CN-370000-GC917-T16CO1.pdf
PDF 157 KB Posted
- Contract number
- GC917
- 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) dated November 12, 2024. The document modifies Task Assignment GC917-16 involving Okeechobee County. The contractor is represented by Daniel Buchin, and the FDEP Contract Manager is Roger Ruiz. The change order has been approved by Budget Representative Tameshia N. Reid and Contractual Authority Teresa Booeshaghi.
The change order addresses performance measure adjustments due to personnel issues. Specifically, it modifies the first performance measure requirement for the Okeechobee County task, allowing the contractor to complete 20 percent (12 Routine Compliance Inspections) within the first four months rather than the original full performance measure. The task amount remains $54,076.29 with no change to the original completion date of June 30, 2025. Funding is allocated from Org. Code 37450104000 under Object Code 132500, Budget Entity 37450300, Special Category 100029, in the amount of $54,076.29.
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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:
GC917-16 11/12/2024 1
OKEECHOBEE COUNTY
Daniel Buchin
Roger Ruiz
Performance Measures:
Due to personnel issues, GC917-16 Okeechobee County, for the first Performance Measures, after (4) four months shall complete (20%) or 12 Routine Compliance Inspections.
54,076.29 54,076.29
06/30/25 06/30/25
06/30/25
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 $ 54,076.29
Digitally signed by Daniel Buchin DN: CN=Daniel Buchin, E=daniel.buchin@ flhealth.gov Reason: I am the author of this document Location:
Date: 2024.11.14 10:07:25-05'00' Foxit PDF Editor Version: 13.1.2
Daniel Buchin 11/14/2024 Roger Ruiz Digitally signed by Roger Ruiz Date: 2024.11.14 10:18:16 -05'00'
Tameshia N. Reid Digitally signed by Tameshia N.
Reid Date: 2024.11.14 10:36:30 -05'00'
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2024.11.14 11:19:37 -05'00'
File details come from the government source that posted it. Updated .