CN-370000-CN217-T18CO5.pdf
PDF 2 MB Posted
- Contract number
- CN217
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order #05) issued by the Florida Department of Environmental Protection (FDEP) for Contract No. CN217, Task Assignment No. TA18. The consultant performing work under this contract is JGP Structural Group, Inc., with Jeffrey Parzych, P.E. serving as the consultant representative. Ralph Perkins is the FDEP Contract Manager overseeing the project. The change order was executed on February 28 through March 7, 2024, with all required signatures from FDEP budget, project management, and contract authority representatives, as well as the consultant.
This change order authorizes the implementation of Lead-Based Paint and Asbestos (LBP&A) survey and testing services for the Blue Spring State Park Boardwalk at Swim Area project, based on a proposal dated February 26, 2024. Subtask 2D includes asbestos survey and lead paint testing to be performed by Southern Earth Sciences, Inc., with coordination by JGP Structural Group. The fixed price cost for this change order is $3,330.00, comprised of $600.00 in JGP labor charges and $2,730.00 for testing services. The total contract amount with all previous change orders increases to $105,386.37. Work is scheduled to be completed within three weeks to 21 days from receipt of the task assignment. The original task execution date was July 21, 2020, with the current task end date set at June 29, 2024. Payment will be made upon FDEP approval of deliverables, which include a comprehensive Asbestos Survey and Lead Paint Testing Report.
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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 CO5 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
This Change Order is to implement LBP&A services for the Blue Spring Boardwalk/Swim/Launch Project per Proposal dated February 26, 2024.
$ 9,823.90 $ 74,787.47 $ 84,611.37 $ 9,823.90 $ 92,232.47 $ 102,056.37
$ 0.00 $ 3,330.00 $ 3,330.00 $ 9,823.90 $ 95,562.47 $ 105,386.37
07/21/2020
12/31/2021
06/29/24
06/29/24
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2024.02.28 16:29:23 -05'00'
Del Cobb Del Cobb Digitally signed by Del Cobb Date: 2024.02.29 10:21:11 -05'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2024.02.29 13:25:26 -05'00'
Jeff Parzych, P.E. Jeffrey Parzych Digitally signed by Jeffrey Parzych Date: 2024.03.02 13:27:39 -05'00'
Bryan Bradner Bryan Bradner Digitally signed by Bryan Bradner Date: 2024.03.07 08:54:59 -05'00'
61257C 37503000101 088130/20 408001 U3200 131500 XR $ 3,330.00
$ 3,330.00
Matson_d Text Box
TA18
| BLANK TA CO FORM 2.pdf |
| BlueSpring SP AddSer CO (002).pdf |
File details come from the government source that posted it. Updated .