CN-370000-GC918-TACO 1.pdf
PDF 1 MB 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 May 10, 2021. The change order pertains to Task Assignment GC918-7 with Alachua County as the contractor, represented by Ted Goodman. Roger Ruiz serves as the DEP Contract Manager, with approvals from Monica J. Brady (Budget Representative) and Tim J. Bahr (Contractual Authority).
The change order reflects a reduction of 4 Routine Compliance Inspections, decreasing the total from 533 to 529 inspections per request from GC918-7 Alachua. This reduction resulted in a net decrease of $2,062.00 in the task amount, lowering the total task cost from $330,512.00 to $328,450.00. The completion date remains unchanged at June 30, 2021. Funding is allocated from Org. Code 37450104000 under E.O. JD, Object Code 132500, Budget Entity 37450300, Special Category 100029, with the full task amount of $328,450.00 charged to Year 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:
GC918-7 05/10/2021 1
ALACHUA COUNTY
Ted Goodman
Roger Ruiz
Reduction of 4 Routine Compliance Inspections, from 533 to 529 Routine Compliance Inspections per request from GC918-7 Alachua.
A net decrease of $2,062.00.
330,512 330,512
330,512 330,512
-2,062 -2,062, 328,450 328,450
06/30/21 06/30/21 -2,062 06/30/21
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 $ 328,450.00
Ted A. Goodman, P.G.
Digitally signed by Ted A.
Goodman, P.G.
Date: 2021.05.10 13:12:45 -04'00'
05/10/2021 Roger Ruiz Digitally signed by Roger Ruiz Date: 2021.05.10 13:25:40 -04'00'
05/10/2021
Monica J. Brady Digitally signed by Monica J.
Brady Date: 2021.05.10 14:59:18 -04'00'
05/10/2021
Tim J. Bahr Digitally signed by Tim J. Bahr Date: 2021.05.10 15:09:58 -04'00'
File details come from the government source that posted it. Updated .