CN-370000-GC911-T2CO3.pdf
PDF 729 KB Posted
- Contract number
- GC911
- Issued by
- Florida
About this file
This document is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) dated April 23, 2019. The form pertains to Task Assignment GC911-2 with DADE COUNTY as the contractor, represented by Bernardo Bieler, P.E., with Roger Ruiz serving as the FDEP Contract Manager. This is Change Order No. 3, processed through digital signatures from all authorized parties including Fletcher Herrald, the Budget Representative and Contractual Authority.
The change order increases funds for variable inspections in the amount of $29,650.00. The original task amount was $408,635.00, with the net increase bringing the total task amount with all change orders to $438,285.00. The task completion date remains unchanged at June 30, 2019. The funding is allocated through organizational code 37450104000 under Executive Order (E.O.) JD, object code 132500, budget entity 37450300, and special category 104138, with a total year 00 amount of $438,285.00. Copies of the approved change order were distributed to the Procurement Section (MS93) and the 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:
GC911-2 04/23/2019 3
DADE COUNTY
Bernardo Bieler, P.E.
Roger Ruiz
Increase of Funds for Variable Inspections in the amount of $29,650.00.
$408,635.00 $408,635.00
$408,635.00 $408,635.00
+$29,650.00 +$29,650.00
$438,285.00 $438,285.00
06/30/19 06/30/19 +$29,650.00 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 104138 00 $ 438,285.00
Digitally signed by Bernardo M.
Bieler Date: 2019.04.23 15:10:42 -04'00'
04/23/2019 Roger Ruiz Digitally signed by Roger Ruiz Date: 2019.04.23 15:17:48 -04'00'
Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.04.23 15:25:01 -04'00'
Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.04.23 15:25:19 -04'00'
File details come from the government source that posted it. Updated .