CN-370000-CN304-T11CO2.pdf
PDF 2 MB Posted
- Contract number
- CN304
- 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 No. CN304. The document involves FDEP as the state agency, GPI, Inc. as the consultant, and pertains to the Silver Springs Spring Side Paddle Craft Launch Restroom project located in Silver Springs, Florida. The change order was processed and approved by FDEP personnel including Budget Representative Greg Turral, Project Manager Don Page, and Contract Manager Philip Stone, with consultant representative Travis Justice authorizing on behalf of GPI, Inc.
The change order implements a no-cost time extension to allow the consultant to complete post-design and construction administration services included in the original task assignment. The task amount remains unchanged at $35,835.65 total ($100.00 reimbursement and $35,735.65 fixed fee). The original task execution period was from March 19, 2019 through December 31, 2019; however, the original task end date was extended by 365 days, moving the new task end date to December 31, 2021. No additional financial obligation was incurred as part of this change order, with the net increase in task amount totaling $0.00. The extension was requested by consultant William K. Johnson, P.E., P.S.M., CFM on December 9, 2020, to fulfill the construction administration task component, and was approved on December 11, 2020.
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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:
CN304 11 02 61217C
Silver Springs Spring Side Paddle Craft Launch Restroom
GPI, Inc.
Travis Justice 850-297-2944 tjustice@gpinet.com
Philip Stone 850-245-2570 Philip.Stone@FloridaDEP.gov
No cost time extension so that consultant may complete post design and construction administration services included in task assignment. Please see consultant's request dated 12/9/20 attached.
$ 100.00 $ 35,735.65 $ 35,835.65 $ 100.00 $ 35,735.65 $ 35,835.65 $ 0.00 $ 0.00 $ 0.00
$ 100.00 $ 35,735.65 $ 35,835.65
3/19/19
12/31/19
12/31/20
12/31/21
Greg Turral Gregory Turral Digitally signed by Gregory Turral Date: 2020.12.10 14:37:44 -05'00'
Don Page Don Page Digitally signed by Don Page Date: 2020.12.10 15:02:49 -05'00'
Philip Stone P.T. Stone Digitally signed by P.T. Stone Date: 2020.12.11 07:20:26 -05'00'
Travis Justice Travis K Justice Digitally signed by Travis K Justice Date: 2020.12.11 07:48:49 -06'00'
Michael W. Foster, Jr., P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2020.12.11 14:42:48 -05'00'
$ 0.00
From: Bill Johnson To: Page, Don Cc: Matson, David; Rowe, Richard J.; Travis Justice Subject: RE: Time Extension for TA 11 - Silver Springs, Paddle Craft Launch Restroom ADA Date: Wednesday, December 9, 2020 10:39:51 AM Attachments: image003.png image001.png
Don, Please accept this request for a one-year extension to our contract for the TA 11 - Silver Springs, Paddle Craft Launch Restroom ADA project. This extension will be required to fulfill the construction administration task component.
If you need additional information, please let me know at your earliest convenience.
Thanks, William K. Johnson, P.E., P.S.M., CFM d +1 (850) 297-2930 | c +1 850-251-8799 An Equal Opportunity Employer mailto:billjohnson@gpinet.com mailto:Don.Page@FloridaDEP.gov mailto:David.Matson@dep.state.fl.us mailto:Richard.J.Rowe@dep.state.fl.us mailto:tjustice@gpinet.com https://secure-web.cisco.com/1cQcbTquB_Bow67alOJma0GRS3AHoHSGdZEK8813BSEau9oXF1zveMR0QYtlKwPqaet5nlmCHEFdQNtG5mt1PpKNI2XjdKtKrGHef3vx7Bk1USY3R6AfPGGDy3W4FWJklVhJkFaKnlsL8sgmmRBTewc4siYJL6vXvPsXBM_L-wcjwxN05R1kAZSS3__rNjYmd85BKjFH-nkvrX-zfX8F9-59tYl5WloBXbA2ppklh04o_V9l44g2KGsc0MP_eSfC4FKgFrnGoUekr3rgtm_qYFG88WW8Ynwhk2dmZRxtIyB_Go4K4UkOfRiGDx59URD_DvGdDP0Ul94l61nTCW7roCA/https%3A%2F%2Fnam12.safelinks.protection.outlook.com%2F%3Furl%3Dhttp%253A%252F%252Fwww.dep.state.fl.us%252F%26data%3D04%257C01%257Cbilljohnson%2540gpinet.com%257Cf98d608ef2f6484550a408d89b957c17%257C46fdd3b402d24121a5621f51ee5848b4%257C0%257C1%257C637430413638217768%257CUnknown%257CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%253D%257C1000%26sdata%3DrQeJ0nxy1QdhSPl1ZG57NTyVRuHuIOdnBT3hw5prqHw%253D%26reserved%3D0
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