CN-370000-GC918-T5CO1.pdf

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

About this file

This is a Task Assignment Change Order Form (TACO No. 1) issued by the Florida Department of Environmental Protection on May 19, 2020, under Task Assignment Number GC918-5. The document modifies an existing contract with Alachua County, represented by contractor Ted Goodman, with DEP Contract Manager Roger Ruiz overseeing the changes.

The change order reflects adjustments to compliance inspection services due to COVID-19 impacts. The original task amount of $330,512 is modified by reducing Routine Compliance Inspections from 533 to 514 assignments, resulting in a net decrease of $9,794.50, while simultaneously increasing funding for Variable Compliance Inspections by $14,000. These adjustments produce a final net increase of $4,205.50, bringing the total task amount to $334,717.50. The completion date remains unchanged at June 30, 2020. Funding is allocated from Organization Code 37450104000, utilizing Object Code 132500, Budget Entity 37450300, and Special Category 100029, with all amounts charged to year 00. The change order was approved by Budget Representative Monica J. Brady and Contractual Authority Teresa Booeshaghi on May 19 and May 26, 2020, 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:

GC918-5 05/19/2020 1

ALACHUA COUNTY

Ted Goodman

Roger Ruiz

Reduction of 19 Routine Compliance Inspections, from 533 Routine Compliance Inspections assigned, to 514 Routine Compliance Inspections due to COVID-19 impact.

A net decrease of $9,794.50.

Increase in funds for Variable Compliance Inspections in the amount of $14,000.

A net increase of $14,000.

Per the reduction of Routine Compliance Inspections and the increase for Variable Compliance Inspections, the final net increase for this TACO is: $4,205.50

330,512 330,512

330,512 330,512

+ 4,205.50 + 4,205.50

334,717.50 334,717.50

06/30/20 06/30/20 + 4,205.50 06/30/20

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 $ 334,717.50

Ted A. Goodman, P.G.

Digitally signed by Ted A. Goodman, P.G.

DN: cn=Ted A. Goodman, P.G., o=Alachua County Environmental Protection, ou, email=tgoodman@alachuacounty.us, c=US Date: 2020.05.19 12:16:56 -04'00'

05/19/2020 Roger Ruiz Digitally signed by Roger Ruiz Date: 2020.05.19 15:57:39 -04'00'

Monica J. Brady Digitally signed by Monica J.

Brady Date: 2020.05.19 16:38:58 -04'00'

Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2020.05.26 16:14:18 -04'00'

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