CN-370000-GC922-T3CO3.pdf
PDF 655 KB Posted
- Contract number
- GC922
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. 3) issued by the Florida Department of Environmental Protection dated April 10, 2019. The document involves Pinellas County as the contractor, with Charles Minor serving as the contractor representative and Roger Ruiz as the DEP Contract Manager. The task assignment is identified as GC922-3 with an original completion date of June 30, 2019.
The change order modifies the language of the current task assignment regarding inspection staff attendance at an annual meeting scheduled for Spring 2019. Specifically, the original 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 specified rate. This revision was implemented to ensure that reimbursement for travel costs complies with Chapter 112, Florida Statutes. The change order explicitly states that no changes in funding amount or other information are affected by this modification. All task completion dates remain June 30, 2019, with no adjustment to the task period.
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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 04/10/2019 3
PINELLAS COUNTY
Charles Minor
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 Charles Minor DN: CN=Charles Minor, O=Environmental Health, OU=FL Department of Health - Pinellas, E=Charles.Minor@flhealth.gov, C=US Reason: I am the author of this document Location:
Date: 2019-04-10 14:38:56
Charles Minor 04/10/2019 Roger Ruiz Digitally signed by Roger Ruiz
Date: 2019.04.11 10:12:18 -04'00'
Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.04.11 12:09:00 -04'00'
Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.04.11 12:09:15 -04'00'
File details come from the government source that posted it. Updated .