CN-370000-GC914-T2CO1.pdf
PDF 1 MB Posted
- Contract number
- GC914
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (OOO-012) issued by the Florida Department of Environmental Protection (FDEP) for a task assignment with Leon County. The change order is dated July 19, 2018, and represents Change Order No. 1 for Task Assignment Number GC914-2. The contractor is Leon County, represented by Robert Bass, with Roger Ruiz serving as the DEP Contract Manager.
The change order modifies the scope of work through an updated Attachment A without altering the financial or temporal obligations of the original task. The original task amount of $122,255.00 remains unchanged, with a completion date of June 30, 2019. The funding is allocated through Leon County's organization code 37450104000 under object code 132500, with budget entity 37450300 and special category 100029, for a total amount of $122,255.00. The change order was executed by multiple authorized representatives, including contractor Robert Bass and FDEP personnel Fletcher Herrald, Jennifer Vickers (Budget Representative), and Tim J. Bahr (Contractual Authority), all with digital signatures dated August 2018.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 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 | ||
| 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-A1.pdf | ||
| CN-370000-GC914-A3.pdf | ||
| CN-370000-GC914-CO1.pdf | ||
| CN-370000-GC914-T5.pdf | ||
| CN-370000-GC914-T8.pdf |
Show all 22
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:
GC914-2 07/19/2018 1
LEON COUNTY
Robert Bass
Roger Ruiz
Updated Attachment A - Scope of Work
122,255.00
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
37450104000 JD 132500 37450300 100029 00 $ 122,255.00
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: 2018.08.03 14:30:21 -04'00'
Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2018.08.14 10:11:53 -04'00'
Jennifer Vickers Digitally signed by Jennifer Vickers Date: 2018.08.14 10:19:11 -04'00'
Tim J. Bahr Digitally signed by Tim J. Bahr Date: 2018.08.14 12:34:25 -04'00'
File details come from the government source that posted it. Updated .