CN-370000-GC916-T4CO4.pdf

PDF 654 KB Posted

Attached to
Master Agreement FL|GC916|c46de60990ccda9cde49054b7f845c43
Contract number
GC916
Issued by
Florida

About this file

Summary

This is a Task Assignment Change Order Form (Change Order No. 4) issued by the Florida Department of Environmental Protection (DEP) on April 10, 2019, for Task Assignment Number GC916-4 with Brevard County. The contractor representative is Douglas Divers, and the DEP Contract Manager is Roger Ruiz. The document was approved by Fletcher Herrald as both Budget Representative and Contractual Authority, with copies distributed to the Procurement Section and Bureau of Finance & Accounting.

The change order modifies the language in the current task assignment regarding inspection staff attendance at an annual meeting scheduled for Spring 2019. The original task specified a reimbursement rate of $400 per staff member; this change order removes the specified rate to align with Chapter 112, Florida Statutes, thereby allowing travel costs to be reimbursed in compliance with state guidelines. No changes to the overall funding amount or task completion date (June 30, 2019) resulted from this modification.

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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:

GC916-4 04/10/2019 4

BREVARD COUNTY

Douglas Divers

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

Douglas Divers Digitally signed by Douglas Divers Date: 2019.04.11 12:46:03 -04'00' Roger Ruiz Digitally signed by Roger Ruiz

Date: 2019.04.11 13:06:30 -04'00'

Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.04.11 14:02:54 -04'00'

Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.04.11 14:03:13 -04'00'

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