CN-370000-GC891-T5CO1.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 (OOO-012) issued by the Florida Department of Environmental Protection (FDEP) dated August 24, 2020. The change order modifies Task Assignment GC891-5 with Miami-Dade County Environmental Resources Management, represented by contractor representative Wilbur Mayorga. The DEP Contract Manager is David G. Warfel. The document was approved by multiple FDEP officials, including Budget Representative Russell Rhodes, Deputy Secretary John Truitt, and Secretary Leslie Reed, with final approval signatures dated between August 25 and September 9, 2020.

The change order reduces the total task amount by $61,880.00 by removing performance incentives from the task assignment, as outlined in paragraph 2 of the original task assignment. The original task amount was $1,320,480.00, which is reduced to $1,258,600.00 with this change order. The task completion date remains unchanged at June 30, 2021, with no adjustment to the task period. The funding adjustment of -$61,880.00 is reflected in Budget Entity 37450300, Project GC891, Fund 212001, Object Code 104138, with EO code 131545 and notation "JN." Copies of the approved change order were distributed to the Procurement Section (MS93) and the Bureau of Finance & Accounting (MS78).

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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:

GC891-5 08/24/2020 01

Miami-Dade County Environmental Resources Management

Wilbur Mayorga

David G. Warfel

In order to address projected budget shortfalls, this Task Assignment Change Order is to remove Performance Incentives from Task Assignment GC891-5 (see paragraph 2 of task assignment) and will be reduced by $61,880.00

$1,320,480.00 $1,320,480.00

$1,320,480.00 $1,320,480.00

-$61,880.00 -$61,880.00 $1,258,600.00 $1,258,600.00

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 GC891 37450401002 212001 104138 131545 JN -$61,880.00

-$61,880.00

Didier Camacho, P.G.

Digitally signed by Didier Camacho, P.G.

Date: 2020.08.25 13:35:02 -04'00' 8/25/2020 David G. Warfel Digitally signed by David G. Warfel

Date: 2020.08.31 13:46:22 -04'00' 08/31/2020

Digitally signed by Russell Rhodes Date: 2020.09.01 15:14:54 -04'00'

9/01/2020

John Truitt Digitally signed by John Truitt Date: 2020.09.02 12:16:15 -04'00'

9/2/2020

Leslie Reed Digitally signed by Leslie Reed Date: 2020.09.09 12:15:39 -04'00'

09/09/2020

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