CN-370000-GC714-TA45CO1.pdf
PDF 374 KB Posted
- Contract number
- GC714
- Issued by
- Florida
About this file
Task Assignment Change Order Summary
This document is a Task Assignment Change Order Form (OOO-012) issued by the Florida Department of Environmental Protection (FDEP). The change order modifies Task Assignment 45 under Contract GC714 with contractor York Risk Services Group, Inc.-Florida. The change order was executed on December 11, 2017, with approval finalized on December 14, 2017. Key personnel include contractor representative Brian King, FDEP Contract Manager Robert Perlowski, and Program Administrator Austin Hofmeister.
The change order authorizes an internal reallocation of $4,243.75 in funding among three scopes of work within the existing task assignment, with no net change to the original contract amount of $214,954.21. Specifically, $2,788.75 is transferred to Scope of Work 5 (Deductible Solicitation and Tracking) and $1,455.00 is transferred to Scope of Work 6 (LCAR Solicitation and Tracking), while $4,243.75 is correspondingly reduced from Scope of Work 12 (Administrative Support). The task completion date remains December 31, 2017. This funding transfer is made to reflect actual workloads and results in zero net increase or decrease to the original funding amount. The change order was funded through Budget Entity 37450300, Project GC714, with funding code 37450404555.
View the file
Other files
Show 40 more
50 files listed here. See the rest on GovTribe.
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Florida Department of Environmental Protection
TASK ASSIGNMENT CHANGE ORDER FORM
OOO-012 (Effective 10-13-2017) Page 1 of 2
Required Signatures: Adobe Signature
Task Assignment Number: Date: Change Order No.
Contractor Name:
Contractor Representative:
DEP Contract Manager:
Description of Change (Use additional sheets if necessary):
Change in Task Amount
Item Cost Reimbursement Fee Schedule Total Original Task Amount:
Task amount prior to this change order:
Net increase/decrease in task amount:
Task amount with all change orders:
Change in Task Time
Original task completion date:
Completion date prior to this change:
Net increase/decrease in task period:
Completion date with all change orders:
See attached.
45 12/11/17 1
York Risk Services Group, Inc.-Florida
Brian King
Robert Perlowski
214,954.21 214,954.21
214,954.21 214,954.21
0.00 0.00
214,954.21 214,954.21
12/31/17
12/31/17
N/A
12/31/17
Florida Department of Environmental Protection
TASK ASSIGNMENT CHANGE ORDER FORM
OOO-012 (Effective 10-13-2017) Page 2 of 2
Change in Funding Information
Budget Entity Project # Grant # Org Code Fund Special Category
Object Code
EO Amount
Total:
CONTRACTOR FLORIDA DEPARTMENT OF
ENVIRONMENTAL PROTECTION
Contract Manager Date Contract Manager Date
Program Administrator Date
APPROVED:
Budget Representative Date
Division Director Date
Deputy Secretary Date
Secretary Date cc: Procurement Section (MS93) Bureau of Finance & Accounting (MS78) - 2 copies
37450300 GC714 37450404555 212001 087889 131545 JG 0.00
0.00
12/13/2017
12/14/17
Digitally signed by Brian King DN: cn=Brian King, o=York RSG, ou=202, email=brian.king@yorkrsg.com, c=US Date: 2017.12.14 11:56:26 -05'00'
Robert Perlowski Digitally signed by Robert Perlowski Date: 2017.12.11 09:33:23 -05'00'
Austin Hofmeister Digitally signed by Austin Hofmeister Date: 2017.12.13 14:56:48 -05'00'
Jennifer Vickers Digitally signed by Jennifer Vickers Date: 2017.12.14 08:57:10 -05'00'
Florida Department of
Environmental Protection
Bob Martinez Center 2600 Blair Stone Road
Tallahassee, Florida 32399-2400
Rick Scott Governor
Carlos Lopez-Cantera Lt. Governor
Noah Valenstein Secretary
Task Assignment Change Order Contract GC714 Task Assignment 45 Change Order 1
Description of Change:
This Change Order authorizes the transfer of $4,243.75 in funding from Scope of Work 12 (Administrative Support) to Scope of Work 5 (Deductible Solicitation and Tracking) and Scope of Work 6 (LCAR Solicitation and Tracking).
Scope 5 (Deductible Solicitation and Tracking) + $2,788.75 Scope 6 (LCAR Solicitation and Tracking) + $1,455.00
Scope 12 (Administrative Support) - $4,243.75
Total change in funding = $0.00
This transfer in funding is being made to reflect actual workloads, and will not result in any net increase or decrease to the original funding amount.
End of Change Order Description
Change in Task Amount
File details come from the government source that posted it. Updated .