CN-370000-GC889-T4CO1.pdf

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Master Agreement FL|GC889|8a48937ec1d72950604ed29203660943
Contract number
GC889
Issued by
Florida

About this file

This is a Task Assignment Change Order Form (Change Order No. 01) issued by the Florida Department of Environmental Protection on March 10, 2020. The document involves a task assignment (GC889-4) between Brevard County Natural Resources Management Office and the State of Florida Department of Environmental Protection. The contractor representative is Doug Divers, and the DEP Contract Manager is David G. Warfel.

The change order reduces the Incentive Payment budget allocation under Task Assignment 4 by $12,000.00, based on the Department's projection analysis determining that total budgeted funds for Incentive Payments exceed actual requirements. The original task amount of $879,253.09 is reduced to $867,253.09 following this change order. The task completion date remains unchanged at June 30, 2020, with no adjustment to the task period. The funding adjustment is reflected in Budget Entity 37450300, Project GC889, with an Object Code of 104138, Fund 212001, and Special Category 131545, resulting in a net reduction of $12,000.00 to the contract value. All required approvals were obtained, including signatures from the Contractor, DEP Contract Manager, Budget Representative Griffin Kolchakian, Deputy Secretary John Truitt, and Secretary Justin Wolfe.

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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:

GC889-4 03/10/2020 01

Brevard County Natural Resources Management Office

Doug Divers

David G. Warfel

This Task Assignment Change Order is to reduce the Incentive Payment total amount budgeted under Task Assignment 4 between Brevard County Natural Resources Management. Office and State of Florida Department of Environmental Protection. The Department has determined through projection analysis that the total funds budgeted for Incentive Payments is in excess and can be reduced by $12,000.00.

$ 879,253.09 $ 879,253.09

$ 879,253.09 $ 879,253.09

-$12,000.00 -$12,000.00 $867,253.09 $867,253.09

06/30/2020 06/30/2020 06/30/2020

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 GC889 37450401002 212001 104138 131545 JN -$12,000

-$12,000

Divers, Doug Digitally signed by Divers, Doug Date: 2020.03.12 07:48:07 -04'00'

03/12/2020 David G. Warfel Digitally signed by David G. Warfel Date: 2020.03.13 08:24:37 -04'00'

Griffin Kolchakian Digitally signed by Griffin Kolchakian Date: 2020.03.19 14:48:07 -04'00'

John Truitt Digitally signed by John Truitt Date: 2020.03.26 13:43:42 -04'00'

Justin Wolfe Digitally signed by Justin Wolfe Date: 2020.04.10 14:00:32 -04'00'

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