CN-370000-GC912-T2CO3.pdf

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Attached to
Master Agreement FL|GC912|c193942c9873c74c215bc29f5714e5cb
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 April 10, 2019. The change order applies to Task Assignment Number GC912-2 with Duval County, represented by contractor Jean Richards, with FDEP Contract Manager Roger Ruiz overseeing the modification.

The change order revises the language in the current task assignment regarding inspection staff attendance at an annual meeting scheduled for Spring 2019. Specifically, the original task language specifying reimbursement "at a rate of $400 per staff member" has been removed and replaced with general language stating "Inspection staff to attend annual meeting Spring 2019." This revision was made to ensure travel cost reimbursement complies with Chapter 112 of the Florida Statutes. The change order explicitly states that no changes in funding amount or other contract information were affected by this modification. All task completion dates remain June 30, 2019, and the change order was approved by Budget Representative Fletcher Herrald and Contractual Authority Fletcher Herrald on April 22, 2019.

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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 04/10/2019 3

DUVAL COUNTY

Jean Richards

Roger Ruiz

“Revising sentence in current task assignment from reading :

‘Inspection staff to attend annual meeting Spring 2019 at a rate of $400 per staff member.’

To read:

Inspection staff to attend annual meeting Spring 2019.”

This is necessary to ensure reimbursement for travel costs shall be in compliance with Chapter 112, FS.

No changes in funding amount or information effected by this Task Assignment Change Order (TACO).

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

Jean E. Richards Digitally signed by Jean E.

Richards Date: 2019.04.19 13:30:57 -04'00'

04/19/2019 Roger Ruiz Digitally signed by Roger Ruiz Date: 2019.04.22 08:03:57 -04'00'

Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.04.22 14:18:31 -04'00'

Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.04.22 14:18:45 -04'00'

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