CN-370000-GC927-T2CO4.pdf
PDF 655 KB Posted
- Contract number
- GC927
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. 4) issued by the Florida Department of Environmental Protection (FDEP) on March 20, 2019. The contractor is Lee County, represented by Lisa Kreiger, with FDEP Contract Manager Roger Ruiz managing the task assignment GC927-2.
The change order increases funding for variable inspections by $5,000.00, bringing the total task amount from $196,555.00 to $201,555.00. The original task completion date remains June 30, 2019, with no time extension granted. Funding is allocated across two organizational codes: $196,555.00 allocated to code 37450104000 (E.O. JD, Object Code 132500) and $5,000.00 to code 37450104000 (E.O. JN, Object Code 132500), with both charged to Budget Entity 37450300, Special Category 100029, and Year 00. The change order was approved by Budget Representative Jennifer Vickers and Contractual Authority Fletcher Herrald on March 21, 2019.
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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 .