CN-370000-GC911-T6CO1.pdf
PDF 1 MB 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) for work being performed by DADE COUNTY. The change order was dated May 23, 2023, and designated as Change Order No. 1 for Task Assignment Number GC911-6. The contractor representative is Bernardo Bieler, P.E., and the FDEP Contract Manager is Roger Ruiz. The document was approved by Fletch Herrald (Budget Representative) and Justin Wolfe (Contractual Authority).
The change order increases funding for Variable Inspections by $10,000, resulting in a net increase to the task amount. The original task amount was $393,325, and with this change order, the total task amount increases to $403,325. The task completion date remains unchanged at June 30, 2023. The funding is allocated from Organization Code 37450104000 under E.O. JD, with Object Code 132500, Budget Entity 37450300, and Special Category 100029, with the total contract amount of $403,325.00 charged to Year 00.
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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:
GC911-6 05/23/2023 1
DADE COUNTY
Bernardo Bieler, P.E.
Roger Ruiz
Increase in funds for Variable Inspections for $10,000.
A net increase of $10,000.
393,325 393,325
393,325 393,325
+10,000 +10,000
403,325 403,325
06/30/23 06/30/23 +10,000 06/30/23
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 $ 403,325.00
Digitally signed by Bernardo M.
Bieler Date: 2023.05.23 16:57:52 -04'00'
05/23/2023 Roger Ruiz Digitally signed by Roger Ruiz Date: 2023.05.24 07:19:42 -04'00'
Fletch Herrald Digitally signed by Fletch Herrald Date: 2023.05.24 08:46:06 -04'00'
Justin Wolfe Digitally signed by Justin Wolfe Date: 2023.05.30 15:13:50 -04'00'
File details come from the government source that posted it. Updated .