CN-370000-GC912-T3CO4.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 June 11, 2020. The document modifies an existing task assignment (GC912-3) with Duval County, represented by Jean Richards as the contractor representative. Roger Ruiz serves as the DEP Contract Manager, with approvals from Monica J. Brady (Budget Representative) and Teresa Booeshaghi (Contractual Authority).
The change order reflects a reduction in scope due to COVID-19 impact, specifically reducing routine compliance inspections from 580 to 463 inspections, a decrease of 117 inspections. This reduction results in a net decrease of $60,313.50 in task amount. The original task amount was $421,990; the task amount prior to this change order was $454,356; and the revised task amount with all change orders is $394,042.50. The task completion date remains June 30, 2020. Funding is allocated from Org. Code 37450104000 under Object Code 132500, Budget Entity 37450300, Special Category 100029, with the full amount of $394,042.50 obligated against 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:
GC912-3 06/11/2020 4
DUVAL COUNTY
Jean Richards
Roger Ruiz
Reduction of 117 Routine Compliance Inspections, from 580 Routine Compliance Inspections assigned, to 463 Routine Compliance Inspections due to COVID-19 impact.
A net decrease of $60,313.50.
421,990 421,990
454,356 454,356
- 60,313.50 - 60,313.50
394,042.50 394,042.50
06/30/20 06/30/20
- 60,313.50 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 $ 394,042.50
Jean E. Richards Digitally signed by Jean E.
Richards Date: 2020.06.11 11:13:08 -04'00'
06/11/2020 Roger Ruiz Digitally signed by Roger Ruiz Date: 2020.06.11 11:36:23 -04'00'
Monica J. Brady Digitally signed by Monica J.
Brady Date: 2020.06.12 09:23:14 -04'00'
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2020.06.12 09:33:06 -04'00'
File details come from the government source that posted it. Updated .