CN-370000-GC888-T5CO1.pdf

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Attached to
Master Agreement FL|GC888|9e66b263dacfdeba1d4345f07892a697
Contract number
GC888
Issued by
Florida

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Task Assignment Change Order Form - GC888-5

This is a Task Assignment Change Order Form (Change Order No. 01) issued by the Florida Department of Environmental Protection on August 24, 2020. The document involves the Alachua Board of County Commissioners as the contractor, with Ted Goodman serving as the contractor representative and David G. Warfel as the DEP Contract Manager. The change order was approved through the Florida Department of Environmental Protection's authorization hierarchy, including budget, deputy secretary, and secretary approvals completed between September 1 and September 9, 2020.

The change order modifies the original Task Assignment GC888-5 by reducing the total contract amount by $198,507.60, decreasing from $949,443.60 to $750,936.00. The modification accomplishes two objectives: removal of performance incentives and reduction in the number of sites covered under the task assignment to address projected budget shortfalls. The task completion date remains unchanged at June 30, 2021. The funding reduction is reflected in Budget Entity 37450300 (Project GC888, Org Code 37450401002, Fund 212001, Object Code 104138, EO 131545) with the adjustment marked as a negative $198,507.60 across Cost Reimbursement and Fee Schedule categories. The form indicates that additional documentation regarding site reduction details is attached as a separate spreadsheet.

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Text version

OOO-012 (Effective 10-13-2017) Page 1 of 2

Florida Department of Environmental Protection

TASK ASSIGNMENT CHANGE ORDER FORM

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:

GC888-5 08/24/2020 01

Alachua Board of County Commissioners

Ted Goodman

David G. Warfel

In order to address projected budget shortfalls, this Task Assignment Change Order is to remove Performance Incentives as well as reduce number of sites from Task Assignment GC888-5 (see paragraph 2 of task assignment) and will be reduced by $198,507.60

Please see attached spreadsheet for site reduction clarification.

$949,443.60 $949,443.60

$949,443.60 $949,443.60

-$198,507.60 -$198,507.60

$796,147.60 $750,936.00

06/30/2021 06/30/2021 06/30/2021

OOO-012 (Effective 10-13-2017) Page 2 of 2

Florida Department of Environmental Protection

TASK ASSIGNMENT CHANGE ORDER FORM

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

APPROVED:

Budget Representative Date

Deputy Secretary Date

Secretary Date cc: Procurement Section (MS93) Bureau of Finance & Accounting (MS78) - 2 copies

37450300 GC888 37450401002 212001 104138 131545 JN -$198,507.60

-$198,507.60

Ted A.

Goodman, P.G.

Digitally signed by Ted A. Goodman, P.G.

DN: cn=Ted A. Goodman, P.G., o=Alachua County Environmental Protection, ou, email=tgoodman@alachuacounty.us, c=US Date: 2020.08.28 09:05:57 -04'00'

8/28/2020 David G. Warfel Digitally signed by David G. Warfel Date: 2020.08.31 13:43:37 -04'00' 08/31/2020

Digitally signed by Russell Rhodes Date: 2020.09.01 14:53:50 -04'00'

9/01/2020

John Truitt Digitally signed by John Truitt Date: 2020.09.02 12:13:56 -04'00'

9/2/2020

Leslie Reed Digitally signed by Leslie Reed Date: 2020.09.09 12:16:24 -04'00'

09/09/2020

File details come from the government source that posted it. Updated .