CN-370000-CN305-T1CO1.pdf

PDF 5 MB Posted

Attached to
Master Agreement FL|CN305|ae934ead9c88cbda3014e610ebbeb97c
Contract number
CN305
Issued by
Florida

About this file

This document is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) for Contract No. CN305, involving the consultant firm Le-Huu Partners, P.A., represented by Bao Le-Luu. The project pertains to Dining Hall Improvements at Wekiwa Springs State Park, with FDEP Contract Manager Jeff Whitfield overseeing the engagement. The change order was approved by FDEP's Budget Representative Greg Turral, Project Manager Bill Brown, Contract Manager Jeff Whitfield, and Contract Authority Michael W. Foster Jr., PE on December 28-30, 2021.

The change order constitutes a no-cost time extension to allow the consultant to complete construction administration services included in the original task assignment. The original task amount of $9,149.28 remains unchanged, with no increase or decrease resulting from this change order. The original task execution date was July 21, 2020, with an original end date of December 31, 2021. The net change extends the task completion by 366 days, establishing a new task end date of December 31, 2022. No additional funding is associated with this change order, as indicated by the $0.00 net increase in task amount.

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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:

CN305 01 01 61278C

Wekiwa Springs State Park Dining Hall Improvements

Le-Huu

Bao Le-Luu 407-822-1111 blehuu@lehuupartners.com

Jeff Whitfield 850-245-2630 jeffrey.whitfield@floridadep.gov

No cost time extension so that consultant may complete construction administration services included in task assignment.

$ 9,149.28 $ 9,149.28 $ 0.00 $ 9,149.28 $ 9,149.28 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 9,149.28 $ 9,149.28

7/21/2020

12-31-2021

12/31/2021

12/31/2022

Greg Turral Gregory Turral Digitally signed by Gregory Turral Date: 2021.12.14 16:42:50 -05'00'

Bill Brown William R Brown Digitally signed by William R Brown Date: 2021.12.28 10:39:51 -05'00'

Jeff Whitfield Jeffrey Whitfield Digitally signed by Jeffrey Whitfield Date: 2021.12.28 13:15:00 -05'00'

Bao Le-Luu Bao Le-Huu Digitally signed by Bao Le-Huu DN: cn=Bao Le-Huu, o=Le-Huu Partners, P.A., ou, email=blehuu@lehuupartners.com, c=US Date: 2021.12.29 14:01:31 -05'00'

Michael W. Foster, Jr., PE Michael W. Foster Jr.

Digitally signed by Michael W.

Foster Jr.

Date: 2021.12.30 13:10:45 -05'00'

$ 0.00

Hello Bill, I would like to formally request an extension for 12 additional months for the Wekiwa Springs Dining Hall Improvements – Project number 61278C.

If you need anything else from me, please let me know.

Thanks, Flavio Lucas

Design Manager | Client Services

CN305 TA1 CO1 sign
CN305 TA1 CO1 Letter

File details come from the government source that posted it. Updated .