CN-370000-CN217-T39CO1.pdf
PDF 1010 KB Posted
- 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 Contract No. CN217. The document formalizes a change order between FDEP and JGP Structural Group, Inc., a structural engineering firm represented by Jeff G. Parzych, P.E. The contract manager is Ralph Perkins of FDEP, and the project manager is John Goss. The change order was approved and digitally signed by all required parties between December 2 and December 13, 2022.
The change order pertains to Task Assignment No. 39 for structural repairs to the Assistant Keeper's House at Gasparilla Island State Park (Project No. 61318C). The modification is an extension of time only, with no change to the task amount, which remains at $4,729.95 (comprising $244.95 in reimbursement and $4,485.00 in fixed fees). The original task execution date was March 4, 2022, with an original end date of December 31, 2022. The change order extends the task end date by 181 days to June 30, 2023, to allow for project completion and project close-out as requested by JGP Structural Group in their letter dated November 29, 2022. No additional funding or budget modification was required for this extension.
View the file
Other files
Show 40 more
50 files listed here. See the rest on GovTribe.
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 39 1 61318C
Gasparilla Island State Park Assistant Keeper's House Repairs
JGP Structural Group
Jeff G. Parzych, P.E. 850-574-2888 jeff@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.
$ 244.95 $ 4,485.00 $ 4,729.95 $ 244.95 $ 4,485.00 $ 4,729.95 $ 0.00 $ 0.00 $ 0.00
$ 244.95 $ 4,485.00 $ 4,729.95
03/04/22
12/31/22
12/31/22
6/30/2023
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2022.12.02 10:05:52 -05'00'
John Goss John Goss Digitally signed by John Goss Date: 2022.12.02 16:07:25 -05'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2022.12.05 11:30:28 -05'00'
Jeff G. Parzych, P.E. Jeffrey Parzych Digitally signed by Jeffrey Parzych Date: 2022.12.07 07:02:53 -05'00'
Michael W. Foster, Jr., P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2022.12.13 08:58:17 -05'00'
61318C
$ 0.00
31 181
CN217 TA39 CO1
| CN217 TA39 CO1 61318C Gasparilla House JGP 12012022.pdf |
| Gasparilla AsKeep TimeExt CO.1.pdf |
File details come from the government source that posted it. Updated .