CN-370000-GC909-T1CO2.pdf

PDF 655 KB Posted

Attached to
Master Agreement FL|GC909|09f46a52f0ae544fa32a77f23c752016
Contract number
GC909
Issued by
Florida

About this file

This is a Task Assignment Change Order Form (Change Order No. 2) issued by the Florida Department of Environmental Protection (FDEP) on October 26, 2017. The document modifies an existing task assignment (GC909-1) with Monroe County, with Robert Eadie serving as the Contractor Representative and Roger Ruiz as the DEP Contract Manager. The change order was approved by Jennifer Vickers (Budget Representative) and Fletch Herrald (Contractual Authority) on October 30, 2017.

The change order addresses performance measures adjustments resulting from recent hurricane impacts. Due to hurricane-related disruptions, the first performance milestone for the Monroe County task has been modified to require completion of eighteen percent (18%) of Routine Compliance Inspections after four months. The task assignment maintains a consistent total amount of $75,288.78 across all change orders, with no net increase or decrease in the task amount. The completion date remains June 30, 2018, with no extension to the task period. Funding is allocated from Organizational Code 37450104000 under Budget Entity 37450300, Object Code 132500, with Grant #100029 for Fiscal Year 2018 in the amount of $75,288.78. Distribution copies were directed to the Procurement Section (MS93) and Bureau of Finance & Accounting (MS78).

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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 10/26/2017 2

Monroe County

Robert Eadie

Roger Ruiz

Performance Measures:

Due to the recent Hurricanes, after four (4) months, the first performance measures for GC909-1 Monroe County shall be to complete eighteen percent (18%) of Routine Compliance Inspections.

74,543.92 74,543.92

75,288.78 75,288.78

0 0

75,288.78 75,288.78

06/30/18 06/30/18 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 2018 $ 75,288.78

Digitally signed by Robert B Eadie DN: CN=Robert B Eadie, OU=Administrator, O=Monroe County Health Dept, E=bob.eadie@flhealth.gov Reason: I am the author of this document Location:

Date: 2017-10-30 10:51:06

Robert B Eadie 10/27/2017 Roger Ruiz Digitally signed by Roger Ruiz

Date: 2017.10.30 13:13:59 -04'00'

Jennifer Vickers Digitally signed by Jennifer Vickers Date: 2017.10.30 14:43:15 -04'00'

Fletch Herrald Digitally signed by Fletch Herrald Date: 2017.10.30 14:52:49 -04'00'

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