CN-370000-GC918-T11CO1.pdf
PDF 1 MB Posted
- Contract number
- GC918
- 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 dated May 24, 2023. The change order modifies an existing task assignment (GC918-11) between the Florida Department of Environmental Protection and Alachua County. The contractor representative is Ted Goodman, and the DEP Contract Manager is Roger Ruiz. The document has been approved by Budget Representative Fletch Herrald and Contractual Authority Justin Wolfe.
The change order reduces the scope of routine compliance inspections from 533 to 493 inspections, representing a reduction of 40 inspections per request from Alachua County. This reduction results in a net decrease of $21,800 to the task amount. The original task amount was $362,235, resulting in a revised task amount with all change orders of $340,435. The task completion date remains unchanged at June 30, 2023. The funding is allocated from Organizational Code 37450104000, with an Object Code of 132500 and Budget Entity 37450300, Special Category 100029. The document indicates total funding of $362,325.00 with a deduction of $21,800.00.
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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:
GC918-11 05/24/2023 1
ALACHUA COUNTY
Ted Goodman
Roger Ruiz
Reduction of 40 Routine Compliance Inspections, from 533 to 493 Routine Compliance Inspections per request from GC918-11 Alachua County.
A net decrease of $21,800.
362,235 362,235
362,235 362,235
-21,800 -21,800
340,435 340,435
06/30/23 06/30/23 -21,800 06/30/23
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 $ 362,325.00
37450104000 JD 132500 37450300 100029 00 -$ 21,800.00
Ted A. Goodman, P.G.
Digitally signed by Ted A.
Goodman, P.G.
Date: 2023.05.24 14:13:57 -04'00'
05/24/2023 Roger Ruiz Digitally signed by Roger Ruiz Date: 2023.05.24 14:37:25 -04'00'
Fletch Herrald Digitally signed by Fletch Herrald Date: 2023.05.24 14:41:37 -04'00'
Justin Wolfe Digitally signed by Justin Wolfe Date: 2023.05.30 15:16:37 -04'00' tgoodman Text Box
File details come from the government source that posted it. Updated .