CN-370000-GC927-T6CO1.pdf
PDF 1 MB Posted
- Contract number
- GC927
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (OOO-012) issued by the Florida Department of Environmental Protection dated October 24, 2022. The document pertains to task assignment GC927-6 for Lee County, with Rick Roudebush serving as the Contractor Representative and Roger Ruiz as the DEP Contract Manager. The change order was approved by Tameshia N. Reid (Budget Representative) and Teresa Booeshaghi (Contractual Authority).
The change order modifies performance measures for the Lee County contract due to Hurricane Ian aftermath. The contractor must complete 94 Routine Compliance Inspections (22% of the total requirement) within four months of the task assignment start date. The original task amount remains $249,925.00 with no change to the total cost. The task completion date is set for June 30, 2023, with no extension to the original timeline. Funding is allocated from Org. Code 37450104000 under E.O. JD with Object Code 132500, Budget Entity 37450300, and Special Category 100029, with a year code of 00.
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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:
GC927-6 10/24/2022 1
LEE COUNTY
Rick Roudebush
Roger Ruiz
Performance Measures:
Due to the aftermath of Hurricane Ian, GC927-6 Lee County, for the first Performance Measures, after (4) four months shall complete ( 22 %) or 94 Routine Compliance Inspections.
249,925 249,925
06/30/23
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 $ 249,925.00
Rick R. Roudebush, Operations Manager
Digitally signed by Rick R.
Roudebush, Operations Manager Date: 2022.10.24 11:02:58 -04'00'
10/24/2022 Roger Ruiz Digitally signed by Roger Ruiz Date: 2022.10.24 12:36:10 -04'00'
Tameshia N. Reid Digitally signed by Tameshia N.
Reid Date: 2022.10.24 14:19:29 -04'00'
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2022.10.24 15:55:41 -04'00'
File details come from the government source that posted it. Updated .