CN-370000-CN217-T16CO1.pdf
PDF 2 MB Posted
- Contract number
- CN217
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) for Contract No. CN217, Task Assignment No. 16, Change Order No. 01. The project involves Hillsborough River State Park Stationary Bridge repairs and is being executed by JGP Structural Group, Inc., with Jeff G. Parzych, P.E. serving as the consultant representative and Philip Stone as the FDEP Contract Manager.
The change order authorizes additional permitting services for Subtask 6, which encompasses consulting engineering services related to permit requirements from the Southwest Florida Water Management District (SWFWMD) and the Environmental Protection Council of Hillsborough County (EPCHC). The net increase in task amount is $2,685.00, bringing the total task amount to $30,655.40. The fixed price cost breakdown includes Principal Engineer services ($320.00 for 2 hours at $160.00/hour), Project Engineer services ($2,185.00 for 23 hours at $95.00/hour), and Clerical services ($180.00 for 4 hours at $45.00/hour). The project execution period remains unchanged with an original start date of July 15, 2020 and end date of March 30, 2021. Payment will be made upon approval of deliverables, which include telephone conference meeting notes and permit applications and/or approvals from the noted regulatory agencies. The funding source is designated through FDEP Grant FD073, with project code 6I401 and an estimated permit processing timeline of six weeks.
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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:
CN217 16 01 6i401
Hillsborough River SP Stationary Bridge
JGP Structural Group, Inc.
Jeff G. Parzych, P.E. 850.574.2888 jeff@jgpstructural.com
Philip Stone 850-245-3570 Philip.Stone@Floridadep.gov
Additional permitting services per the proposal dated 10/1/20.
$ 1,310.40 $ 26,660.00 $ 27,970.40 $ 1,310.40 $ 26,660.00 $ 27,970.40
$ 0.00 $ 2,685.00 $ 2,685.00 $ 1,310.40 $ 29,345.00 $ 30,655.40
7/15/20
3/30/2021
3/30/2021
3/30/2021
Greg Turral
Theresa Carron
Philip Stone
Jeffrey G. Parzych, P.E.
Michael W. Foster Jr., P.E.
6I401 FD073 37504015037 080039/20 423001 U3200 131500 QK $ 2,685.00
$ 2,685.00
File details come from the government source that posted it. Updated .