CN-370000-GC914-T3CO1.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 for DEP Contract GC914-3, executed on June 16, 2020, with Change Order No. 1. The contractor is Leon County, represented by Edwin C. French (Contract Manager), with Roger Ruiz serving as the DEP Contract Manager. The document was approved by Budget Representative Monica J. Brady and Contractual Authority Teresa Booeshaghi on June 18, 2020.
The change order modifies Task Assignment #3, which requires the contractor to conduct routine compliance inspections for storage tank systems at 199 facilities within Leon, Gadsden, Jefferson, and Wakulla Counties. The modification extends the task completion deadline from May 31, 2020, to June 30, 2020, with no change to the task amount or financial terms. The task amount remains $136,585.00, funded through Org. Code 37450104000 (E.O. JD), Object Code 132500, Budget Entity 37450300, Special Category 100029, and Year 00. No additional cost or time adjustments resulted from this change order.
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Other files
| File | Type | Posted |
|---|---|---|
| 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-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 | ||
| CN-370000-GC914-A1.pdf | ||
| CN-370000-GC914-A3.pdf | ||
| CN-370000-GC914-CO1.pdf | ||
| CN-370000-GC914-T2CO1.pdf | ||
| CN-370000-GC914-T5.pdf | ||
| CN-370000-GC914-T8.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:
GC914-3 06/16/2020 1
LEON COUNTY
Edwin French
This change revises the sentence in Task Assignment #3 for DEP Contract GC914 reading:
"Conduct routine compliance inspections for storage tank systems at the 199 facilities within Leon, Gadsden, Jefferson and Wakulla Counties, identified in Exhibit #1, by May 31, 2020.", to read:
"Conduct routine compliance inspections for storage tank systems at the 199 facilities within Leon, Gadsden, Jefferson and Wakulla Counties, identified in Exhibit #1, by June 30, 2020."
136,585 136,585
136,585 136,585
0 0
136,585 136,585
06/30/20 06/30/20 06/30/20
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 $ 136,585.00
Edwin C. French
IV
Digitally signed by Edwin C. French IV DN: cn=Edwin C. French IV, o=Department of Development Support & Environmental Managment, ou=Petroleum Storage Tank Division, email=frenche@leoncountyfl.gov, c=US Date: 2020.06.17 12:10:50 -04'00'
06/17/2020 Roger Ruiz Digitally signed by Roger Ruiz Date: 2020.06.18 09:23:32 -04'00'
Monica J. Brady Digitally signed by Monica J.
Brady Date: 2020.06.18 10:32:01 -04'00'
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2020.06.18 11:29:40 -04'00'
File details come from the government source that posted it. Updated .