CN-370000-GC918-T2CO2.pdf
PDF 653 KB Posted
- Contract number
- GC918
- Issued by
- Florida
About this file
Task Assignment Change Order Form Summary
This is a Task Assignment Change Order Form (OOO-012) issued by the Florida Department of Environmental Protection (FDEP) on October 26, 2017, for Task Assignment Number GC918-2. The contractor is Alachua County, represented by Ted Goodman, with Roger Ruiz serving as the DEP Contract Manager. The change order modifies the performance measures and task requirements for work being performed in Alachua County.
The change order represents Change Order No. 2 and addresses performance measure adjustments due to recent hurricane impacts. The task amount remains unchanged at $125,044.84, with no net increase or decrease in funding. The completion date is maintained at June 30, 2018, with no change in the task period. The primary modification adjusts the first performance measure requirement, establishing that after four months, the contractor shall complete twenty-seven percent (27%) of Routine Compliance Inspections. Funding is allocated from Organizational Code 37450104000 under Budget Entity 37450300, Special Category 100029, in fiscal year 2018, with the amount of $125,044.84 charged to Object Code 132500. The change order was approved by Jennifer Vickers (Budget Representative) and Tim J. Bahr (Contractual Authority) on October 26 and 27, 2017, respectively.
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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:
GC918-2 10/26/2017 2
ALACHUA COUNTY
Ted Goodman
Roger Ruiz
Performance Measures:
Due to the recent Hurricanes, after four (4) months, the first performance measure for GC918-2 Alachua County shall be to complete twenty seven percent (27%) of Routine Compliance Inspections.
123,807.73 123,807.73
125,044.84 125,044.84
0 0
125,044.84 125,044.84
06/30/18 06/30/18 06/30/18
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 2018 $ 125,044.84
Ted A. Goodman Digitally signed by Ted A. Goodman DN: cn=Ted A. Goodman, o=ACEPD, ou, email=tgoodman@alachuacounty.us, c=US Date: 2017.10.26 15:54:56 -04'00'
10/26/2017 Roger Ruiz Digitally signed by Roger Ruiz Date: 2017.10.26 16:19:09 -04'00'
Jennifer Vickers Digitally signed by Jennifer Vickers Date: 2017.10.26 17:01:44 -04'00'
Tim J. Bahr Digitally signed by Tim J. Bahr Date: 2017.10.27 12:55:11 -04'00'
File details come from the government source that posted it. Updated .