CN-370000-CN306-T11CO1.pdf
PDF 5 MB Posted
- Contract number
- CN306
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. 1) issued by the Florida Department of Environmental Protection (FDEP) for FDEP Contract No. CN306, Task Assignment No. 11, Project No. 6M116C. The project involves the Florida Caverns State Park Concrete Replacement and Repair. The consultant performing the work is Hydra Engineering & Construction, LLC, represented by Leslie Weiss, P.E., C.G.C. The FDEP Contract Manager is Ralph Perkins. The change order was executed on August 4, 2022, with all required signatures obtained from FDEP Budget Representative Diane Langston, Project Manager Theresa Carron, Contract Manager Ralph Perkins, Consultant Leslie Weiss, and Contract Authority Michael W. Foster Jr., P.E.
The change order adds professional services to obtain a 1a-32 permit and perform a Cultural Resource Assessment Survey (CRAS) as detailed in Hydra Engineering's proposal dated August 3, 2022. The scope includes two subtasks: Subtask 8A (Archaeological Permitting) at a fixed price cost of $1,863.86, and Subtask 8B (Phase 1 Cultural Resource Assessment Survey) at a fixed price cost of $11,194.66. The overall total fixed price cost for Change Order No. 1 is $13,058.52, with no reimbursable costs. The original task end date of June 30, 2023, remains unchanged. Payment will be made upon approval of deliverables for each subtask by FDEP. The funding source is identified through the 29-digit FLAIR code: 6M116C, FD079, 37501000025, 080039/22, 423001, U3200, 131500, with an allocation of $13,058.52.
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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:
CN306 11 1 6M116C
Florida Caverns State Park Concrete Replacement and 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
Adding professional services to obtain the 1a-32 permit and perform a Cultural Resource Assessment Survey (CRAS) per the attached proposal dated 8/3/22.
$ 476.92 $ 35,922.92 $ 36,399.84 $ 476.92 $ 35,922.92 $ 36,399.84 $ 0.00 $ 13,058.52 $ 13,058.52
$ 476.92 $ 48,981.44 $ 49,458.36
8/25/2021
6/30/2023
6/30/2023
6/30/2023
Diane Langston Diane Langston Digitally signed by Diane Langston Date: 2022.08.04 13:02:47 -04'00'
Theresa Carron T.Carron Digitally signed by T.Carron Date: 2022.08.03 14:45:01 -04'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2022.08.04 14:32:54 -04'00'
Leslie Weiss, PE, CGC Leslie Weiss Digitally signed by Leslie Weiss Date: 2022.08.04 16:45:02 -04'00'
Michael W. Foster Jr., P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2022.08.10 15:30:51 -04'00'
6M116C FD079 37501000025 080039/22 423001 U3200 131500 QK $ 13,058.52
$ 13,058.52
Matson_d Text Box
CO1
File details come from the government source that posted it. Updated .