CN-370000-GC924-T7CO2.pdf

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Attached to
Master Agreement FL|GC924|c560f091e904e082a29e787f42919918
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 (FDEP) on June 20, 2024. The document modifies an existing contract with Gulf County, represented by contractor Sarah Quaranta, with FDEP contract manager Roger Ruiz overseeing the arrangement.

The change order increases funding for Variable Inspections by $1,400, raising the task amount from $79,155.64 to $80,555.64. The original task amount was $76,655.64, with a previous change order adding $2,500.00. The task completion date remains June 30, 2024, with no extension to the timeline. The funding is allocated across three budget line items under Org. Code 37450104000, all utilizing the same E.O. (JD), Object Code (132500), Budget Entity (37450300), and Special Category (100029). The modification was approved by Budget Representative Tameshia N. Reid and Contractual Authority Teresa Booeshaghi on June 24, 2024, with distribution copies sent to the Procurement Section (MS93) and Bureau of Finance & Accounting (MS78).

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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:

GC924-7 06/20/2024 2

GULF COUNTY

Sarah Quaranta

Roger Ruiz

Increase in funds for Variable Inspections for $1,400.

A net increase of $1,400.

76,655.64 76,655.64

79,155.64 79,155.64

+1,400 +1,400

80,555.64 80,555.64

06/30/24 06/30/24 +1,400 06/30/24

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 $ 76,655.64

37450104000 JD 132500 37450300 100029 00 $ 2,500.00

37450104000 JD 132500 37450300 100029 00 $ 1,400.00

06/24/2024 Roger Ruiz Digitally signed by Roger Ruiz Date: 2024.06.24 14:02:55 -04'00'

Tameshia N. Reid Digitally signed by Tameshia N.

Reid Date: 2024.06.24 14:31:12 -04'00'

Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2024.06.24 16:13:36 -04'00'

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