CN-370000-CN306-T10CO2.pdf

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Attached to
Master Agreement FL|CN306|0213c5976ed74492a857f85bd20cc16d
Contract number
CN306
Issued by
Florida

About this file

This document is a Task Assignment Change Order Form from the Florida Department of Environmental Protection (FDEP), issued to Hydra Engineering and Construction, LLC for the Blue Hole Drive Road Repair project at Florida Caverns State Park. The change order was processed under FDEP Contract No. CN306, Task Assignment No. 10, and Project No. 6M115C, with approval from FDEP personnel including Budget Representative Tamika Bass, Project Manager Don Page, and Contract Manager Ralph Perkins. The consultant representative is Leslie Weiss, President of Hydra Engineering and Construction, LLC.

This is a time-only change order with no cost adjustment to the task amount. The original task execution date was August 25, 2021, with an original end date of June 30, 2023. The change order extends the project completion date to December 31, 2024, representing a net increase of 550 days due to construction delays. The total task amount remains unchanged at $69,196.91, comprised of $430.29 in reimbursement and $68,766.62 in fixed fees. The change order was executed on May 11-22, 2023, following a request from the consultant dated May 6, 2023.

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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 02 6M115C

Florida Caverns State Park Blue Hole Drive Road Repair

Hydra Engineering and Construction, LLC

Leslie Weiss 850-926-2593 lahope@hydraengineering.com

Ralph Perkins 850-245-2460 Ralph.Perkins@FloridaDEP.gov

Time only CO-extend the time to 12-31-2024 due to construction. See proposal dated 5/6/23.

$ 430.29 $ 53,943.06 $ 54,373.35 $ 430.29 $ 68,766.62 $ 69,196.91 $ 0.00 $ 0.00 $ 0.00

$ 430.29 $ 68,766.62 $ 69,196.91

8/25/2021

6/30/2023

6/30/2023

12/31/2024

Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2023.05.11 09:24:12 -04'00'

Don Page Don Page Digitally signed by Don Page Date: 2023.05.11 10:17:00 -04'00'

Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2023.05.11 10:34:46 -04'00'

Leslie Weiss Leslie Weiss Digitally signed by Leslie Weiss Date: 2023.05.12 10:45:50 -04'00'

Michael W. Foster Jr., P.E. Michael W. Foster Jr., P.E.

Digitally signed by Michael W.

Foster Jr., P.E.

Date: 2023.05.22 13:24:28 -04'00'

$ 0.00

From: Leslie Weiss To: Page, Don Cc: Courtney Armitage; Nikki Smith Subject: CN306 TA10: Project 6M115C-Florida Caverns Blue Hole Drive Road Repair Date: Saturday, May 6, 2023 9:34:11 PM

EXTERNAL MESSAGE

This email originated outside of DEP. Please use caution when opening attachments, clicking links, or responding to this email.

Good evening Don, We would like to request a “no-cost” change order for the above referenced project for a time extension from 6/30/2023 to 12/31/2024 due to delays in the construction.

Thanks, Leslie Weiss, PE, GCG, F.ASCE President Hydra Engineering & Construction, LLC 36 Jasper Thomas Road Crawfordville, FL 32327 Office (850) 926-2593 mailto:lahope@hydraengineering.com mailto:Don.Page@FloridaDEP.gov mailto:courtney@hydraec.com mailto:nikki@hydraec.com

Task Assignment Change Order Form.pdf
CN306 TA10_ Project 6M115C-Florida Caverns Blue Hole Drive Road Repair.pdf

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