CN-370000-CN645-T1CO6.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. regarding the William J Rish Recreation Area Rish Park Redevelopment project. The document involves multiple FDEP representatives including Tamika Bass (Budget Representative), Theresa Carron (Project Manager), Ralph Perkins (Contract Manager), and Bryan Bradner (Contract Authority), with Jason Toole, PE serving as the consultant representative from CPH, Inc.

The change order extends the original task assignment by 365 days, moving the task end date from 2/25/2024 to 4/16/2026, to provide additional time for completing design, permitting, and construction administration. The total task amount remains unchanged at $817,834.58, with $9,100.00 in reimbursement and $808,734.58 in fixed fee. The project is identified with FDEP Contract No. CN645, Task Assignment No. 01, Change Order No. 06, and Project No. 61437C. The change order is supported by an attached request dated 1/27/2025 and requires signatures from various FDEP representatives and the consultant.

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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 06 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 time only to complete design, permitting, and construction administration per the attached request dated 1/27/2025.

$ 28,844.76 $ 28,844.76 $ 9,100.00 $ 808,734.58 $ 817,834.58

$ 0.00 $ 9,100.00 $ 808,734.58 $ 817,834.58

12/13/2022

2/25/2024

4/16/2025

4/16/2026

Tamika Bass

Theresa Carron

Ralph Perkins

Jason Toole, PE

Bryan Bradner

$ 0.00

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