CN-370000-CN306-T11CO2.pdf

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Attached to
Master Agreement FL|CN807|5090ee0d4b009767e329d328ac9262ce
Contract number
CN807
Issued by
Florida

About this file

This document is a Task Assignment Change Order Form from the Florida Department of Environmental Protection (FDEP) for a contract with Hydra Engineering and Construction, LLC. The project involves the Concrete Replacement at Florida Caverns State Park, with the contract number CN306 and task assignment number TA11. The change order is specifically for a time extension, involving key personnel including Leslie Weiss from Hydra Engineering and Ralph Perkins as the FDEP Contract Manager.

The change order extends the project timeline from the original end date of 6/30/2023 to 12/31/2024, a 550-day extension due to construction delays. The total task amount remains unchanged at $49,458.36, with no additional cost associated with this time extension. The original task was initiated on 8/25/2021, and the project involves concrete replacement work at Florida Caverns State Park. The change order has been digitally signed by multiple FDEP representatives and the consultant, indicating formal approval of the time extension.

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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 TA11 2 6M116C

Florida Caverns State Park Concrete Replacement

Hydra Engineering and Construction

Leslie Weiss 850-926-2573 lahope@hydraengineering.com

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

Time only CO-Extend the time due to construction until 12/31/2024. See proposal dated 5/6/2023.

$ 476.92 $ 35,922.92 $ 36,399.84 $ 476.92 $ 48,981.44 $ 49,458.36 $ 0.00 $ 0.00 $ 0.00

$ 476.92 $ 48,981.44 $ 49,458.36

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 09:13:47 -04'00'

Don Page Don Page Digitally signed by Don Page Date: 2023.05.11 09:48:16 -04'00'

Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2023.05.11 10:31:11 -04'00'

Leslie Weiss Leslie Weiss Digitally signed by Leslie Weiss Date: 2023.05.12 10:42:41 -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 13:21:30 -04'00'

$ 0.00

From: Leslie Weiss To: Page, Don Cc: Courtney Armitage; Nikki Smith Subject: CN306 TA 11: Project 6M116C-Florida Caverns Concrete Replacement Date: Saturday, May 6, 2023 9:30:15 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.

Thank you, 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 TA 11_ Project 6M116C-Florida Caverns Concrete Replacement.pdf

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