CN-370000-GC927-T2CO3.pdf
PDF 710 KB Posted
- Contract number
- GC927
- 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) dated February 28, 2019, under Task Assignment Number GC927-2. The contractor is Lee County, with Keith Kibbey serving as the contractor representative and Roger Ruiz as the FDEP contract manager. The change order has been approved by Jennifer Vickers (Budget Representative) and Fletcher Herrald (Contractual Authority).
The change order reduces the scope of routine compliance inspection facilities from 436 to 339 facilities, representing a reduction of 97 facilities. This reduction results in a net decrease in task amount of $52,865.00, with the total task amount decreasing from $249,420.00 to $196,555.00. The task completion date remains unchanged at June 30, 2019. Funding is allocated from Organization Code 37450104000 under E.O. JD with Object Code 132500, Budget Entity 37450300, and Special Category 100029. The change order maintains the original fee schedule structure while adjusting the cost reimbursement to reflect the reduced scope of services.
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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:
GC927-2 02/28/2019 3
LEE COUNTY
Keith Kibbey
Roger Ruiz
Reduction of 97 Routine Compliance Inspection Facilities, from 436 to 339 Facilities.
$244,420.00 $244,420.00
$249,420.00 $249,420.00
-$52,865.00 -$52,865.00
$196,555.00 $196,555.00
06/30/19 06/30/19 -$52,865.00 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 $ 249,420.00
37450104000 JD 132500 37450300 100029 00 -$ 52,865.00
$ 196,555.00
Roger Ruiz Digitally signed by Roger Ruiz Date: 2019.02.28 12:23:07 -05'00'
Jennifer Vickers Digitally signed by Jennifer Vickers Date: 2019.02.28 21:20:43 -05'00'
Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.03.01 09:27:10 -05'00'
Keith Kibbey Digitally signed by Keith Kibbey DN: cn=Keith Kibbey, o=Lee County, ou=Natural Resources, email=kibbeyka@leegov.com, c=US Date: 2019.02.28 11:06:06 -05'00'
File details come from the government source that posted it. Updated .