CN-370000-GC915-T7CO1.pdf
PDF 368 KB Posted
- Contract number
- GC915
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. 1) issued by the Florida Department of Environmental Protection (FDEP) on April 22, 2024. The change order modifies Task Assignment Number GC915-7 with Hillsborough County. The contractor representative is Steffanie L. Wickham, CHMM, CPM, and the FDEP Contract Manager is Roger Ruiz. The document was approved by the Budget Representative (Tameshia N. Reid) and Contractual Authority (Jessica Kramer) on May 7, 2024.
The change order increases funding for Variable Inspections by $12,000, resulting in a net increase to the task amount from $563,573.72 to $575,573.72. The task completion date remains June 30, 2024. Funding is allocated from Organizational Code 37450104000 under Object Code 132500 with Budget Entity 37450300 and Special Category 100029. The increase of $12,000 is funded through year code "00" under the same budget parameters as the original allocation of $503,296.00. The change order was distributed to the Procurement Section (MS93) and the Bureau of Finance & Accounting (MS78) with two copies provided to the latter.
View the file
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-ARC1.pdf | ||
| CN-370000-GC915-T2CO2.pdf | ||
| CN-370000-GC915-T2CO3.pdf | ||
| CN-370000-GC915-T3.pdf | ||
| CN-370000-GC915-T8.pdf | ||
| 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-T1.pdf | ||
| CN-370000-GC915-T3CO1.pdf | ||
| CN-370000-GC915-T5.pdf | ||
| CN-370000-GC915-T6.pdf |
Show all 20
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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:
GC915-7 04/22/2024 1
HILLSBOROUGH COUNTY
Steffanie L. Wickham, CHMM, CPM
Roger Ruiz
Increase in funds for Variable Inspections for $12,000.
A net increase of $12,000.
563,573.72 563,573.72
563,573.72 563,573.72
+12,000 +12,000
575,573.72 575,573.72
06/30/24 06/30/24 +12,000 06/30/24
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 $ 503,296.00
37450104000 JD 132500 37450300 100029 00 $ 12,000.00
Steffanie Wickham Digitally signed by Steffanie Wickham Date: 2024.04.22 12:24:00 -04'00' Roger Ruiz
Digitally signed by Roger Ruiz Date: 2024.04.22 13:11:36 -04'00'
Tameshia N. Reid Digitally signed by Tameshia N.
Reid Date: 2024.04.23 13:56:34 -04'00'
Jessica Kramer Digitally signed by Jessica Kramer Date: 2024.05.07 13:06:29 -04'00' 05/07/2024
File details come from the government source that posted it. Updated .