CN-370000-CN217-T32CO1.pdf

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Attached to
Master Agreement FL|CN217|e5871939eeef148f617e96187fb6176b
Contract number
CN217
Issued by
Florida

About this file

This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) for Contract CN217, Task Assignment 32. The change order involves JGP Structural Group, Inc., a consulting engineering firm, and covers repairs to pedestrian bridges at Dr. Von D. Mizell-Eula Johnson State Park. The document is signed by authorized representatives from both FDEP and JGP Structural Group, including the FDEP Contract Manager, Project Manager, and Budget Representative, as well as the consultant representative Jeffrey G. Parzych, PE.

The change order is a time-only extension with no adjustment to the reimbursable or fixed fee amounts. The original task amount of $1,057.40 in reimbursement and $26,745.00 in fixed fees remains unchanged, for a total of $27,802.40. The original task execution date was August 30, 2021, with an end date of December 15, 2022. The change order extends the task completion deadline by 259 days to August 31, 2023, to allow for completion of permitting and construction support activities. No additional costs are incurred with this extension, as indicated by the $0.00 net increase in the change order. All required signatures were executed on December 9 and December 12, 2022.

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Florida Department of Environmental Protection

TASK ASSIGNMENT CHANGE ORDER FORM

( ) 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 32 01 61348C

Mizell-Johnson State Park Pedestrian Bridges

JGP Structural Group

Jeffrey G. Parzych, PE 850-574-2888 jeff@jgpstructural.com

Ralph Perkins 850-245-2460 Ralph.Perkins@FloridaDEP.gov

Change order for time only to complete permitting and construction support per the attached letter dated 12/8/2022.

$ 1,057.40 $ 26,745.00 $ 27,802.40 $ 1,057.40 $ 26,745.00 $ 27,802.40

$ 0.00 $ 1,057.40 $ 26,745.00 $ 27,802.40

8/30/2021

12/15/2022

12/15/2022

8/31/2023

Theresa Carron T.Carron Digitally signed by T.Carron Date: 2022.12.09 15:40:32 -05'00'

Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2022.12.09 15:50:10 -05'00'

Jeff G. Parzych, PE Jeffrey Parzych Digitally signed by Jeffrey Parzych Date: 2022.12.09 16:04:10 -05'00'

Michael W. Foster Jr., PE

$ 0.00

Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2022.12.12 07:53:37 -05'00'

Michael W. Foster Jr., P.E.

Digitally signed by Michael W.

Foster Jr., P.E.

Date: 2022.12.12 13:14:01 -05'00'

�JGP STRUCTURAL GROUP, INC.

December 8, 2022

Theresa Carron, Project Manager Florida Department of Environmental Protection Carr Building 3800 Commonwealth Boulevard, MS #520 Tallahassee, Florida 32399

Engineering Solutions

RE: Dr. Von D. Mizell-Eula Johnson State Park-Repairs to Pedestrian Bridges

CN217 TA32 CO1

Time Extension Request

Dear Mrs. Carron, JGP Structural Group, Inc. (JGP) is providing this letter to request a time extension of the task assignment for the noted project. Additional time will be required to complete and construct the project. The current TA for this project expires on 12/15/2022 and we believe an extension of 259 days with a new expiration date of 8/31/23 would be prudent.

If you have any questions or require additional information regarding this letter, please do not hesitate to contact our office.

Sincerely, JGP Structural Group, Inc.

�c;;:- President

1221 W. Tharpe Street, Tallahassee, Florida 32303 E-mail: contact@jgpstructural.com

Phone: 850-574-2888, Fax: 850-574-2788

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