CN-370000-GC896-T4CO1.pdf
PDF 1 MB Posted
- Contract number
- GC896
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (OOO-012) issued by the Florida Department of Environmental Protection on March 10, 2020. The change order pertains to Task Assignment GC896-4 between the Board of County Commissioners Palm Beach County, specifically the Environmental Resources Management Office, and the State of Florida Department of Environmental Protection. The DEP Contract Manager is David G. Warfel, with Deborah Drum serving as the Contractor Representative.
The change order reduces the Incentive Payment budget for Task Assignment 4 by $15,000.00, based on DEP's projection analysis determining that funds budgeted for Incentive Payments were in excess. The original task amount of $497,333.00 is reduced to $482,333.00 following this change order. The completion date remains unchanged at June 30, 2020, with zero net increase or decrease in the task period. The funding adjustment is reflected in Budget Entity 37450300, Project GC896, Org Code 37450401002, Fund 212001, Object Code 104138, with the reduction coded to Special Category 131545 under the EO designation JN. The change order received digital approvals from David G. Warfel (Contract Manager), Griffin Kolchakian (Budget Representative), John Truitt (Budget Representative), and Justin Wolfe (Deputy Secretary) between March 26 and April 10, 2020.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CN-370000-GC896-CMC2.pdf | ||
| CN-370000-GC896-T10.pdf | ||
| CN-370000-GC896-T3.pdf | ||
| CN-370000-GC896-T5CO1.pdf | ||
| CN-370000-GC896-T6.pdf | ||
| CN-370000-GC896-A1R1.pdf | ||
| CN-370000-GC896-T1.pdf | ||
| CN-370000-GC896-T8.pdf | ||
| CN-370000-GC896-T9.pdf | ||
| CN-370000-GC896.pdf | ||
| CN-370000-GC896-CO1.pdf | ||
| CN-370000-GC896-T2.pdf | ||
| CN-370000-GC896-T4.pdf | ||
| CN-370000-GC896-T5.pdf | ||
| CN-370000-GC896-T5CO2.pdf | ||
| CN-370000-GC896-T7.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:
GC896-4 03/10/2020 01
Board of County Commissioners Palm Beach County
Deborah Drum
David G. Warfel
This Task Assignment Change Order is to reduce the Incentive Payment total amount budgeted under Task Assignment 4 between Palm Beach County Environmental Resources Management Office 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 $15,000.00.
$497,333.00 $ 497,333.00
$497,333.00 $ 497,333.00
-$15,000.00 -$15,000.00 $482,333.00 $482,333.00
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 GC896 37450401002 212001 104138 131545 JN -$15,000
-$15,000
David G. Warfel Digitally signed by David G. Warfel Date: 2020.03.26 07:33:05 -04'00'
Griffin Kolchakian Digitally signed by Griffin Kolchakian Date: 2020.03.26 11:07:49 -04'00'
John Truitt Digitally signed by John Truitt Date: 2020.03.26 13:45:38 -04'00'
Justin Wolfe Digitally signed by Justin Wolfe Date: 2020.04.10 14:02:50 -04'00'
MCwillia Rectangle
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