CN-370000-GC909-T2CO2.pdf

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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) dated October 29, 2018. The document pertains to Task Assignment Number GC909-2 with Monroe County as the contractor, represented by Robert Eadie. Roger Ruiz serves as the DEP Contract Manager overseeing this modification.

The change order increases the task assignment funds by $6,000.00 to accommodate an increase in variable inspections. The original task amount was $67,075.00, and with this change order, the total task amount with all change orders becomes $73,075.00. The task completion date remains June 30, 2019, with no extension to the project timeline. The funding is allocated under Org. Code 37450104000, E.O. JD, Object Code 132500, Budget Entity 37450300, and Special Category 100029, with a total amount of $73,075.00 charged to year 00. The change order has been approved by Budget Representative Jennifer Vickers and Contractual Authority Fletcher Herrald, with copies distributed to the Procurement Section and Bureau of Finance & Accounting.

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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:

GC909-2 10/29/2018 2

Monroe County

Robert Eadie

Roger Ruiz

Increase of Funds for Variable Inspections in the amount of $6,000.00.

$67,075.00 $67,075.00

$67,075.00 $67,075.00

+6,000.00 +6,000.00

73,075.00 73,075.00

06/30/19 06/30/19 +6,000.00 06/30/19

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 $ 73,075.00

Robert B. Eadie Digitally signed by Robert B. Eadie Date: 2018.10.30 08:57:44 -04'00' Roger Ruiz Digitally signed by Roger Ruiz

Date: 2018.10.30 09:03:29 -04'00'

Jennifer Vickers Digitally signed by Jennifer Vickers Date: 2018.10.30 11:18:36 -04'00'

Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2018.10.30 11:24:57 -04'00'

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