CN-370000-GC923-T7CO2.pdf
PDF 129 KB Posted
- Contract number
- GC923
- 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 dated February 20, 2024, for Task Assignment GC923-7 with Polk County. The contractor is represented by Ralph Meder, and the DEP Contract Manager is Roger Ruiz. The document has been approved by Budget Representative Tameshia N. Reid and Contractual Authority Teresa Booeshaghi.
The change order addresses performance measures for the contract due to personnel issues. Specifically, it modifies the second performance measure requirement such that after eight months, Polk County shall complete 14 percent or 50 Routine Compliance Inspections. The original task amount of $282,789.46 remains unchanged, with no net increase or decrease in the task amount. The task completion date remains June 30, 2023 (the original completion date prior to this change order). Funding is allocated from Organizational Code 37450104000 under E.O. JD, Object Code 132500, Budget Entity 37450300, Special Category 100029, with Year Code 00, totaling $282,789.46.
View the file
Other files
Show all 39
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:
GC923-7 02/20/2024 2
POLK COUNTY
Ralph Meder
Roger Ruiz
Performance Measures:
Due to personnel issues, GC923-7 Polk County, for the second Performance Measures, after (8) eight months shall complete (14%) or 50 Routine Compliance Inspections.
282,789.46 282,789.46
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 $ 282,789.46
Ralph J. Meder, P.G.
Digitally signed by Ralph J. Meder, P.G.
Date: 2024.02.23 10:20:19 -05'00'
02/23/2024 Roger Ruiz Digitally signed by Roger Ruiz Date: 2024.02.27 07:25:28 -05'00'
Tameshia N. Reid Digitally signed by Tameshia N.
Reid Date: 2024.02.27 10:51:55 -05'00'
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2024.02.27 11:08:53 -05'00'
File details come from the government source that posted it. Updated .