CN-370000-CN217-T18CO4.pdf
PDF 5 MB Posted
- Contract number
- CN217
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (CO4) issued by the Florida Department of Environmental Protection (FDEP) for contract CN217, Task Assignment TA18. The document involves FDEP and JGP Structural Group, Inc., an engineering consulting firm based in Tallahassee, Florida. The project concerns the Boardwalk at Swim Area at Blue Spring State Park (Project No. 61257C). Key personnel include Jeffrey Parzych, P.E., as the consultant representative, and Ralph Perkins as the FDEP Contract Manager. The change order was executed in October 2023 with all required approvals obtained from FDEP budget, project management, and contract authority representatives.
This change order adds $10,695.00 to the task for specialized coordination services related to swim platform removal, storage, and modification of existing project documents. The work consists of three subtasks: Subtask 4(b) Final Drawings (Modification) at $5,655.00; Subtask 4(c) Final Drawings (As-Built Modification) at $2,905.00; and Subtask 7(b) Construction Administration Services at $2,135.00. All work is fixed-price compensation with defined hourly rates for Principal Engineer ($160.00), Project Engineer ($95.00), CADD Designer/Technician ($60.00), and Clerical staff ($45.00). The task end date was extended to June 29, 2024, with no change in calendar days from the present end date. The total contract value with all change orders is $102,056.37, funded through FDEP's 29-digit FLAIR code. Payment will be made upon FDEP approval of deliverables for each subtask.
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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 TA18 CO4 61257C
Blue Spring State Park Boardwalk at Swim Area
JGP Structural Group, Inc.
Jeffrey Parzych P.E. (850) 574-2888 jeff@jgpstructural.com
Ralph Perkins, or successor (850) 245-2460 Ralph.Perkins@FloridaDEP.gov
Special coordination with respect to the Swim Platform removal and storage as well as modification of the existing documents will be required per Proposal dated 10/05/2023.
$ 9,823.90 $ 74,787.47 $ 84,611.37 $ 9,823.90 $ 81,537.47 $ 91,361.37
$ 0.00 $ 10,695.00 $ 10,695.00 $ 9,823.90 $ 92,232.47 $ 102,056.37
07/21/2020
12/31/2021
6/29/24
6/29/24
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2023.10.17 13:15:32 -04'00'
Del Cobb Del Cobb Digitally signed by Del Cobb Date: 2023.10.18 10:16:41 -04'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2023.10.18 15:56:46 -04'00'
Jeff Parzych, P.E. Jeffrey Parzych Digitally signed by Jeffrey Parzych Date: 2023.10.20 10:18:14 -04'00'
Bryan Bradner Bryan Bradner Digitally signed by Bryan Bradner Date: 2023.11.21 10:07:18 -05'00'
61257C 37503000101 088130/20 408001 U3200 131500 PF $ 10,695.00
$ 10,695.00
Cobb_DL Text Box
CO#4
Cobb_DL Text Box
CO#4
| BLANK TA CO FORM.pdf |
| Blue Springs JGP CO Prop.pdf |
File details come from the government source that posted it. Updated .