CN-370000-GC895-T4CO1.pdf

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Master Agreement FL|GC895|da7de3909ed4af5eeb424b0327e60ca5
Contract number
GC895
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 (DEP) on March 5, 2020, between the State of Florida Department of Environmental Protection and the Orange County Environmental Protection Division. The DEP Contract Manager is David G. Warfel, and the Contractor Representative is David Jones. The document was approved by multiple state officials including Budget Representative Griffin Kolchakian, Deputy Secretary John Truitt, and Secretary Justin Wolfe.

The change order reduces the Incentive Payment budget for Task Assignment 4 by $50,000.00 based on a departmental projection analysis determining that previously budgeted funds exceeded actual requirements. The original task amount of $1,409,961.30 is reduced to $1,359,961.39 following this change order. The task completion date remains unchanged at June 30, 2020, with no extension to the project timeline. The funding reduction is reflected in Budget Entity 37450300, Project GC895, with the decrease applied to Object Code 131545 under Fund 212001. The change order was funded through state budget allocations and required signatures from both the contractor and DEP officials, along with approval from the Bureau of Finance & Accounting.

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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:

GC895-4 03/05/2020 01

Orange County Environmental Protection Division

David Jones

David G. Warfel

This Task Assignment Change Order is to reduce the Incentive Payment total amount budgeted under Task Assignment 4 between Orange County Environmental Protection Division and State of Florida Department of Environmental Protection. The Department has determined through projection analysis that the total funds budgeted for Incentive Payments is in excess and can be reduced by $50,000.00.

$ 1,409,961.30 $ 1,409,961.30

$ 1,409,961.30 $ 1,409,961.30

-$50,000.00 -$50,000.00 $1,359,961.39 $1,359,961.39

06/30/2020 06/30/2020 06/30/2020

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 GC895 37450401002 212001 104138 131545 JN -$50,000

-$50,000

David D.

Jones

Digitally signed by David D.

Jones Date: 2020.03.05 13:21:09 -05'00'

3/5/2020 David G. Warfel Digitally signed by David G. Warfel Date: 2020.03.13 08:29:27 -04'00'

Griffin Kolchakian Digitally signed by Griffin Kolchakian Date: 2020.03.19 14:56:34 -04'00'

John Truitt Digitally signed by John Truitt Date: 2020.03.26 13:45:20 -04'00'

Justin Wolfe Digitally signed by Justin Wolfe Date: 2020.04.10 14:02:27 -04'00'

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