CN-370000-CN230-T21CO1.pdf
PDF 6 MB Posted
- 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 a service contract with Weiler Engineering Corporation. The document, executed on December 22, 2020, involves the modification of an existing task assignment for the Lignumvitae Key State Park Service Dock Replacement project. The contract manager for FDEP is Philip Stone, and the consultant representative is Jeff Weiler. The change order was approved by Budget Representative Suzanne Lane, Project Manager C Hewitt, Contract Manager Philip Stone, Consultant Jeff Weiler, and Contract Authority Michael W. Foster Jr., P.E.
This change order extends the task completion timeline by 365 days, moving the original task end date from December 31, 2020, to December 31, 2021, to allow for completion of design and permitting activities. The change order is for time extension only with no adjustment to the task amount, which remains at $43,463.61 in total compensation ($2,361.45 in reimbursement and $41,102.16 in fixed fee). The original task execution date was February 17, 2020. The modification was requested via email dated December 21, 2020, by Robin Palmer, P.E., an Environmental Engineer at Weiler Engineering Corporation.
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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 21 01 61268C
Lignumvitae Key State Park Service Dock Replacement
Weiler Engineering Corporation
Jeff Weiler 941-505-1700 weiler7@mac.com
Philip Stone Philip.Stone@FloridaDEP.gov
Change Order for time extension only to complete design and permitting. See attached email dated 12/21/20.
$ 2,361.45 $ 41,102.16 $ 43,463.61 $ 2,361.45 $ 41,102.16 $ 43,463.61
$ 0.00 $ 0.00 $ 0.00 $ 2,361.45 $ 41,102.16 $ 43,463.61
2/17/2020
12/31/2020
12/31/2020
12/31/2021
Suzanne Lane Suzanne Lane Digitally signed by Suzanne Lane Date: 2020.12.22 11:51:23 -05'00'
C Hewitt C Hewitt Digitally signed by C Hewitt Date: 2020.12.22 14:04:50 -05'00'
Philip Stone P.T. Stone Digitally signed by P.T. Stone Date: 2020.12.22 14:34:06 -05'00'
Jeff Weiler R. Jeff Weiler Digitally signed by R. Jeff Weiler Date: 2020.12.29 11:23:03 -05'00'
Michael W. Foster Jr., P.E. Michael W. Foster Jr.
Digitally signed by Michael W.
Foster Jr.
Date: 2020.12.29 15:42:28 -05'00'
$ 0.00
From: rpalmer@weilerengineering.org To: Hewitt, C. B.
Cc: "Jeff Weiler" Subject: Lignumvitae Key Service Dock TA Extension Request Date: Monday, December 21, 2020 9:04:18 AM Attachments: image001.jpg
Good morning C, Can I please have a time extension on the Lignumvitae Key Service Dock Replacement project until 12/31/2021?
Thank you, Robin Palmer, P.E.
Environmental Engineer mailto:rpalmer@weilerengineering.org mailto:C.B.Hewitt@dep.state.fl.us mailto:weiler7@mac.com
File details come from the government source that posted it. Updated .