CN-370000-GC916-T5CO2.pdf
PDF 656 KB Posted
- Contract number
- GC916
- 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 on May 27, 2020. The document modifies an existing task assignment (GC916-5) between the Florida Department of Environmental Protection and Brevard County, represented by contractor Douglas Divers, with DEP Contract Manager Roger Ruiz overseeing the agreement.
The change order reduces the scope of routine compliance inspections from 269 to 236 inspections due to COVID-19 impact, representing a reduction of 33 inspections. This reduction results in a net decrease of $17,011.50 to the task amount. The original task amount was $173,670, which had increased to $188,170 prior to this change order. With this modification, the task amount with all change orders is reduced to $171,158.50. The task completion date remains June 30, 2020. The funding is allocated from Organizational Code 37450104000 under E.O. JD, Object Code 132500, Budget Entity 37450300, with Special Category 100029, in the amount of $171,158.50. The change order was approved by Budget Representative Monica J. Brady and Contractual Authority Teresa Booeshaghi on May 27-28, 2020.
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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:
GC916-5 05/27/2020 2
BREVARD COUNTY
Douglas Divers
Roger Ruiz
Reduction of 33 Routine Compliance Inspections, from 269 Routine Compliance Inspections assigned, to 236 Routine Compliance Inspections due to COVID-19 impact.
A net decrease of $17,011.50.
173,670 173,670
188,170 188,170
- 17,011.50 - 17,011.50
171,158,50 171,158,50
06/30/20 06/30/20
- 17,011.50 06/30/20
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 $ 171,158.50
Divers, Doug Digitally signed by Divers, Doug Date: 2020.05.27 10:43:26 -04'00' Roger Ruiz Digitally signed by Roger Ruiz
Date: 2020.05.27 11:10:40 -04'00'
Monica J. Brady Digitally signed by Monica J.
Brady Date: 2020.05.27 15:09:53 -04'00'
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2020.05.28 08:28:42 -04'00'
File details come from the government source that posted it. Updated .