CN-370000-GC911-T1CO1.pdf
PDF 1 MB Posted
- Contract number
- GC911
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (OOO-012) issued by the Florida Department of Environmental Protection (FDEP) on August 2, 2017. The change order modifies an existing task assignment (GC911-1) with the Contractor, Miami-Dade County, represented by Rashid Istambouli, P.E. The FDEP Contract Manager is Roger Ruiz. The document was approved on August 9, 2017, by authorized representatives including Budget Representative Jennifer Vickers and Contractual Authority John Truitt.
The change order increases the routine inspection fee rate from $510.40 to $515.50 per inspection, representing a net increase of $5.10 per routine inspection. This rate increase became effective September 1, 2017, with all inspections conducted through August 31, 2017, paid at the original rate of $510.40. The net increase in task amount is $4,164.72, bringing the total task amount from $416,797.74 to $420,962.46. The task completion date remains June 30, 2018. Funding for the change order is allocated from Org. Code 37450104000 under Budget Entity 37450300, Special Category 100029, for fiscal year 2018, with the total amount of $420,962.46.
View the file
Other files
Show all 21
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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:
GC911-1 08/02/2017 1
DADE COUNTY
Rashid Istambouli, P.E.
Roger Ruiz
Amount increase per Routine Inspection from $510.40 to $515.50.
A net increase of $5.10 per Routine Inspection.
The increase will become effective September 1, 2017. All inspections conducted through August 31, 2017, will be paid at the rate of $510.40.
416,797.74 416,797.74
416,797.74 416,797.74
4,164.72 4,164.72
420,962.46 420,962.46
06/30/18 06/30/18 4,164.72 06/30/18
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 2018 $ 420,962.46
Rashid Istambouli Digitally signed by Rashid Istambouli DN: cn=Rashid Istambouli, o=Miami-Dade County Regulatory and Economic Resources Department - Division of Environmental Resources Management, ou=Pollution Regulation Division, email=istamr@miamidade.gov, c=US Date: 2017.08.09 09:19:44 -04'00'
08/09/2017 Roger Ruiz Digitally signed by Roger Ruiz Date: 2017.08.09 09:43:50 -04'00'
Jennifer Vickers Digitally signed by Jennifer Vickers Date: 2017.08.09 10:49:33 -04'00'
08/09/2017
John Truitt Digitally signed by John Truitt Date: 2017.08.11 15:03:13 -04'00'
File details come from the government source that posted it. Updated .