CN-370000-CN217-T64CO1.pdf
PDF 3 MB Posted
- Contract number
- CN217
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. 01) issued by the Florida Department of Environmental Protection (FDEP) under Contract CN217, Task Assignment 64, for Project 61534. The consultant performing the work is JGP Structural Group, Inc., represented by Jeffrey G. Parzych, P.E. The project involves repair work on the O'Leno State Park Suspension Bridge located in O'Leno State Park, Florida. The FDEP Project Manager is Ralph Perkins, and the Contract Manager is Ralph M. Perkins.
This change order authorizes lead paint testing and asbestos survey services for the O'Leno State Park Suspension Bridge as specified in the proposal dated October 24, 2023. Subtask 3A includes asbestos survey and lead paint testing coordination by JGP Structural Group, Inc., with actual testing performed by Southern Earth Sciences, Inc. The fixed price cost for this subtask is $1,900.00, consisting of $485.00 for JGP Structural Group services (1 principal engineer hour, 2 project engineer hours, and 3 clerical hours) and $1,415.00 for SES, Inc. services (11 project engineer hours at $115/hour and 6 asbestos sampling units at $25 per unit). The deliverable is a comprehensive Asbestos Survey and Lead Paint Testing Report to be provided in PDF format within four weeks of task execution, with a 30-day completion schedule. Payment will be made upon FDEP approval of deliverables. The change order was executed and digitally signed by all required parties between October 30 and November 8, 2023, with a task end date of December 31, 2024.
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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 64 01 61534
O'Leno State Park Suspension Bridge Repair
JGP Structural Group, Inc.
Jeffrey G. Parzych, P.E. 850-574-2888 jeff@jgpstructural.com
Ralph Perkins 850-245-2460 ralph.perkins@floridadep.gov
Lead paint testing and asbestos survey services for the O'Leno State Park Suspension Bridge per the attached proposal dated October 24, 2023.
$ 0.00 $ 28,730.00 $ 28,730.00 $ 0.00 $ 28,730.00 $ 28,730.00 $ 0.00 $ 1,900.00 $ 1,900.00 $ 0.00 $ 30,630.00 $ 30,630.00
07/31/2023
12/31/2024
12/31/2024
12/31/2024
Tamika Bass Tamika Bass Digitally signed by Tamika Bass Date: 2023.10.30 14:42:20 -04'00'
Richard Marcil Richard Rene Marcil, III Digitally signed by Richard Rene Marcil, III Date: 2023.11.01 16:30:35 -04'00'
Ralph Perkins Ralph M Perkins Digitally signed by Ralph M Perkins Date: 2023.11.02 09:03:35 -04'00'
Jeffrey Parzych, P.E. Jeffrey Parzych Digitally signed by Jeffrey Parzych Date: 2023.11.03 09:59:35 -04'00'
Michael W. Foster Jr., P.E. Michael W. Foster Jr., P.E.
Digitally signed by Michael W.
Foster Jr., P.E.
Date: 2023.11.08 10:03:56 -05'00'
61534 37502012060 080039/24 675002 U3200 131500 XR $ 1,900.00
$ 1,900.00
File details come from the government source that posted it. Updated .