CN-370000-CN333-T2CO4.pdf
PDF 895 KB Posted
- Contract number
- CN333
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form from the Florida Department of Environmental Protection (FDEP) involving a time extension modification to an existing contract with MRD Associates, Inc., an engineering consulting firm. The change order was processed on May 16, 2022, and authorizes an extension to the contract execution timeline for the Eagle Harbor Breach project located at St Joseph Peninsula State Park. The primary contacts are Michael Dombrowski, P.E. from MRD Associates and Jeffrey Whitfield from FDEP.
The change order is a time-only extension with no modification to the contract amount. The original task amount of $5,000.00 reimbursement and $151,856.70 fixed fee (totaling $156,856.70) remains unchanged, with cumulative amounts across all change orders totaling $310,185.77. The task execution period is being extended from the original end date of April 25, 2021, through the present end date of July 31, 2022, to a new end date of October 31, 2023—a net increase of 457 days. According to the supporting email dated May 12, 2022, the additional time is necessary to accommodate Culpepper Construction's scheduling of the final paving of Breach Road in April 2023. All required FDEP approval signatures were obtained by May 20, 2022.
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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 04 6M101C
St Joseph Peninsula State Park Eagle Harbor Breach
MRD Associates, Inc.
Michael Dombrowski, P.E. 850-654-1555 md@mrd-associates.com
Jeffrey Whitfield 850-245-2630 Jeffrey.Whitfield@FloridaDEP.gov
This is a request for time extension only. Please see request from MRD Associates, Inc. dated May 12, 2022, $ 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
07/31/2022
10/31/2023
Diane Langston Diane Langston Digitally signed by Diane Langston Date: 2022.05.16 08:20:17 -04'00'
Donald Finkbeiner Donald J. Finkbeiner Digitally signed by Donald J.
Finkbeiner Date: 2022.05.16 08:45:08 -04'00'
Jeffrey Whitfield Jeffrey Whitfield Digitally signed by Jeffrey Whitfield Date: 2022.05.16 09:42:23 -04'00'
Michael Dombrowski, P.E.
Digitally signed by Michael R.
Dombrowski Date: 2022.05.16 09:50:38 -05'00'
Bryan J. Bradner Bryan Bradner Digitally signed by Bryan Bradner Date: 2022.05.20 15:34:38 -04'00'
$ 0.00
From: Michael Dombrowski To: Finkbeiner, Donald; Joseph Morrow Cc: Rowe, Richard J.; Baxley, Joshua; Carron, Theresa; Chang, Laura D Subject: CN333 TA2 CO3 St Joseph Peninsula Date: Thursday, May 12, 2022 9:38:00 AM Attachments: image002.png
EXTERNAL MESSAGE
This email originated outside of DEP. Please use caution when opening attachments, clicking links, or responding to this email.
Good morning, Task Assignment CN333 TA2 CO3 will expire on 7/31/22. Please extend the expiration date to 10/31/23.
The additional time is needed due to Culpepper Construction scheduling the final paving of the Breach Road in April of 2023.
Should you have any questions please feel free to contact me. Thank you. Michael mailto:md@mrd-associates.com mailto:Donald.Finkbeiner@FloridaDEP.gov mailto:jm@mrd-associates.com mailto:Richard.J.Rowe@dep.state.fl.us mailto:jbaxley@Dewberry.com mailto:Theresa.Carron@dep.state.fl.us mailto:Laura.D.Chang@FloridaDEP.gov https://secure-web.cisco.com/1DM_3qEMGqpZZvZb_N3scersqD50NbfdlW5GUqE21i1caY4pdjAozE0Q1HE8dKKAs0w75cpYRVFlvGYI7Mzy1pDxsJSPAD3frE3FzW9aBu8nCt8rZ-hVA74G3gMSdzPPanGvyHzPe7A3Lb1Tl-agjxVWGk7OqS1nIXUuNTmm-aX00I5VE5yfbti3nRAsO3GNcLQq17c9oC7VzEQOb3V0EjJ5qtDRqikmoS1xGTnY0XgwmR7QRw2xZLMacVE8Ww_ngsd6XPwlIj0AHHrAdTwAldbslacb8jSMOPyjkeP0fvog_Sy8cRLcYAFGwGjnzfaXO/https%3A%2F%2Fwww.mrd-associates.com%2F
| CN333 TA2 CO4 St Joseph Peninsula State Park Extension.pdf |
| CN333 TA CO3 Extension request |
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