CN-370000-GC924-T2CO2.pdf
PDF 654 KB Posted
- Contract number
- GC924
- Issued by
- Florida
About this file
Task Assignment Change Order Form Summary
This is a Task Assignment Change Order Form (OOO-012, Effective 09-14-2015) issued by the Florida Department of Environmental Protection (FDEP) for a Gulf County contract. The document is Change Order No. 2 to Task Assignment GC924-2, executed on November 14, 2018. The contractor is Gulf County, represented by Sarah Hinds, with Roger Ruiz serving as the DEP Contract Manager. The change order was approved by Jennifer Vickers (Budget Representative) and Fletcher Herrald (Contractual Authority) on November 19, 2018.
The change order addresses performance measures adjustments necessitated by Hurricane Michael. Specifically, the first performance measures for GC924-2 Gulf County are revised to require completion of twenty-four percent (24%) of Routine Compliance Inspections within four months of the change order date. The task amount remains $62,935.00 with no increase or decrease specified in this change order. The original task completion date and completion date with all change orders are both June 30, 2019. Funding is allocated from Org. Code 37450104000 under Object Code 132500, Budget Entity 37450300, Special Category 100029, in the amount of $62,935.00. The document was distributed to the Procurement Section (MS93) and Bureau of Finance & Accounting (MS78) with two copies required for the latter.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CN-370000-GC924-A2.pdf.crdownload | CRDOWNLOAD file | |
| CN-370000-GC924-T1.pdf | ||
| CN-370000-GC924-T1CO2.pdf | ||
| CN-370000-GC924-T2CO5.pdf | ||
| CN-370000-GC924-T3CO2.pdf | ||
| CN-370000-GC924-A2.pdf | ||
| CN-370000-GC924-T2.pdf | ||
| CN-370000-GC924-T2CO1.pdf | ||
| CN-370000-GC924-T2CO3.pdf | ||
| CN-370000-GC924-T6.pdf | ||
| CN-370000-GC924-T7.pdf | ||
| CN-370000-GC904-CMC3.pdf | ||
| CN-370000-GC924-ARC1.pdf | ||
| CN-370000-GC924-T1CO1.pdf | ||
| CN-370000-GC924-T3.pdf | ||
| CN-370000-GC924-T3CO1.pdf | ||
| CN-370000-GC924-T4.pdf | ||
| CN-370000-GC924-T5.pdf | ||
| CN-370000-GC924-T5CO1.pdf | ||
| CN-370000-GC924-T7CO1.pdf | ||
| CN-370000-GC924-T7CO2.pdf | ||
| CN-370000-GC924-T9.pdf | ||
| CN-370000-GC924-A3.pdf | ||
| CN-370000-GC924-T2CO4.pdf | ||
| CN-370000-GC924-T8.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:
GC924-2 11/14/2018 2
GULF COUNTY
Sarah Hinds
Roger Ruiz
Performance Measures:
Due to the recent Hurricane Michael, after four (4) months, the first performance measures for GC924-2 Gulf County shall be to complete tewenty-four percent (24%) of Routine Compliance Inspections.
62,935.00
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
37450104000 JD 132500 37450300 100029 00 $ 62,935.00
Sarah Hinds Digitally signed by Sarah Hinds DN: cn=Sarah Hinds, o=Florida Department of Health, ou=Gulf, email=Sarah.Hinds@flhealth.gov, c=US Date: 2018.11.16 15:39:52 -05'00'
Roger Ruiz Digitally signed by Roger Ruiz Date: 2018.11.16 15:58:33 -05'00'
Jennifer Vickers Digitally signed by Jennifer Vickers Date: 2018.11.19 11:33:24 -05'00'
Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2018.11.19 13:16:59 -05'00'
File details come from the government source that posted it. Updated .