CN-370000-GC925-T3CO2.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. 2) issued by the Florida Department of Environmental Protection (FDEP) on February 4, 2020, for Task Assignment GC925-3 with Orange County. The contractor is represented by David Jones, and the FDEP Contract Manager is Roger Ruiz. The change order was approved by Griffin Kolchakian (Budget Representative) and Teresa Booeshaghi (Contractual Authority).
The change order modifies performance requirements for Orange County due to recent personnel changes. Specifically, after eight months of performance, the second performance level for GC925-3 Orange County shall require completion of 61% of Routine Compliance Inspections, equivalent to 755 inspections. The task amount remains unchanged at $824,674.00, representing no net increase or decrease from the prior amount of $824,674.00. The task completion date remains June 30, 2020, with no extension to the original timeline. Funding is allocated from Org. Code 37450104000 under E.O. JD, Object Code 132500, Budget Entity 37450300, Special Category 100029, in the amount of $824,674.00.
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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:
GC925-3 02/04/2020 2
ORANGE COUNTY
David Jones
Roger Ruiz
Due to recent personnel changes for GC925-3 Orange County, after Eight (8) months, the second performance Level for GC925-3 Orange County shall be to complete sixty one percent (61%) of Routine Compliance Inspections, or 755 Routine Compliance Inspections.
792,674 792,674
824,674 824,674
0 0
824,674 824,674
06/30/20 06/30/20 06/30/20
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 $ 824,674.00
David D. Jones Digitally signed by David D. Jones Date: 2020.02.04 09:36:25 -05'00' 02/04/2020 Roger Ruiz Digitally signed by Roger Ruiz
Date: 2020.02.04 09:55:17 -05'00'
Griffin Kolchakian Digitally signed by Griffin Kolchakian Date: 2020.02.05 13:17:25 -05'00'
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2020.02.05 14:47:01 -05'00'
File details come from the government source that posted it. Updated .