CN-370000-CN331-T18CO4.pdf
PDF 327 KB Posted
- 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 Contract No. CN331. The document modifies Task Assignment No. 18 through Change Order No. 04 for the Dania Cut Off Erosion project located at Dr. Von D. Mizell-Eula Johnson State Park. The consultant performing the work is Humiston & Moore Engineers, represented by Brett Moore, PE. The FDEP Contract Manager is Vu Nguyen, and the change order has been approved by FDEP's Budget Representative (Tamika Bass), Project Manager (Jim McGuire), Contract Manager (Vu Nguyen), and Contract Authority (David Matson), with signatures dated December 16-18, 2025.
This is a no-cost time extension to continue construction and administration services. The original task amount was $81,472.12 with reimbursement of $2,000.00 and a fixed fee of $79,472.12, which remains unchanged under this change order with a net increase of $0.00. The original task execution period was from July 1, 2021 to December 31, 2023; however, the present task end date was extended to December 30, 2025, and this change order further extends the task completion date by 180 days to June 28, 2026. No additional funding is required for this extension, as indicated by the $0.00 total amount in the 29-digit FLAIR code section.
View the file
Other files
Show 40 more
50 files listed here. See the rest on GovTribe.
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 18 04 61379C
Dania Cut Off Erosion
Humiston & Moore Engineers
Brett Moore, PE 239-594-2021 bdm@humistonandmoore.com
Vu Nguyen 850-245-2630 Vu.Nguyen@FloridaDEP.gov
This is a no cost time only extension request to continue the construction and administration services.
Please see the attached backup email dated December 10, 2025.
$ 2,000.00 $ 79,472.12 $ 81,472.12 $ 81,472.12 $ 81,472.12
$ 0.00 $ 0.00 $ 81,472.12 $ 81,472.12
07/01/2021
12/31/2023
12/30/2025
06/28/2026
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2025.12.16 10:19:06 -05'00'
Jim McGuire Jim McGuire Digitally signed by Jim McGuire Date: 2025.12.16 13:09:45 -05'00'
Vu Nguyen Vu Nguyen Digitally signed by Vu Nguyen Date: 2025.12.17 11:55:00 -05'00'
Brett Moore, P.E. Brett D. Moore Digitally signed by Brett D. Moore Date: 2025.12.17 13:16:12 -05'00'
David Matson David Matson Digitally signed by David Matson Date: 2025.12.18 08:17:19 -05'00'
$ 0.00
Dr. Von D. Mizell-Eula Johnson State Park
File details come from the government source that posted it. Updated .