CN-370000-CN333-T2CO2.pdf
PDF 2 MB Posted
- Contract number
- CN333
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. 02) issued by the Florida Department of Environmental Protection (FDEP) for Contract No. CN333. The document involves FDEP as the contracting agency and MRD Associates, Inc. as the consultant. The project is located at St Joseph Peninsula State Park and concerns the Eagle Harbor Breach (Project No. 6M101C). Key personnel include Michael Dombrowski, P.E., as the consultant representative, and Alyssa Skehan as the FDEP Contract Manager. The change order was approved on April 20, 2021, following a request dated April 7, 2021, from MRD Associates, Inc.
This change order constitutes a time extension only, with no modification to the financial terms of the task assignment. The original task execution date was April 11, 2019, with an original end date of April 25, 2021. The change order extends the task end date by 184 days to October 25, 2021. The original task amount was $5,000.00 in reimbursement and $151,856.70 in fixed fees, for a total of $156,856.70. With all previous change orders included, the task amount remains $310,185.77 total ($5,000.00 reimbursement and $305,185.77 fixed fee), with zero net increase from this change order. The request for extension was prompted by incomplete road work at T.H. Stone Memorial State Park that would not be finished by the original April 25, 2021 deadline.
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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:
CN333 02 02 6M101C
St Joseph Peninsula State Park Eagle Harbor Breach
MRD Associates, Inc.
Michael Dombrowski, P.E. 850-654-1555 md@mrd-associates.com
Alyssa Skehan 850-245-2781 Alyssa.Skehan@FloridaDEP.gov
This is a request for time extension only. Please see request from MRD Associates, Inc. dated April 7, 2021.
$ 5,000.00 $ 151,856.70 $ 156,856.70 $ 5,000.00 $ 305,185.77 $ 310,185.77
$ 0.00 $ 0.00 $ 0.00 $ 5,000.00 $ 305,185.77 $ 310,185.77
4/11/19
4/25/21
4/25/21
10/25/21
Greg Turral Gregory Turral Digitally signed by Gregory Turral Date: 2021.04.08 09:42:44 -04'00'
Donald Finkbeiner Donald J. Finkbeiner Digitally signed by Donald J.
Finkbeiner Date: 2021.04.08 09:56:13 -04'00'
Alyssa Skehan Alyssa Skehan Digitally signed by Alyssa Skehan Date: 2021.04.08 10:01:19 -04'00'
Michael Dombrowski, P.E. Digitally signed by Michael R. Dombrowski Date: 2021.04.14 12:30:04 -05'00'
Bryan Bradner Bryan Bradner Digitally signed by Bryan Bradner Date: 2021.04.20 10:40:16 -04'00'
$ 0.00
File details come from the government source that posted it. Updated .