Task Assignment Change Order Form Summary

This is a Task Assignment Change Order Form (Attachment B) for DEP Contract No. GC714, dated September 21, 2012, involving the Florida Department of Environmental Protection and York Risk Services Group, Inc. (Florida-based contractor, FEID No. 59-3124034). The change order modifies Task Assignment #26 under the Administrative Services Contract, with Brian King serving as the Contractor Contract Manager and Ashli R. Harvey as the DEP Contract Manager.

The change order reduces Task #26 by a total of $1,625.00, reflecting a combined reduction in Deductible Solicitation and Tracking charges ($125.00 reduction for 5 units) and LCAR Solicitation and Tracking charges ($125.00 reduction for 8 units). The original task amount of $54,000.00 is reduced to $52,375.00 under this change order. The task completion date remains September 25, 2012, with no changes to the task timeline. Funding is allocated from Org. Code 37450404555 using Object Code 139950, Module 4713, Category L087888, and Fund #212001 for the fiscal year 12/13. The change order was approved on September 19, 2012, by the DEP Contract Manager and Budget Representative, with additional approvals from the Chief of the Bureau of Petroleum Storage Systems.