CN-370000-GC912-T2CO1.pdf
PDF 1 MB Posted
- Contract number
- GC912
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (OOO-012) issued by the Florida Department of Environmental Protection (FDEP) on July 19, 2018. The document pertains to Task Assignment GC912-2 between the Florida Department of Environmental Protection and Duval County. Jean Richards represents the contractor (Duval County), while Roger Ruiz serves as the DEP Contract Manager. The change order was approved by multiple FDEP officials including Fletcher Herrald (Contract Manager), Jennifer Vickers (Budget Representative), and Tim J. Bahr (Contractual Authority), with signatures dated August 1-2, 2018.
The change order updates Attachment A (Scope of Work) for the task assignment. The original task amount of $419,500.00 remains unchanged, with no net increase or decrease in the task amount. The task completion date is consistent at June 30, 2019 across all periods, indicating no extension of the performance timeline. The funding is allocated from Org. Code 37450104000 with E.O. code JD, Object Code 132500, Budget Entity 37450300, Special Category 100029, in the amount of $419,500.00. The document is directed to the Procurement Section (MS93) and Bureau of Finance & Accounting (MS78) for processing.
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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:
GC912-2 07/19/2018 1
DUVAL COUNTY
Jean Richards
Roger Ruiz
Updated Attachment A - Scope of Work
419,500.00
06/30/19 06/30/19
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 100029 00 $ 419,500.00
Jean E. Richards Digitally signed by Jean E.
Richards Date: 2018.08.01 09:09:33 -04'00'
08/01/2018 Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2018.08.02 08:56:52 -04'00'
Jennifer Vickers Digitally signed by Jennifer Vickers Date: 2018.08.02 13:23:38 -04'00'
Tim J. Bahr Digitally signed by Tim J. Bahr Date: 2018.08.02 15:29:01 -04'00'
File details come from the government source that posted it. Updated .