CN-370000-GC915-T2CO2.pdf
PDF 655 KB Posted
- Contract number
- GC915
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. 2) issued by the Florida Department of Environmental Protection (FDEP) on January 31, 2019. The document pertains to a task assignment (GC915-2) with Hillsborough County, represented by contractor Hooshang Boostani. The DEP Contract Manager is Roger Ruiz. The change order was approved by Jennifer Vickers (Budget Representative) and Tim J. Bahr (Contractual Authority) on February 1, 2019.
The change order increases funds for variable inspections by $45,000.00, bringing the total task amount from $481,545.00 to $526,545.00. The task completion date remains June 30, 2019, with no change to the timeline. The funding is distributed across two accounting codes: $481,545.00 under Organization Code 37450104000 with E.O. JD and Special Category 100029, and $45,000.00 under the same Organization Code with E.O. JN and Special Category 104138. Both entries reference Object Code 132500 and Budget Entity 37450300. Copies of the approved change order were distributed to the Procurement Section (MS93) and the 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-T1CO2.pdf | ||
| CN-370000-GC915-T2.pdf | ||
| CN-370000-GC915-T2CO1.pdf | ||
| CN-370000-GC915-T7.pdf | ||
| CN-370000-GC915-ARC1.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:
GC915-2 01/31/2019 2
HILLSBOROUGH COUNTY
Hooshang Boostani
Roger Ruiz
Increase of Funds for Variable Inspections in the amount of $45,000.00
481,545.00 481,545.00
481,545.00 481,545.00
+45,000.00 +45,000.00
526,545.00 526,545.00
06/30/19 06/30/19 +45,000.00 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 $ 481,545.00
37450104000 JN 132500 37450300 104138 00 $ 45,000.00
$ 526,545.00
Hooshang Boostani
Digitally signed by Hooshang Boostani DN: cn=Hooshang Boostani, o=EPC, ou, email=boostani@epchc.org, c=US Date: 2019.01.31 12:35:22 -05'00'
01/31/2019 Roger Ruiz Digitally signed by Roger Ruiz Date: 2019.01.31 12:41:38 -05'00'
Jennifer Vickers Digitally signed by Jennifer Vickers Date: 2019.02.01 11:43:53 -05'00'
Tim J. Bahr Digitally signed by Tim J. Bahr Date: 2019.02.01 13:53:22 -05'00'
File details come from the government source that posted it. Updated .