CN-370000-GC890-T4CO1.pdf
PDF 972 KB Posted
- Contract number
- GC890
- 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 6, 2020, between the State of Florida Department of Environmental Protection and the Broward County Board of County Commissioners under existing contract GC890. The document authorizes modifications to Task Assignment 4 under the indefinite delivery vehicle between these parties. The DEP Contract Manager is David G. Warfel, and the Contractor Representative is David Vanlandingham. The change order was fully executed with digital signatures from both parties and approved by the Budget Representative, Deputy Secretary, and Secretary by April 10, 2020.
The change order authorizes work on an additional 12 sites within the Broward County Local Program, with a net increase in task funding of $60,000. The breakdown includes $40,000 for level of effort costs calculated at $4,000 per site for 10 sites and $20,000 for increased Incentive Payments, bringing the total task amount from $817,641.00 to $877,641.00. The task completion date remains June 30, 2020 with no change to the period. Funding is allocated from Budget Entity 37450300 under Project GC890 with Org Code 37450401002, Fund 212001, Object Code 104138, and Special Category 131545. The additional sites assigned due to score drop include ten facilities: Texaco-Hwy 84, 7 Eleven Food Store 34766, Sunshine #10, Exxon Gas Station, Ariels Auto Service, Sunoco Twin Station, Dagam Gas Station, Pompano Valero, Broward County Fleet Service Maintenance #3, and Shell First Coast Energy.
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Other files
| File | Type | Posted |
|---|---|---|
| CN-370000-GC890-T5.pdf | ||
| CN-370000-GC890-A2E1.pdf | ||
| CN-370000-GC890-T5CO2.pdf | ||
| CN-370000-GC890-T7CO1.pdf | ||
| CN-370000-GC890-T9.pdf | ||
| CN-370000-GC805-CMC5.pdf | ||
| CN-370000-GC890-A1R1.pdf | ||
| CN-370000-GC890-CMC2.pdf | ||
| CN-370000-GC890-CO1.pdf | ||
| CN-370000-GC890-T10.pdf | ||
| CN-370000-GC890-T4.pdf | ||
| CN-370000-GC890-T5CO1.pdf | ||
| CN-370000-GC890-TA06.pdf | ||
| CN-370000-GC890-TA1.pdf | ||
| CN-370000-GC890-TA2.pdf | ||
| CN-370000-GC890-T3.pdf | ||
| CN-370000-GC890-T7.pdf | ||
| CN-370000-GC890-T8.pdf |
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Text version
OOO-012 (Effective 10-13-2017) Page 1 of 4
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:
GC890-4 03/06/2020 01
Broward County Board of County Commissioners
David Vanlandingham
David G. Warfel
Please see attached.
$ 817,641.00 $ 817,641.00
$ 817,641.00 $ 817,641.00
$60,000 $60,000 $877,641.00 $877,641.00
06/30/2020 06/30/2020 06/30/2020
OOO-012 (Effective 10-13-2017) Page 2 of 4
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 GC890 37450401002 212001 104138 131545 JN $60,000
$60,000
Digitally signed by DAVID
VANLANDINGHAM
Date: 2020.03.16 09:45:43 -04'00'
03/16/20 David G. Warfel Digitally signed by David G. Warfel Date: 2020.03.20 13:48:36 -04'00'
Griffin Kolchakian Digitally signed by Griffin Kolchakian Date: 2020.03.19 14:51:34 -04'00'
John Truitt Digitally signed by John Truitt Date: 2020.03.26 13:44:04 -04'00'
Justin Wolfe Digitally signed by Justin Wolfe Date: 2020.04.10 14:00:57 -04'00'
Pursuant to existing contract Broward County Board of County Commissioners and State of Florida Department of Environmental Protection, GC890, Paragraph 3,B No Work may be performed under this Contract, until a Task Assignment Notification Form or Task Assignment Change Order Form has been fully executed by both Department and Local Program.
This Task Assignment Change Order is to authorize work to be performed on an additional 12 sites (see attached) within Broward County Local Program per the agreed upon and fully executed GC890 Task Assignment 4 in existence between Broward County Board of County Commissioners and State of Florida Department of Environmental Protection.
Payment for the additional Program Sites will be issued for the invoice in the month the first assessment PO is issued this fiscal year.
The Department has determined through projection analysis that the total funds budgeted for Incentive Payments is insufficient and will be increased by $20,000.00.
Authorize additional funding for level of effort 10 sites X $4,000 site = $40,000 Increase in funding for Incentive Payments $20,000 Net change in funding $60,000
Additional Assigned Sites due to Score Drop
FAC ID Name 68502685 Texaco-Hwy 84 68502367 7 Eleven Food Store 34766 68501725 Sunshine #10 68837734 Exxon Gas Station 68501701 Ariels Auto Service 68502819 Sunoco Twin Station 68501816 Dagam Gas Station 68502603 Pompano Valero 68732756 Broward County Fleet Service Maintenance #3 68501852 Shell First Coast Energy
| Broward-CO1.pdf |
| Broward TA CO PDF Description |
| Broward additional sites for CO |
| Sheet1 |
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