CN-370000-GC919-T3CO1.pdf
PDF 654 KB Posted
- Contract number
- PL524
- Issued by
- Florida
About this file
This document is a Task Assignment Change Order Form from the Florida Department of Environmental Protection, involving Collier County as the contractor. The change order is associated with Task Assignment Number GC919-3, dated 07/18/2019, and represents the first change order for this particular contract. The key personnel include Phil Snyderburn as the Contractor Representative and Roger Ruiz as the DEP Contract Manager.
The change order increases the task amount by $13,879.00 for variable inspections, bringing the total task amount from $100,073.00 to $113,952.00. The original task completion date remains unchanged at 06/30/20. The funding information shows the organizational code 37450104000, with a budget entity of 37450300 and a special category of 100029. The change order has been digitally signed by the contractor representative, contract manager, budget representative, and contractual authority, indicating full approval of the funds increase for the specified inspection services.
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Other files
| File | Type | Posted |
|---|---|---|
| CN-370000-PL524-T1.pdf | ||
| CN-370000-PL524-T3.pdf | ||
| CN-370000-PL524-T5.pdf | ||
| CN-370000-PL524-T7.pdf | ||
| CN-370000-PL524-T10.pdf | ||
| CN-370000-PL524-T4.pdf | ||
| CN-370000-PL524.pdf | ||
| ContractBudgetExport.csv | CSV file | |
| CN-370000-PL524-T1.pdf.crdownload | CRDOWNLOAD file | |
| CN-370000-PL524-T2.pdf | ||
| CN-370000-PL524-T6.pdf |
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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:
GC919-3 07/18/2019 1
COLLIER COUNTY
Phil Snyderburn
Roger Ruiz
Increase of Funds for Variable Inspections in the amount of $13,879.00.
100,073.00 100,073.00
100,073.00 100,073.00
+13,879.00 +13,879.00
113,952.00 113,952.00
06/30/20 06/30/20 +13,879.00 06/30/20
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 $ 113,952.00
Phil Snyderburn Digitally signed by Phil Snyderburn Date: 2019.07.18 14:27:23 -04'00' Roger Ruiz Digitally signed by Roger Ruiz
Date: 2019.07.18 15:38:20 -04'00'
Griffin Kolchakian Digitally signed by Griffin Kolchakian Date: 2019.07.18 15:56:09 -04'00'
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2019.07.22 12:09:38 -04'00'
File details come from the government source that posted it. Updated .