CN-370000-GC925-T6CO1.pdf
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- Contract number
- GC925
- Issued by
- Florida
About this file
Task Assignment Change Order GC925-6
This is a Task Assignment Change Order Form (OOO-012) issued by the Florida Department of Environmental Protection (FDEP) on September 6, 2022. The change order modifies an existing task assignment with Orange County, represented by contractor David Jones, under the oversight of DEP Contract Manager Roger Ruiz. The change order is Change Order No. 1 for Task Assignment Number GC925-6.
The change order increases funding for Ethanol/Biodiesel Inspections by $210, raising the total task amount from $799,500 to $799,710. The task completion date remains unchanged at June 30, 2023. Funding for the increase is allocated across two budget categories: $799,500.00 from Org. Code 37450104000, E.O. JD, Special Category 100029, Year 00; and $210.00 from Org. Code 37450104000, E.O. JG, Special Category 087889, Year 23. Both funding sources utilize Object Code 132500 and Budget Entity 37450300. The change order was approved by Budget Representative Tameshia N. Reid and Contractual Authority John Truitt on September 6 and 7, 2022, respectively, with distribution directed to the Procurement Section and Bureau of Finance & Accounting.
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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:
GC925-6 09/06/2022 1
ORANGE COUNTY
David Jones
Roger Ruiz
Increase in funds for Ethanol/Biodiesel Inspections for $210.
A net increase of $210.
799,500 799,500
799,500 799,500
+210 +210
799,710 799,710
06/30/23 06/30/23 +210 06/30/23
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 $ 799,500.00
37450104000 JG 132500 37450300 087889 23 $ 210.00
David D. Jones Digitally signed by David D. Jones Date: 2022.09.06 16:28:57 -04'00' 09/06/2022 Roger Ruiz Digitally signed by Roger Ruiz
Date: 2022.09.06 16:53:43 -04'00'
Tameshia N. Reid Digitally signed by Tameshia N.
Reid Date: 2022.09.06 17:04:07 -04'00'
John Truitt Digitally signed by John Truitt Date: 2022.09.07 10:02:55 -04'00'
File details come from the government source that posted it. Updated .