CN-370000-GC914-CO1.pdf
PDF 1 MB Posted
- Contract number
- GC914
- 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 for Task Assignment Number GC914-1. The document is dated August 2, 2017, and involves Leon County as the contractor, with Robert Bass serving as the Contractor Representative and Roger Ruiz as the DEP Contract Manager. The change order was approved on August 9, 2017, with signatures from Jennifer Vickers (Budget Representative) and Tim J. Bahr (Contractual Authority).
The change order modifies the pricing for routine inspections conducted under the task assignment. The inspection fee increases from $510.40 to $515.50 per routine inspection, representing a net increase of $5.10 per inspection. This increase became effective September 1, 2017, with all inspections conducted through August 31, 2017, paid at the original rate of $510.40. The total task amount increases by $1,288.93, from $128,993.39 to $130,282.32. The task completion date remains June 30, 2018, unchanged by this modification. Funding is allocated through Org. Code 37450104000, Object Code 132500, with Special Category 100029, and the full amount of $130,282.32 is charged to the identified budget entity.
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Other files
| File | Type | Posted |
|---|---|---|
| CN-370000-GC914-A1.pdf | ||
| CN-370000-GC914-A3.pdf | ||
| CN-370000-GC914-T2CO1.pdf | ||
| CN-370000-GC914-T5.pdf | ||
| CN-370000-GC914-T8.pdf | ||
| CN-370000-GC914 (1).pdf | ||
| CN-370000-GC914 (1).pdf.crdownload | CRDOWNLOAD file | |
| CN-370000-GC914-T1CO2.pdf | ||
| CN-370000-GC914-T2.pdf | ||
| CN-370000-GC914-T3CO1.pdf | ||
| CN-370000-GC914-T6.pdf | ||
| CN-370000-GC914-T6CO1.pdf | ||
| CN-370000-GC914-T7CO1.pdf | ||
| CN-370000-GC914-T2CO2.pdf | ||
| CN-370000-GC914-T4.pdf | ||
| CN-370000-GC914-T9CO1.pdf | ||
| CN-370000-GC914-A2.pdf | ||
| CN-370000-GC914-T1.pdf | ||
| CN-370000-GC914-T3.pdf | ||
| CN-370000-GC914-T7.pdf | ||
| CN-370000-GC914-T8CO1.pdf | ||
| CN-370000-GC914-T9.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:
GC914-1 08/02/2017 1
LEON COUNTY
Robert Bass
Roger Ruiz
Amount increase per Routine Inspection from $510.40 to $515.50.
A net increase of $5.10 per Routine Inspection.
The increase will become effective September 1, 2017. All inspections conducted through August 31, 2017, will be paid at the rate of $510.40.
128,993.39 128,993.39
128,993.39 128,993.39
1,288.93 1,288.93
130,282.32 130,282.32
06/30/18 06/30/18 1,288.93 06/30/18
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 $ 130,282.32
Robert Bass Digitally signed by Robert Bass DN: cn=Robert Bass, o=Leon County Development Support and Environmental Mgmt, ou, email=bassr@leoncountyfl.gov, c=US Date: 2017.08.09 10:29:32 -04'00'
Roger Ruiz Digitally signed by Roger Ruiz Date: 2017.08.09 10:43:14 -04'00'
Jennifer Vickers Digitally signed by Jennifer Vickers Date: 2017.08.09 10:53:44 -04'00'
08/09/2017
Tim J. Bahr Digitally signed by Tim J. Bahr Date: 2017.08.09 17:22:51 -04'00'
File details come from the government source that posted it. Updated .