CN-370000-GC891-T4CO1.pdf

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Attached to
Master Agreement FL|GC891|0a42b21f5a921797ca02e9256bd20932
Contract number
GC891
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 3, 2020, between the State of Florida Department of Environmental Protection and Miami-Dade County Environmental Resources Management under the existing GC891 contract. The change order was executed by DEP Contract Manager David G. Warfel and Contractor Representative Wilbur Mayorga, with approvals from Griffin Kolchakian (Budget Representative), John Truitt (Deputy Secretary), and Justin Wolfe (Secretary).

The change order authorizes the addition of 37 sites within Miami-Dade County for environmental assessment work at $4,000 per site, totaling $148,000 in additional funding for level of effort. This increase is offset by a $48,000 reduction in previously budgeted Incentive Payments, resulting in a net increase of $100,000 to the task assignment. The original task amount of $1,269,047.00 is increased to $1,369,047.00, with no change to the completion date of June 30, 2020. The funding is allocated from Budget Entity 37450300, Project GC891, with specific org code, fund, and object code designations. Payment for the additional sites will be issued upon invoice in the month the first assessment purchase order is issued in the fiscal year. The document includes a detailed list of 37 additional assigned sites, designated as sites added due to score drop criteria.

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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:

GC891-4 03/03/2020 01

Miami-Dade County Environmental Resources Management

Wilbur Mayorga

David G. Warfel

Please see attached.

$1,269,047.00 $1,269,047.00

$1,269,047.00 $1,269,047.00

$100,000.00 $100,000.00 $1,369,047.00 $1,369,047.00

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 GC891 37450401002 212001 104138 131545 JN $100,000

$100,000

David G. Warfel Digitally signed by David G. Warfel Date: 2020.03.13 08:26:29 -04'00'

Griffin Kolchakian Digitally signed by Griffin Kolchakian Date: 2020.03.19 14:53:00 -04'00'

John Truitt Digitally signed by John Truitt Date: 2020.03.26 13:44:24 -04'00'

Justin Wolfe Digitally signed by Justin Wolfe Date: 2020.04.10 14:01:20 -04'00' mayorw@miami dade.gov

Digitally signed by mayorw@miamidade.gov DN: cn=mayorw@miamidade.gov Date: 2020.03.05 12:02:18 -05'00'

Pursuant to existing contract between Miami-Dade County Environmental Resources Management and State of Florida Department of Environmental Protection, 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 37 sites (see attached site list) within Miami-Dade County as per the agreed upon and fully executed GC891 Task Assignment 4 in existence between Miami-Dade County Environmental Resources Management and State of Florida Department of Environmental Resources. 37 Sites X $4,000 = $148,000. Payment for the additional 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 in excess and can be reduced by $48,000.00.

Authorize additional funding for level of effort 37 sites X $4,000 site = $148,000 Reduction in funding for Incentive Payments $ 48,000 Net change in funding $ 100,000

FACID Name

8505532 CHEVRON-#47631-ABE COHEN

8505019 MIAMI DADE COMMUNITY COLLEGE PROPERTY

8841817 BRICKELL TRADING POST INC

9063884 ZAYDON PROPERTY

9201888 VACANT SITE

9200146 USED CAR BARGAIN CENTER

8505729 COCONUT GROVE STATION INC.

8503546 BP#00368563

8839959 GABLES WATERWAY TOWERS

8943161 DON L MOTORS

8506266 TONYS STANDARD SERVICE INC

8504944 SUNSHINE #174

8505601 UNIV OF MIAMI LIFE SCIENCE & TECH PARK

8622151 7-ELEVEN STORE #37597

8505209 SUNSHINE #210

8505617 CHEVRON #47587

8522025 SURFSIDE TOWN

8736437 MIAMI ARTS CHARTER SCHOOL

8506278 BP AMOCO-TAMIAMI 99

9046086 ROMERO & SON TIRE CORP

8628763 DADE CNTY METROBUS CENTRAL #1

8629128 MIAMI DADE CNTY-GSA FLEET MGMT SHOP 3A

9201699 FINE AUTO SALES INC

8504206 SHELL STATION BISCAYNE GAS & OIL CORP

8504332 BISCAYNE TRIANGLE INC

8504806 MIAMI-LITTLE HAVANA FAST FOOD-FRMR BP #24603

8506128 CHEVRON #42114

8840504 POLIMAC CARWASH SYSTEMS

8622160 MOBIL ORANGE BOWL

8735503 RX7 SHOP

8505888 FAM BAL INC

8944857 GALLART OIL CORP

9201747 ADVANCED ELECTRONIC SUPPORT PRODUCTS

9501656 GOLDMAN PROPERTY

8504792 AMERICA ON THE GO

9101571 FLAGLER SERVICE STATION CORP

8503931 DOWNTOWN MARTHON

Additional Assigned Sites due to Score Drop

Dade-CO1 FINAL.pdf
Dade-CO1.pdf
Dade TA CO PDF Description
Dade Additional Sites for CO
Sheet1

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