CN-370000-CN217-T34CO4.pdf

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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 a consulting services contract with JGP Structural Group, Inc. The change order, dated December 2023, pertains to the Dade Battlefield Historic State Park project for the repair of a historic bandstand. The contract manager for FDEP is Ralph Perkins, and the consultant representative is Jeffrey G. Parzych, P.E., a principal at JGP Structural Group, Inc. located in Tallahassee, Florida.

The change order extends the contract timeline by 366 days, moving the task end date from December 31, 2023 to December 31, 2024, to accommodate continued Construction Administration services. The original task amount was $9,610.61, and with the inclusion of all previous change orders, the total remains $18,512.16, with no additional monetary increase associated with this time-only extension. The reimbursement and fixed fee components remain at $1,252.30 and $17,259.86 respectively. The original task execution date was December 15, 2021, with an original end date of December 15, 2022. All required approvals were obtained from FDEP's Budget Representative, Project Manager, Contract Manager, and Contract Authority, as well as from the consultant.

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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 4 61254C

Dade Battlefield Historic State Park Repair Historic Bandstand

JGP Structural Group, Inc.

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

Ralph P erkins 850-245-2460 ralph.perkins@floridadep.gov

Time-only contract extension to utilize Construction Administration services. See attached backup dated 12/13/23.

$ 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

12/31/2023

12/31/2024

Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2023.12.14 10:10:32 -05'00'

Jasper Gebhardt Jasper Gebhardt Digitally signed by Jasper Gebhardt Date: 2023.12.14 10:47:46 -05'00'

Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2023.12.14 13:00:54 -05'00'

Jeffrey G. Parzych Jeffrey Parzych Digitally signed by Jeffrey Parzych Date: 2023.12.19 11:34:43 -05'00'

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

Digitally signed by Michael W.

Foster Jr., P.E.

Date: 2023.12.20 15:34:20 -05'00'

$ 0.00

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