CN-370000-CN217-T34CO3.pdf

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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 a project involving JGP Structural Group, Inc. The change order modifies Task Assignment No. 34 under FDEP Contract No. CN217, which pertains to the repair of the historic bandstand at Dade Battlefield Historic State Park. The consultant representative is Jeffrey G. Parzych, P.E., and the FDEP Contract Manager is Ralph Perkins. The change order was signed and approved by multiple FDEP officials, including Budget Representative Tamika Bass, Project Manager Stephen Pindel, Contract Manager Ralph Perkins, and Contract Authority Michael W. Foster Jr., P.E., as well as the consultant on the specified dates in June 2023.

The change order constitutes an extension of time only, with no modification to the contract amount. The original task amount was $9,610.61, consisting of $600.75 in reimbursement and $9,009.86 in fixed fees. The total with all change orders remains $18,512.16. The task execution period was extended by 184 days, from an original end date of June 30, 2023, to a new end date of December 31, 2023, to allow for project completion and closeout activities. No additional funds were allocated under this change order, and the net increase to the task amount is $0.00.

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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 34 3 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 06/14/2023 from JGP Structural Group, Inc..

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

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

12/15/2021

12/15/2022

06/30/2023

12/31/2023

Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2023.06.15 12:06:44 -04'00'

Stephen Pindel Stephen Pindel Digitally signed by Stephen Pindel Date: 2023.06.15 13:25:38 -04'00'

Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2023.06.15 13:49:20 -04'00'

Jeff G. Parzych, P.E. Jeffrey Parzych Digitally signed by Jeffrey Parzych Date: 2023.06.19 11:32:05 -04'00'

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

Digitally signed by Michael W.

Foster Jr., P.E.

Date: 2023.06.20 15:50:56 -04'00'

$ 0.00

From: Jeffrey Parzych To: Pindel, Stephen Subject: Dade Battlefield Historic State Park - Repair Historic Bandstand -Time Extension Request Date: Wednesday, June 14, 2023 5:01:21 PM

EXTERNAL MESSAGE

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

Stephen, Our current TA (TA#34) for project #61254C expires on 6/30/23. We are requesting an "extension of time only" for this project to allow for project completion and close-out. Please accept this email as our formal request for an extension of 184 days through 12/31/23.

Respectfully, Jeffrey G. Parzych, PE JGP Structural Group, Inc.

1221 W. Tharpe St Tallahassee, FL 32303 mailto:jeff@jgpstructural.com mailto:Stephen.Pindel@FloridaDEP.gov

CN217 TA34 CO3 61254C Dade Battlefield - Repair Historic Bandstand - JGP - Time Only (003).pdf
CN217 TA34 CO3 Dade Battlefield - Repair Historic Bandstand - Time Only.pdf

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