CN-370000-CN327-T4CO1.pdf.crdownload
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- Contract number
- CN327
- Issued by
- Florida
About this file
This document is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) for Contract No. CN327, Task Assignment No. TA04, Change Order No. 01. The parties involved are FDEP and APTIM Environmental & Infrastructure, LLC, with Douglas Mann serving as the consultant representative and Ralph Perkins as the FDEP contract manager. The change order pertains to the John D. MacArthur Beach State Park Munyon Island BDW Replacement and Shoreline Restoration project located in Florida.
The change order authorizes a time extension for the completion of design, permitting, and construction administration services, extending the task end date from December 30, 2023 to December 30, 2024, representing a net increase of 366 days. The fixed fee associated with this change order is $47,117.58 with no reimbursable items, resulting in a total task amount of $47,117.58. The original task execution date was August 26, 2022. The change order was executed with digital signatures from all required parties between December 1 and December 8, 2023, including approval from FDEP's Budget Representative, Project Manager, Contract Manager, Contract Authority, and the consultant.
Text of this file
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:
CN327 TA04 01 61392C
John D. MacArthur Beach State Park Munyon Island BDW Replacement,Shoreline restoration
APTIM Environmental & Infrasrtucture,LLC
Douglas Mann 561-361-3148 douglas.mann@aptim.com
Ralph Perkins 850-245-2460 ralph.perkins@floridadep.gov
Time extension to allow the completion of design, permitting and construction administration services. See attached email dated 11/30/2023.
$ 0.00 $ 47,117.58 $ 47,117.58 $ 0.00 $ 47,117.58 $ 47,117.58
$ 0.00 $ 0.00 $ 47,117.58 $ 47,117.58
08/26/2022
12/30/2023
12/30/2023
12/30/2024
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2023.12.01 09:19:14 -05'00'
Jim McGuire Jim McGuire Digitally signed by Jim McGuire Date: 2023.12.01 15:35:08 -05'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2023.12.04 09:41:39 -05'00'
Douglas Mann Douglas W Mann Digitally signed by Douglas W Mann Date: 2023.12.05 09:29:08 -05'00'
Michael W. Foster Jr. P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2023.12.08 09:59:21 -05'00'
$ 0.00
| CN327 TA4 CO 01.pdf |
| CN327 TA4 CO 01 backup.pdf |
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