CN-370000-GC892-T5CO1.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 (OOO-012) issued by the Florida Department of Environmental Protection (FDEP) on August 24, 2020. The change order modifies Task Assignment GC892-5 between the FDEP and the City of Jacksonville Environmental and Compliance Department. The contractor representative is Allene Rachal, and the FDEP Contract Manager is David G. Warfel. The change order was approved by various FDEP officials including Budget Representative Russell Rhodes, Deputy Secretary John Truitt, and Secretary Leslie Reed.

The change order removes Performance Incentives from Task Assignment GC892-5 to address projected budget shortfalls. The original task amount of $1,600,168.50 is reduced by $72,198.50, resulting in a revised task amount of $1,527,970.00. The task completion date remains unchanged at June 30, 2021. The funding adjustment is reflected in Budget Entity 37450300, Project GC892, with the reduction applied to Object Code 131545 under fund code 212001. The total net decrease in task funding is $72,198.50, with copies of this change order 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:

GC892-5 08/24/2020 01

City of Jacksonville Environmental and Compliance Department

Allene Rachal

David G. Warfel

In order to address projected budget shortfalls, this Task Assignment Change Order is to remove Performance Incentives from Task Assignment GC892-5 (see paragraph 2 of task assignment) and will be reduced by $ $72,198.50

$1,600,168.50 $1,600,168.50

$1,600,168.50 $1,600,168.50

-$72,198.50 -$72,198.50 $1,527,970.00 $1,527,970.00

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 GC892 37450401002 212001 104138 131545 JN -$72,198.50

-$72,198.50

Allene M.

Rachal, P.G.

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

Date: 2020.08.26 07:27:48 -04'00'

8/26/2020 David G. Warfel Digitally signed by David G. Warfel Date: 2020.08.31 13:46:59 -04'00' 08/31/2020

Digitally signed by Russell Rhodes Date: 2020.09.01 14:46:57 -04'00'

9/1/2020

John Truitt Digitally signed by John Truitt Date: 2020.09.02 12:16:39 -04'00'

9/2/2020

Leslie Reed Digitally signed by Leslie Reed Date: 2020.09.09 12:15:24 -04'00'

09/09/2020

Melissa M.

Long

Digitally signed by Melissa M. Long Date: 2020.08.26 09:36:34 -04'00'

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