CN-370000-CN217-T39.pdf

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

About this file

This is a Task Assignment Notification Form issued by the Florida Department of Environmental Protection (FDEP) under Contract CN217, Task Assignment No. 39. The contract involves JGP Structural Group, Inc., a structural engineering firm represented by Jeffrey G. Parzych, P.E., providing services for the Gasparilla Island State Park Assistant Lighthouse Keeper's Office Structural Repairs project located in Florida. The FDEP Contract Manager is Jeffrey Whitfield, and the Project Manager is John Goss. The document was executed on February 23, 2022, and approved by the FDEP Contract Authority, Michael W. Foster Jr., P.E.

JGP Structural Group, Inc. shall provide limited construction administration services for the project, including review of contractor submittals, performance of site visits, responses to contractor requests for information (RFIs), and development of field observation reports. The contract specifies a fixed price cost of $4,485.00 for construction administration services and a cost reimbursement allowance of $244.95 for mileage and tolls, resulting in a total task amount of $4,729.95. The work comprises four site visits (Subtasks 4A through 4E) with deliverables including RFI responses, shop drawing reviews, and on-site observation reports, all to be completed by December 31, 2022. Payment will be made upon FDEP approval of deliverables for each subtask. The funding is allocated from Project 61318C under the FDEP organization code and FLAIR code 37504003191.

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Text version

Florida Department of Environmental Protection

TASK ASSIGNMENT NOTIFICATION FORM

Required Signatures: Adobe Signature

FDEP Contract No.: Task Assignment No.: Owner’s Name: Project No.:

Project Location: Project Name:

Consultant Name:

Consultant Representative: Phone: Email:

FDEP Contract Manager: Phone: Email:

Description of Task:

Project Manager:

Schedule Start Date: Fixed Price Cost:

Completion Date: Cost Reimbursement not to exceed:

Total Task Amount:

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 39 FDEP 61318C

Gasparilla Island State Park Assistant Lighthouse Keeper's Office Structural Repairs

JGP Structural Group, Inc.

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

Jeffrey Whitfield 850-245-2630 jeffrey.whitfield@floridadep.gov

Consultant shall provide construction administration services. See attached proposal dated January 26, 2022.

John Goss

Upon execution $ 4,485.00 12/31/2022 $ 244.95

$ 4,729.95

Diane Langston A Diane Langston Digitally signed by A Diane Langston Date: 2022.02.23 13:36:44 -05'00'

John Goss John Goss Digitally signed by John Goss Date: 2022.02.23 16:25:57 -05'00'

Jeffrey Whitfield Jeffrey Whitfield Digitally signed by Jeffrey Whitfield Date: 2022.02.23 16:38:20 -05'00'

Jeffrey G. Parzych, P.E. Jeffrey Parzych Digitally signed by Jeffrey Parzych Date: 2022.02.28 07:49:02 -05'00'

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

Digitally signed by Michael W.

Foster Jr.

Date: 2022.03.04 10:15:59 -05'00'

61318C 37504003191 080039/21 675002 U3200 131200 XR $ 4,729.95

$ 4,729.95

Williams_BrD Text Box

Williams_BrD Text Box

CN217 TA 61318C Gasparilla House Repair JGP 01262022.pdf
GaspIS SP AssKprs CA Prop.pdf

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