CN-370000-CN300-T2CO1.pdf
PDF 855 KB Posted
- Contract number
- CN300
- Issued by
- Florida
About this file
This document is a Task Assignment Change Order Form (OOO-012) issued by the Florida Department of Environmental Protection (FDEP) for Contract CN300, Task Assignment No. 02, Change Order No. 01. The contract involves the FDEP as the contracting agency, with Bergman Associates serving as the consultant and MRV Consulting providing professional engineering services. The project pertains to the C.H. Corn Hydroelectric Generating Station Competitive Bid Solicitation Preparation, with oversight provided by FDEP Contract Manager Mae Roth and consultant representative Donald P. Nims.
The change order reallocates previously encumbered reimbursable costs from Subtask 1B Platts Data ($5,700.00) to overnight travel expenses, specifically $1,700.00 for Subtask 1A Overnight Travel and $4,000.00 for Subtask 1B Overnight Travel. The original task amount of $82,413.80 remains unchanged, comprising $12,207.80 in reimbursement costs and $70,206.00 in fixed fees. The task execution dates remain from January 24, 2017, through December 31, 2017, with no net change in the number of days. The change order was approved by all required signatories between March 15 and March 22, 2017, with no net financial increase or decrease to the task amount.
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Text version
Florida Department of Environmental Protection
TASK ASSIGNMENT CHANGE ORDER FORM
OOO – 012 (Effective 5-19-2016) 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 02 01
C.H. Corn Hydroelectric Generating Station Competitive Bid Solicitation Preparation
Bergman Associates
Donald P. Nims 585-498-7871 dnim@bergmanpc.com
Mae Roth 850-245-2781 mae.roth@dep.state.fl.us
Reallocation of previously encumbered reimbursable Subtask 1B Platts Data $5,700.00, to be divided between 1A Overnight Travel $1,700.00, and 1B Overnight Travel $4,000.00.
$ 12,207.80 $ 70,206.00 $ 82,413.80 $ 12,207.80 $ 70,206.00 $ 82,413.80
$ 0.00 $ 0.00 $ 0.00 $ 12,207.80 $ 70,206.00 $ 82,413.80
1/24/17
12/31/17
12/31/17
12/31/17
Suzanne Lane Suzanne Lane Digitally signed by Suzanne Lane Date: 2017.03.15 14:17:05 -04'00' 3/15/17
Philip T. Stone Philip T. Stone Digitally signed by Philip T. Stone Date: 2017.03.16 06:59:20 -04'00' 3/16/2017
Mae Roth Mae Roth Digitally signed by Mae Roth Date: 2017.03.16 08:52:14 -04'00' 3/16/2017
Michael G. Stuebben Michael G. Stuebben Digitally signed by Michael G. Stuebben DN: c=US, st=FL, l=Jacksonville, o=Bergmann Associates, D.P.C., cn=Michael G. Stuebben, email=mstuebben@bergmannpc.com Date: 2017.03.16 13:48:23 -04'00'
3/16/2017
David Clark David Clark Digitally signed by David Clark Date: 2017.03.22 14:37:48 -04'00'
$ 0.00
File details come from the government source that posted it. Updated .