CN-370000-GC714-T39CO5.pdf

This document is a Task Assignment Change Order Form (Attachment B) issued under DEP Contract No. GC714 between the Florida Department of Environmental Protection and York Risk Services Group, Inc. - Florida (FEID No. 59-3124034). The change order, numbered #5 and task assignment #39, modifies an existing Administrative Services Contract. The contractor's contract manager is Brian King, and the DEP contract manager is Robert Perlowski.

The change order authorizes the reallocation of $1,230.00 in funding from Scope of Work 4c (SAA/SASE) to Scope of Work 3e (LSA/Springshed SASE), with no change to the total contract funding amount. The original task amount remains $2,818,660.75 with a completion date of July 31, 2016. The funding is sourced from organization code 37450404555, with project number GC714 charged to fiscal years 15 or 16. This reallocation reflects actual workload adjustments and was executed and approved on June 8, 2016.