CN-370000-GC927-T3CO2.pdf

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Attached to
Master Agreement FL|GC927|adfed6b093109682e55afa87e225e538
Contract number
GC927
Issued by
Florida

About this file

Task Assignment Change Order Summary

This is a Task Assignment Change Order Form (OOO-012) issued by the Florida Department of Environmental Protection (FDEP) for Lee County. The change order modifies Task Assignment GC927-3 and is dated May 14, 2020, representing Change Order No. 2. Lisa Kreiger serves as the contractor representative for Lee County, with Roger Ruiz acting as the DEP Contract Manager overseeing the modification.

The change order reduces the scope of routine compliance inspections from 436 to 424 inspections, resulting in a net decrease of $6,186 in total task amount due to COVID-19 impacts. The original task amount was $241,358, and after all change orders, the revised task amount is $235,522. The task completion date remains June 30, 2020. The funding is allocated through Organizational Code 37450104000 under Object Code 132500, with the amount of $235,522.00 classified under Budget Entity 37450300 and Special Category 100029. The change order was approved by Budget Representative Monica J. Brady and Contractual Authority Teresa Booeshaghi on May 19, 2020, with copies directed to the Procurement Section and Bureau of Finance & Accounting.

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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 05/14/2020 2

LEE COUNTY

Lisa Kreiger

Roger Ruiz

Reduction of 12 Routine Compliance Inspections, from 436 Routine Compliance Inspections assigned, to 424 Routine Compliance Inspections due to COVID-19 impact.

A net decrease of $6,186.

241,358 241,358

241,708 241,708

- 6,186 - 6,186

235,522 235,522

06/30/20 06/30/20

- 6,186 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 $ 235,522.00

Lisa Kreiger Digitally signed by Lisa Kreiger Date: 2020.05.15 09:15:19 -04'00' Roger Ruiz Digitally signed by Roger Ruiz

Date: 2020.05.19 08:18:57 -04'00'

Monica J. Brady Digitally signed by Monica J.

Brady Date: 2020.05.19 11:53:41 -04'00'

Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2020.05.19 13:05:02 -04'00'

File details come from the government source that posted it. Updated .