CN-370000-GC897-T5CO1.pdf
PDF 1 MB Posted
- Contract number
- GC897
- 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 GC897-5 with the Florida Department of Health Pinellas County. Charles Minor serves as the Contractor Representative, and David G. Warfel is the DEP Contract Manager. The form was approved by Budget Representative Russell Rhodes on September 1, 2020, Deputy Secretary John Truitt on September 2, 2020, and Secretary Leslie Reed on September 9, 2020.
The change order reduces the task amount by $39,441.60 by removing performance incentives from the task assignment. The original task amount of $828,273.60 is reduced to $788,832.00 following this modification. The task completion date remains unchanged at June 30, 2021, with no extension to the task period. The funding reduction is sourced from Budget Entity 37450300, Project GC897, Organization Code 37450401002, Fund 212001, with the decrease recorded against Object Code 104138 and Object Code 131545. The change was implemented to address projected budget shortfalls.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CN-370000-GC897-A2R1.pdf | ||
| CN-370000-GC897-T1CO1.pdf | ||
| CN-370000-GC897-T2.pdf | ||
| CN-370000-GC897-T9.pdf | ||
| CN-370000-GC897-T3.pdf | ||
| CN-370000-GC897-T5CO2.pdf | ||
| CN-370000-GC897-T6.pdf | ||
| CN-370000-GC897.pdf | ||
| CN-370000-GC897-CMC2.pdf | ||
| CN-370000-GC897-T10.pdf | ||
| CN-370000-GC897-T4.pdf | ||
| CN-370000-GC897-T7.pdf | ||
| CN-370000-GC897-A1.pdf | ||
| CN-370000-GC897-CO1.pdf | ||
| CN-370000-GC897-T1.pdf | ||
| CN-370000-GC897-T4CO1.pdf | ||
| CN-370000-GC897-T5.pdf | ||
| CN-370000-GC897-T8.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:
GC897-5 08/24/2020 01
Florida Department of Health Pinellas County
Charles Minor
David G. Warfel
In order to address projected budget shortfalls, this Task Assignment Change Order is to remove Performance Incentives from Task Assignment GC897-5 (see paragraph 2 of task assignment) and will be reduced by $39,441.60
$828,273.60 $828,273.60
$828,273.60 $828,273.60
-$39,441.60 -$39,441.60 $788,832.00 $788,832.00
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 GC897 37450401002 212001 104138 131545 JN -$39,441.60
-$39,441.60
Charles Minor Digitally signed by Charles Minor Date: 2020.08.27 08:28:18 -04'00'
David G. Warfel Digitally signed by David G. Warfel Date: 2020.08.31 13:48:32 -04'00' 08/31/2020
Digitally signed by Russell Rhodes Date: 2020.09.01 14:49:08 -04'00'
9/01/2020
John Truitt Digitally signed by John Truitt Date: 2020.09.02 12:18:34 -04'00'
9/2/2020
Leslie Reed Digitally signed by Leslie Reed Date: 2020.09.09 12:13:58 -04'00'
09/09/2020
File details come from the government source that posted it. Updated .