CN-370000-GC911-T3CO2.pdf

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Attached to
Master Agreement FL|GC911|7fad29d6b3cd25f6cd90c1c00b9c09ae
Contract number
GC911
Issued by
Florida

About this file

Change Order Summary

This is a Task Assignment Change Order Form (OOO-012) issued by the Florida Department of Environmental Protection (FDEP) on May 14, 2020, modifying Task Assignment GC911-3 with contractor Dade County. The change order was executed by contractor representative Bernardo Bieler, P.E., and FDEP Contract Manager Roger Ruiz, with approvals from Budget Representative Fletch Herrald and Contractual Authority Teresa Booeshaghi.

The change order reduces the scope of routine compliance inspections from 643 to 568 inspections due to COVID-19 impact, resulting in a net task amount decrease of $38,662.50. The original task amount of $428,817.00 is reduced to $390,154.50. The task completion date remains June 30, 2020, unchanged by this modification. Funding is allocated from Org. Code 37450104000 (E.O. JD, Object Code 132500, Budget Entity 37450300, Special Category 100029) with the final contract amount of $390,154.50.

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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 05/14/2020 2

DADE COUNTY

Bernardo Bieler, P.E.

Roger Ruiz

Reduction of 75 Routine Compliance Inspections, from 643 Routine Compliance Inspections assigned, to 568 Routine Compliance Inspections due to COVID-19 impact.

A net decrease of $38,662.50.

428,817 428,817

428,817 428,817

- 38,662.50 - 38,662.50

390,154.50 390,154.50

06/30/20 06/30/20

- 38,662.50 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 $ 390,154.50

Digitally signed by Bernardo M.

Bieler Date: 2020.05.14 15:22:43 -04'00'

05/14/2020 Roger Ruiz Digitally signed by Roger Ruiz Date: 2020.05.14 15:37:04 -04'00'

Fletch Herrald Digitally signed by Fletch Herrald Date: 2020.05.14 20:07:27 -04'00'

Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2020.05.15 08:34:01 -04'00'

File details come from the government source that posted it. Updated .