CN-370000-GC919-T1CO3.pdf
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- Contract number
- GC919
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. 3) issued by the Florida Department of Environmental Protection (FDEP) on May 10, 2018, for Collier County. The document modifies an existing task assignment (GC919-1) with Phil Snyderburn serving as the Contractor Representative and Roger Ruiz as the DEP Contract Manager.
The change order increases funding for Variable Inspections by $7,000.00, raising the task amount from $108,677.71 to $115,677.71. The completion date remains fixed at June 30, 2018. Funding for this increase is allocated from Org. Code 37450104000 under Object Code 132500 (Special Category 37450300, Grant #100029), with the total amount of $115,677.71 budgeted for fiscal year 2018. The change order was approved by Jennifer Vickers (Budget Representative) on June 5, 2018, and Tim J. Bahr (Contractual Authority) on the same date, with copies distributed to the Procurement Section (MS93) and Bureau of Finance & Accounting (MS78).
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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:
GC919-1 05/10/2018 3
COLLIER COUNTY
Phil Snyderburn
Roger Ruiz
Increase in funding for Variable Inspections.
A net increase of $7,000.00
107,602.53 107,602.53
108,677.71 108,677.71
7,000.00 7,000.00
115,677.71 115,677.71
06/30/18 06/30/18 7,000.00 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 $ 115,677.71
Phil Snyderburn Digitally signed by Phil Snyderburn Date: 2018.05.10 09:21:34 -04'00' 05/10/2018 Roger Ruiz Digitally signed by Roger Ruiz
Date: 2018.05.10 09:24:32 -04'00'
Jennifer Vickers Digitally signed by Jennifer Vickers Date: 2018.06.05 14:43:27 -04'00'
Tim J. Bahr Digitally signed by Tim J. Bahr Date: 2018.06.05 18:03:14 -04'00'
File details come from the government source that posted it. Updated .