CN-370000-GC918-T6CO2.pdf
PDF 654 KB Posted
- Contract number
- GC918
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. 2) issued by the Florida Department of Environmental Protection (FDEP) dated May 19, 2020. The document pertains to a task assignment with Alachua County, represented by contractor Ted Goodman. The change order was processed by FDEP Contract Manager Roger Ruiz and approved by Budget Representative Monica J. Brady and Contractual Authority Teresa Booeshaghi.
The change order reflects a reduction in scope due to COVID-19 impact, specifically reducing Routine Compliance Inspections from 191 to 189 inspections. This reduction results in a net decrease of $1,031 in the task amount. The task amount prior to this change order was $127,461, which is reduced to $126,430 with all change orders applied. The original task completion date remains June 30, 2020. Funding is allocated from Organizational Code 37450104000 under Budget Entity 37450300, Special Category 100029, with a total amount of $126,430.00.
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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:
GC918-6 05/19/2020 2
ALACHUA COUNTY
Ted Goodman
Roger Ruiz
Reduction of 2 Routine Compliance Inspections, from 191 Routine Compliance Inspections assigned, to 189 Routine Compliance Inspections due to COVID-19 impact.
A net decrease of $1,031.
118,461 118,461
127,461 127,461
- 1,031 - 1,031
126,430 126,430
06/30/20 06/30/20
- 1,031 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 $ 126,430.00
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 12:17:59 -04'00'
05/19/2020 Roger Ruiz Digitally signed by Roger Ruiz Date: 2020.05.19 16:04:27 -04'00'
Monica J. Brady Digitally signed by Monica J.
Brady Date: 2020.05.19 16:41:31 -04'00'
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2020.05.19 17:09:35 -04'00'
File details come from the government source that posted it. Updated .