CN-370000-CN217-T41CO1.pdf
PDF 1 MB Posted
- 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., a structural engineering firm. The change order modifies Task Assignment No. 41 under FDEP Contract No. CN217, which pertains to the Gasparilla Island State Park Boardwalk Replacement project located at Gasparilla Island State Park in Florida. The consultant representative is Jeffrey G. Parzych, P.E., and the FDEP Contract Manager is Ralph Perkins.
The change order extends the project timeline by 181 days to allow for project completion and project close-out, as requested in the consultant's letter dated November 29, 2022. The original task end date of December 31, 2022, has been extended to June 30, 2023. There is no change to the task amount; the total remains $2,953.30, comprised of $163.30 in reimbursement and $2,790.00 in fixed fees. The change order was approved by all required parties, including FDEP's Budget Representative, Project Manager, Contract Manager, and Contract Authority between December 2, 2022, and December 13, 2022.
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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 41 1 61319C
Gasparilla Island State Park Boardwalk Replacement
JGP Structural Group, Inc.
Jeffrey 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.
$ 163.30 $ 2,790.00 $ 2,953.30 $ 163.30 $ 2,790.00 $ 2,953.30 $ 0.00 $ 0.00 $ 0.00
$ 163.30 $ 2,790.00 $ 2,953.30
05/06/22
12/31/22
12/31/22
6/30/23
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2022.12.02 10:07:30 -05'00'
John Goss John Goss Digitally signed by John Goss Date: 2022.12.02 16:06:16 -05'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2022.12.05 11:28:00 -05'00'
Jeffrey Parzych, P.E. Jeffrey Parzych Digitally signed by Jeffrey Parzych Date: 2022.12.09 11:51:04 -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 08:55:25 -05'00'
61319C
$ 0.00
CN217 TA41 CO1
| CN217 TA41 CO1 61319C Gasparilla JGP 12012022.pdf |
| CN217 TA23 CO 1 |
Gasparilla Brdwlk Time Ext CO.pdf
File details come from the government source that posted it. Updated .