CN-370000-CN217-T32CO2.pdf

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

About this file

Document Summary

This is a Task Assignment Change Order Form (Change Order No. 02) issued by the Florida Department of Environmental Protection (FDEP) for contract CN217 with JGP Structural Group, a consulting firm represented by Jeffrey G. Parzych, PE. The project involves pedestrian bridges repairs at Dr. Von. D. Mizell-Eula Johnson State Park, located in Florida. The change order was approved on July 27-August 1, 2023, by authorized representatives including Budget Representative Tamika Bass, Project Manager Theresa Carron, Contract Manager Ralph Perkins, and Contract Authority Michael W. Foster Jr., PE.

The change order extends the task completion timeline by 243 days without modifying the contract amount. The original task execution date of August 30, 2021, with an end date of December 15, 2022, was extended to August 31, 2023, and subsequently to April 30, 2024. The total task amount remains $27,802.40, comprised of $1,057.40 in reimbursable expenses and $26,745.00 in fixed fees. The extension was requested to allow additional time to complete permitting and construction support activities. No budget adjustment was required for this time-only modification, as indicated by the $0.00 net increase in the change order.

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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 32 02 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

Time only to complete permitting and construction support per the attached letter dated 7/27/2023.

$ 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

8/31/2023

4/30/2024

Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2023.07.27 15:39:12 -04'00'

Theresa Carron T.Carron Digitally signed by T.Carron Date: 2023.07.27 16:02:55 -04'00'

Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2023.07.27 16:08:13 -04'00'

Jeff G. Parzych, PE Jeffrey Parzych Digitally signed by Jeffrey Parzych Date: 2023.07.28 11:00:56 -04'00'

Michael W. Foster Jr., P.E. Michael W. Foster Jr., P.E.

Digitally signed by Michael W.

Foster Jr., P.E.

Date: 2023.08.01 11:13:01 -04'00'

$ 0.00

Carron, Theresa

From: Jeffrey Parzych <jeff@jgpstructural.com> Sent: Thursday, July 27, 2023 11:47 AM To: Carron, Theresa Subject: Mizell-Eula Johnson State Park Pedestrian Bridges Time Extension

EXTERNAL MESSAGE

This email originated outside of DEP. Please use caution when opening attachments, clicking links, or responding to this email.

Theresa, We are providing this email to request a time extension for the project, "Repairs to Pedestrian Bridges" at Dr. Von. D. Mizell-Eula Johnson State Park, TA #32/co 1. The current TA for this project expires on 8/31/23. We are requesting an extension of time of 243 days through April 30, 2024.

Please contact me if you have any questions or comments regarding this request.

Respectfully, Jeffrey G. Parzych, PE Principal JGP Structural Group, Inc 1221 W. Tharpe Street Tallahassee, FL 32303 850.574.2888 850.445-0224 c

TALLAHASSEE/NAPLES-FT MYERS

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