CN-370000-GC892-T4CO2.pdf
PDF 1 MB Posted
- Contract number
- GC892
- Issued by
- Florida
About this file
This document is a Task Assignment Change Order Form (OOO-012) issued by the Florida Department of Environmental Protection (DEP) on June 2, 2020. The change order modifies Contract GC892, Task Assignment 4, between the Florida Department of Environmental Protection and the City of Jacksonville Environmental and Compliance Department. The contractor representative is Allene Rachal, and the DEP Contract Manager is David G. Warfel. The change order was approved by budget representative Russell Rhodes, Deputy Secretary John Truitt, and Secretary Justin Wolfe on June 10 and June 12, 2020.
The change order extends the contract completion period by 62 days to allow the City of Jacksonville to complete site inspection requirements under Task Assignment 4, Paragraph D.4. All inspection work must be completed with Inspection Reports inserted into Oculus by August 31, 2020, and retainage invoices submitted to DEP by September 11, 2020. The original task completion date of June 30, 2020 is extended to August 29, 2020. There is no change to the task amount; the total task amount remains $1,611,607.68. The change order carries a zero funding change, with funding information reflecting Budget Entity 37450300, Project GC892, Organization Code 37450401002, Fund 212001, Object Code 104138, and Special Category 131545.
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Other files
| File | Type | Posted |
|---|---|---|
| CN-370000-GC892-A1R1.pdf | ||
| CN-370000-GC892-CMC2.pdf | ||
| CN-370000-GC892-CO1.pdf | ||
| CN-370000-GC892-T1.pdf | ||
| CN-370000-GC892-T2.pdf | ||
| CN-370000-GC892-T4.pdf | ||
| CN-370000-GC892-T5CO2.pdf | ||
| CN-370000-GC892-T9.pdf | ||
| CN-370000-GC892-T4CO1.pdf | ||
| CN-370000-GC892-T10.pdf | ||
| CN-370000-GC892-T3.pdf | ||
| CN-370000-GC892-T5.pdf | ||
| CN-370000-GC892-T7.pdf | ||
| CN-370000-GC892-T8.pdf | ||
| CN-370000-GC892-TA06.pdf | ||
| CN-370000-GC892.pdf | ||
| CN-370000-GC892-T5CO1.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:
GC892-4 06/02/2020 02
City of Jacksonville Environmental and Compliance Department
Allene Rachal
David G. Warfel
This Change Order is to extend Contract GC892, Task Assignment 4, between Florida Department of Environmental Protection (DEP) and City of Jacksonville Environmental Quality Division 62 days. This will allow the Local Program to complete the requirements of Task Assignment 4, Paragraph D.4 regarding site inspections. All inspection work must be completed and copies of Inspection Reports properly inserted into Oculus by August 31, 2020 and invoice for retainage for inspections submitted to DEP on or before September 11, 2020.
$1,661,607.68 $1,661,607.68
$1,611,607.68 $1,611,607.68
0 0 $1,611,607.68 $1,611,607.68
06/30/2020 06/30/2020 08/29/2020
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 0.00
0.00
Allene M.
Rachal, P.G.
Digitally signed by Allene M. Rachal, P.G.
Date: 2020.06.09 15:41:06 -04'00'
6/9/2020 David G. Warfel Digitally signed by David G. Warfel Date: 2020.06.09 17:05:14 -04'00' 06/09/2020
Digitally signed by Russell Rhodes Date: 2020.06.10 09:23:38 -04'00'
6/10/2020
John Truitt Digitally signed by John Truitt Date: 2020.06.10 10:40:52 -04'00'
6/10/2020
Justin Wolfe Digitally signed by Justin Wolfe Date: 2020.06.12 11:40:40 -04'00'
06/12/2020
File details come from the government source that posted it. Updated .