CN-370000-CN645-T1CO1.pdf

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Master Agreement FL|CN645|36a776d29a3c87ca61eb0e52c637185a
Contract number
CN645
Issued by
Florida

About this file

This is a Task Assignment Change Order Form from the Florida Department of Environmental Protection (FDEP) for a contract with CPH, Inc. for the William J Rish Recreation Area Rish Park Redevelopment project. The contract involves FDEP Contract No. CN645, with Jason Toole from CPH, Inc. as the Consultant Representative and Ralph Perkins as the FDEP Contract Manager.

The change order authorizes limited topographic survey, bathymetric survey, and geotechnical services based on a proposal dated 3/10/2023. The total fixed price cost is $46,995.96, broken down into two subtasks: Subtask 1 (Survey Services) at $36,626.28 and Subtask 2 (Geotechnical Services) at $10,369.68. The services include a topographic survey of a 30.7-acre upland project area and a 2.0-acre bathymetric area, along with geotechnical borings for proposed pavilions and boardwalks. The project has no change in task time, with the original and new task end date remaining 2/25/2024. Payment will be made upon approval of deliverables for each subtask by FDEP.

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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:

CN645 01 01 61437C

William J Rish Recreation Area Rish Park Redevelopment

CPH, Inc.

Jason Toole, PE (850) 563-1490 jtoole@cphcorp.com

Ralph Perkins (850) 245-2640 Ralph.Perkins@FloridaDEP.gov

Limited topographic survey, bathymetric survey and geotech services per the attached proposal dated 3/10/2023.

$ 28,844.76 $ 28,844.76 $ 28,844.76 $ 28,844.76

$ 0.00 $ 46,995.96 $ 46,995.96 $ 0.00 $ 75,840.72 $ 75,840.72

12/13/2022

2/25/2024

2/25/2024

2/25/2024

Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2023.03.13 14:30:14 -04'00'

Theresa Carron T.Carron Digitally signed by T.Carron Date: 2023.03.13 14:36:34 -04'00'

Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2023.03.13 14:52:57 -04'00'

Jason Toole, PE Digitally signed by Jason L Toole DN: C=US, O=Florida, dnQualifier=A01410C0000017E5468FDBE00018735, CN=Jason L Toole Reason: I am the author of this document Location: your signing location here Date: 2023.03.14 22:02:43-05'00' Foxit PhantomPDF Version: 10.1.0

Jason L Toole

Michael W. Foster Jr., PE

61437C 37501017177 087157/23 423001 U3100 131500 QZ $ 46,995.96

$ 46,995.96

Michael W. Foster Jr., P.E.

Digitally signed by Michael W.

Foster Jr., P.E.

Date: 2023.03.15 15:41:06 -04'00' o o

1031-C W. 23rd Street Panama City, FL 32405

Phone: 850.563.1490 Fax: 850.563.1495

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