CN-370000-GC899-T5CO1.pdf

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Master Agreement FL|GC899|2336c7540f2eecb06ac445d7f89bcfb2
Contract number
GC899
Issued by
Florida

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Task Assignment Change Order Summary

This document is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) on August 24, 2020, under Change Order No. 01 for Task Assignment GC899-5. The contractor is Sarasota County Air Quality/Storage Tank Management, represented by John Hickey, with David G. Warfel serving as the DEP Contract Manager.

The change order addresses projected budget shortfalls by removing performance incentives from the task assignment, resulting in a net reduction of $22,535.10. The original task amount was $473,237.10, reduced to a new total of $450,702.00. The task completion date remains unchanged at June 30, 2021, with no extension to the task period. The funding adjustment is reflected in Budget Entity 37450300, Project GC899, with the reduction applied to Object Code 131545 under Fund 212001. All required approvals were obtained from the Budget Representative (September 1, 2020), Deputy Secretary (September 2, 2020), and Secretary (September 9, 2020).

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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:

GC899-5 08/24/2020 01

Sarasota County Air Quality/Storage Tank Management

John Hickey

David G. Warfel

In order to address projected budget shortfalls, this Task Assignment Change Order is to remove Performance Incentives from Task Assignment GC899-5 (see paragraph 2 of task assignment) and will be reduced by $22,535.10

$473,237.10 $473,237.10

$473,237.10 $473,237.10

-$22,535.10 -$22,535.10 $450,702.00 $450,702.00

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 GC899 37450401002 212001 104138 131545 JN -$22,535.10

-$22,535.10

John Hickey Digitally signed by John Hickey Date: 2020.08.28 16:11:51 -04'00'

8/28/20 David G. Warfel Digitally signed by David G. Warfel Date: 2020.08.31 13:49:32 -04'00' 08/31/2020

Digitally signed by Russell Rhodes Date: 2020.09.01 14:48:23 -04'00'

9/01/2020

John Truitt Digitally signed by John Truitt Date: 2020.09.02 12:19:34 -04'00'

9/2/2020

Leslie Reed Digitally signed by Leslie Reed Date: 2020.09.09 12:11:49 -04'00'

09/09/2020

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