CN-370000-GC891-T3CO1.pdf
PDF 1 MB Posted
- Contract number
- GC891
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. 1) dated October 30, 2018, issued by the Florida Department of Environmental Protection (FDEP) for Task Assignment Number GC891-3. The parties to the underlying contract are Miami-Dade County Environmental Resources Management and the State of Florida Department of Environmental Protection. The Contractor Representative is Wilbur Mayorga, and the DEP Contract Manager is David G. Warfel. The document was fully executed by both parties on November 9, 2018.
The change order authorizes work to be performed on an additional 52 sites within Miami-Dade County pursuant to the existing and fully executed GC891 Task Assignment 3. The net increase in task amount is $208,000.00, bringing the total task amount with all change orders to $1,412,398.00. The task completion date remains unchanged at June 30, 2019, with no net increase or decrease in the task period. Funding is allocated from Budget Entity 37450300 under Project GC891, with the $208,000.00 appropriation charged to Org Code 37450401002, Fund 212001, Object Code 104138, and Special Category 131545.
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Other files
| File | Type | Posted |
|---|---|---|
| CN-370000-GC891-A1R1.pdf | ||
| CN-370000-GC891.pdf | ||
| CN-370000-GC891-T10.pdf | ||
| CN-370000-GC891-T5.pdf | ||
| CN-370000-GC891-T5CO1.pdf | ||
| CN-370000-GC891-T5CO2.pdf | ||
| CN-370000-GC891-T9.pdf | ||
| CN-370000-GC891-A2E1.pdf | ||
| CN-370000-GC891-CMC2.pdf | ||
| CN-370000-GC891-T1.pdf | ||
| CN-370000-GC891-T3.pdf | ||
| CN-370000-GC891-T4.pdf | ||
| CN-370000-GC891-T4CO1.pdf | ||
| CN-370000-GC891-CO1.pdf | ||
| CN-370000-GC891-T2.pdf | ||
| CN-370000-GC891-T7.pdf | ||
| CN-370000-GC891-T8.pdf | ||
| CN-370000-GC891-TA06.pdf |
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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:
GC891-3 10/30/2018 1
Miami-Dade County Environmental Resources Management
Wilbur Mayorga
David G. Warfel
Pursuant to existing contract between Miami-Dade County Environmental Resources Management and State of Florida Department of Environmental Resources, GC891, 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 52 sites within Miami-Dade County as per the agreed upon and fully executed GC891 Task Assignment 3 in existence between Miami-Dade County Environmental Resources Management and State of Florida Department of Environmental Resources.
$1,204,398.00 $1,204,398.00
$1,204,398.00 $1,204,398.00
$ 208,000.00 $ 208,000.00
$ 1,412,398.00 $ 1,412,398.00
06/30/2019 06/30/2019 06/30/2019
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 GC891 37450401002 212001 104138 131545 LN $ 208,000.00
$ 208,000.00
Wilbur Mayorga, P.E.
Digitally signed by Wilbur Mayorga, P.E.
DN: cn=Wilbur Mayorga, P.E., o=DERM, ou=EMRD, email=mayorw@miamidade.gov, c=US Date: 2018.11.09 07:54:16 -05'00'
11-9-2018 David G. Warfel Digitally signed by David G. Warfel Date: 2018.11.09 08:58:49 -05'00' 11/09/2018
Monica J. Brady Digitally signed by Monica J.
Brady Date: 2018.11.09 09:55:03 -05'00'
John J. Truitt Digitally signed by John J. Truitt Date: 2018.11.19 13:06:19 -05'00'
File details come from the government source that posted it. Updated .