CN-370000-GC921-T7CO1.pdf
PDF 654 KB Posted
- Contract number
- GC921
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) on October 18, 2023. The document modifies Task Assignment Number GC921-7 between FDEP and Sarasota County, with Mathew R. Osterhoudt representing the contractor and Roger Ruiz serving as the DEP Contract Manager. The change order is identified as Change Order No. 1 and was approved on October 19, 2023.
The change order addresses performance measure adjustments due to personnel issues affecting Sarasota County's contract performance. The modification allows for reduced first-quarter performance expectations, requiring the contractor to complete 18 percent or 25 Routine Compliance Inspections within four months rather than the original performance metrics. The task maintains an original amount of $140,348.58 with no net increase or decrease in the total task amount. The completion date remains June 30, 2024. Funding is provided through Organizational Code 37450104000, object code 132500, budget entity 37450300, with special category code 100029. The contract amount of $140,348.58 is allocated in fiscal year 00. The change order was executed by all required parties, including contractor representatives, the FDEP Contract Manager, Budget Representative Tameshia N. Reid, and Contractual Authority Teresa Booeshaghi.
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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:
GC921-7 10/18/2023 1
SARASOTA COUNTY
Mathew R. Osterhoudt
Roger Ruiz
Performance Measures:
Due to personnel issues, GC921-7 Sarasota County, for the first Performance Measures, after (4) four months shall complete (18%) or 25 Routine Compliance Inspections.
140,348.58 140,348.58
06/30/24 06/30/24
06/30/24
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 $ 140,348.58
Matt Osterhoudt Digitally signed by Matt Osterhoudt Date: 2023.10.19 08:15:58 -04'00'
10/19/2023 Roger Ruiz Digitally signed by Roger Ruiz Date: 2023.10.19 10:00:55 -04'00'
Tameshia N. Reid Digitally signed by Tameshia N.
Reid Date: 2023.10.19 10:33:23 -04'00'
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2023.10.19 10:40:53 -04'00'
File details come from the government source that posted it. Updated .