CN-370000-GC911-T1CO2.pdf
PDF 654 KB Posted
- Contract number
- GC911
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) dated October 26, 2017. The change order modifies an existing task assignment (GC911-1) with Dade County, represented by contractor Rashid Istambouli, P.E., with FDEP Contract Manager Roger Ruiz overseeing the agreement. Change Order No. 2 was approved by Jennifer Vickers (Budget Representative) and John J. Truitt (Contractual Authority) on October 30-31, 2017.
The change order maintains the task amount at $420,962.46 with no net increase or decrease in cost. The completion date remains June 30, 2018, with no extension to the task period. The primary modification involves revised performance measures requiring Dade County to complete 26 percent of Routine Compliance Inspections within four months due to recent hurricane impacts. The funding is allocated under Fiscal Year 2018 from Organization Code 37450104000, with Object Code 132500 and Budget Entity 37450300, Special Category 100029. The document was digitally signed by all required parties and distributed to the Procurement Section (MS93) and Bureau of Finance & Accounting (MS78).
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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:
GC911-1 10/26/2017 2
DADE COUNTY
Rashid Istambouli, P.E.
Roger Ruiz
Performance Measures:
Due to the recent Hurricanes, after four (4) months, the first performance measures for GC911-1 Dade County shall be to complete twenty six percent (26%) of Routine Compliance Inspections.
416,797.74 416,797.74
420,962.46 420,962.46
0 0
420,962.46 420,962.46
06/30/18 06/30/18 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: 2017.10.27 09:27:08 -04'00'
10/27/2017 Roger Ruiz Digitally signed by Roger Ruiz Date: 2017.10.30 08:15:02 -04'00'
Jennifer Vickers Digitally signed by Jennifer Vickers Date: 2017.10.30 09:56:24 -04'00'
John J. Truitt Digitally signed by John J. Truitt Date: 2017.10.31 10:24:16 -04'00'
File details come from the government source that posted it. Updated .