CN-370000-CN217-T1CO2.pdf
PDF 287 KB Posted
- Contract number
- CN217
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. 02) issued by the Florida Department of Environmental Protection (FDEP) for Contract No. CN217. The contract involves JGP Structural Group, Inc., a structural engineering firm represented by Jeffrey Parzych, and the FDEP, with Mae Roth serving as the FDEP Contract Manager. The project concerns bathhouse repairs at Curry Hammock State Park, located in Florida.
The change order adds funding to cover additional structural design services and to enable completion of construction administration services as requested by the consultant on March 3, 2017. The net increase to the task amount is $2,844.90, bringing the total task amount including all change orders to $38,485.70, consisting of $528.60 in reimbursable costs and $37,957.10 in fixed fees. The additional services include providing revised design drawings to address previously undiscovered damage to roof trusses and metal truss plates, with deliverables consisting of updated final structural repair documents. The work is priced at $2,595.00 in fixed fees and $249.90 in reimbursable costs (printing and mileage), with a project schedule of 14 calendar days for completion. The task end date was extended from December 31, 2016 to December 31, 2017. The original task execution date was April 28, 2015, and all signatures were obtained between March 15 and March 23, 2017.
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Text version
Florida Department of Environmental Protection
TASK ASSIGNMENT CHANGE ORDER FORM
Required Si2natures: Adobe Signature
FDEP Contract No.: I Task Assignment No.: Change Order No.: I Project No.:
CN217 01 02 60974C
Project Location: Project Name:
Curry Hammock State Park Bathhouse Repairs Consultant Name:
JGP Structural Group, Inc Consultant Representative: Phone: Email:
Jeffrey Parzych 850.574.2888 jeff(a),jgpstructural.com FDEP Contract Manager: Phone: Email:
Mae Roth 850.245.2781 mae.roth(a),dep.state.fl.us Description and Justification of Change:
Adding funding to cover additional structural design to task established in TA I CO 1, and to enable completion of construction administration services per the attached request dated March 3, 20 I 7
Ch angein as . T. kA mount:
rwm ""' . - 1.• ·,�, Piied]t� TQW P ,".",.
Original Task Amount: $0.00 $ 27 927.10 $ 27.927.10 Task amount including all previous Change Orders: $ 278.70 $ 35 362.10 $35,640.80 Net increase/decrease in task amount for this Change Order: $ 249.90 $ 2 595.00 $2,844.90 Total Amounts with all Change Orders: $ 528.60 $ 37.957.10 $ 38.485.70
Ch ange,n as ime:. 1i k Ti" Original Task Execution Date: 4/28/2015
Original Task End Date: 12/31/2016
Present Task End Date: 12/31/2017
Net Change in Days: 0
New Task End Date: 12/31/2017
Approval Signatures:
Greg Turral Gre·g Turral DigilallysignedbyGregTurral Date: 2017.03.21 09:16:07 -Q4'00' 3-20-2017
Budget Representative, FDEP
Matt Haluck Project Manager, FDEP
Mae Roth Contract Manager, FDEP
Jeff Parzych Consultant
Michael W. Foster Jr., P.E.
Contract Authority, FDEP
Pro.feet# Grant# OritCode 60974C 37505000228
29 Digit FLAIR Code:
000- 012 (Effective 5-19-2016)
Signature
Haluck M Signature
Mae Roth Signature
Digitally signed by Haluck_M Date: 2017.03.15 09:11:02-04'00'
Digitally signed by Mae Roth Dale: 2017.03.21 13:26:31 -Q4'00'
Jeff re G Parz ch �:= signed by Jeffrey G y y Date: 2017.03.23 08:43:36 -04'00'
Signature
Signature
Date
3/15/2017 Date
3/20/2017 Date
3/23/2017
Date 1
Cat/Year Fund Module Object Code EO Amount
08813016 423001 U3200 131500 QK $2,884.90
Total: $2,884.90
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