CN-370000-GC909-T2CO5.pdf
PDF 655 KB Posted
- Contract number
- GC909
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) on June 11, 2019. The document modifies an existing task assignment with Monroe County, represented by Robert Eadie as the contractor representative, with Roger Ruiz serving as the FDEP Contract Manager. The change order is numbered 5 and is associated with Task Assignment Number GC909-2.
The change order reduces the scope of routine compliance inspections by eliminating four inspections, decreasing the number of facilities inspected from 115 to 111. This reduction results in a net decrease of $2,180.00 in the task amount. The original task amount was $67,075.00; prior to this change order, the task amount had increased to $76,311.00. With this change order applied, the final task amount with all change orders is $74,131.00. The task completion date remains unchanged at June 30, 2019. The funding is allocated to Organizational Code 37450104000 under Object Code 132500, with a total budgeted amount of $74,131.00. The change order was approved by Budget Representative Griffin Kolchakian and Contractual Authority Teresa Booeshaghi on June 13, 2019.
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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-T1CO1.pdf | ||
| CN-370000-GC909-T1CO3.pdf | ||
| CN-370000-GC909-T2CO3.pdf | ||
| CN-370000-GC909-T2CO4.pdf | ||
| CN-370000-GC909-T2CO1.pdf | ||
| CN-370000-GC909.pdf.crdownload | CRDOWNLOAD file | |
| 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 |
Show all 15
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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 06/11/2019 5
Monroe County
Robert Eadie
Roger Ruiz
Reduction of 4 Routine Compliance Inspections, in the amount of ($2,180.00), from 115 facilities to 111 facilities.
67,075.00 67,075.00
76,311.00 76,311.00
-2,180.00 -2,180.00
74,131.00 74,131.00
06/30/19 06/30/19 -2,180.00 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 $ 74,131.00
Robert B Eadie Digitally signed by Robert B Eadie Date: 2019.06.12 10:30:51 -04'00' Roger Ruiz Digitally signed by Roger Ruiz
Date: 2019.06.13 09:38:23 -04'00'
Griffin Kolchakian Digitally signed by Griffin Kolchakian Date: 2019.06.13 13:12:39 -04'00'
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2019.06.13 14:42:18 -04'00'
File details come from the government source that posted it. Updated .