CN-370000-GC894-T5CO1.pdf

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Master Agreement FL|GC894|abf5976d3c074b42fb7ad4d392a3163c
Contract number
GC894
Issued by
Florida

About this file

This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection on August 24, 2020. The change order modifies Task Assignment GC894-5 with the Environmental Protection Commission of Hillsborough County, represented by Hooshang Boostani. The contract manager for the Florida Department of Environmental Protection is David G. Warfel. This is Change Order No. 01 to the existing task assignment.

The change order reduces the task assignment amount by $62,145.75 by removing Performance Incentives referenced in paragraph 2 of the original task assignment. The original task amount was $1,305,060.75, which after the reduction becomes $1,242,917.00. The task completion date remains unchanged at June 30, 2021. The funding adjustment of -$62,145.75 is charged to Budget Entity 37450300, Project GC894, Organization Code 37450401002, Fund 212001, Special Category 104138, Object Code 131545, with cost element designation JN. The change order was approved by the Budget Representative on September 1, 2020, the Deputy Secretary on September 2, 2020, and the Secretary on September 9, 2020.

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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:

GC894-5 08/24/2020 01

Environmental Protection Commission of Hillsborough County

Hooshang Boostani

David G. Warfel

In order to address projected budget shortfalls, this Task Assignment Change Order is to remove Performance Incentives from Task Assignment GC894-5 (see paragraph 2 of task assignment) and will be reduced by $62,145.75

$1,305,060.75 $1,305,060.75

$1,305,060.75 $1,305,060.75

-$62,145.75 -$62,145.75

$1,242,917.00 $1,242,917.00

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 GC894 37450401002 212001 104138 131545 JN -$62,145.75

-$62,145.75

09/01/2020

9/1/2020

9/2/2020

09/09/2020

David G. Warfel Digitally signed by David G. Warfel Date: 2020.09.01 12:13:14 -04'00'

Digitally signed by Russell Rhodes Date: 2020.09.01 14:53:36 -04'00'

John Truitt Digitally signed by John Truitt Date: 2020.09.02 12:17:25 -04'00'

Leslie Reed Digitally signed by Leslie Reed Date: 2020.09.09 12:14:54 -04'00'

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