CN-370000-GC895-T5CO1.pdf

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Attached to
Master Agreement FL|GC895|da7de3909ed4af5eeb424b0327e60ca5
Contract number
GC895
Issued by
Florida

About this file

This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) on August 24, 2020. The change order modifies Task Assignment GC895-5 with the Orange County Environmental Protection Division. The document was processed and approved by multiple FDEP officials including David G. Warfel (Contract Manager), David D. Jones (Contractor Representative), Russell Rhodes (Budget Representative), John Truitt (Deputy Secretary), and Leslie Reed (Secretary), with all signatures executed between August 28 and September 9, 2020.

The change order reduces the task assignment amount by $63,496.50 to address projected budget shortfalls by removing Performance Incentives from the contract. The original task amount was $1,396,426.50, resulting in a revised total of $1,332,930.00 following this modification. The task completion date remains unchanged at June 30, 2021. The funding adjustment impacts Budget Entity 37450300, Project GC895, with the reduction applied to Org Code 37450401002, Fund 212001, Object Code 104138, and finalized through EO JN. The change order was distributed to the Procurement Section (MS93) and Bureau of Finance & Accounting (MS78) for processing.

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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:

GC895-5 08/24/2020 01

Orange County Environmental Protection Division

David Jones

David G. Warfel

In order to address projected budget shortfalls, this Task Assignment Change Order is to remove Performance Incentives from Task Assignment GC895-5 (see paragraph 2 of task assignment) and will be reduced by $63,496.50

$ 1,396,426.50 $ 1,396,426.50

$ 1,396,426.50 $ 1,396,426.50

-$63,496.50 -$63,496.50 $1,332,930.00 $1,332,930.00

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 GC895 37450401002 212001 104138 131545 JN -$63,496.50

-$$63,496.50

David D.

Jones

Digitally signed by David D.

Jones Date: 2020.08.28 08:05:54 -04'00'

8/28/2020 David G. Warfel Digitally signed by David G. Warfel Date: 2020.08.31 13:48:00 -04'00' 08/31/2020

Digitally signed by Russell Rhodes Date: 2020.09.01 14:53:15 -04'00'

9/01/2020

John Truitt Digitally signed by John Truitt Date: 2020.09.02 12:17:48 -04'00'

9/2/2020

Leslie Reed Digitally signed by Leslie Reed Date: 2020.09.09 12:14:34 -04'00'

09/09/2020

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