CN-370000-GC922-T8CO1.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) on October 24, 2022. The document concerns Task Assignment GC922-8 with Pinellas County, with Charles Minor serving as the Contractor Representative and Roger Ruiz as the DEP Contract Manager. The change order was approved by Budget Representative Tameshia N. Reid and Contractual Authority John Truitt.
The change order modifies performance measures for the contract due to the aftermath of Hurricane Ian. Specifically, it adjusts the first performance measures requirement such that after four months, the contractor shall complete 148 Routine Compliance Inspections, representing 28% of the total obligation. The task amount remains unchanged at $391,950.00, and the completion date is maintained at 06/30/23. The funding is allocated from Org. Code 37450104000 under object code 132500, budget entity 37450300, with special category 100029, in the amount of $391,950.00.
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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:
GC922-8 10/24/2022 1
PINELLAS COUNTY
Charles Minor, REHS
Roger Ruiz
Performance Measures:
Due to the aftermath of Hurricane Ian, GC922-8 Pinellas County, for the first Performance Measures, after (4) four months shall complete (28%) or 148 Routine Compliance Inspections.
391,950 391,950
06/30/23 06/30/23
06/30/23
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 $ 391,950.00
Charles Minor Digitally signed by Charles Minor DN: cn=Charles Minor, o=Division of Disease Control and Health Protection, ou=Florida Department of Health
- Pinellas, email=Charles.Minor@FLhealth.gov, c=US Date: 2022.10.24 10:25:01 -04'00'
10/24/2022 Roger Ruiz Digitally signed by Roger Ruiz Date: 2022.10.24 11:08:17 -04'00'
Tameshia N. Reid Digitally signed by Tameshia N.
Reid Date: 2022.10.24 11:26:32 -04'00'
John Truitt Digitally signed by John Truitt Date: 2022.10.24 12:07:47 -04'00'
File details come from the government source that posted it. Updated .