CN-370000-CN217-TA25CO1.pdf
PDF 11 MB Posted
- Contract number
- CN217
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form from the Florida Department of Environmental Protection (FDEP) for Contract CN217, Task Assignment No. 25, Change Order No. 1. The change order involves the FDEP as the contracting state agency and JGP Structural Group Inc. as the consultant, with Stevenson Architects as a sub-consultant. The project is located at Orman House Historic State Park and pertains to Orman House Improvements. The FDEP Contract Manager is Alyssa Skehan, and the consultant representative is Jeffrey G. Parzych, PE.
This change order corrects calculation errors in the original proposal dated December 12, 2020, and addresses the design and construction administration services for the Orman House repair and preservation project. The work is divided into five subtasks: 30% Design Documents, 60% Design Documents, Final Design Documents, Bidding support, and Construction Administration Services. The original task amount was $35,584.28; the change order increases the reimbursable cost by $62.00, bringing the net increase for this change order to $62.00 and the total amount with all change orders to $35,646.28. The task execution date is February 22, 2021, with an end date of December 31, 2022. Costs are comprised of fixed-price professional services (totaling $34,914.18) and reimbursable expenses for mileage (totaling $732.10). Payment will be made upon approval of deliverables for each subtask by FDEP.
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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 25 1 61285C
Orman House Historic State Park Orman House Improvements
JGP Structural Group Inc.
Jeffrey G. Parzych, PE 850-524-2888 jeff@jgpstructural.com
Alyssa Skehan or successor 850-245-2781 Alyssa.Skehan@FloridaDEP.gov
This change order corrects calculation errors in the Proposal dated 12/12/2020. (see attached.)
$ 670.10 $ 34,914.18 $ 35,584.28 $ 670.10 $ 34,914.18 $ 35,584.28 $ 62.00 $ 62.00 $ 732.10 $ 34,914.18 $ 35,646.28
2/22/2021
12/31/2022
12/31/2022
12/31/2022
Greg Turral Gregory Turral Digitally signed by Gregory Turral Date: 2021.04.20 16:30:54 -04'00'
Laura Ross Laura S. Ross Digitally signed by Laura S. Ross Date: 2021.04.20 16:52:24 -04'00'
Alyssa Skehan Alyssa Skehan Digitally signed by Alyssa Skehan Date: 2021.04.20 16:56:30 -04'00'
Jeffrey G. Parzych Jeffrey Parzych Digitally signed by Jeffrey Parzych Date: 2021.04.22 12:53:26 -04'00'
Bryan J. Bradner Bryan Bradner Digitally signed by Bryan Bradner Date: 2021.05.07 12:58:46 -04'00'
61285C 37501000260 080039/21 408001 U3200 131500 PF $ 62.00
$ 62.00
Revised 4/20/2021
262.55
(+$262.55=$9642.27)
Ross_LS Line
Ross_LS Line
$262.55
$35,646.28 $732.10
Ross_LS Cross-Out
Ross_LS Line
Ross_LS Line
Ross_LS Line
File details come from the government source that posted it. Updated .