digitally signed by R. Jeff Weiler Date: 2021.12.09 09:16:57 -05'00'

Michael Foster Michael W. Foster Jr.

Digitally signed by Michael W.

Foster Jr.

Date: 2021.12.20 08:53:02 -05'00'

61245C $ 0.00

$ 0.00

CN230 TA19 CO2.pdf
Ft.Pierce CN230 TA 19 Project 61245C (002).pdf

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