CN-370000-GC909-T1CO1.pdf
PDF 1 MB Posted
- Contract number
- GC909
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (OOO-012) issued by the Florida Department of Environmental Protection dated August 2, 2017. The change order modifies Task Assignment Number GC909-1 with Monroe County as the contractor, Robert Eadie serving as the contractor representative, and Roger Ruiz acting as the DEP Contract Manager.
The change order increases the cost per Routine Inspection from $510.40 to $515.50, representing a net increase of $5.10 per inspection. The original task amount of $74,543.92 remains unchanged in fee schedule costs, with the net increase of $744.85 bringing the total task amount with all change orders to $75,288.77. The task completion date remains June 30, 2018, with no extension to the task period. The funding is allocated from Org. Code 37450104000 under Object Code 132500, Budget Entity 37450300, Special Category 100029, with the full amount of $75,288.77 charged to year 00. The change order was approved and digitally signed by Contract Manager Roger Ruiz on August 9, 2017, Budget Representative Jennifer Vickers on August 9, 2017, and Contractual Authority Fletch Herrald on August 10, 2017.
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Other files
| File | Type | Posted |
|---|---|---|
| CN-370000-GC909-A2.pdf | ||
| CN-370000-GC909-T2.pdf | ||
| CN-370000-GC909-T2CO2.pdf | ||
| CN-370000-GC909-ARC1.pdf | ||
| CN-370000-GC909-T1.pdf | ||
| CN-370000-GC909-T1CO2.pdf | ||
| CN-370000-GC909-T3.pdf | ||
| CN-370000-GC909-T3CO1.pdf | ||
| CN-370000-GC909-T4.pdf | ||
| CN-370000-GC909-T1CO3.pdf | ||
| CN-370000-GC909-T2CO3.pdf | ||
| CN-370000-GC909-T2CO4.pdf | ||
| CN-370000-GC909-T2CO1.pdf | ||
| CN-370000-GC909-T2CO5.pdf | ||
| CN-370000-GC909.pdf.crdownload | CRDOWNLOAD file |
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Text version
OOO-012 (Effective 09-14-2015) 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:
GC909-1 08/02/2017 1
Monroe County
Robert Eadie
Roger Ruiz
Amount increase per Routine Inspection from $510.40 to $515.50.
A net increase of $5.10 per Routine Inspection.
74,543.92 74,543.92
74,543.92 74,543.92
744.85 744.85
75,288.78 75,288.77
06/30/18 06/30/18 744.85 06/30/18
OOO-012 (Effective 09-14-2015) Page 2 of 2
Florida Department of Environmental Protection
TASK ASSIGNMENT CHANGE ORDER FORM
Change in Funding Information
Org. Code E.O. Object Code Budget Entity
Special Category
Grant # Year Amount
CONTRACTOR FLORIDA DEPARTMENT OF
ENVIRONMENTAL PROTECTION
Contract Manager Date Contract Manager Date
APPROVED:
Budget Representative Date
Contractual Authority Date cc: Procurement Section (MS93) Bureau of Finance & Accounting (MS78) - 2 copies
37450104000 JD 132500 37450300 100029 00 $ 75,288.77
08/09/2017 Roger Ruiz Digitally signed by Roger Ruiz Date: 2017.08.09 12:26:53 -04'00'
Jennifer Vickers Digitally signed by Jennifer Vickers Date: 2017.08.09 15:48:21 -04'00'
08/09/2017
Fletch Herrald Digitally signed by Fletch Herrald Date: 2017.08.10 08:35:49 -04'00'
File details come from the government source that posted it. Updated .