CN-370000-GC913-T6CO1.pdf
PDF 608 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 (FDEP) on March 7, 2023. The change order modifies an existing task assignment (GC913-6) with contractor Deborah Drum. The document was approved by multiple parties including Roger Ruiz (DEP Contract Manager), Fletch Herrald (Budget Representative), and Jessica Kramer (Contractual Authority), with legal approval noted from Shannon Fox, Assistant County Attorney.
The change order increases funding for Ethanol/Biodiesel Inspections by $1,046, resulting in a net increase to the task amount. The original task amount of $553,553 is increased to $554,599 with all change orders applied. The task completion date remains June 30, 2023, with no extension to the timeline. Funding is allocated across two budget lines: $553,553.00 from Org. Code 37450104000, E.O. JD, Object Code 132500, Special Category 100029 (Year 00); and $1,046.00 from the same Org. Code with E.O. JG, Special Category 087889 (Year 23). The change order was distributed to the Procurement Section (MS93) and Bureau of Finance & Accounting (MS78).
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-A3.pdf | ||
| CN-370000-GC913-T2.pdf | ||
| CN-370000-GC913-T2CO1.pdf | ||
| CN-370000-GC913-T3.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-A2.pdf | ||
| CN-370000-GC913-ARC1.pdf | ||
| CN-370000-GC913-T1CO1.pdf | ||
| CN-370000-GC913-T1CO2.pdf | ||
| CN-370000-GC913-T2CO2.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:
GC913-6 03/07/2023 1
Deborah Drum
Roger Ruiz
Performance Measures:
Increase in funds for Ethanol/Biodiesel Inspections for $1,046.
A net increase of $1,046.
553,553 553,553
553,553 553,553
+1,046 +1,046
554,599 554,599
06/30/23 06/30/23 +1,046 06/30/23
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 $ 553,553.00
37450104000 JG 132500 37450300 087889 23 $ 1,046.00
Digitally signed by Deborah L. Drum DN: CN=Deborah L. Drum, O=Environmental Resources Management, OU=Palm Beach County, E=ddrum@ pbcgov.org, C=US Reason: I am approving this document Location:
Date: 2023.03.08 09:34:19-05'00' Foxit PDF Editor Version: 12.1.0
Deborah L.
Drum Roger Ruiz Digitally signed by Roger Ruiz
Date: 2023.03.13 09:37:19 -04'00'
Fletch Herrald Digitally signed by Fletch Herrald Date: 2023.03.13 09:49:20 -04'00'
Jessica Kramer Digitally signed by Jessica Kramer Date: 2023.03.15 08:07:10 -04'00' sxfox Typewriter
APPROVED AS TO FORM
AND LEGAL SUFFICIENCY
BY:
/s/ Shannon Fox, Assistant County Attorney
File details come from the government source that posted it. Updated .