CN-370000-GC918-TACO 2.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) on May 19, 2021. The change order modifies an existing task assignment numbered GC918-7 for Alachua County. The contractor is represented by Ted Goodman, with Roger Ruiz serving as the DEP Contract Manager.
The change order reduces the scope of work by eliminating three routine compliance inspections, decreasing the total from 529 to 526 inspections. This reduction results in a net decrease of $1,546.50 to the task amount. The original task amount of $328,450 is reduced to $326,903.50 with all change orders applied. The task completion date remains June 30, 2021. The funding is charged to Org. Code 37450104000 with Budget Entity 37450300 and Special Category 100029, with the total amount of $326,903.50 allocated for the year 2000. The change order was approved and digitally signed by all required parties, including the contractor, contract managers, budget representative, and contractual authority.
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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 05/19/2021 2
ALACHUA COUNTY
Ted Goodman
Roger Ruiz
Reduction of 3 Routine Compliance Inspections, from 529 to 526 Routine Compliance Inspections per request from GC918-7 Alachua.
A net decrease of $1,546.50.
328,450 328,450
328,450 328,450
-1,546.50 -1,546.50
326,903.50 326,903.50
06/30/21 06/30/21 -1,546.50 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 $ 326,903.50
Ted A. Goodman, P.G.
Digitally signed by Ted A.
Goodman, P.G.
Date: 2021.05.19 16:56:37 -04'00'
05/19/2021 Roger Ruiz Digitally signed by Roger Ruiz Date: 2021.05.20 07:25:49 -04'00'
Monica J. Brady Digitally signed by Monica J.
Brady Date: 2021.05.20 09:52:57 -04'00'
Tim J. Bahr Digitally signed by Tim J. Bahr Date: 2021.05.20 11:02:06 -04'00'
File details come from the government source that posted it. Updated .