CN-370000-CN802-T7CO1.pdf

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Master Agreement FL|CN802|5b51e9e7bd3d59895b0119bd0be51065
Contract number
CN802
Issued by
Florida

About this file

Task Assignment Change Order Form Summary

This is a Task Assignment Change Order Form (DRP-085) issued by the Florida Department of Environmental Protection (FDEP), Division of Recreation and Parks, for a project located at Big Shoals State Park. The document modifies an existing contract (CN802) between FDEP and CPH Consulting LLC, a private consulting firm. The change order is managed by Amy Daly (Consultant's Representative) and Laurinda Micheels (FDEP Contract Manager), with approval authority vested in David Matson of FDEP.

The change order pertains to Task Assignment No. 7 under Project Number 61518C for an Underground Septic System replacement project. This is a no-cost time extension with no increase or decrease to the contracted amount of $17,368.14. The original task execution date was March 10, 2025, with an original end date of June 30, 2026. The new task end date has been extended to December 18, 2029, representing a net change of 1,267 days. The funding information section for the 29-digit FLAIR code was left blank with a total amount of $0.00, indicating no additional budget allocation was required for this time extension. The change order was executed and digitally signed by all required parties between April 30 and May 5, 2026.

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Text version

Division of Recreation and Parks

Task Assignment Change Order Form

FLORIDA DEPARTMENT OF

ENVIRONMENTAL PROTECTION

DRP-085

Rev. /2025 1 of 2

FDEP Contract No: Project Number:

Task Assignment No: Change Order No:

Project Location Project

Consultant’s Name:

Consultant’s Representative:

Phone: Email:

FDEP Contract Manager:

Phone: Email:

Description 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 Task amount with All Change Orders

CN802 61518C

7 1

Underground Septic System

CPH Consulting LLC Amy Daly

(407) 425-0452 adaly@cphcorp.com

Laurinda Micheels

(850) 245-2781 laurinda.micheels@floridadep.gov

This is a no-cost time extension. Task end date has been extended per the attached extension request dated 04/24/2026.

$ 0.00 $ 17,368.14

$ 0.00 $ 17,368.14

$ 0.00 $ 0.00

$ 0.00 $ 17,368.14

$ 17,368.14

$ 17,368.14

$ 0.00

$ 17,368.14

Big Shoals State Park

FFLORIDAA DEPARTMENTT OF Divisionn off Recreationn andd Parks ENVIRONMENTALL PROTECTIONN Task Assignment Change Order Form

Change in Task Time

Original Task Execution Date Original Task End Date Present Task End Date Net Change in Days New Task End Date

Funding Information

29 Digit FLAIR Code:

Project # Grant # Org Code Cat/Year Fund Module Object Code

EO Amount

Total

Approval Signatures

Budget Representative, FDEP

Project Manager, FDEP

Contract Authority, FDEP

Signature

Signature

Signature

Signature

Signature

Date

Date

Date

Date

Date

DRP-085

Rev. 2 of 2 d nta atu

03/10/2025 06/30/2026 06/30/2026 1,267 12/18/2029

$ 0.00

Tamika Bass

John Williamson

Amy Daly

Laurinda Micheels

David Matson

Tamika Bass Digitally signed by Tamika Bass Date: 2026.04.30 10:19:47 -04'00'

John Williamson Digitally signed by John Williamson Date: 2026.05.01 14:35:51 -04'00'

Amy E. Daly Digitally signed by Amy E. Daly Date: 2026.05.04 09:07:37 -04'00'

Laurinda Micheels

Digitally signed by Laurinda Micheels Date: 2026.05.04 15:48:26 -04'00'

David Matson Digitally signed by David Matson Date: 2026.05.05 15:43:30 -04'00'

Amy Daly, LEED AP

DIRECTOR OF ENVIRONMENTAL SERVICES

adaly@cphcorp.com office 407.425.0452 x 2025

From: Amy Daly To: Williamson, Johnathan C Cc: Estefania P. Rey Subject: Big Shoals Septic Replacement Project #61518C- Time Extension Request Date: Friday, April 24, 2026 3:08:45 PM Attachments: image001.png

EXTERNAL MESSAGE

This email originated outside of DEP. Please use caution when opening attachments, clicking links, or responding to this email.

John- as follow up to our conversation today, I am requesting a time extension on the Big Shoals Septic Replacement Project for 12/18/2029. Thank you Amy

BUILDING STRONGER COMMUNITIES TOGETHER

John Williamson Florida Department of Environmental Protection Bureau of Design and Construction Construction Project Manager Johnathan.Williamson@FloridaDEP.gov Office: 850-245-2671

This communication does not constitute an authorization for any increase in the scope of work, cost, or time for the project being discussed. All changes to services, cost, or time must be accomplished in accordance with the formal process outlined in the contract. The DEP objects to, and shall not be responsible for, any changes to services, costs, or additional time not authorized by an executed Contract Amendment, Task Assignment Change Order, Construction Change Order, or Construction Change Directive, as appropriate for this contract.

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