CN-370000-CN217-T21CO1.pdf
PDF 4 MB Posted
- Contract number
- CN217
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. 01) issued by the Florida Department of Environmental Protection (FDEP) under Contract No. CN217. The change order modifies Task Assignment No. 21 for the Assistant Lighthouse Keeper's Structural Repairs project located at Gasparilla Island State Park. The consultant performing the work is JGP Structural Group, Inc., represented by Jeffrey G. Parzych, P.E., with FDEP Contract Manager Alyssa Skehan overseeing the project.
The change order authorizes additional design services to address exposed electrical wiring at the Assistant Lighthouse Keeper's House. Subtask 5 involves coordinating with an electrical consultant to provide design solutions for covering existing electrical wiring through box coverings, conduit placement, and related methods, with deliverables consisting of layout drawings and design documents submitted to the Department of Housing and Community Development (DHR) for review. The net increase in task amount for this change order is $3,968.45, consisting of $92.45 in reimbursable costs and $3,876.00 in fixed fees. This brings the total task amount including all change orders to $20,160.25. Fixed price costs are allocated to JGP Structural Group, Inc. ($2,670.00) and Applied Research and Design, Inc. ($1,206.00), with reimbursable costs covering mileage, tolls, and printing ($92.45). The task execution period remains unchanged with an end date of December 31, 2021, and a 4-week project schedule for completion of the electrical wire covering work.
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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 21 01 61318C
Gasparilla Island State Park Assistant Lighthouse Keeper's Structural Repairs
JGP Structural Group, Inc.
Jeffrey G. Parzych, P.E. 850-574-2888 jeff@jgpstructural.com
Alyssa Skehan or successor 850-245-2781 Alyssa.Skehan@FloridaDEP.gov
Consultant to provide additional design services to address exposed electrical wiring at the Assistant Lighthouse Keeper's House. See attached proposal dated 2/16/2021.
$ 351.80 $ 15,840.00 $ 16,191.80 $ 351.80 $ 15,840.00 $ 16,191.80 $ 92.45 $ 3,876.00 $ 3,968.45 $ 444.25 $ 19,716.00 $ 20,160.25
12/8/2020
12/31/2021
12/31/2021
12/31/2021
Greg Turral Gregory Turral Digitally signed by Gregory Turral Date: 2021.02.17 15:24:24 -05'00'
C Hewitt C Hewitt Digitally signed by C Hewitt Date: 2021.02.18 14:02:11 -05'00'
Alyssa Skehan Alyssa Skehan Digitally signed by Alyssa Skehan Date: 2021.02.18 14:10:39 -05'00'
Jeffrey G. Parzych, P.E. Jeffrey Parzych Digitally signed by Jeffrey Parzych Date: 2021.02.19 15:37:07 -05'00'
Michael W. Foster Jr., P.E. P.T. Stone Digitally signed by P.T. Stone Date: 2021.02.22 13:16:52 -05'00'
61318C 37504003191 080039/21 675002 U3200 131500 XR $ 3,968.45
$ 3,968.45
File details come from the government source that posted it. Updated .