CN-370000-CN331-T1CO2.pdf

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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 the Hugh Taylor Birch State Park Seawall Repair project. The document involves FDEP, the project owner and contracting authority, and Humiston and Moore Engineers, the consulting firm providing services. The change order was executed on November 8, 2017, and signed by all required parties including the FDEP Budget Representative, Project Manager, and Contract Manager, as well as the consultant representative.

The change order extends the Construction Administration task for an additional 120 days to allow continued oversight through the completion of seawall cap replacement work. The original task end date of April 30, 2017, was extended to November 26, 2017, and further extended to March 26, 2018. This is a time-only change order with no monetary adjustment; the task amount remains fixed at $32,785.03 with zero reimbursable costs. The extension was requested to accommodate approximately 900 linear feet of remaining seawall cap work progressing at approximately 100 linear feet per week, coordination with a separate welcome pavilion construction contract, and 30 days for post-construction requirements.

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Florida Department of Environmental Protection

TASK ASSIGNMENT CHANGE ORDER FORM

Required Signatures: Adobe Signature

FDEP Contract No.: I Task Assignment No.: Change Order No.: I Project No.:

CN331 01 02 60956C

Project Location: Project Name:

Hugh Taylor Birch State Park Seawall Repair Consultant Name:

Humiston and Moore Engineers Consultant Representative: Phone: Email:

BrettDMoore,P.E. 239-594-2021 bdm@humistonandmoore.com FDEP Contract Manager: Phone: Email:

Mae Roth 850-245-2781 mae.roth~dep.state.fl.us Description and Justification of Change:

Change order to add time only to extend Construction Administration task to 120 days beyond anticipated completion of seawall cap replacement currently under contract.

Ch angem as . Ti kA mount:

Item · Reimbursement Fixed Pee TDtlil

Original Task Amount: $ 0.00 $ 32.785.03 $ 32.785.03 Task amount including all previous Change Orders: $ 0.00 $ 32.785.03 $32,785.03 Net increase/decrease in task amount for this Change Order: $ 0.00 $ 0.00 $ 0.00 Total Amounts with all Change Orders: $ 0.00 $ 32 785.03 $32,785.03

Ch angem as ime: . Ti k r,· Original Task Execution Date: 9/1/2016

Original Task End Date: 4/30/2017

Present Task End Date: ll/26/2017

Net Change in Days: 120

New Task End Date: 03/26/2018

Approval Signatures:

Greg Turral G reg Tu rra I Digitally signed by Greg Turral Date: 2017.11.08 15:37:55 -05'00' 11-8-2017

Budget Representative, PDEP

Derek Godfrey Project Manager, FDEP

Mae Roth Contract Manager, FDEP

Brett D. Moore, P.E.

Consultant

Michael W. Foster Jr., P.E.

Contract Authority, FDEP

Proiect# Grant# Or2 Code

29 Di2it FLAIR Code:

000 - 012 (Effective 5-19-2016)

Signature

Derek Godfrey DigitallysignedbyDerekGodfrey Date: 2017.11 .0815:03:27 -05'00'

Signature

Mae Roth Signature

Digitally signed by Mae Roth Date: 2017.11.0B 15:41 :56 -05'00'

Digitally signed by Brett D. Moore, Brett D. Moore, P.E. P.E.

Date: 2017.11.08 11:08:38--05'00'

Signature

Date

11/08/2017 Date

11/08/2017 Date

11/08/2017

Cat/Year Fund Module Ob.iect Code EO Amount

Total: $ 0.00

Page 1 ofl

From:

To:

Subject:

Date:

Attachments:

Roth. Mae Roth. Mae Hugh Taylor Birch Park - Time Only Extension Wednesday, November 8, 2017 3:20:57 PM ChangeOrderRequest-8Nov17.pdf

From: Matthew Fleming [mailto:MFleming@humjstonandmoore.com]

Sent: Wednesday, November 08, 2017 11:30 AM

To: Godfrey, Derek <Derek.Godfrey@dep.state.fl.us>

Subject: Hugh Taylor Birch Park - Time Only Extension

Derek, This email and the attached draft Change Order form are provided to request a task assignment extension, for time only, as we discussed on November 7, 2017. The extension is to allow our

Construction Administration task to continue through the construction process and include an additional 30 days; a total of 120 day extension.

Based upon our conversation, approximately 900 linear feet of seawall cap remains to be replaced under the current contract. Approximately 200 feet of the remaining is ready for a concrete pour and will be completed in the next few days. This leaves 700 linear feet. The project has progressed at about 100 linear feet per week. Allowing for upcoming holidays, coordination of the construction schedule for the welcome pavilion (under separate contract) and 30 days post construction to complete post construction requirements, we request 120 days extension.

Thank you for your attention, Matthew Fleming

Matthew Fleming. M. Sc.

Humiston & Moore Engineers office: 239-566-0649 x105 cell: 239-572-4903 www.humistonandmoore.com

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