CN-370000-CN306-T5CO3.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. 3) issued by the Florida Department of Environmental Protection (FDEP) for Contract No. CN306. The parties to this change order are FDEP, the contracting state agency, and Hydra Engineering and Construction, LLC, the consultant performing work on the project. The project is located at Ochlockonee River State Park, with FDEP Contract Manager Ralph Perkins overseeing the contract and consultant representative Leslie Weiss serving as the primary contact for Hydra Engineering and Construction, LLC.
This change order is a time-only extension with no cost increase to the task assignment. The original task execution date was April 5, 2021, with an original end date of June 30, 2023. The change order extends the task end date to December 31, 2024, representing a net increase of 550 days due to construction delays. The total task amount remains unchanged at $12,854.92, comprised of $406.07 in reimbursable expenses and $12,448.85 in fixed fees. The change order was requested by the consultant on May 6, 2023, and was approved and digitally signed by all required parties, including FDEP's Budget Representative, Project Manager, Contract Manager, and Contract Authority, as well as the consultant, between May 11 and May 22, 2023.
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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 TA5 3 61303C
Ochlockonee River State Park Repave and Repair Roadways
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 until 12-31-2024 due to construction. See proposal dated 5-6-23.
$ 246.16 $ 39,547.24 $ 39,793.40 $ 406.07 $ 12,448.85 $ 12,854.92 $ 0.00 $ 0.00 $ 0.00
$ 406.07 $ 12,448.85 $ 12,854.92
4/5/2021
6/30/2023
6/30/2023
12/31/2024
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2023.05.11 10:45:10 -04'00'
Don Page Don Page Digitally signed by Don Page Date: 2023.05.11 11:27:43 -04'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2023.05.11 14:36:13 -04'00'
Leslie Weiss Leslie Weiss Digitally signed by Leslie Weiss Date: 2023.05.12 08:02:09 -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 10:37:05 -04'00'
$ 0.00
From:
To:
Cc:
Subject:
Date:
Leslie Weiss Page, Don Courtney Armitage; Nikki Smith CN306 TA5 CO3: Project 61303C-Ochlockonee River Repave and Repair Roadways Saturday, May 6, 2023 9:44:05 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
| CN306, TA5, 3.pdf |
| CN306 TA5_ Project 61303C-Ochlockonee River Repave and Repair Roadways.pdf |
File details come from the government source that posted it. Updated .