CN-370000-GC714-T22CO3.pdf

This is a Task Assignment Change Order Form (Change Order No. 3) issued on June 8, 2012, for DEP Contract No. GC714 between the Florida Department of Environmental Protection and York Risk Services Group, Inc. (Florida-based, FEID No. 59-3124034). The contract involves Administrative Services with Brian King serving as the Contractor Contract Manager and Ashli Harvey as the DEP Contract Manager.

The change order increases Task #22 (encompassing Scopes 1, 2, 3, and 4) by $11,250.00, representing the addition of 75 units at $150.00 each. The original task amount was $571,250.00; following prior change orders, the task amount was $632,000.00 before this adjustment. With this change order, the total task amount reaches $643,250.00. The task completion date remains June 30, 2012, with no extension to the original timeline. Funding is sourced from Organization Code 37450404555 under IEO 139950, Object Code 4713, Module 1087888, Fund #212001, for fiscal year 11/12 in the amount of $11,250.00.