Florida Department of Environmental Protection

TASK ASSIGNMENT NOTIFICATION FORM

Required Signatures: Adobe Signature

FDEP Contract No.: Task Assignment No.: Owner’s Name: Project No.:

Project Location: Project Name:

Consultant Name:

Consultant Representative: Phone: Email:

FDEP Contract Manager: Phone: Email:

Description of Task:

Project Manager:

Schedule Start Date: Fixed Price Cost:

Completion Date: Cost Reimbursement not to exceed:

Total Task Amount:

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 51 FDEP/DRP 61183C

Oscar Scherer Replace Campground bath house # 2

Weiler Engineering

Jeff Weiler 941.628.4732 weiler7@mac.com

Ralph Perkins or successor 850.245.2460 ralph.perkins@floridaDEP.gov

The project consist of design, permit and construct a replacement campground bath house #2.See proposal dated 7.21.22

Garland Sandel or successor

08/10/22 $ 49,834.00 08/10/23 $ 1,180.00

$ 51,014.00

Diane Langston Diane Langston Digitally signed by Diane Langston Date: 2022.08.03 14:41:36 -04'00'

Garland Sandel Garland Sandel Digitally signed by Garland Sandel Date: 2022.08.04 09:23:15 -04'00'

Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2022.08.10 13:24:37 -04'00'

Jeff Weiler R Jeff Weiler Digitally signed by R Jeff Weiler Date: 2022.08.10 14:49:19 -04'00'

Michael W. Foster Jr., P.E.

61183C 37504000062 080039/22 423001 U3100 131500 QK $ 51,014.00

$ 51,014.00

Michael W. Foster Jr., P.E.

Digitally signed by Michael W.

Foster Jr., P.E.

Date: 2022.08.22 11:41:29 -04'00'

CN230 TA51

4,2

3 04

6,370

8,840

6,370

9,83

51,014