CN-370000-CN306-T10 CO1.pdf.crdownload
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- Contract number
- CN306
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form from the Florida Department of Environmental Protection (FDEP) for a project at Florida Caverns State Park. The contract involves FDEP and Hydra Engineering & Construction, LLC, with Leslie Weiss, P.E., C.G.C. serving as the consultant representative and Ralph Perkins as the FDEP Contract Manager. The change order was approved on August 2-3, 2022, with signatures from FDEP budget, project management, contract management, and contract authority representatives, as well as the consultant.
The project pertains to professional services for permit acquisition and a Cultural Resource Assessment Survey for the Blue Hole Drive Road Repair project at Florida Caverns State Park. The original task amount was $54,373.35, consisting of $430.29 in reimbursable expenses and $53,943.06 in fixed fees. This change order adds $14,823.56 to the task amount, bringing the total to $69,196.91. The task execution period runs from August 25, 2021 through June 30, 2023, with no net change in the end date. Funding is provided through FDEP's budget codes with a FLAIR code of 6M115C, allocated under grant FD079 with organization code 37501000025.
Text of this file
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:
CN306 10 1 6M115C
Florida Caverns State Park Blue Hole Drive Road Repair
Hydra Engineering & Construction, LLC
Leslie Weiss, P.E., C.G.C. 850- 926-2593 lahope@hydraengineering.com
Ralph Perkins 850-245-2460 Ralph.Perkins@FloridaDEP.gov
Professional services to obtain the permit and to perform a Cultural Resource Assessment Survey per the attached proposal dated 7/31/22.
$ 430.29 $ 53,943.06 $ 54,373.35 $ 430.29 $ 53,943.06 $ 54,373.35
$ 14,823.56 $ 14,823.56 $ 430.29 $ 68,766.62 $ 69,196.91
8-25-2021
6-30-2023
6-30-2023
6-30-2023
Diane Langston Diane Langston Digitally signed by Diane Langston Date: 2022.08.02 13:10:52 -04'00'
Theresa Carron T.Carron Digitally signed by T.Carron Date: 2022.08.02 09:32:08 -04'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2022.08.02 14:27:31 -04'00'
Leslie Weiss, P.E., C.G.C. Leslie Weiss Digitally signed by Leslie Weiss Date: 2022.08.02 16:17:05 -04'00'
Michael W. Foster Jr., P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2022.08.03 14:20:49 -04'00'
6M115C FD079 37501000025 080039/22 423001 U3200 131500 QK $ 14,823.56
$ 14,823.56
Matson_d Text Box
CN306 TA10 CO1
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