CN-370000-GC892-T4CO1.pdf

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Master Agreement FL|GC892|5e5c54ebc2cab37701fc37c290a082de
Contract number
GC892
Issued by
Florida

About this file

This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection on March 5, 2020. The change order involves a task assignment between the City of Jacksonville Environmental and Compliance Department (contractor) and the State of Florida Department of Environmental Protection. The contractor representative is Allene Rachal, and the DEP Contract Manager is David G. Warfel. The change order was approved by Griffin Kolchakian (Budget Representative), John Truitt (Deputy Secretary), and Justin Wolfe (Secretary).

The change order reduces the Incentive Payment total amount budgeted under Task Assignment 4 (GC892-4) by $50,000.00 based on the Department's projection analysis determining that funds budgeted for Incentive Payments were in excess. The original task amount was $1,661,607.68, resulting in a revised task amount of $1,611,607.68 following this reduction. The task completion date remains unchanged at June 30, 2020. The funding adjustment is reflected in Budget Entity 37450300, Project GC892, with the $50,000 reduction applied to Object Code 131545 under Fund 212001 (EO: JN).

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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:

GC892-4 03/05/2020 01

City of Jacksonville Environmental and Compliance Department

Allene Rachal

David G. Warfel

This Task Assignment Change Order is to reduce the Incentive Payment total amount budgeted under Task Assignment 4 between City of Jacksonville Environmental and Compliance Department 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 $50,000.00.

$1,661,607.68 $1,661,607.68

$1,661,607.68 $1,661,607.68

-$50,000.00 -$50,000.00 $1,611,607.68 $1,611,607.68

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 GC892 37450401002 212001 104138 131545 JN -$50,000

-$50,000

Allene M.

Rachal, P.G.

Digitally signed by Allene M. Rachal, P.G.

Date: 2020.03.12 11:38:06 -04'00'

3/12/2020 David G. Warfel Digitally signed by David G. Warfel Date: 2020.03.13 08:28:55 -04'00'

Griffin Kolchakian Digitally signed by Griffin Kolchakian Date: 2020.03.19 15:10:51 -04'00'

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

Justin Wolfe Digitally signed by Justin Wolfe Date: 2020.04.10 14:01:43 -04'00'

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