CN-370000-GC922-T1CO2.pdf
PDF 654 KB Posted
- Contract number
- GC922
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (OOO-012) issued by the Florida Department of Environmental Protection on May 10, 2018. The change order pertains to Task Assignment GC922-1 with Pinellas County, represented by Charles Minor, REHS. The Florida Department of Environmental Protection contract manager is Roger Ruiz. This document represents Change Order No. 2 to the existing task assignment agreement.
The change order increases funding for Variable Inspections by a net amount of $11,000.00. The original task amount was $346,255.36, which increased to $349,715.20 prior to this change order. With this change order applied, the total task amount is $360,715.20. The task completion date remains unchanged at June 30, 2018. The funding is allocated from Organization Code 37450104000 under E.O. JD, Object Code 132500, Budget Entity 37450300, Special Category 100029, for fiscal year 2018, with a total approved amount of $360,715.20. The change order was approved by Jennifer Vickers (Budget Representative) and Tim J. Bahr (Contractual Authority) on May 10-11, 2018, with copies distributed to the Procurement Section and the Bureau of Finance & Accounting.
View the file
Other files
Show all 25
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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:
GC922-1 05/10/2018 2
PINELLAS COUNTY
Charles Minor, REHS
Roger Ruiz
Increase in funding for Variable Inspections.
A net increase of $11,000.00
346,255.36 346,255.36
349,715.20 349,715.20
11,000.00 11,000.00
360,715.20 360,715.20
06/30/18 06/30/18 11,000.00 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 2018 $ 360,715.20
Charles Minor Digitally signed by Charles Minor Date: 2018.05.10 11:38:41 -04'00' 05/10/2018 Roger Ruiz Digitally signed by Roger Ruiz
Date: 2018.05.10 12:53:16 -04'00'
Jennifer Vickers Digitally signed by Jennifer Vickers Date: 2018.05.10 17:02:55 -04'00'
Tim J. Bahr Digitally signed by Tim J. Bahr Date: 2018.05.11 08:43:54 -04'00'
File details come from the government source that posted it. Updated .