CN-370000-GC913-T2CO2.pdf
PDF 656 KB Posted
- Contract number
- GC913
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection on March 18, 2019. The document pertains to a contract with Palm Beach County, with Deborah Drum serving as the contractor representative and Roger Ruiz as the DEP Contract Manager. The change order has been assigned the number 2 and applies to Task Assignment GC913-2.
The change order increases funding for variable inspections in the amount of $23,000.00, bringing the total task amount from $487,435.00 to $510,435.00. The completion date remains June 30, 2019, with no modification to the task timeline. The funding increase is allocated across two special categories: $487,435.00 under Special Category 100029 (Object Code 132500) and $23,000.00 under Special Category 104138 (Object Code 132500), both charged to Org. Code 37450104000. The change order has been approved and digitally signed by the contractor, contract manager, budget representative (Jennifer Vickers), and contractual authority (Fletcher Herrald) as of March 21, 2019.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CN-370000-GC913-T4.pdf | ||
| CN-370000-GC913-T8.pdf | ||
| CN-370000-GC913-T9.pdf | ||
| CN-370000-GC913-T9CO1.pdf | ||
| CN-370000-GC913-T1.pdf | ||
| CN-370000-GC913-T2CO3.pdf | ||
| CN-370000-GC913-T5.pdf | ||
| CN-370000-GC913-T6.pdf | ||
| CN-370000-GC913-T7.pdf | ||
| CN-370000-GC913.pdf | ||
| CN-370000-GC913-A3.pdf | ||
| CN-370000-GC913-T2.pdf | ||
| CN-370000-GC913-T2CO1.pdf | ||
| CN-370000-GC913-T3.pdf | ||
| CN-370000-GC913-T6CO1.pdf | ||
| CN-370000-GC913-A2.pdf | ||
| CN-370000-GC913-ARC1.pdf | ||
| CN-370000-GC913-T1CO1.pdf | ||
| CN-370000-GC913-T1CO2.pdf | ||
| CN-370000-GC913-T3CO1.pdf |
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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:
GC913-2 03/18/2019 2
PALM BEACH COUNTY
Deborah Drum
Roger Ruiz
Increase of Funds for Variable Inspections in the amount of $23,000.00.
487,435.00 487,435.00
487,435.00 487,435.00
23,000.00 23,000.00
510,435.00 510,435.00
06/30/19 06/30/19 +23,000.00 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 $ 487,435.00
37450104000 JN 132500 37450300 104138 00 $ 23,000.00
$ 510,435.00
Deborah L. Drum Digitally signed by Deborah L.
Drum Date: 2019.03.20 16:33:26 -04'00'
03/20/2019 Roger Ruiz Digitally signed by Roger Ruiz Date: 2019.03.21 12:01:38 -04'00'
Jennifer Vickers Digitally signed by Jennifer Vickers Date: 2019.03.21 14:53:52 -04'00'
Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.03.21 16:04:25 -04'00'
File details come from the government source that posted it. Updated .