CN-370000-GC925-T6CO2.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 on February 23, 2023. 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 requires approval through Adobe Signature and has been signed by authorized personnel from both the contractor and the Florida Department of Environmental Protection.
The change order increases the task assignment funding by $210.00 for Ethanol/Biodiesel Inspections. The original task amount was $799,500.00, which increased to $799,710.00 prior to this change order, and now totals $799,920.00 with all change orders included. The task completion date remains June 30, 2023. The funding allocation includes two budget lines: $799,710.00 from Org. Code 37450104000 (E.O. JD, Object Code 132500, Special Category 100029, Year 00) and $210.00 from Org. Code 37450104000 (E.O. JG, Object Code 132500, Special Category 087889, Year 23). The change order was approved by Budget Representative Tameshia N. Reid and Contractual Authority Jessica Kramer on February 27 and March 3, 2023, respectively.
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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 02/23/2023 2
ORANGE COUNTY
David Jones
Roger Ruiz
Increase in funds for Ethanol/Biodiesel Inspections for $210.
A net increase of $210.
799,500 799,500
799,710 799,710
+210 +210
799,920 799,920
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 $ 799,710.00
37450104000 JG 132500 37450300 087889 23 $ 210.00
David D. Jones Digitally signed by David D. Jones Date: 2023.02.24 17:39:40 -05'00' 02/24/2023 Roger Ruiz Digitally signed by Roger Ruiz
Date: 2023.02.27 07:37:17 -05'00'
Tameshia N. Reid Digitally signed by Tameshia N.
Reid Date: 2023.02.27 08:26:13 -05'00'
Jessica Kramer Digitally signed by Jessica Kramer Date: 2023.03.03 11:55:07 -05'00'
File details come from the government source that posted it. Updated .