CN-370000-CN217-T32CO3.pdf
PDF 249 KB Posted
- Contract number
- CN217
- Issued by
- Florida
About this file
This document is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP). The change order modifies an existing task assignment under FDEP Contract No. CN217 between FDEP and JGP Structural Group, Inc, a structural engineering firm based in Tallahassee, Florida. The project is located at Mizell-Johnson State Park and involves pedestrian bridge design and construction support.
Change Order No. 03 extends the task timeline by 300 days to accommodate permitting and construction support activities. The original task end date of December 15, 2022 was previously extended to April 30, 2024, and is now further extended to February 24, 2025. The change order involves no financial adjustment; the total task amount remains $27,802.40, comprised of $1,057.40 in reimbursable expenses and $26,745.00 in fixed fees. The change order was requested by the consultant on March 26, 2024 to address additional permitting requirements and was approved by all required FDEP representatives and contract authority between March 29 and April 5, 2024.
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Text version
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 03 61348C
Mizell-Johnson State Park Pedestrian Bridges
JGP Structural Group, Inc
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 03/26/2024
$ 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
4/30/2024
02/24/2025
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2024.03.29 10:23:34 -04'00'
Joel Pollock Joel Pollock Digitally signed by Joel Pollock Date: 2024.03.29 10:28:39 -04'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2024.03.29 13:08:16 -04'00'
Jeffrey G. Parzych, P.E. Jeffrey Parzych Digitally signed by Jeffrey Parzych Date: 2024.04.03 09:15:19 -04'00'
Michael W. Foster Jr., P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2024.04.05 09:54:35 -04'00'
$ 0.00
Pollock, Joel
From: Jeffrey Parzych <jeff@jgpstructural.com> Sent: Tuesday, March 26, 2024 11:58 AM To: Pollock, Joel Subject: Mizell-Johnson Pedestrian Bridges
EXTERNAL MESSAGE
This email originated outside of DEP. Please use caution when opening attachments, clicking links, or responding to this email.
Joel, We are providing this email to request a time extension for the project, "Pedestrian Bridges" at Mizell-Eula Johnson State Park (61348C). The current TA for this project expires on 04/30/24. We are requesting an extension of time of 300 days beyond the current expiration date to address permitting.
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
CN217 TA32
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