CN-370000-GC912-T1CO2.pdf
PDF 655 KB Posted
- Contract number
- GC912
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection on October 26, 2017. The document modifies an existing contract with Duval County, identified by task assignment number GC912-1. Jean Richards serves as the Contractor Representative, and Roger Ruiz is the DEP Contract Manager. The change order was approved by Jennifer Vickers (Budget Representative) and John J. Truitt (Contractual Authority).
The change order addresses performance measures adjustments due to recent hurricanes, requiring Duval County to complete twenty-six percent (26%) of Routine Compliance Inspections within four months of the task assignment. The task amount remains unchanged at $379,717.30, with no net increase or decrease in funding. The task completion date is set for June 30, 2018, with no extension to the original timeline. Funding is allocated from Fiscal Year 2018 under Org. Code 37450104000, Object Code 132500, Budget Entity 37450300, and Special Category 100029, with the full amount of $379,717.30 designated for this fiscal year. The change order was executed with digital signatures on October 27-31, 2017.
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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:
GC912-1 10/26/2017 2
DUVAL COUNTY
Jean Richards
Roger Ruiz
Performance Measures:
Due to the recent Hurricanes, after four (4) months, the first performance measures for GC912-1 Duval County shall be to complete twenty six percent (26%) of Routine Compliance Inspections.
375,960.64 375,960.64
379,717.30 379,717.30
0 0
379,717.30 379,717.30
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 $ 379,717.30
Jean E. Richards Digitally signed by Jean E.
Richards Date: 2017.10.27 07:44:02 -04'00'
10/27/2017 Roger Ruiz Digitally signed by Roger Ruiz Date: 2017.10.30 08:05:06 -04'00'
Jennifer Vickers Digitally signed by Jennifer Vickers Date: 2017.10.30 09:55:29 -04'00'
John J. Truitt Digitally signed by John J. Truitt Date: 2017.10.31 10:24:39 -04'00'
File details come from the government source that posted it. Updated .