CN-370000-GC924-T1CO1.pdf

PDF 1 MB Posted

Attached to
Master Agreement FL|GC924|c560f091e904e082a29e787f42919918
Contract number
GC924
Issued by
Florida

About this file

This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection on August 2, 2017. The document modifies an existing task assignment (GC924-1) with Gulf County. The contractor representative is Marsha P. Lindeman, and the DEP contract manager is Roger Ruiz. The change order was approved by Jennifer Vickers (Budget Representative) and Fletch Herrald (Contractual Authority) on August 16, 2017.

The change order increases the unit price for routine inspections from $510.40 to $515.50, representing a net increase of $5.10 per inspection. This rate adjustment became effective September 1, 2017, with all inspections conducted through August 31, 2017, paid at the original rate of $510.40. The net increase in task amount is $667.13, bringing the total task amount with all change orders to $67,432.55. The task completion date remains June 30, 2018. Funding is allocated from Org. Code 37450104000 under Object Code 132500 with Special Category 100029, totaling $67,432.55.

View the file

Other files

File Type Posted
CN-370000-GC924-A3.pdf PDF
CN-370000-GC924-T2CO4.pdf PDF
CN-370000-GC924-T8.pdf PDF
CN-370000-GC924-A2.pdf PDF
CN-370000-GC924-T2.pdf PDF
CN-370000-GC924-T2CO1.pdf PDF
CN-370000-GC924-T2CO2.pdf PDF
CN-370000-GC924-T2CO3.pdf PDF
CN-370000-GC924-T6.pdf PDF
CN-370000-GC924-T7.pdf PDF
CN-370000-GC904-CMC3.pdf PDF
CN-370000-GC924-ARC1.pdf PDF
CN-370000-GC924-T3.pdf PDF
CN-370000-GC924-T3CO1.pdf PDF
CN-370000-GC924-T4.pdf PDF
CN-370000-GC924-T5.pdf PDF
CN-370000-GC924-T5CO1.pdf PDF
CN-370000-GC924-T7CO1.pdf PDF
CN-370000-GC924-T7CO2.pdf PDF
CN-370000-GC924-T9.pdf PDF
CN-370000-GC924-A2.pdf.crdownload CRDOWNLOAD file
CN-370000-GC924-T1.pdf PDF
CN-370000-GC924-T1CO2.pdf PDF
CN-370000-GC924-T2CO5.pdf PDF
CN-370000-GC924-T3CO2.pdf PDF
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:

GC924-1 08/02/2017 1

GULF COUNTY

Marsha P. Lindeman

Roger Ruiz

Amount increase per Routine Inspection from $510.40 to $515.50.

A net increase of $5.10 per Routine Inspection.

The increase will become effective September 1, 2017. All inspections conducted through August 31, 2017, will be paid at the rate of $510.40.

66,765.42 66,765.42

66,765.42 66,765.42

667.13 667.13

67,432.55 67,432.55

06/30/18 06/30/18 667.13 06/30/18

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 $ 67,432.55

Marsha P.

Lindeman

Digitally signed by Marsha P.

Lindeman Date: 2017.08.08 08:08:52 -04'00'

08/08/2017 Roger Ruiz Digitally signed by Roger Ruiz Date: 2017.08.08 08:33:17 -04'00'

Jennifer Vickers Digitally signed by Jennifer Vickers Date: 2017.08.16 09:25:10 -04'00'

08/16/2017

Fletch Herrald Digitally signed by Fletch Herrald Date: 2017.08.16 09:39:40 -04'00'

File details come from the government source that posted it. Updated .