CN-370000-CN217-T34CO2.pdf

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Attached to
Master Agreement FL|CN217|e5871939eeef148f617e96187fb6176b
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) for contract CN217. The change order pertains to a task assignment (TA #34) with JGP Structural Group, Inc., an engineering firm based in Tallahassee, Florida, for repair work at Dade Battlefield Historic State Park. The primary contact for the consultant is Jeffrey G. Parzych, P.E., and the FDEP Contract Manager is Ralph Perkins. The change order was executed by authorized representatives from both FDEP and the consultant, with digital signatures dated December 2022.

The change order extends the project completion timeline by 197 days to allow for project completion and close-out activities. The original task end date of December 15, 2022 was extended to June 30, 2023. This is a time-only extension with no adjustment to task amounts; the total task amount remains $18,512.16, consisting of $1,252.30 in reimbursable expenses and $17,259.86 in fixed fees. The project is identified as Project No. 61254C for the Repair Historic Bandstand initiative. The time extension was requested by JGP Structural Group, Inc. in a letter dated November 29, 2022, citing the need for additional time to complete construction activities beyond the original contract period.

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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 34 2 61254C

Dade Battlefield Historic State Park Repair Historic Bandstand

JGP Structural Group, Inc.

Jeffrey G. Parzych, P.E. 850-574-2888 contact@jgpstructural.com

Ralph Perkins 850-245-2460 ralph.perkins@floridadep.gov

Extension of time only to allow for project completion and project close-out as per attached letter dated 11/29/2022 from JGP Structural Group, Inc..

$ 600.75 $ 9,009.86 $ 9,610.61 $ 1,252.30 $ 17,259.86 $ 18,512.16

$ 0.00 $ 1,252.30 $ 17,259.86 $ 18,512.16

12/15/2021

12/15/2022

12/15/2022

06/30/2023

Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2022.12.05 11:19:25 -05'00'

Stephen Pindel Stephen Pindel Digitally signed by Stephen Pindel Date: 2022.12.05 14:55:03 -05'00'

Ralph Perkins

Jeffrey G. Parzych, P.E.

Michael W. Foster Jr., P.E.

$ 0.00

Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2022.12.05 15:38:35 -05'00'

Jeffrey Parzych Digitally signed by Jeffrey Parzych Date: 2022.12.09 11:40:14 -05'00'

Michael W. Foster Jr., P.E.

Digitally signed by Michael W.

Foster Jr., P.E.

Date: 2022.12.13 08:57:34 -05'00' ll�IJ II JGP STRUCTURAL GROUP, INC.

November 29, 2022

Mr. John Goss, Project Manager Florida Department of Environmental Protection Carr Building 3800 Commonwealth Boulevard, MS #520 Tallahassee, Florida 32399

Engineering Solutions

RE: Dade Battlefield Historic State Park-Repair Historic Bandstand TA #34 CO2, (Proj. # 61254C) Time Extension Request

Dear Mr. Goss, JGP Structural Group, Inc. (JGP) is providing this letter to request a time extension of the task assignment for the noted project. While a portion of our services are complete, 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 with a new expiration date of 6/30/23 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.

M� Jeffrey G. Parzych, P.E.

President

1221 W. Tharpe Street, Tallahassee, Florida 32303

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

E-mail: contact@jgpstructural.com

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