CN-370000-GC893-T5CO1.pdf
PDF 1 MB Posted
- Contract number
- GC893
- 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 August 24, 2020, for Task Assignment GC893-5. The contractor is the Florida Department of Health in Escambia County, represented by Greg Berrian. The DEP Contract Manager is David G. Warfel. The document was approved by budget and departmental representatives, including Budget Representative John Truitt (September 2, 2020) and Deputy Secretary Leslie Reed (September 9, 2020).
The change order reduces the task assignment amount by $53,230.00 to address projected budget shortfalls. Specifically, it removes Performance Incentives from the original task assignment as outlined in paragraph 2 of the task assignment agreement. The original task amount of $1,159,830.00 is reduced to $1,106,600.00 following this change order. The task completion date remains unchanged at June 30, 2021, with zero net increase or decrease in the task period. The funding adjustment of -$53,230.00 is applied to Budget Entity 37450300, Project GC893, with Object Code 131545 and Fund 212001, and is documented as a reduction to the designated budget line.
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Other files
| File | Type | Posted |
|---|---|---|
| CN-370000-GC893-T1.pdf | ||
| CN-370000-GC893-T2.pdf | ||
| CN-370000-GC893-T3.pdf | ||
| CN-370000-GC893-T5.pdf | ||
| CN-370000-GC893-T5CO2.pdf | ||
| CN-370000-GC893.pdf | ||
| CN-370000-GC893-T4.pdf | ||
| CN-370000-GC893-T8.pdf | ||
| CN-370000-GC893-T9.pdf | ||
| CN-370000-GC893-T10.pdf | ||
| CN-370000-GC893-T7.pdf | ||
| CN-370000-GC893-A1R1.pdf | ||
| CN-370000-GC893-CMC1.pdf | ||
| CN-370000-GC893-TA06.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:
GC893-5 08/24/2020 01
Florida Department of Health in Escambia County
Greg Berrian
David G. Warfel
In order to address projected budget shortfalls, this Task Assignment Change Order is to remove Performance Incentives from Task Assignment GC893-5 (see paragraph 2 of task assignment) and will be reduced by $53,230.00
$1,159,830.00 $1,159,830.00
$1,159,830.00 $1,159,830.00
-$53,230.00 -$53,230.00 $1,106,600.00 $1,106,600.00
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 GC893 37450401002 212001 104138 131545 JN -$53,230.00
-$53,230.00
Gregory M Berrian
Digitally signed by Gregory M Berrian Date: 2020.08.26 16:12:07 -05'00'
08/26/20 David G. Warfel Digitally signed by David G. Warfel Date: 2020.08.31 13:47:27 -04'00'
Digitally signed by Russell Rhodes Date: 2020.09.01 15:15:08 -04'00'
9/1/2020
John Truitt Digitally signed by John Truitt Date: 2020.09.02 12:17:04 -04'00'
9/2/2020
Leslie Reed Digitally signed by Leslie Reed Date: 2020.09.09 12:15:09 -04'00'
09/09/2020
File details come from the government source that posted it. Updated .