CN-370000-GC130-T4CO3.pdf
PDF 1 MB Posted
- Contract number
- GC130
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection on April 16, 2020. The document involves NorthStar Contracting Group as the contractor, with Kristy Trueblood serving as the contractor representative and Robert Perlowski as the DEP Contract Manager. The change order was approved by multiple state officials including Budget Representative Fletch Herrald, Deputy Secretary John Truitt, and Secretary Justin Wolfe.
The change order reflects a reduction in funding for Task Assignment 4 due to the determination that an embedded Senior Level Program Specialist position will no longer be necessary for the remainder of the fiscal year. The original task amount was $1,973,519.22, which had been reduced to $1,916,590.68 prior to this change order. This change order implements an additional net decrease of $100,464.00, resulting in a final task amount of $1,816,126.68. The task completion date remains June 30, 2020 with no change to the timeline. The funding adjustment is being made to reflect actual program workloads and is charged to Budget Entity 37450300, Project GC130, with the reduction allocated to Object Code 131545 under the Division of Waste Management.
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Text version
OOO-012 (Effective 10-13-2017) Page 1 of 2
Florida Department of Environmental Protection
TASK ASSIGNMENT CHANGE ORDER FORM
Required Signatures: Adobe Signature
Task Assignment Number: __________________ Date: _______________ Change Order No.______________
Contractor Name: _________________________________________________________________
Contractor Representative: __________________________________________________________
DEP Contract Manager: _________ ___________
Description of Change (Use additional sheets if necessary):
Change in Task Amount
Item Cost Reimbursement Fee Schedule Total Original Task Amount:
Task amount prior to this change order:
Net increase/decrease in task amount:
Task amount with all change orders:
Change in Task Time
Original task completion date:
Completion date prior to this change:
Net increase/decrease in task period:
Completion date with all change orders:
4 4/16/20 3
NorthStar Contracting group
Kristy Trueblood
Robert Perlowski
The Division of Waste Management has determined the embedded staff position of Senior Level Program Specialist will not be necessary for the remainder of the current fiscal year and a reduction of the remaining funds is appropriate. This adjustment in funding is being made to reflect actual program workloads and will result in a net decrease of $100,464.00 to the original funding amount of Task Assignment 4.
$1,973,519.22 $1,973,519.22
$1,916,590.68 $1,916,590.68
-$100,464.00 -$100,464.00
$1,816,126.68 $1,816,126.68
6/30/20 6/30/20 N/A 6/30/20
OOO-012 (Effective 10-13-2017) Page 2 of 2
Florida Department of Environmental Protection
TASK ASSIGNMENT CHANGE ORDER FORM
Change in Funding Information
Budget Entity Project # Grant # Org Code Fund Special Category
Object Code
EO Amount
Total:
CONTRACTOR FLORIDA DEPARTMENT OF
ENVIRONMENTAL PROTECTION
Contract Manager Date Contract Manager Date
APPROVED:
Budget Representative Date
Deputy Secretary Date
Secretary Date cc: Procurement Section (MS93) Bureau of Finance & Accounting (MS78) - 2 copies
37450300 GC130 37450104000 212001 100029 131545 JN -$100,464.00
-$100,464.00
Kristy Trueblood
Digitally signed by Kristy Trueblood Date: 2020.04.17 10:23:23 -04'00'
4/17/2020 Robert Perlowski Digitally signed by Robert Perlowski Date: 2020.04.17 07:28:26 -04'00'
4/17/2020
Fletch Herrald Digitally signed by Fletch Herrald Date: 2020.04.17 17:02:11 -04'00'
John Truitt Digitally signed by John Truitt Date: 2020.04.20 10:16:18 -04'00'
Justin Wolfe Digitally signed by Justin Wolfe Date: 2020.04.23 15:45:42 -04'00'
File details come from the government source that posted it. Updated .