CN-370000-GC927-T2CO6.pdf
PDF 654 KB Posted
- Contract number
- GC927
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. 6) issued by the Florida Department of Environmental Protection (FDEP) on June 18, 2019, for Task Assignment Number GC927-2 with Lee County. The change order was executed by contractor representative Lisa Kreiger and FDEP Contract Manager Roger Ruiz, with approvals from Budget Representative Griffin Kolchakian and Contractual Authority Teresa Booeshaghi.
The change order reduces the scope of routine compliance inspections by one facility, decreasing the number of inspected facilities from 339 to 338. This reduction results in a net decrease of $545.00 in the task amount. The original task amount was $244,420.00 with a fee schedule total of $244,420.00. Prior to this change order, the task amount was $201,555.00. Following this modification, the task amount with all change orders is $201,010.00. The task completion date remains June 30, 2019. The funding is allocated from Org. Code 37450104000 under Object Code 132500, Budget Entity 37450300, Special Category 100029, with the adjusted amount of $201,010.00 charged to the specified budget line.
View the file
Other files
Show all 32
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 06/18/2019 6
LEE COUNTY
Lisa Kreiger
Roger Ruiz
Reduction of 1 Routine Compliance Inspections, in the amount of ($545.00), from 339 facilities to 338 facilities.
$244,420.00 $244,420.00
$201,555.00 $201,555.00
-$545.00 -$545.00
$201,010.00 $201,010.00
06/30/19 06/30/19 -$545.00 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 $ 201,010.00
Lisa Kreiger Digitally signed by Lisa Kreiger Date: 2019.06.19 13:47:43 -04'00' Roger Ruiz Digitally signed by Roger Ruiz
Date: 2019.06.19 14:05:11 -04'00'
Griffin Kolchakian Digitally signed by Griffin Kolchakian Date: 2019.06.20 15:28:24 -04'00'
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2019.06.20 16:11:21 -04'00'
File details come from the government source that posted it. Updated .