CN-370000-CN217-T16CO4.pdf.crdownload
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- Contract number
- CN217
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form from the Florida Department of Environmental Protection (FDEP) for work performed by JGP Structural Group, Inc. The change order modifies an existing contract (CN217) for the Hillsborough River State Park Stationary Bridge project located in Hillsborough County, Florida. The FDEP Contract Manager is Jeffrey Whitfield, and the consultant representative is Jeff Parzych. The document was digitally signed and approved by all required parties on February 22, 2022, with final contract authority approval on March 4, 2022.
The change order adds a No-Rise certification study requirement (Subtask 7) for Hillsborough County, with a scope based on a proposal dated January 5, 2022. The reimbursement amount for this change is $1,310.40, with a fixed fee of $26,660.00, totaling $27,970.40 for the change order itself. The cumulative task amount including all previous change orders increases to $49,480.46. The original task end date of March 30, 2021 is extended by 30 calendar days to April 25, 2022. Funding is allocated through FDEP's FLAIR code system using grant and organizational codes 6I401, with the total approved change order amount of $49,480.46 documented in the financial allocation section.
Text of this file
Florida Department of Environmental Protection
TASK ASSIGNMENT CHANGE ORDER FORM
(Revised 9-26-2018) 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 4 6I401
Hillsborough River State Park Stationary Bridge
JGP Structural Group, Inc.
Jeff Parzych 850-574-2888 contact@jgpstructural.com
Jeffrey Whitfield 850-245-2630 Jeffrey.Whitfield@FloridaDEP.gov
Hillsborough County requires a No-Rise certification study for this project, subtask 7. Proposal is per the dated attached document dated 01/05/2022 and includes additional days.
$ 1,310.40 $ 26,660.00 $ 27,970.40 $ 1,310.40 $ 29,345.00 $ 30,655.40
$ 0.00 $ 18,825.06 $ 18,825.06 $ 1,310.40 $ 48,170.06 $ 49,480.46
7/15/2020
3/30/2021
3/26/2022
4/25/2022
Diane Langston A Diane Langston Digitally signed by A Diane Langston Date: 2022.02.22 08:33:53 -05'00'
John Goss John Goss Digitally signed by John Goss Date: 2022.02.22 08:37:07 -05'00'
Jeffrey Whitfield Jeffrey Whitfield Digitally signed by Jeffrey Whitfield Date: 2022.02.22 10:32:19 -05'00'
Jeff Parzych Jeffrey Parzych Digitally signed by Jeffrey Parzych Date: 2022.02.22 10:45:55 -05'00'
Michael W. Foster, Jr., P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2022.03.04 15:56:01 -05'00'
6I401 FD073 37504015037 080039/21 423001 U3200 131200 QK $ 18,825.06
$ 18,825.06
| TACO #4 - CN217 - TA16 - 6i401 Hillsborough Bridge - JGP - 01142022_.pdf |
| Hillsborough Riv SP Hydr CO Prop.pdf |
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