CN-370000-GC714-T30CO3.pdf

This is a Task Assignment Change Order Form dated June 26, 2013, for DEP Contract No. GC714, issued by the Florida Department of Environmental Protection. The contractor is York Risk Services Group, Inc.-Florida (FEID No. 59-3124034), with Brian King serving as the Contractor Contract Manager and Jeff Priddle as the DEP Contract Manager. The change order applies to Task Assignment #30 covering Scopes 9, 11, and 12 of an Administrative Services Contract and is designated as Change Order #3.

The change order pertains to administrative services work conducted in accordance with detailed instructions from the DEP Contract Manager. The scope of work includes off-site follow-up notification letters for Scope #11 (approximately 50 units) with a subtracted amount of $6,305.00, accounting adjustment office work for Scope #12 with a subtracted amount of $2,425.00, and off-site notification letters for Scope #11 with a subtracted amount of $3,270.00. The total task amount remains $628,274.00, with no net increase or decrease in the task amount resulting from this change order. The original task completion date of June 30, 2013 remains unchanged, with no extension to the task period.