CN-370000-GC927-T3CO1.pdf
PDF 1 MB Posted
- Contract number
- GC927
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) on January 29, 2020. The document modifies an existing task assignment (GC927-3) with Lee County as the contractor, represented by Lisa Kreiger. Roger Ruiz serves as the DEP Contract Manager overseeing the modification.
The change order increases the task funding by $350 for a travel allotment, bringing the total task amount from $241,358 to $241,708. The original task completion date of June 30, 2020, remains unchanged. The funding is allocated under Organization Code 37450104000, E.O. Code JD, Object Code 132500, Budget Entity 37450300, and Special Category 100029. The revised total contract amount of $241,708.00 was approved by Budget Representative Griffin Kolchakian and Contractual Authority Teresa Booeshaghi on February 5, 2020. Copies of this change order were distributed to the Procurement Section (MS93) and the Bureau of Finance & Accounting (MS78).
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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:
GC927-3 01/29/2020 1
LEE COUNTY
Lisa Kreiger
Roger Ruiz
Increase in funds for Travel Allotment for $350.
241,358 241,358
241,358 241,358
+350 +350
241,708 241,708
06/30/20 06/30/20 +350 06/30/20
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 $ 241,708.00
Lisa Kreiger Digitally signed by Lisa Kreiger Date: 2020.01.29 08:38:36 -05'00' Roger Ruiz Digitally signed by Roger Ruiz
Date: 2020.01.29 10:05:18 -05'00'
Griffin Kolchakian Digitally signed by Griffin Kolchakian Date: 2020.01.29 10:40:09 -05'00'
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2020.02.05 14:59:35 -05'00'
File details come from the government source that posted it. Updated .