CN-370000-CN300-T15CO1.pdf.crdownload

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Master Agreement FL|CN300|e850edc12e0e0c75c56d27ef9ab70ce1
Contract number
CN300
Issued by
Florida

About this file

This is a Task Assignment Change Order Form from the Florida Department of Environmental Protection (FDEP) for contract CN-370000-CN300-T15CO1. The document represents an amendment to an existing contract with Colliers Engineering & Design (formerly Bergmann Associates), a consulting firm represented by Michael Leonard, P.E. The change order is authorized under FDEP Contract No. CN300, Task Assignment No. TA15, and relates to the North Boardwalk Reconstruction project located in Florida.

The change order authorizes additional design and permitting services for parking lot steps and ditch crossing components as documented in an attachment dated January 16, 2025. The net modification increases the task amount by $16,246.00 in fixed fees, bringing the total task amount to $42,676.00 after accounting for a previous task assignment reduction of $10,942.00 dated June 24, 2024. The original task execution date was August 2, 2024, with the task end date remaining unchanged at May 11, 2026, resulting in zero net change in schedule. The budget coding is identified in the 29-digit FLAIR code: RM2403 37538060000 083643/24 423001 U3220 241000 QK, with the change order approved by FDEP management including Project Manager Richard Marcil and Contract Authority Michael W. Foster Jr., P.E., as well as by the consultant representative.

Text of this file

Florida Department of Environmental Protection

TASK ASSIGNMENT CHANGE ORDER FORM

( ) 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:

CN300 TA15 1 RM2403

North Boardwalk Reconstruction

Colliers Engineering & Design (Formerly Bergmann Associates)

Michael Leonard, P.E. (904) 760-4503 michael.leonard@collierseng.com

Ralph Perkins or successor (850) 245-2460 Ralph.Perkins@FloridaDEP.gov

Additional design and permitting for corresponding parking lot steps and ditch crossing per the attached dated January 16, 2025. Also, a task assignment reduction by $10,942.00 per the attached dated June 24, 2024.

$ 0.00 $ 26,430.00 $ 26,430.00 $ 0.00 $ 26,430.00 $ 26,430.00 $ 0.00 $ 16,246.00 $ 16,246.00 $ 0.00 $ 42,676.00 $ 42,676.00

08/02/2024

05/11/2026

05/11/2026

05/11/2026

Lisa Yarborough 02/24/2025

Richard Marcil

Ralph Perkins

Michael Leonard, P.E.

Michael W. Foster Jr., P.E.

RM2403 37538060000 083643/24 423001 U3220 241000 QK $ 16,246.00

$ 16,246.003202423001375004000008364324

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