CN-370000-GC912-T4CO1.pdf
PDF 1 MB Posted
- Contract number
- GC912
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. 1) issued by the Florida Department of Environmental Protection (FDEP) on October 26, 2020, for Task Assignment GC912-4 with DUVAL COUNTY. The contractor representative is Jean Richards, and the FDEP Contract Manager is Roger Ruiz.
The change order addresses performance measures due to personnel changes within the Duval County task assignment. Under the revised terms, after an initial four-month period, the first performance measures for GC912-4 Duval County shall require completion of 103 Routine Compliance Inspections, representing 18% of the total contracted scope. The original task amount of $449,201.00 remains unchanged with a completion date of June 30, 2021. Funding is allocated from Organization Code 37450104000 under E.O. JD, Object Code 132500, Budget Entity 37450300, with Special Category 100029. The document was executed by contractor Jean E. Richards and approved by FDEP Contract Manager Roger Ruiz, Budget Representative Monica J. Brady, and Contractual Authority Teresa Booeshaghi on October 26, 2020.
View the file
Other files
Show all 31
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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:
GC912-4 10/26/2020 1
DUVAL COUNTY
Jean Richards
Roger Ruiz
Performance Measures:
Due to personnel changes, GC912-4 Duval County after (4) four months, the first performance measures for GC912-4 Duval County shall be to complete (18%) or 103 Routine Compliance Inspections.
449,201.00 449,201.00
06/30/21 06/30/21
06/30/21
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 $ 449,201.00
Jean E. Richards Digitally signed by Jean E.
Richards Date: 2020.10.26 09:04:08 -04'00'
10/26/2020 Roger Ruiz Digitally signed by Roger Ruiz Date: 2020.10.26 09:16:44 -04'00'
Monica J. Brady Digitally signed by Monica J.
Brady Date: 2020.10.26 10:26:59 -04'00'
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2020.10.26 10:37:12 -04'00'
File details come from the government source that posted it. Updated .