CN-370000-GC925-T2CO2.pdf
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- Contract number
- GC925
- 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 March 13, 2019. The change order modifies an existing task assignment (GC925-2) with Orange County. The contractor is represented by David Jones, while Roger Ruiz serves as the DEP Contract Manager. The document has been approved by Jennifer Vickers (Budget Representative) and Fletcher Herrald (Contractual Authority).
The change order increases funds for variable inspections by $21,000.00, raising the total task amount from $810,965.00 to $831,965.00. The task completion date remains June 30, 2019. The funding is allocated across two budget lines: $810,965.00 under special category 100029 and $21,000.00 under special category 104138. Both line items are coded to organization code 37450104000, object code 132500, and budget entity 37450300. The document includes distribution to the Procurement Section (MS93) and two copies to the 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:
GC925-2 03/13/2019 2
ORANGE COUNTY
David Jones
Roger Ruiz
Increase of Funds for Variable Inspections in the amount of $21,000.00
810,965.00 810,965.00
810,965.00 810,965.00
+21,000.00 +21,000.00
831,965.00 831,965.00
06/30/19 06/30/19 +21,000.00 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 $ 810,965.00
37450104000 JN 132500 37450300 104138 00 $ 21,000.00
$ 831,965.00
David D. Jones Digitally signed by David D. Jones Date: 2019.03.13 16:52:37 -04'00' 03/13/2019 Roger Ruiz
Digitally signed by Roger Ruiz Date: 2019.03.13 16:58:39 -04'00'
Jennifer Vickers Digitally signed by Jennifer Vickers Date: 2019.03.14 10:55:58 -04'00'
Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.03.14 10:59:38 -04'00'
File details come from the government source that posted it. Updated .