CN-370000-GC897-T1CO1.pdf

This is a Task Assignment Change Order Form for FDEP Contract Number GC897, a state contract between the Florida Department of Health and the Pinellas County Health Department. The change order, identified as Change Order Number 1, was initiated by contractor representative Joseph Sowers and managed by FDEP Contract Manager Rose Driber. The document reflects modifications to the existing task assignment and was executed and approved by representatives from multiple levels of the organization, including the Cost Center Administrator, Program Administrator, Division Director, Deputy Secretary, and contractor representative, with approval dates spanning from February 17, 2017, through February 28, 2017.

The change order addresses a recalculation of task assignment value for Fiscal Year 16/17 based on a new funding structure determined by level of effort analysis. The analysis of FY 14/15 year-end financial statements revealed an underestimation of funds required to fulfill the task assignment, necessitating additional funding to correct this underestimation. The original task amount of $812,545.00 was increased by a net amount of $9,632.00, resulting in a revised total task amount of $822,177.00 with all change orders. The task due date remained unchanged at June 30, 2017. The budget coding included Organization Code 3-145-0400002, E.O. SLC, Object Code 129900, Fund 212001, and Special Category 10A1392, with Fiscal Year 00 designation.