CN-370000-CN331-T16CO2.pdf

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Attached to
Master Agreement FL|CN331|fe7bede2f31aebfb9d3246ac73b5aa57
Contract number
CN331
Issued by
Florida

About this file

This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) for a consulting services contract. The document involves FDEP as the contracting agency and Humiston & Moore Engineers, a consulting firm based in Naples, Florida, as the consultant. The contract is managed by FDEP's Ralph Perkins (Contract Manager) and Terry McCullum Jr. (Project Manager), with Brett D. Moore, P.E., serving as the consultant representative.

The change order is a no-cost time extension for Task Assignment 16 under FDEP Contract No. CN331, relating to Seawall Improvements at Dr. Von D. Mizell-Eula Johnson State Park. The original task execution date was July 13, 2021, with an original end date of June 24, 2023. This change order extends the task end date by 400 days to July 28, 2026, to allow sufficient time for federal permitting, bidding, and construction phases. The task amount remains unchanged at a total of $112,666.72, consisting of $5,500.00 in reimbursement and $107,166.72 in fixed fees. No additional cost is incurred by this extension. The change order was approved and digitally signed by all required parties between June 6 and June 30, 2025.

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Text version

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:

CN331 16 2 61338C

Seawall Improvements

Humiston & Moore Engineers

Brett D. Moore, P.E. (239) 566-0649 bdm@humistonandmoore.com

Ralph Perkins or successor (850) 245-2460 Ralph.Perkins@FloridaDEP.gov

No-cost time extension, per attached request dated Jun 03, 2025.

$ 2,000.00 $ 57,982.11 $ 59,982.11 $ 5,500.00 $ 107,166.72 $ 112,666.72

$ 0.00 $ 0.00 $ 0.00 $ 5,500.00 $ 107,166.72 $ 112,666.72

07/13/2021

06/24/2023

06/23/2025

7/28/2026

Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2025.06.06 11:01:29 -04'00'

Terry McCullum, Jr. Terry McCullum Jr.

Digitally signed by Terry McCullum Jr.

Date: 2025.06.06 11:26:47 -04'00'

Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2025.06.09 09:25:36 -04'00'

Brett D. Moore, P.E. Brett D. Moore Digitally signed by Brett D. Moore Date: 2025.06.10 09:16:32 -04'00'

Tim Giesecke Tim Giesecke Digitally signed by Tim Giesecke Date: 2025.06.30 10:53:23 -04'00'

$ 0.00

Dr. Von D. Mizell-Eula Johnson State Park

McCullum, Terry

From: Brett Moore <bdm@humistonandmoore.com> Sent: Tuesday, June 3, 2025 7:24 AM To: McCullum, Terry Cc: Kathleen Martin; Mohamed Dabees Subject: Request Extension of Time Contract SN331 TaskTerry, Assignment 16

EXTERNAL MESSAGE

This email originated outside of DEP. Please use caution when opening attachments, clicking links, or responding to this email.

Good morning Terry, Due to the extensive time involved in the federal permitting process and to ensure su icient time to get through permitting, bidding, and construction phases, we hereby request a 400-day extension to our Contract No. CN331 Task Assignment 16, Mizell-Johnson State Park Seawall Improvements through July 28, 2026.

Should you require an additional information to process this request, please give me a call.

Thank you for your assistance and guidance with this contract.

Brett

Brett D. Moore, P.E., D.CE, President Humiston & Moore Engineers 5679 Strand Court Naples, Florida 34110

Main: 239-594-2021 Direct: 239-566-0649 ext. 102 Mobile: 239-825-6518

Email: bdm@humistonandmoore.com Website: http://www.humistonandmoore.com

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