CN-370000-CN300-TA3CO1.pdf
PDF 115 KB Posted
- Contract number
- CN300
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) for contract CN300, Task Assignment TA3. The document authorizes a time extension for consulting services provided by Bergmann & Associates, an architecture and engineering firm based in Jacksonville, Florida. The project involves bathhouse renovations at Faver-Dykes State Park. Key personnel include Jon Braddock as the Consultant Representative, Mae Roth as the FDEP Contract Manager, and Brian Miller as the FDEP Project Manager. The change order was approved on December 20, 2017.
The change order is a time extension only with no adjustment to contract pricing. The original task end date of December 31, 2017 was extended by 365 days to December 31, 2018, reflecting the consultant's need for additional time to complete remaining tasks dependent on the construction phase. The original task amount of $415.55 remained unchanged, with the total task amount including all previous change orders at $18,272.00 for the reimbursement category and $18,687.55 for the total cost category. No additional funding was allocated under this change order, as the net increase in task amount was $0.00.
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Text version
Florida Department of Environmental Protection
TASK ASSIGNMENT CHANGE ORDER FORM
Required Signatures: Adobe Signature
FDEP Contract No.: I Task Assignment No.: Change Order No.: I Project No.:
CN300 TA3 COi 61126C Project Location: Project Name:
Faver-Dykes State Park Bathhouse Renovations Consultant Name:
Bergmann & Associates Consultant Representative: Phone: Email:
Jon Braddock 904-760-4501 1jbraddock(a),BERGMANNPC.com FDEP Contract Manager: Phone: Email:
Mae Roth 850-245-2781 Mae.Roth@dep.state.fl.us Description and Justification of Change:
Time extension only. A po1tion of consultant's additional services are dependent on the construction phase.
18 272.00 $ 18 687.55 $18 272.00 18 687.55
0.00 $0.00 Total Amounts with all Chan e Orders: 18 272.00 $ 18 687.55 amfem as ,me: Ch · 7i k 'I'.' Original Task Execution Date: 3131/2017
Greg Turral Budget Representative, FDEP
Brian Miller Project Manager, FDEP
Mae Roth Contract Manager, FDEP
Bill Miles Consultant
Original Task End Date: 12/31/2017
Present Task End Date: 12/31/2017
Net Change in Days: 365
New Task End Date: 12/31/2018
Approval Sig11atures:
Greg Tu rral i OJghally signed by Greg Tunal __ ; -- :Date: 2017.12.20 14:54:06 -05'00'
Signature
B r'1 an M ·111 er ', Olgttelly slgned by Brian Miller ,-· Date: 2017.12.20 14:57:29-05'00'
Signature
Mae Roth ;_ OlgHally 3Jgned by Mae Roth ----- "Dale: 2017.12.20 15:00:43 -05'00' ,.,;, Signature
:}{w --'E~ Michael W. Foster Jr., PE, Bureau Chief
Contract Authority, FDEP
Slgna~ ~
Signatufe
29 Die;it FLAIR Code:
000 - 012 (Effective 5-19-2016)
12/20/2017 Date
12/20/2017 Date
12/20/2017 Date
12.. 1:J.~1 .20 ( 7
Dfile/4: .{f} 1/7 D
Total: $0,00
Page 1 of l
Miller, Brian D.
From:
Sent:
Braddock, Jon <jbraddock@BERGMANNPC.com> Tuesday, December 19, 2017 5:14 PM
To: Miller, Brian D.
Subject: FDEP - Faver Dykes Bath House
Brian, BA needs additional time to complete the remaining tasks for the above referenced project and would like to request an extension through 12/31/18. Kindly respond in writing to this request.
Thanks, W. Jonathan Braddock, AIA, NCARB
PROJECT MANAGER
BERGMANN
Architects • Engineers• Planners
NATIONAL FIRM, STRONG LOCAL CONNECTIONS.
www.bergmannpc,com
8375 Dix Ellis Trail Building 600, Suite 105 Jacksonville, FL 32256
Office: 904.760.4501// mobile: 646.483.8652 jbraddock@bergmannpc.com
File details come from the government source that posted it. Updated .