CN-370000-GC911-T3CO1.pdf
PDF 1 MB Posted
- Contract number
- GC911
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Form OOO-012) issued by the Florida Department of Environmental Protection (FDEP) dated September 12, 2019. The change order pertains to Task Assignment GC911-3 for Dade County, with Bernardo Bieler, P.E., serving as the contractor representative and Roger Ruiz as the FDEP Contract Manager.
The change order addresses performance measures for the Miami-Dade County task assignment due to recent personnel changes. The first performance measures, to be completed within four months, require the contractor to complete 23 percent (23%) of Routine Compliance Inspections, equivalent to 148 Routine Compliance Inspections. The original task amount is $428,817.00, with a completion date of June 30, 2020. The funding is allocated from Organizational Code 37450104000 under E.O. JD, Object Code 132500, Budget Entity 37450300, Special Category 100029, with the full $428,817.00 amount designated for the fiscal year.
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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:
GC911-3 09/12/2019 1
DADE COUNTY
Bernardo Bieler, P.E.
Roger Ruiz
Performance Measures:
Due to recent personnel changes for GC911-3 Miami Dade County, after four (4) months, the first performance measures for GC911-3 Miami-Dade County shall be to complete twenty three percent (23%) of Routine Compliance Inspections or 148 Routine Compliance Inspections.
428,817.00
06/30/20 06/30/20
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 $ 428,817.00
Digitally signed by Bernardo M.
Bieler Date: 2019.09.12 17:02:46 -04'00' Roger Ruiz Digitally signed by Roger Ruiz
Date: 2019.09.16 07:05:15 -04'00'
Griffin Kolchakian Digitally signed by Griffin Kolchakian Date: 2019.09.16 08:23:29 -04'00'
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2019.09.16 08:58:12 -04'00'
File details come from the government source that posted it. Updated .