CN-370000-GC918-T9CO1.pdf
PDF 655 KB Posted
- Contract number
- GC918
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (OOO-012) issued by the Florida Department of Environmental Protection on June 6, 2022. The document pertains to Task Assignment Number GC918-9 with Alachua County, represented by contractor Ted Goodman. Roger Ruiz serves as the DEP Contract Manager. The change order was approved by Budget Representative Tameshia N. Reid and Contractual Authority John Truitt on June 7, 2022.
The change order reduces the scope of routine compliance inspections from 533 to 522 inspections, representing a net decrease of 11 inspections per request from GC918-10 Alachua County. This reduction results in a net decrease of $5,670.50 to the task amount. The original task amount of $346,512 is reduced to $340,841.50 with all change orders. The task completion date remains June 30, 2022. Funding is allocated from Org. Code 37450104000 under E.O. JD with Object Code 132500, Budget Entity 37450300, Special Category 100029, in the amount of $340,841.50.
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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:
GC918-9 06/06/2022 1
ALACHUA COUNTY
Ted Goodman
Roger Ruiz
Reduction of 11 Routine Compliance Inspections, from 533 to 522 Routine Compliance Inspections per request from GC918-10 Alachua County.
A net decrease of $5,670.50.
346,512 346,512
346,512 346,512
-5,670.50 -5,670.50
340,841.50 340,841.50
06/30/22 06/30/22 -5,670.50 06/30/22
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 $ 340,841.50
Ted A. Goodman, P.G.
Digitally signed by Ted A.
Goodman, P.G.
Date: 2022.06.06 09:32:40 -04'00'
06/06/2022 Roger Ruiz Digitally signed by Roger Ruiz Date: 2022.06.06 10:39:13 -04'00'
Tameshia N. Reid Digitally signed by Tameshia N.
Reid Date: 2022.06.07 14:53:04 -04'00'
John Truitt Digitally signed by John Truitt Date: 2022.06.07 15:32:00 -04'00'
File details come from the government source that posted it. Updated .