CN-370000-GC925-T2CO3.pdf

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Attached to
Master Agreement FL|GC925|7de0a589851d924e0330488f92d8fc21
Contract number
GC925
Issued by
Florida

About this file

This is a Task Assignment Change Order Form (Change Order No. 3) issued by the Florida Department of Environmental Protection (FDEP) on April 10, 2019, for Task Assignment Number GC925-2 with Orange County. The contractor representative is David Jones, and the FDEP Contract Manager is Roger Ruiz. The change order was approved by Fletcher Herrald, serving as both Budget Representative and Contractual Authority.

The change order modifies the language in the current task assignment regarding inspection staff attendance at an annual meeting in Spring 2019. Specifically, the original language stating "Inspection staff to attend annual meeting Spring 2019 at a rate of $400 per staff member" has been revised to read "Inspection staff to attend annual meeting Spring 2019" without the specified rate. This modification was made to ensure that reimbursement for travel costs complies with Chapter 112, Florida Statutes. The change order reflects no modifications to the overall funding amount, task completion date (06/30/19), or any other contract information. All cost reimbursement and fee schedule amounts remain unchanged.

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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 04/10/2019 3

ORANGE COUNTY

David Jones

Roger Ruiz

“Revising sentence in current task assignment from reading :

‘Inspection staff to attend annual meeting Spring 2019 at a rate of $400 per staff member.’

To read:

Inspection staff to attend annual meeting Spring 2019.”

This is necessary to ensure reimbursement for travel costs shall be in compliance with Chapter 112, FS.

No changes in funding amount or information effected by this Task Assignment Change Order (TACO).

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

David D. Jones Digitally signed by David D. Jones Date: 2019.04.10 16:00:10 -04'00' 04/10/2019 Roger Ruiz Digitally signed by Roger Ruiz

Date: 2019.04.11 10:08:46 -04'00'

Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.04.11 12:10:41 -04'00'

Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.04.11 12:10:57 -04'00'

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