CN-370000-CN217-T18CO1.pdf
PDF 5 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 a project involving JGP Structural Group, Inc., a consulting firm based in Tallahassee, Florida. The change order pertains to Contract No. CN217, Task Assignment No. 18, for the Blue Spring State Park Boardwalk at Swim Area project located at Blue Spring State Park in Florida. Key personnel include Jeffrey Parzych, P.E., as the consultant representative, and Jeffrey Whitfield as the FDEP Contract Manager.
This is a no-cost change order that extends the task end date by 365 days, from December 31, 2021, to December 31, 2022. The original task amount remains unchanged at $84,620.37, comprised of $9,832.90 in reimbursable expenses and $74,787.47 in fixed fees. The change order involves no adjustment to the contract amount, scope of work, or budget allocation. The original task execution date was July 21, 2020. All required signatures from the FDEP Budget Representative, Project Manager, Contract Manager, Contract Authority, and the consultant were obtained between December 21 and December 29, 2021, with the change order approved by email request dated December 5, 2021.
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Text version
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 18 1 61257C
Blue Spring State Park Boardwalk at Swim Area
JGP Structural Group, Inc.
Jeffrey Parzych P.E. 850-574-2888 jeff@jgpstructural.com
Jeffrey Whitfield 850-245-2781 Alyssa.Skehan@FloridaDEP.gov
This is a no-cost change order to extend the Task End Date by 365 days. (Email dated 12/5/21.)
$ 9,832.90 $ 74,787.47 $ 84,620.37 $ 9,832.90 $ 74,787.47 $ 84,620.37
$ 0.00 $ 0.00 $ 0.00 $ 9,832.90 $ 74,787.47 $ 84,620.37
7/21/2020
12/31/2021
12/31/2021
12/31/2022
Diane Langston A Diane Langston Digitally signed by A Diane Langston Date: 2021.12.21 10:14:30 -05'00'
Laura S. Ross Laura S. Ross Digitally signed by Laura S. Ross Date: 2021.12.21 11:41:19 -05'00'
Jeffrey Whitfield Jeffrey Whitfield Digitally signed by Jeffrey Whitfield Date: 2021.12.21 16:27:56 -05'00'
Jeffrey Parzych Jeffrey Parzych Digitally signed by Jeffrey Parzych Date: 2021.12.22 09:13:00 -05'00'
Michael W. Foster Jr., P.E. Michael W. Foster Jr.
Digitally signed by Michael W.
Foster Jr.
Date: 2021.12.29 13:59:54 -05'00'
$ 0.00
Ross, Laura S.
From: Jeffrey Parzych <jeff@jgpstructural.com> Sent: Monday, December 6, 2021 9:27 AM To: Ross, Laura S.
Subject: Re: Blue Spring Boardwalk/swim/launch
EXTERNAL MESSAGE
This email originated outside of DEP. Please use caution when opening attachments, clicking links, or responding to this email.
Laura, We are requesting a time extension regarding our Design and CA services for the Blue Spring State Park project, "Boardwalk Replacement at Swim Area", TA #17, Project #61257C. Our current TA is set to expire on 12/31/2021. We believe an extension of 365 days would be prudent. Please verify the TA number.
Respectfully, Jeffrey G. Parzych, PE Principal JGP Structural Group, Inc 1221 W. Tharpe Street Tallahassee, FL 32303 850.574.2888 850.445-0224 c
TALLAHASSEE/NAPLES-FT MYERS
On Fri, Dec 3, 2021 at 2:49 PM Ross, Laura S. <Laura.S.Ross@dep.state.fl.us> wrote:
Jeff –
Can you email me a request to extend your contract for this project by another year?
Thank you, Laura S. Ross, RA
Florida Department of Environmental Protection
Senior Architect
Bureau of Design and Construction
3800 Commonwealth Boulevard 260B, MS 520 Tallahassee, FL 32399
| CN217_TA18_CO#1.pdf |
| Cn217 TA18 CO1.pdf |
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