CN-370000-GC913-T2CO3.pdf

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Master Agreement FL|GC913|1903a62f2685da1206aab1c3d3236eae
Contract number
GC913
Issued by
Florida

About this file

This document is a Task Assignment Change Order Form (Change Order No. 3) issued by the Florida Department of Environmental Protection (FDEP) on April 10, 2019, for Palm Beach County. The form modifies the existing task assignment GC913-2 between the contractor (Palm Beach County, represented by Deborah Drum) and FDEP (represented by DEP Contract Manager Roger Ruiz). The change order was approved by Budget Representative Fletcher Herrald and signed by all relevant parties on April 11, 2019.

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 language stating "Inspection staff to attend annual meeting Spring 2019 at a rate of $400 per staff member" has been revised to read "Inspection staff to attend annual meeting Spring 2019" without the specified rate. This revision ensures that reimbursement for travel costs complies with Chapter 112, Florida Statutes. The change order explicitly states that no changes in funding amount or other contractual information are affected by this modification. The task completion date remains June 30, 2019, and no adjustments to cost reimbursement, fee schedules, or task amounts were made.

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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 04/10/2019 3

PALM BEACH COUNTY

Deborah Drum

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

Deborah L. Drum Digitally signed by Deborah L.

Drum Date: 2019.04.11 12:32:26 -04'00' Roger Ruiz Digitally signed by Roger Ruiz

Date: 2019.04.11 12:59:29 -04'00'

Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.04.11 14:07:51 -04'00'

Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.04.11 14:08:06 -04'00'

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