CN-370000-GC910-T2CO3.pdf
PDF 654 KB Posted
- Contract number
- GC910
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. 3) issued by the Florida Department of Environmental Protection on April 10, 2019. The document involves the contractor Escambia County, represented by Greg Berrian, with Roger Ruiz serving as the DEP Contract Manager. The change order was approved by Fletcher Herrald as both Budget Representative and Contractual Authority on April 11, 2019.
The change order modifies Task Assignment 910-2 by revising language in the current task assignment related to inspection staff attendance at an annual meeting scheduled for Spring 2019. Specifically, the language is being changed from "Inspection staff to attend annual meeting Spring 2019 at a rate of $400 per staff member" to "Inspection staff to attend annual meeting Spring 2019" to ensure compliance with Chapter 112, Florida Statutes regarding travel cost reimbursement procedures. No changes to the funding amount or task completion date of June 30, 2019 are effected by this change order. The document indicates that no adjustments to cost reimbursement, fee schedule, or total task amount were required.
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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:
910-2 04/10/2019 3
Escambia County
Greg Berrian
Roger Ruiz
“Revising sentence in current task assignment from reading :
‘Inspection staff to attend annual meeting Spring 2019 at a rate of $400 per staff member.’
To read:
Inspection staff to attend annual meeting Spring 2019.”
This is necessary to ensure reimbursement for travel costs shall be in compliance with Chapter 112, FS.
No changes in funding amount or information effected by this Task Assignment Change Order (TACO).
06/30/19 06/30/19
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
Gregory Berrian Digitally signed by Gregory Berrian Date: 2019.04.11 08:39:12 -05'00'
04/11/2019 Roger Ruiz Digitally signed by Roger Ruiz Date: 2019.04.11 10:19:11 -04'00'
Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.04.11 12:07:16 -04'00'
Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.04.11 12:07:32 -04'00'
File details come from the government source that posted it. Updated .