CN-370000-GC917-T4CO2.pdf
PDF 533 KB Posted
- Contract number
- GC917
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (TACO No. 2) issued by the Florida Department of Environmental Protection (FDEP) for Task Assignment Number GC917-4 with Okeechobee County. The change order was executed on April 10, 2019, and signed by Contractor Representative Tiffany Collins, FDEP Contract Manager Roger Ruiz, Budget Representative Fletcher Herrald, and Contractual Authority Fletcher Herrald on April 16, 2019.
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 "$400 per staff member," which has been removed to ensure that all travel cost reimbursements comply with Chapter 112, Florida Statutes. No changes to the funding amount, task completion date (June 30, 2019), or other contract information were effected by this change order. The form indicates that no net increase or decrease in task amount occurred as a result of 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:
GC917-4 04/10/2019 2
OKEECHOBEE COUNTY
Tiffany Collins
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
Digitally signed by Tiffany L_ Collins DN: CN=Tiffany L_ Collins, O=FDOH-Okeechobee, E=Tiffany.Collins@flhealth.gov Reason: I am the author of this document Location:
Date: 2019-04-16 11:11:18
Tiffany L_ Collins
04/16/2019 Roger Ruiz Digitally signed by Roger Ruiz Date: 2019.04.16 12:37:37 -04'00'
Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.04.16 15:00:21 -04'00'
Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.04.16 15:00:45 -04'00'
File details come from the government source that posted it. Updated .