CN-370000-CN645-T1CO4.pdf
PDF 391 KB Posted
- Contract number
- CN645
- Issued by
- Florida
About this file
This document is a Task Assignment Change Order Form from the Florida Department of Environmental Protection (FDEP) for a contract with CPH, Inc. related to the William J Rish Recreation Area Redevelopment project. The contract involves FDEP Contract No. CN645, Task Assignment No. 01, and Change Order No. 04, with the project number 61437C. Key parties include Jason Toole, PE from CPH as the consultant representative and Ralph Perkins as the FDEP Contract Manager.
The change order authorizes traffic engineering services with three specific tasks: Traffic Analysis ($7,768.80), Traffic Data Collection ($3,036.96), and Sufficiency Response ($2,998.92), totaling $13,804.68 in fixed price costs. The services include performing a traffic impact analysis to support an FDOT driveway application, collecting turning movement traffic data at up to three intersections, and responding to FDOT comments on the submitted analysis. The work is scheduled to be performed between February 29, 2024, and April 15, 2024, with payment to be made upon approval of deliverables for each subtask by FDEP. There are no reimbursable costs associated with this change order.
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Other files
| File | Type | Posted |
|---|---|---|
| CN-370000-CN645-T1CO3.pdf | ||
| CN-370000-CN645-T1CO6.pdf | ||
| CN-370000-CN645.pdf | ||
| CN-370000-CN645-T1CO7.pdf | ||
| CN-370000-GC167.pdf | ||
| CN-370000-CN645-CMC1.pdf | ||
| CN-370000-CN645-T1.pdf | ||
| CN-370000-CN645-T1CO2.pdf | ||
| CN-370000-CN645-T1CO1.pdf | ||
| CN-370000-CN645-T1CO5.pdf | ||
| CN-370000-CN645.pdf.crdownload | CRDOWNLOAD file |
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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 04 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
Traffic analysis, data collection, and sufficiency response to DOT per the attached proposal dated 2/15/2024.
$ 28,844.76 $ 28,844.76 $ 9,100.00 $ 790,437.64 $ 799,537.64
$ 13,804.68 $ 13,804.68 $ 9,100.00 $ 804,242.32 $ 813,342.32
12/13/2022
2/25/2024
4/16/2025 n/a
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2024.02.20 10:41:25 -05'00'
Theresa Carron T.Carron Digitally signed by T.Carron Date: 2024.02.20 12:01:10 -05'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2024.02.20 16:55:31 -05'00'
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: Florida Date: 2024.02.21 15:42:59-06'00' Foxit PhantomPDF Version: 10.1.0
Jason L Toole
Mara Gambineri Mara Gambineri Digitally signed by Mara Gambineri Date: 2024.03.04 15:16:19 -05'00'
61437C 37501017177 087157/23 423001 U3100 134000 QZ $ 13,804.68
$ 13,804.68
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 .