CN-370000-CN327-T5CO1.pdf

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Master Agreement FL|CN327|6c97b7161f161a37db7ae49905c19554
Contract number
CN327
Issued by
Florida

About this file

This is a Task Assignment Change Order Form (Change Order No. 01) issued by the Florida Department of Environmental Protection (FDEP) for Contract No. CN327, Task Assignment No. 05. The document involves FDEP, the consulting firm APTIM Environmental and Infrastructure, LLC, and the project located at St. Lucie Inlet State Park. The change order was signed and approved by authorized representatives from both FDEP and APTIM between December 28-31, 2022.

The change order addresses a time-only extension for construction administration services related to the Additional 10 boat slips project. No monetary adjustment was made; the task amount remains $45,607.18. The original task end date of January 1, 2023, was extended by 516 days to May 31, 2024, to allow completion of construction administration services due to extended permitting and processing timelines. The extension was requested by APTIM's Lead Coastal Engineer, Douglas W. Mann, P.E., D.C.E., due to permitting delays beyond the original project schedule.

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Florida Department of Environmental Protection

TASK ASSIGNMENT CHANGE ORDER FORM

( ) 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 05 01 61395C

St. Lucie Inlet State Park Additional 10 boat slips

APTIM Environmental and Infrastructure, LLC

Douglas W. Mann 561-361-3148 douglas.mann@APTIM.com

Ralph Perkins 850-245-2460 ralph.perkins@floridadep.gov

Time only extension needed to allow completion of construction administration services. See attached email back up dated 12/27/2022

$ 45,607.18 $ 45,607.18 $ 45,607.18 $ 45,607.18

$ 0.00 $ 0.00 $ 45,607.18 $ 45,607.18

02/02/2022

01/01/2023

01/01/2023

05/31/2024

Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2022.12.28 09:06:35 -05'00'

Jim McGuire Jim McGuire Digitally signed by Jim McGuire Date: 2022.12.28 09:45:50 -05'00'

David Matson for Ralph Perkins David Matson Digitally signed by David Matson Date: 2022.12.29 09:54:25 -05'00'

Douglas Mann P.E., D.CE. Douglas W Mann Digitally signed by Douglas W Mann Date: 2022.12.29 10:29:35 -05'00'

Michael W. Foster Jr., P.E.

$ 0.00

Michael W. Foster Jr., P.E.

Digitally signed by Michael W.

Foster Jr., P.E.

Date: 2022.12.31 15:38:42 -05'00'

Matson_D Text Box

CN327 TA5 CO1

CN327 TA5 CO1 St. Lucie - Additional 10 Boat Slips (Time Only) 2.pdf
Time extension CN 327.pdf

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