CN-370000-CN217-T20CO3.pdf
PDF 7 MB Posted
- Contract number
- CN217
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. 3) issued by the Florida Department of Environmental Protection (FDEP) under Contract CN217, Task Assignment No. 20, for Project 6S103C. The contracting consultant is JGP Structural Group, Inc., with Jeff Parzych serving as the consultant representative and Don Page as the FDEP Contract Manager. The project involves Buildings and Structure Repairs at Perdido Key State Park. All required signatures have been digitally executed by authorized representatives from both FDEP and the consulting firm, with final approval signed on July 7, 2022.
The change order authorizes JGP Structural Group, Inc. to revise Perdido Key drawings and provide two additional site visits for substantial completion inspection of the East and West day use areas. The scope includes three subtasks: Subtask 3B (Final Drawings/Modify Drawings) at $2,260.00; Subtask 4A (Permitting Services/Modify Permit) at $1,300.00; and Subtask 6 (Construction Administration Services with two additional site visits) at $2,720.00 fixed price plus $382.70 in reimbursable mileage costs. The total change order amount is $6,662.70 in additional costs, increasing the cumulative task amount from $53,945.88 to $60,608.58. The original task end date of June 30, 2022 is extended to June 30, 2023, with no net change in the number of days. 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 20 3 6S103C
Perdido Key State Park Buildings and Structure Repairs
JGP Structural Group, Inc.
Jeff Parzych 850-574-2888 jeff@jgpstructural.com
Don Page 850-245-2671 don.page@FloridaDEP.gov
JGP will revise the Perdido Key drawings and provide two additional site visits for substantial completion inspection for the East and West day use areas. See proposal dated June 20, 2022.
$ 478.38 $ 4,765.00 $ 5,243.38 $ 2,955.88 $ 50,990.00 $ 53,945.88 $ 382.70 $ 6,280.00 $ 6,662.70
$ 3,338.58 $ 57,270.00 $ 60,608.58
12/4/2020
6/30/2022
6/30/2023
6/30/2023
Diane Langston Diane Langston Digitally signed by Diane Langston Date: 2022.06.30 11:18:10 -04'00'
Don Page Don Page Digitally signed by Don Page Date: 2022.06.30 11:32:01 -04'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2022.07.06 10:11:43 -04'00'
Jeff Parzych Jeffrey Parzych Digitally signed by Jeffrey Parzych Date: 2022.07.06 14:34:07 -04'00'
Michael W. Foster Jr., P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2022.07.07 08:53:28 -04'00'
6S103 FD084 37501000135 080039/21 675002 U3200 131500 XR $ 6,662.70
$ 6,662.70
| Consultant Change Order 3.pdf |
| Perdido Key JGP CO3 Rev (002).pdf |
File details come from the government source that posted it. Updated .