CN-370000-GC927-T5CO1.pdf
PDF 1 MB Posted
- Contract number
- GC927
- Issued by
- Florida
About this file
Summary
This is a Task Assignment Change Order Form (OOO-012) issued by the Florida Department of Environmental Protection (DEP) on October 18, 2021. The change order modifies an existing task assignment with Lee County, identified as contract GC927-5. The contractor representative is Lisa Kreiger, and the DEP Contract Manager is Roger Ruiz.
The change order addresses performance measures adjustments due to personnel changes within Lee County's GC927-5 task assignment. Specifically, the performance requirement for the first four-month period has been modified to require completion of 21 percent or 89 Routine Compliance Inspections. The task assignment maintains an original amount of $222,740.00, with no change to the task amount or completion date of June 30, 2022. Funding is allocated from Organization Code 37450104000 under Executive Order JD, with Special Category 100029 and Budget Entity 37450300. The change order received approvals from the Budget Representative (Tameshia N. Reid) and Contractual Authority (Teresa Booeshaghi) on October 18, 2021.
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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:
GC927-5 10/18/2021 1
LEE COUNTY
Lisa Kreiger
Roger Ruiz
Performance Measures:
Due to personnel changes GC927-5 Lee County, for the first Performance Measures after (4) four months shall complete (21%) or 89 Routine Compliance Inspections.
222,740 222,740
06/30/22
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 $ 222,740.00
Lisa Kreiger Digitally signed by Lisa Kreiger Date: 2021.10.18 14:52:04 -04'00' Roger Ruiz Digitally signed by Roger Ruiz
Date: 2021.10.18 15:08:52 -04'00'
Tameshia N. Reid Digitally signed by Tameshia N.
Reid Date: 2021.10.18 15:59:28 -04'00'
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2021.10.18 16:17:27 -04'00'
File details come from the government source that posted it. Updated .