CN-370000-GC922-T8CO2.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. 2) issued by the Florida Department of Environmental Protection (DEP) on April 26, 2023, for Task Assignment #8 under DEP Contract GC922. The contractor is Pinellas County, represented by Charles Minor, REHS, with Roger Ruiz serving as the DEP Contract Manager. The change order was approved by Tameshia N. Reid (Budget Representative) and Jessica Kramer (Contractual Authority) on April 27, 2023.
The change order modifies the completion deadline for routine compliance inspections of storage tank systems at 530 facilities located in Pinellas and Pasco Counties, as identified in Exhibit #1. The original deadline of May 31, 2023, is extended to June 30, 2023. The task amount remains unchanged at $391,950.00, with no net increase or decrease in the total contract value. Funding is allocated from Org. Code 37450104000 (E.O. JD, Object Code 132500, Budget Entity 37450300, Special Category 100029) for the full amount of $391,950.00. No changes to pricing, reimbursement structure, or fee schedules were implemented through this modification.
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:
GC922-8 04/26/2023 2
PINELLAS COUNTY
Charles Minor, REHS
Roger Ruiz
This change revises the sentence in Task Assignment #8 for DEP Contract GC922 reading:
"Conduct routine compliance inspections for storage tank systems at the 530 facilities within Pinellas and Pasco Counties, identified in Exhibit #1, by May 31, 2023.", to read:
"Conduct routine compliance inspections for storage tank systems at the 530 facilities within Pinellas and Pasco Counties, identified in Exhibit #1, by June 30, 2023."
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: 2023.04.26 14:35:31 -04'00'
04/26/2023 Roger Ruiz Digitally signed by Roger Ruiz Date: 2023.04.26 16:19:46 -04'00'
Tameshia N. Reid Digitally signed by Tameshia N.
Reid Date: 2023.04.26 16:36:12 -04'00'
Jessica Kramer Digitally signed by Jessica Kramer Date: 2023.04.27 15:48:44 -04'00' 04/27/2023
File details come from the government source that posted it. Updated .