CN-370000-GC919-T1CO2.pdf
PDF 653 KB Posted
- Contract number
- GC919
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (OOO-012) issued by the Florida Department of Environmental Protection for task assignment GC919-1 with Collier County, dated October 26, 2017. The change order is Change Order No. 2 and involves contractor Phil Snyderburn as the contractor representative, with Roger Ruiz serving as the DEP Contract Manager. The document was approved by Jennifer Vickers (Budget Representative) and Tim J. Bahr (Contractual Authority).
The change order addresses performance measure adjustments necessitated by recent hurricane impacts. The primary modification establishes that after four months, the initial performance measures for GC919-1 Collier County shall require completion of fifteen percent (15%) of Routine Compliance Inspections. Regarding financial terms, the task amount remains unchanged at $108,677.71 with no net increase or decrease from the prior change order amount. The completion date remains fixed at June 30, 2018, with no adjustment to the task period. Funding is allocated from Org. Code 37450104000 under E.O. JD, Object Code 132500, Budget Entity 37450300, Special Category 100029, for fiscal year 2018 in the amount of $108,677.71.
View the file
Other files
Show all 22
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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:
GC919-1 10/26/2017 2
COLLIER COUNTY
Phil Snyderburn
Roger Ruiz
Performance Measures:
Due to the recent Hurricanes, after four (4) months, the first performance measures for GC919-1 Collier County shall be to complete fifteen percent (15%) of Routine Compliance Inspections.
107,602.53 107,602.53
108,677.71 108,677.71
0 0
108,677.71 108,677.71
06/30/18 06/30/18 06/30/18
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 2018 $ 108,677.71
Phil Snyderburn Digitally signed by Phil Snyderburn Date: 2017.10.26 15:56:46 -04'00' Roger Ruiz Digitally signed by Roger Ruiz
Date: 2017.10.28 12:33:57 -04'00'
Jennifer Vickers Digitally signed by Jennifer Vickers Date: 2017.10.30 09:52:28 -04'00'
Tim J. Bahr Digitally signed by Tim J. Bahr Date: 2017.10.30 12:25:00 -04'00'
File details come from the government source that posted it. Updated .