CN-370000-GC898-T5CO1.pdf
PDF 1 MB Posted
- Contract number
- GC898
- 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 document involves a task assignment between the Florida Department of Health Polk County (contractor represented by Ralph Meder) and the Florida Department of Environmental Protection (contract manager David G. Warfel). Change Order No. 01 was approved by budget and departmental leadership, including Budget Representative Russell Rhodes, Deputy Secretary John Truitt, and Secretary Leslie Reed.
The change order addresses projected budget shortfalls by removing Performance Incentives from Task Assignment GC898-5, resulting in a reduction of $28,602.75. The original task amount of $600,657.75 is reduced to $572,055.00 following this change order. The task completion date remains unchanged at June 30, 2021. Funding for this reduction is drawn from Budget Entity 37450300, Project GC898, with the adjustment reflected in Org Code 37450401002, Fund 212001, Object Code 104138, under EO designation JN. No changes to the task period or schedule were implemented through this modification.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CN-370000-GC898-T10.pdf | ||
| CN-370000-GC898-T2.pdf | ||
| CN-370000-GC898-T3.pdf | ||
| CN-370000-GC898-T5.pdf | ||
| CN-370000-GC898-T6.pdf | ||
| CN-370000-GC898-T1.pdf | ||
| CN-370000-GC898-T4.pdf | ||
| CN-370000-GC898-T4CO1.pdf | ||
| CN-370000-GC898-T5CO2.pdf | ||
| CN-370000-GC898-T8.pdf | ||
| CN-370000-GC898-CMC2.pdf | ||
| CN-370000-GC898-T7.pdf | ||
| CN-370000-GC898-T9.pdf | ||
| CN-370000-GC898.pdf | ||
| CN-370000-GC898-A1.pdf | ||
| CN-370000-GC898-A2R1.pdf | ||
| CN-370000-GC898-CMC.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:
GC898-5 08/24/2020 01
Florida Department of Health Polk County
Ralph Meder
David G. Warfel
In order to address projected budget shortfalls, this Task Assignment Change Order is to remove Performance Incentives from Task Assignment GC898-5 (see paragraph 2 of task assignment) and will be reduced by $28,602.75
$ 600,657.75 $ 600,657.75
$ 600,657.75 $ 600,657.75
-$28,602.75 -$28,602.75 $572,055.00 $572,055.00
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 GC898 37450401002 212001 104138 131545 JN -$28,602.75
-$28,602.75
Ralph J.
Meder, PG
Digitally signed by Ralph J.
Meder, PG Date: 2020.08.25 13:36:50 -04'00'
8/25/2020 David G. Warfel Digitally signed by David G. Warfel Date: 2020.08.31 13:49:06 -04'00' 08/31/2020
Digitally signed by Russell Rhodes Date: 2020.09.01 14:48:46 -04'00'
9/01/2020
John Truitt Digitally signed by John Truitt Date: 2020.09.02 12:18:57 -04'00'
9/2/2020
Leslie Reed Digitally signed by Leslie Reed Date: 2020.09.09 12:13:31 -04'00'
09/09/2020
File details come from the government source that posted it. Updated .