CN-370000-CN306-T9CO1.pdf

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Master Agreement FL|CN328|5090ee0d4b009767e329d328ac9262ce
Contract number
CN328
Issued by
Florida

About this file

This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) for Contract No. CN306, Task Assignment No. TA9. The change order involves Hydra Engineering and Construction, LLC as the consultant, with Leslie Weiss serving as the consultant representative. FDEP personnel involved include Ralph Perkins as Contract Manager and Don Page as Project Manager. The change order was executed in May 2023 with digital signatures from all required parties, including Michael W. Foster Jr., P.E., as Contract Authority.

The change order is a no-cost time extension for the Three Rivers State Park Road Repair project located at Three Rivers State Park. The task maintains the original dollar amount of $50,480.42, with no increase or decrease in financial obligation. The original task end date of June 30, 2023 is extended 551 days to December 31, 2024 due to construction delays. The extension was requested in a proposal dated May 6, 2023, and was approved without additional reimbursement or fixed fee costs. The consultant's contact information is 850-926-2593 and lahope@hydraengineering.com, while the FDEP Contract Manager can be reached at ralph.perkins@floridadep.gov or 850-245-2460.

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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 TA9 1 6M117C

Three Rivers State Park Road Repair

Hydre 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 because of construction. See proposal dated 5/6/23.

$ 423.52 $ 50,056.90 $ 50,480.42 $ 423.52 $ 50,056.90 $ 50,480.42 $ 0.00 $ 0.00 $ 0.00

$ 423.52 $ 50,056.90 $ 50,480.42

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 09:28:23 -04'00'

Don Page Don Page Digitally signed by Don Page Date: 2023.05.11 10:40:31 -04'00'

Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2023.05.12 10:56:45 -04'00'

Leslie Weiss Leslie Weiss Digitally signed by Leslie Weiss Date: 2023.05.12 13:01:51 -04'00'

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

Digitally signed by Michael W.

Foster Jr., P.E.

Date: 2023.05.17 11:02:35 -04'00'

$ 0.00

From: Leslie Weiss To: Page, Don Cc: Courtney Armitage; Nikki Smith Subject: CN306 TA9: Project 6M117C-Three Rivers Road Repair Date: Saturday, May 6, 2023 9:36:18 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 TA9 Three Rivers - Road Repave Repair -- Subtask 4 Revised FE.pdf
CN306 TA9_ Project 6M117C-Three Rivers Road Repair.pdf

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