CN-370000-GC914-T2CO2.pdf

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Attached to
Master Agreement FL|GC914|8fccc28dda898687f0dd3c309f3a996b
Contract number
GC914
Issued by
Florida

About this file

This is a Task Assignment Change Order Form (TACO No. 2) issued by the Florida Department of Environmental Protection (FDEP) on April 10, 2019, for Task Assignment Number GC914-2 with Leon County. The contractor is represented by Robert Bass, with FDEP Contract Manager Roger Ruiz overseeing the agreement. The document requires signatures from both the contractor and the State of Florida, with approvals from the Budget Representative and Contractual Authority.

The change order modifies the language of the current task assignment regarding inspection staff attendance at an annual meeting scheduled for Spring 2019. Specifically, the original language specifying "at a rate of $400 per staff member" has been removed to ensure that reimbursement for travel costs complies with Chapter 112 of the Florida Statutes. This modification does not result in any changes to the overall funding amount, contract costs, or task completion deadline, which remains June 30, 2019. The Change in Funding Information table was left blank, confirming that no financial adjustments were made through this change order.

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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:

GC914-2 04/10/2019 2

LEON COUNTY

Robert Bass

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

Bob Bass Digitally signed by Bob Bass DN: cn=Bob Bass, o, ou, email=bassr@leoncountyfl.gov, c=US Date: 2019.04.11 12:07:15 -04'00'

Roger Ruiz Digitally signed by Roger Ruiz Date: 2019.04.17 07:18:58 -04'00'

Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.04.17 10:40:05 -04'00'

Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.04.17 10:40:32 -04'00'

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