CN-370000-GC714-T34CO4.pdf

This is a Task Assignment Change Order Form (Attachment B) for DEP Contract No. GC714, issued by the Florida Department of Environmental Protection (DEP) to York Risk Services Group, Inc. – Florida. The change order modifies Task Assignment #34 under an Administrative Services Contract, with contract manager Brian King representing York Risk Services Group and Robert Perlowski representing DEP. The document was received by DEP on June 16, 2014.

Change Order #4 unencumbers all remaining funds under Task Assignment 34, resulting in a net decrease of $50,088.22 to the task amount. The original task fee schedule was $75,015.00; the fee schedule prior to this change order was $50,088.22; and the net adjustment reduces the remaining balance to $0.00, with the final task completion amount set at $0.00. The task completion date remains December 31, 2013 for all periods. Funding is sourced from Org. Code 3874504041555, with the allocation recorded against Cost Center 139950, Module 14713, Category 087888/13, Project IGC714, Fund 212001, and Year 12/13 in the amount of $50,088.22.