CN-370000-GC714-T22CO2.pdf

This is a Task Assignment Change Order Form (Change Order #2) dated May 23, 2012, for DEP Contract No. GC714 between the Florida Department of Environmental Protection and York Risk Services Group, Inc. - Florida (FEID No. 59-3124034). The contract manager for the contractor is Brian King, and the DEP contract manager is Ashli Harvey. This document pertains to Task Assignment #22, which covers Scopes 1, 2, 3, and 4 under an Administrative Services Contract.

The change order increases Task #22 by $4,500.00 in total value through the addition of 30 units at $150.00 each. The original task amount of $571,250.00 is increased to $627,500.00, resulting in a net increase of $4,500.00. The fee schedule reflects these adjustments, with the task amount with all change orders totaling $632,000.00. The original task completion date of June 30, 2012, remains unchanged with no net increase or decrease in the task period. Funding is allocated from Org Code 37450404555 under Fund #2012001 (11/12) with an amount of $4,500.00. The document was approved by the DEP Contract Manager and the Chief of the Bureau of Petroleum Storage Systems on 5/18/12 and 5/21/12, respectively.