CN-370000-GC924-T3CO2.pdf
PDF 535 KB Posted
- Contract number
- GC924
- 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) for DEP Contract GC924. The contractor is Gulf County, represented by Sarah Hinds, with Roger Ruiz serving as the DEP Contract Manager. The change order was executed on June 10, 2020, and approved by Monica J. Brady (Budget Representative) and Teresa Booeshaghi (Contractual Authority).
The change order modifies Task Assignment #3 of the contract, which involves conducting routine compliance inspections for storage tank systems at facilities within Gulf, Calhoun, Franklin, Jackson, and Liberty Counties. The original completion deadline of May 31, 2020, is extended to June 30, 2020. Additionally, the scope is reduced from 103 routine compliance inspections to 99 inspections due to COVID-19 impact, resulting in a net cost decrease of $2,062.50. The task amount is reduced from $64,397 to $62,334.50. Funding is allocated under Organizational Code 37450104000, Executive Order JD, Object Code 132500, Budget Entity 37450300, and Special Category 100029, with year code 00.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 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-A2.pdf | ||
| CN-370000-GC924-T2.pdf | ||
| CN-370000-GC924-T2CO1.pdf | ||
| CN-370000-GC924-T2CO2.pdf | ||
| CN-370000-GC924-T2CO3.pdf | ||
| CN-370000-GC924-T6.pdf | ||
| CN-370000-GC924-T7.pdf | ||
| 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-A3.pdf | ||
| CN-370000-GC924-T2CO4.pdf | ||
| CN-370000-GC924-T8.pdf |
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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:
GC924-3 06/10/2020 2
GULF COUNTY
Sarah Hinds
Roger Ruiz
This change revises the sentence in Task Assignment #3 for DEP Contract GC924 reading:
"Conduct routine compliance inspections for storage tank systems at the 103 facilities within Gulf, Calhoun, Franklin, Jackson and Liberty Counties, identified in Exhibit #1, by May 31, 2020.", to read:
"Conduct routine compliance inspections for storage tank systems at the 103 facilities within Gulf, Calhoun, Franklin, Jackson and Liberty Counties, identified in Exhibit #1, by June 30, 2020."
Reduction of 4 Routine Compliance Inspections, from 103 Routine Compliance Inspections assigned, to 99 Routine Compliance Inspections due to COVID-19 impact.
A net decrease of $2,062.50
63,797 63,797
64,397 64,397
- 2,062.50 - 2,062.50
62,334.50 62,334.50
06/30/20 06/30/20
- 2,062.50 06/30/20
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 $ 62,334.50
Digitally signed by sarah.hinds@flhealth.gov DN: CN=sarah.hinds@flhealth.gov Reason: I am the author of this document Location: your signing location here Date: 2020-06-11 08:21:04 Foxit Reader Version: 9.6.0 sarah.hinds@ flhealth.gov
06/11/2020 Roger Ruiz Digitally signed by Roger Ruiz Date: 2020.06.11 08:59:42 -04'00'
Monica J. Brady Digitally signed by Monica J.
Brady Date: 2020.06.12 09:21:57 -04'00'
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2020.06.12 09:34:01 -04'00'
File details come from the government source that posted it. Updated .