CN-370000-GC920-T1CO1.pdf
PDF 1 MB Posted
- Contract number
- GC920
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. 1) issued by the Florida Department of Environmental Protection (DEP) for a task assignment with Broward County. The change order was executed on August 2, 2017, with approvals finalized on August 7, 2017. The contractor representative is Ali H. Younes, and the DEP Contract Manager is Roger Ruiz. The task assignment number is GC920-1.
The change order modifies the pricing structure for routine inspections, increasing the amount from $510.40 to $515.50 per inspection, representing a net increase of $5.10 per routine inspection. This price adjustment became effective September 1, 2017, with all inspections conducted through August 31, 2017, paid at the original rate of $510.40. The net increase in task amount is $4,203.58, bringing the total task amount from $420,686.99 to $424,890.57. The task completion date remains June 30, 2018, unchanged by this modification. The funding is allocated to Org. Code 37450104000 under Special Category 100029, with the full amount of $424,890.57 charged to the state budget.
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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:
GC920-1 08/02/2017 1
BROWARD COUNTY
Ali H. Younes
Roger Ruiz
Amount increase per Routine Inspection from $510.40 to $515.50.
A net increase of $5.10 per Routine Inspection.
The increase will become effective September 1, 2017. All inspections conducted through August 31, 2017, will be paid at the rate of $510.40.
420,686.99 420,686.99
420,686.99 420,686.99
4,203.58 4,203.58
424,890.57 424,890.57
06/30/18 06/30/18 4,203.58 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 00 $ 424,890.57
08/07/2017 Roger Ruiz Digitally signed by Roger Ruiz Date: 2017.08.07 10:55:12 -04'00'
Jennifer Vickers Digitally signed by Jennifer Vickers Date: 2017.08.07 14:36:18 -04'00'
08/07/2017
John Truitt Digitally signed by John Truitt Date: 2017.08.11 15:00:01 -04'00'
Digitally signed by ALI YOUNES
File details come from the government source that posted it. Updated .