CN-370000-GC922-T3CO1.pdf
PDF 1 MB 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 (FDEP) dated July 19, 2018. The document reflects Change Order No. 1 for Task Assignment Number GC922-3 with Pinellas County as the contractor. Charles Minor serves as the contractor representative, and Roger Ruiz is the FDEP Contract Manager. The change order was approved by multiple FDEP officials, including Fletcher Herrald (Contract Manager), Jennifer Vickers (Budget Representative), and Tim J. Bahr (Contractual Authority).
The change order pertains to an updated Attachment A—Scope of Work. The original task amount is $352,450.00 with no modifications to the fee structure indicated in the "Change in Task Amount" section. The task completion date remains unchanged at June 30, 2019 across all periods. The funding information specifies Organization Code 37450104000 with E.O. JD, Object Code 132500, Budget Entity 37450300, Special Category 100029, and Year 00, with the full amount of $352,450.00 allocated to this task assignment.
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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:
GC922-3 07/19/2018 1
PINELLAS COUNTY
Charles Minor
Roger Ruiz
Updated Attachment A - Scope of Work.
352,450.00
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
37450104000 JD 132500 37450300 100029 00 $ 352,450.00
Charles Minor Digitally signed by Charles Minor Date: 2018.07.31 12:35:05 -04'00' 07/31/2018 Fletcher Herrald Digitally signed by Fletcher Herrald
Date: 2018.08.03 11:31:42 -04'00'
Jennifer Vickers Digitally signed by Jennifer Vickers Date: 2018.08.03 12:46:03 -04'00'
Tim J. Bahr Digitally signed by Tim J. Bahr Date: 2018.08.03 14:19:59 -04'00'
File details come from the government source that posted it. Updated .