CN-370000-GC915-T2CO3.pdf

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Master Agreement FL|GC915|cb5ecb1bc3c7ba4bc0fe3459697a71a2
Contract number
GC915
Issued by
Florida

About this file

This is a Task Assignment Change Order Form (TACO No. 3) issued by the Florida Department of Environmental Protection (FDEP) dated April 10, 2019. The document involves Hillsborough County as the contractor, with Hooshang Boostani serving as the contractor representative and Roger Ruiz as the DEP Contract Manager. The task assignment number is GC915-2.

The change order revises language in the current task assignment regarding inspection staff attendance at an annual meeting scheduled for Spring 2019. The original task language specified reimbursement at a rate of $400 per staff member; this has been removed and replaced with a simple statement that inspection staff will attend the annual meeting. The modification was made to ensure that reimbursement for travel costs complies with Chapter 112, Florida Statutes. No changes to funding amounts or other contract information were effected by this change order. The task completion date remains June 30, 2019, with no adjustment to the task timeline.

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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 04/10/2019 3

HILLSBOROUGH COUNTY

Hooshang Boostani

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

Hooshang Boostani

Digitally signed by Hooshang Boostani DN: cn=Hooshang Boostani, o=EPC, ou, email=boostani@epchc.org, c=US Date: 2019.04.10 13:48:31 -04'00' Roger Ruiz Digitally signed by Roger Ruiz

Date: 2019.04.10 16:13:27 -04'00'

Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.04.11 09:20:07 -04'00'

Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.04.11 09:20:25 -04'00'

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