CN-370000-CN645-T1CO5.pdf

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

About this file

This is a Florida Department of Environmental Protection (FDEP) Task Assignment Change Order involving CPH, Inc. as the consultant for the William J Rish Recreation Area Park Redevelopment project. The document pertains to Contract No. CN645, Task Assignment 01, and Change Order 05, with the primary parties being the Florida Department of Environmental Protection and CPH, LLC.

The change order authorizes an additional bathymetric survey for the boat dock design, with a fixed fee of $4,492.26. The survey will help identify water depths and distances from shore to complete the design of a boat dock extending to water depths greater than 2 feet. The task will involve a survey crew, project manager, field crew coordinator, senior professional surveyor, and administrative support, with work to be completed within 30 calendar days. Payment will be made upon approval of deliverables by FDEP, specifically a PDF copy of the updated survey topography. The change order does not alter the original task execution date of 12/13/2022 or the current task end date of 4/16/2025.

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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 05 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

Additional bathymetric survey for the boat dock design per the attached proposal dated 8/28/2024.

$ 28,844.76 $ 28,844.76 $ 9,100.00 $ 804,242.32 $ 813,342.32

$ 4,492.26 $ 4,492.26 $ 9,100.00 $ 808,734.58 $ 817,834.58

12/13/2022

2/25/2024

4/16/2025 n/a

Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2024.09.03 10:40:17 -04'00'

Theresa Carron T.Carron Digitally signed by T.Carron Date: 2024.09.03 10:43:10 -04'00'

Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2024.09.04 13:52:57 -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: Florida Date: 2024.09.04 14:34:06-05'00' Foxit PhantomPDF Version: 10.1.0

Jason L Toole

Mara Gambineri Mara Gambineri Digitally signed by Mara Gambineri Date: 2024.10.04 10:44:49 -04'00'

61437c 37501017177 087157/23 423001 U3100 134000 QK $ 4,492.26

$ 4,492.26

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 .