CN-370000-GC927-T2CO4.pdf
PDF 655 KB Posted
- Contract number
- GC845
- Issued by
- Florida
About this file
This document is a Task Assignment Change Order Form from the Florida Department of Environmental Protection, involving Lee County as the contractor. The form is specifically Change Order No. 4 for Task Assignment Number GC927-2, dated 03/20/2019. The document involves contract managers Lisa Kreiger from Lee County and Roger Ruiz from the Florida Department of Environmental Protection.
The change order increases the task funds by $5,000.00 specifically for "Variable Inspections", bringing the total task amount from $196,555.00 to $201,555.00. The original task completion date remains 06/30/19, with no change to the project timeline. The funding information includes organizational codes 37450104000 and budget entity 37450300, with a special category of 100029. The change order was digitally signed by the contract managers and approved by budget and contractual authorities on 03/21/2019.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CN-370000-GC845-A3.pdf | ||
| CN-370000-GC845-A5.pdf | ||
| CN-370000-GC845-A4.pdf | ||
| ContractBudgetExport.csv | CSV file | |
| CN-370000-GC845-A1.pdf | ||
| CN-370000-GC845-AR1.pdf | ||
| CN-370000-GC845.pdf | ||
| CN-370000-GC845-CMC.pdf |
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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 03/20/2019 4
LEE COUNTY
Lisa Kreiger
Roger Ruiz
Increase of Funds for Variable Inspections in the amount of $5,000.00
$244,420.00 $244,420.00
$196,555.00 $196,555.00
+$5,000.00 +$5,000.00
$201,555.00 $201,555.00
06/30/19 06/30/19 +$5,000.00 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 $ 196,555.00
37450104000 JN 132500 37450300 100029 00 $ 5,000.00
$ 201,555.00
Lisa Kreiger Digitally signed by Lisa Kreiger Date: 2019.03.21 08:21:24 -04'00'
03/21/2019 Roger Ruiz Digitally signed by Roger Ruiz Date: 2019.03.21 08:28:17 -04'00'
Jennifer Vickers Digitally signed by Jennifer Vickers Date: 2019.03.21 15:59:08 -04'00'
Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.03.21 16:08:28 -04'00'
File details come from the government source that posted it. Updated .