CN-370000-GC909-T3CO1.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. 1) issued by the Florida Department of Environmental Protection (FDEP) on June 9, 2020, for Monroe County. The contractor representative is Robert Eadie, and the DEP Contract Manager is Roger Ruiz. The change order was approved by Budget Representative Monica J. Brady and Contractual Authority Teresa Booeshaghi.

The change order modifies the task assignment GC909-3 to reduce the number of Routine Compliance Inspections from 115 to 114 inspections due to COVID-19 impact, resulting in a net decrease of $515.50. Simultaneously, the change order increases funding for Variable Compliance Inspections by $4,000. The net effect of these adjustments is an increase of $3,484.50 to the task assignment. The original task amount of $66,283 is increased to $69,767.50 with all change orders. The task completion date remains June 30, 2020. Funding is sourced from Organization Code 37450104000 (E.O. JD, Object Code 132500, Budget Entity 37450300, Special Category 100029, Year 00) with a total authorized amount of $69,767.50.

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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:

GC909-3 06/09/2020 1

Monroe County

Robert Eadie

Roger Ruiz

Reduction of 1 Routine Compliance Inspection, from 115 Routine Compliance Inspections assigned, to 114 Routine Compliance Inspections due to COVID-19 impact.

A net decrease of $515.50.

Increase in funds for Variable Compliance Inspections in the amount of $4,000.

A net increase of $4,000.

Per the reduction of 1 Routine Compliance Inspection and the increase for Variable Compliance Inspections, the final net increase for this TACO is: $3,484.50

66,283 66,283

66,283 66,283

+ 3,484.50 + 3,484.50

69,767.50 69,767.50

06/30/20 06/30/20 + 3,484.50 06/30/20

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 $ 69,767.50

Robert B. Eadie Digitally signed by Robert B. Eadie DN: cn=Robert B. Eadie, o, ou=Florida Department of Health Monroe County, email=bob.eadie@flhealth.gov, c=US Date: 2020.06.09 14:44:01 -04'00'

06/09/2020 Roger Ruiz Digitally signed by Roger Ruiz Date: 2020.06.09 14:59:08 -04'00'

Monica J. Brady Digitally signed by Monica J.

Brady Date: 2020.06.09 17:19:47 -04'00'

Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2020.06.10 08:04:29 -04'00'

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