CN-370000-GC918-T4CO3.pdf

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Attached to
Master Agreement FL|GC918|39eae9529775b6821fd2982566be24b1
Contract number
GC918
Issued by
Florida

About this file

This is a Task Assignment Change Order Form (Change Order No. 3) issued by the Florida Department of Environmental Protection (FDEP) for a contract with Alachua County. The change order was dated April 10, 2019, and executed with digital signatures from Alachua County representatives Ted Goodman and Roger Ruiz from FDEP. The document was approved by Fletcher Herrald in his capacity as both Budget Representative and Contractual Authority on April 15, 2019.

The change order revises language in the current task assignment to remove a specified rate of $400 per staff member for inspection staff attending an annual meeting scheduled for Spring 2019. The revised language now simply states that "Inspection staff to attend annual meeting Spring 2019" without the fixed rate specification. This modification was made to ensure that travel cost reimbursement complies with Chapter 112, Florida Statutes, which governs state employee travel expenses. The document explicitly states that no changes in funding amount or other information were affected by this change order, and the task completion date remained June 30, 2019. The change order affects no cost or fee schedule adjustments and carries no financial impact to the contract.

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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:

GC918-4 04/10/2019 3

ALACHUA COUNTY

Ted Goodman

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

Ted A. Goodman Digitally signed by Ted A. Goodman DN: cn=Ted A. Goodman, o=ACEPD, ou, email=tgoodman@alachuacounty.us, c=US Date: 2019.04.12 09:33:15 -04'00'

04/12/2019 Roger Ruiz Digitally signed by Roger Ruiz Date: 2019.04.15 09:43:06 -04'00'

Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.04.15 09:50:52 -04'00'

Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.04.15 09:53:16 -04'00'

File details come from the government source that posted it. Updated .