CN-370000-GC893-T5CO2.pdf

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Master Agreement FL|GC893|67df80107c6b54d15c0b3fded65cb5d8
Contract number
GC893
Issued by
Florida

About this file

This is a Task Assignment Change Order (TACO #02) issued by the State of Florida Department of Environmental Protection amending a contract with the Florida Department of Health in Escambia County. The change order was executed on June 21, 2021, by Gregory M Berrian (Environmental Health Director) on behalf of the contractor and Leslie Reed (Secretary or Designee) on behalf of the State. The original contract number is GC893, with task assignment number GC893-5.

The change order restores performance incentives to the amounts originally represented in the Task Assignment that had been previously removed in Change Order 1. The amended total Task Assignment value increases from $1,106,600.00 to $1,159,830.00 under a fixed unit rate pricing structure, reflecting a change amount of $53,230.00. The project, titled "Local Program Petroleum Cleanup Contracts," involves environmental health services related to petroleum cleanup activities. No changes were made to the Task Assignment expiration date, attachments, or other terms and conditions. Funding is allocated through Org. Code 450401002, E.O. JN 131545, Object Code 131545, Budget Entity 37450300, and Appropriation Category 104138, with the $53,230.00 increase recorded in Year 00.

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Funding Information:

Org. Code E.O. Object Code Budget Entity Appropriation

Category Grant # Project # Year Amount

☐ Additional Funding Information attached on separate page.

Rev. 8/17/2020

STATE OF FLORIDA

DEPARTMENT OF ENVIRONMENTAL PROTECTION

Task Assignment Change Order This Change Order is entered into between the Parties named below and amends the Task Assignment (TA) and any previous TA Change Orders (TACO) as follows:

1. TA Number: TACO Number: Contract Number:

TACO Description:

2. Parties State of Florida Department of Environmental Protection

(Department)

Department’s Project Manager: Department’s Project Manager Phone:

Contractor Name: (Contractor ) ntractor’st ’s Project Manager: ontractor’s t’s Project Manager Phone:

3. Project Number:

(If different from TA Number)

Project Name:

4. ☐ There are no changes to the TA compensation.

☐ The compensation of the TA is changed to the amounts indicated below:

Amended Price Price Prior to TACO ☐ Fixed Price:

☐ Fixed Unit Rate: (Extended Price)

☐ Cost Reimbursement:

Total TA Value:

5. ☐ There are no changes to the TA Expiration Date.

☐ The TA Completion Date is changed from ______________ to ______________ (a total of ______ days).

6. ☐ There are no changes to the Attachments.

☐ Attachment ___ is replaced with Attachment -____.

7. ☐ No Additional Changes.

☐ Additional Changes:

8. All other terms and conditions of the TA remain in effect. If and to the extent that any inconsistencies may appear between the TA and this TACO, the provisions of this TACO shall control.

IN WITNESS WHEREOF, this TACO shall be effective on the last date signed below.

State of Florida Department of Environmental Protection CONTRACTOR Department Name:

Title:

Secretary or Designee

(Authorized Signature) (Authorized Signature) Date:

☐ Additional signatures attached on separate page.

GC893-5 02 GC893

Restore performance incentives to exactly as represented in the Task Assignment that were previously removed in Change Order 1. Change amount $53,230.00

David G. Warfel 850-245-8891 Contractor Contractor

Contractor Contractor

Contractor

Florida Department of Health in Escambia County Greg Berrian 850-595-6700 x2040

Local Program Petroleum Cleanup Contracts

✔ $ 1,159,830.00 $ 1,106,600.00

$ 1,159,830.00 $ 1,106,600.00 ✔ Expiration

Expiration 0

Gregory M Berrian

Environmental Health Director

06/21/2021

Gregory M Berrian Digitally signed by Gregory M Berrian Date: 2021.06.21 12:47:02 -05'00' Leslie Reed Digitally signed by Leslie Reed

Date: 2021.06.25 14:58:24 -04'00'

450401002 JN 131545 37450300 104138 00 $ 53,230.00

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