CN-370000-GC925-T2CO4.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. 4) issued by the Florida Department of Environmental Protection on June 5, 2019. 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 was approved by Griffin Kolchakian (Budget Representative) and Tim J. Bahr (Contractual Authority) on June 6, 2019.
The change order reduces the scope of routine compliance inspections by 17 facilities, decreasing the total number of inspected facilities from 1,237 to 1,220. This reduction results in a net decrease of $9,265.00 to the task assignment. The task amount prior to this change order was $831,965.00, resulting in a revised total task amount of $822,700.00. The completion date remains unchanged at June 30, 2019. Funding is allocated from Organization Code 37450104000 under the JD E.O. with Object Code 132500 and Budget Entity 37450300, Special Category 100029, for a total amount of $822,700.00.
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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 06/05/2019 4
ORANGE COUNTY
David Jones
Roger Ruiz
Reduction of 17 Routine Compliance Inspections, in the amount of ($9,265.00), from 1,237 facilities to 1,220 facilities.
810,965.00 810,965.00
831,965.00 831,965.00
-9,265.00 -9,265.00
822,700.00 822,700.00
06/30/19 06/30/19 -9,265.00 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 $ 822,700.00
David D. Jones Digitally signed by David D. Jones Date: 2019.06.06 09:36:05 -04'00' 06/06/2019 Roger Ruiz Digitally signed by Roger Ruiz
Date: 2019.06.06 10:04:09 -04'00'
Griffin Kolchakian Digitally signed by Griffin Kolchakian Date: 2019.06.06 13:31:11 -04'00'
06/06/2019
Tim J. Bahr Digitally signed by Tim J. Bahr Date: 2019.06.06 16:30:27 -04'00'
File details come from the government source that posted it. Updated .