CN-370000-GC925-T1CO5.pdf
PDF 655 KB Posted
- Contract number
- GC925
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. 5) issued by the Florida Department of Environmental Protection on June 27, 2018. The document involves Orange County as the contractor, with David Jones serving as the Contractor Representative and Roger Ruiz as the DEP Contract Manager. The change order is associated with Task Assignment Number GC925-1 and has been approved by Jennifer Vickers (Budget Representative) and Tim J. Bahr (Contractual Authority).
The change order authorizes a net increase of $12,400.00 to the task amount for variable inspections. The original task amount was $801,833.30, which had increased to $829,357.96 prior to this change order. With this additional increase, the total task amount with all change orders is now $841,757.96. The task completion date remains June 30, 2018, with no adjustment to the project timeline. The funding is allocated from Organizational Code 37450104000 under the JD E.O. with Object Code 132500, Budget Entity 37450300, Special Category 100029, for the fiscal year 2018, with the full budgeted amount of $841,757.96.
View the file
Other files
Show all 34
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:
GC925-1 06/27/2018 5
ORANGE COUNTY
David Jones
Roger Ruiz
Increase in Task Amount for Variable Inspections.
A net increase of $12,400.00
801,833.30 801,833.30
829,357.96 829,357.96
12,400.00 12,400.00
841,757.96 841,757.96
06/30/18 06/30/18 12,400.00 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 2018 $ 841,757.96
David D. Jones Digitally signed by David D. Jones Date: 2018.06.27 15:54:35 -04'00' 06/27/2018 Roger Ruiz Digitally signed by Roger Ruiz
Date: 2018.06.27 16:00:12 -04'00'
Jennifer Vickers Digitally signed by Jennifer Vickers Date: 2018.06.28 11:00:39 -04'00'
Tim J. Bahr Digitally signed by Tim J. Bahr Date: 2018.06.29 08:13:14 -04'00'
File details come from the government source that posted it. Updated .