CN-370000-GC915-T1CO2.pdf
PDF 654 KB Posted
- Contract number
- GC915
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) dated May 10, 2018. The change order involves Hillsborough County as the contractor, with Hooshang Boostani serving as the contractor representative and Roger Ruiz as the DEP Contract Manager. This document represents Change Order No. 2 to Task Assignment GC915-1.
The change order increases funding for Variable Inspections by $25,000.00, bringing the total task amount from $498,215.29 to $523,215.29. The original task amount was $493,286.29, with the net increase in this change order totaling $25,000.00. The task completion date remains fixed at June 30, 2018, with no adjustment to the project timeline. The funding is allocated through Organizational Code 37450104000 under E.O. JD, Object Code 132500, Budget Entity 37450300, Special Category 100029, for fiscal year 2018. The change order has been approved by Jennifer Vickers (Budget Representative) and Tim J. Bahr (Contractual Authority) and is directed to be distributed to the Procurement Section (MS93) and Bureau of Finance & Accounting (MS78).
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Other files
| File | Type | Posted |
|---|---|---|
| CN-370000-GC915-ARC1.pdf.crdownload | CRDOWNLOAD file | |
| CN-370000-GC915-T1CO1.pdf | ||
| CN-370000-GC915-T4.pdf | ||
| CN-370000-GC915-T8CO1.pdf | ||
| CN-370000-GC915-T9.pdf | ||
| CN-370000-GC915.pdf.crdownload | CRDOWNLOAD file | |
| CN-370000-GC915-A2.pdf | ||
| CN-370000-GC915-T2.pdf | ||
| CN-370000-GC915-T2CO1.pdf | ||
| CN-370000-GC915-T7.pdf | ||
| CN-370000-GC915-ARC1.pdf | ||
| CN-370000-GC915-T2CO2.pdf | ||
| CN-370000-GC915-T2CO3.pdf | ||
| CN-370000-GC915-T3.pdf | ||
| CN-370000-GC915-T7CO1.pdf | ||
| CN-370000-GC915-T8.pdf | ||
| CN-370000-GC915-T1.pdf | ||
| CN-370000-GC915-T3CO1.pdf | ||
| CN-370000-GC915-T5.pdf | ||
| CN-370000-GC915-T6.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:
GC915-1 05/10/2018 2
HILLSBOROUGH COUNTY
Hooshang Boostani
Roger Ruiz
Increase in funding for Variable Inspections.
A net increase of $25,000.00
493,286.29 493,286.29
498,215.29 498,215.29
25,000.00 25,000.00
523,215.29 523,215.29
06/30/18 06/30/18 25,000.00 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 2018 $ 523,215.29
Hooshang Boostani
Digitally signed by Hooshang Boostani DN: cn=Hooshang Boostani, o=EPC, ou, email=boostani@epchc.org, c=US Date: 2018.05.10 09:26:41 -04'00'
05/10/2018 Roger Ruiz Digitally signed by Roger Ruiz Date: 2018.05.10 09:53:07 -04'00'
Jennifer Vickers Digitally signed by Jennifer Vickers Date: 2018.05.10 11:53:53 -04'00'
Tim J. Bahr Digitally signed by Tim J. Bahr Date: 2018.05.10 12:58:48 -04'00'
File details come from the government source that posted it. Updated .