CN-370000-CN331-T13CO3.pdf
PDF 821 KB Posted
- Contract number
- CN331
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. CO3) issued by the Florida Department of Environmental Protection (FDEP) for Contract No. CN331, Task Assignment No. TA13. The document involves the consultant firm Humiston & Moore Engineers, represented by Brett D. Moore, P.E., and the FDEP Contract Manager Ralph Perkins. The project is located at Hillsborough River State Park and concerns riverbank stabilization efforts in Florida.
The change order extends the task execution period by 696 days, moving the task end date from August 30, 2024, to July 27, 2026. This time extension allows for continued permitting, design completion, and construction administration services. The modification involves no change to the financial terms, with the total contract amount remaining at $131,277.60, comprised of $713.00 in reimbursement costs and $130,564.60 in fixed fees. All required signatures from FDEP budget, project management, and contract authority officials, as well as the consultant representative, were obtained between July 12 and July 19, 2024.
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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:
CN331 TA13 CO3 61265C
Hillsborough River State Park Riverbank Stabilization
Humiston & Moore Engineers
Brett D. Moore, P.E. 239-825-6518 bdm@humistonandmoore.com
Ralph Perkins 850-245-2460 ralph.perkins@floridadep.gov
A time extension to allow for permitting, design completion and construction administration services per the attached dated July 11, 2024.
$ 0.00 $ 50,896.61 $ 50,896.61 $ 713.00 $ 130,564.60 $ 131,277.60 $ 0.00 $ 0.00 $ 0.00
$ 713.00 $ 130,564.60 $ 131,277.60
12/16/2019
03/10/2021
08/30/2024
07/27/2026
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2024.07.12 16:29:01 -04'00'
Richard Marcil Richard Rene Marcil, III Digitally signed by Richard Rene Marcil, III Date: 2024.07.15 07:50:30 -04'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2024.07.15 09:46:42 -04'00'
Brett D. Moore, P.E. Brett D. Moore Digitally signed by Brett D. Moore Date: 2024.07.15 15:27:04 -04'00'
Bryan Bradner Bryan Bradner Digitally signed by Bryan Bradner Date: 2024.07.19 13:23:47 -04'00'
$ 0.00
From:
To:
Cc:
Subject:
Date:
Attachments:
Kathleen Martin Marcil, Richard Gabrielle Bourgault-Kennaley; Sophia Gutierrez; Brett Moore RE: Time Extension Request: Hillsborough River - Riverbank Stabilization Thursday, July 11, 2024 1:30:31 PM image002.png
Dear Rene, Good afternoon, we would like to request a time extension on our contract for Hillsborough River State Park. The Contract is No. CN331 Task #13. The expiration date is 8/30/2024 and we would like to extend it to 7/27/2026. Please let me know if you need anything else.
Thank you for your help.
Sincerely, Kathleen M. Martin Humiston & Moore Engineers 5679 Strand Ct, Naples, FL 34110 Ph: 239-594-2021 Ext. 101 Email: km@HumistonandMoore.com
| CN331 TA13 CO3 FORM.pdf |
| CN331 TA13 CO3 Backup.pdf |
File details come from the government source that posted it. Updated .