CN-370000-GC714-T39CO3.pdf

This is a Task Assignment Change Order Form (Change Order No. #3) 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 York Risk Services Group is Brian King, and the DEP contract manager is Robert Perlowski. The change order authorizes additional funding for the Administrative Services Contract project.

The change order adds $47,530.00 in funding for Scope of Work 11a Off-Site Contamination Noticing, covering 350 units at $135.80 each. This increases the total task funding from $2,771,130.75 to $2,818,660.75. The task completion date remains July 31, 2016. Funding is allocated using Org. Code 37450404555, with the amount charged to E.O. Object Code 139900, Module 4713, Special Category 087889, and Project Code GC714 for Fiscal Year 2015. The change order was signed by the contractor on 11/2/16 and approved by the DEP Contract Manager on 11/21/16, the Budget Representative on 1/21/16, and the Petroleum Restoration Program Administrator on 11/21/16.