CN-370000-GC909-T2CO4.pdf
PDF 655 KB Posted
- Contract number
- GC909
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. 4) issued by the Florida Department of Environmental Protection (FDEP) for Monroe County, dated June 6, 2019. The contractor is Monroe County, represented by Robert Eadie, with Roger Ruiz serving as the DEP Contract Manager. The change order was approved by Griffin Kolchakian (Budget Representative) and Teresa Booeshaghi (Contractual Authority) on June 10, 2019.
The change order increases funding for variable inspections by $3,236.00, bringing the total task amount from $73,075.00 to $76,311.00. The task completion date remains unchanged at June 30, 2019. Funding is allocated from Organizational Code 37450104000 (JD), Object Code 132500, Budget Entity 37450300, Special Category 104138, with the total amount of $76,311.00 charged to the specified budget line. The change order was distributed to the Procurement Section (MS93) and the Bureau of Finance & Accounting (MS78) for processing.
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Other files
| File | Type | Posted |
|---|---|---|
| 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-A2.pdf | ||
| CN-370000-GC909-T2.pdf | ||
| CN-370000-GC909-T2CO2.pdf | ||
| CN-370000-GC909-T1CO1.pdf | ||
| CN-370000-GC909-T1CO3.pdf | ||
| CN-370000-GC909-T2CO3.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:
GC909-2 06/06/2019 4
Monroe County
Robert Eadie
Roger Ruiz
Increase of Funds for Variable Inspections in the amount of $3,236.00.
67,075.00 67,075.00
73,075.00 73,075.00
+3,236.00 +3,236.00
76,311.00 76,311.00
06/30/19 06/30/19 +3,236.00 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 104138 00 $ 76,311.00
Robert B. Eadie Digitally signed by Robert B. Eadie Date: 2019.06.07 09:26:31 -04'00' Roger Ruiz Digitally signed by Roger Ruiz
Date: 2019.06.10 08:23:45 -04'00'
Griffin Kolchakian Digitally signed by Griffin Kolchakian Date: 2019.06.10 12:58:45 -04'00'
06/10/2019
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2019.06.10 13:19:33 -04'00'
06/10/2019
File details come from the government source that posted it. Updated .