CN-370000-GC927-T7CO1.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 on February 6, 2024. The document modifies an existing task assignment (GC927-1) with Lee County. The contractor is represented by Rick Roudebush, and the Florida Department of Environmental Protection's contract manager is Roger Ruiz. The change order has been approved by Tameshia N. Reid (Budget Representative) and Teresa Booeshaghi (Contractual Authority).
The change order increases funding for Variable Inspections by $12,500, resulting in a net increase to the total task amount. The original task amount was $252,209.63, and with this change order, the task amount with all change orders totals $264,709.63. The task completion date remains June 30, 2024, with no extension to the task period. The funding is allocated through budget entity 37450300 (Special Category 100029) under organizational code 37450104000 with object code 132500. The $12,500 increase is distributed across the same funding line as the original $252,209.63 allocation, and copies of this change order have been 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:
GC927-1 02/06/2024 1
LEE COUNTY
Rick Roudebush
Roger Ruiz
Increase in funds for Variable Inspections for $12,500.
A net increase of $12,500.
252,209.63 252,209.63
252,209.63 252,209.63
+12,500 +12,500
264,709.63 264,709.63
06/30/24 06/30/24 +12,500 06/30/24
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 $ 252,209.63
37450104000 JD 132500 37450300 100029 00 $ 12,500.00
Roger Ruiz Digitally signed by Roger Ruiz Date: 2024.02.07 07:57:15 -05'00'
Tameshia N. Reid Digitally signed by Tameshia N.
Reid Date: 2024.02.07 08:46:55 -05'00'
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2024.02.07 09:22:02 -05'00'
Rick R. Roudebush Digitally signed by Rick R.
Roudebush Date: 2024.02.07 07:51:10 -05'00'
File details come from the government source that posted it. Updated .