CN-370000-GC920-T2CO2.pdf

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Attached to
Master Agreement FL|GC920|ea412a88bb7dcd20ca6bfb402a8df4b4
Contract number
GC920
Issued by
Florida

About this file

This is a Task Assignment Change Order Form (Change Order No. 2) issued by the Florida Department of Environmental Protection (FDEP) for Broward County, dated April 10, 2019. The contractor is Broward County, with Ali H. Younes serving as the Contractor Representative and Roger Ruiz as the DEP Contract Manager. The task assignment number is GC920-2. The change order was approved by Fletcher Herrald as Budget Representative and Contractual Authority on April 16, 2019.

The change order modifies language in the current task assignment regarding inspection staff attendance at an annual meeting scheduled for Spring 2019. Specifically, the original task language stating "Inspection staff to attend annual meeting Spring 2019 at a rate of $400 per staff member" has been revised to read "Inspection staff to attend annual meeting Spring 2019" without the per-staff-member rate specification. This revision ensures that travel cost reimbursement complies with Chapter 112, Florida Statutes. The change order explicitly states that no changes in funding amount or other contract information are effected by this modification. The task completion date remains June 30, 2019, with no adjustments to the task timeline.

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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:

GC920-2 04/10/2019 2

BROWARD COUNTY

Ali H. Younes

Roger Ruiz

“Revising sentence in current task assignment from reading :

‘Inspection staff to attend annual meeting Spring 2019 at a rate of $400 per staff member.’

To read:

Inspection staff to attend annual meeting Spring 2019.”

This is necessary to ensure reimbursement for travel costs shall be in compliance with Chapter 112, FS.

No changes in funding amount or information effected by this Task Assignment Change Order (TACO).

06/30/19 06/30/19

06/30/19

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

Digitally signed by ALI YOUNES Date: 2019.04.15 08:45:18 -04'00' Adobe Acrobat version:

2017.011.30138

04/15/2019 Roger Ruiz Digitally signed by Roger Ruiz Date: 2019.04.16 07:11:07 -04'00'

Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.04.16 14:48:20 -04'00'

Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.04.16 14:48:38 -04'00'

File details come from the government source that posted it. Updated .