CN-370000-GC919-T6CO1.pdf
PDF 1 MB Posted
- Contract number
- GC919
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) for Contract GC919, Task Assignment #6. The contractor is Collier County, represented by Phil Snyderburn, with Roger Ruiz serving as the DEP Contract Manager. The change order was dated June 7, 2023, and designated as Change Order No. 1.
The change order modifies the completion deadline for routine compliance inspections of storage tank systems at 166 facilities within Collier County from May 31, 2023, to June 30, 2023. The task amount remains unchanged at $125,252.00, with no net increase or decrease in the task cost. The funding is allocated from Organizational Code 37450104000 under Executive Order JD, Object Code 132500, and Budget Entity 37450300, with Special Category 100029. All required signatures were obtained and digitally executed between June 9 and June 15, 2023. The change order was approved by the Budget Representative and Contractual Authority, with copies distributed to the Procurement Section and Bureau of Finance & Accounting.
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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:
GC919-6 06/07/2023 1
COLLIER COUNTY
Phil Snyderburn
Roger Ruiz
This change revises the sentence in Task Assignment #6 for DEP Contract GC919 reading:
"Conduct routine compliance inspections for storage tank systems at the 166 facilities within Collier County, identified in Exhibit #1, by May 31, 2023.", to read:
"Conduct routine compliance inspections for storage tank systems at the 166 facilities within Collier County, identified in Exhibit #1, by June 30, 2023."
125,252 125,252
125,252 125,252
0 0
125,252 125,252
06/30/23 06/30/23 06/30/23
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 $ 125,252.00
snyderburn_p Digitally signed by snyderburn_p Date: 2023.06.09 09:03:54 -04'00' 06/09/2023 Roger Ruiz Digitally signed by Roger Ruiz
Date: 2023.06.12 08:02:18 -04'00'
Tameshia N. Reid Digitally signed by Tameshia N.
Reid Date: 2023.06.15 10:38:20 -04'00'
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2023.06.15 10:52:42 -04'00'
File details come from the government source that posted it. Updated .