CN-370000-GC921-T8CO1.pdf
PDF 656 KB Posted
- Contract number
- GC921
- 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 (FDEP) dated October 22, 2024. The change order applies to Task Assignment GC921-8 involving Sarasota County as the contractor, with Mathew R. Osterhoudt serving as the contractor representative and Roger Ruiz as the FDEP contract manager. The document has been approved by budget and contractual authority representatives Tameshia N. Reid and Teresa Booeshaghi, respectively.
The change order addresses performance measure modifications due to storm impacts from Hurricanes Helene and Milton. The first performance measure requirement has been adjusted such that after four months, the contractor shall complete 27 percent or 37 Routine Compliance Inspections. The original task amount of $140,818.58 remains unchanged, with no net increase or decrease in the task amount or completion timeline. The completion date with all change orders is June 30, 2025. Funding is allocated from Organizational Code 37450100000 under Object Code 132500 (Budget Entity 37450300, Special Category 100029) in the amount of $140,818.58.
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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:
GC921-8 10/22/2024 1
SARASOTA COUNTY
Mathew R. Osterhoudt
Roger Ruiz
Performance Measures:
Due to storm impacts (Helene and Milton), GC921-8 Sarasota County, for the first Performance Measures, after (4) four months shall complete (27%) or 37 Routine Compliance Inspections.
140,818.58 140,818.58
06/30/25 06/30/25
06/30/25
Ruiz_R Cross-Out
Ruiz_R Inserted Text
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
37450100000 JD 132500 37450300 100029 00 $ 140,818.58
Matt Osterhoudt Digitally signed by Matt Osterhoudt Date: 2024.10.22 18:34:34 -04'00'
10/22/2024 Roger Ruiz Digitally signed by Roger Ruiz Date: 2024.10.23 13:15:10 -04'00'
Tameshia N. Reid Digitally signed by Tameshia N.
Reid Date: 2024.10.23 14:09:01 -04'00'
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2024.10.23 14:16:05 -04'00'
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