CN-370000-GC928-T13CO2.pdf
PDF 334 KB Posted
- Contract number
- GC928
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. 2) issued by the Florida Department of Environmental Protection on April 22, 2024. The document involves the contractor Citrus County, represented by Glenn W. Bryant, and DEP Contract Manager Roger Ruiz. The task assignment is identified as GC928-13.
The change order increases funds for Variable Inspections by $7,000, resulting in a net increase to the task amount. The original task amount was $104,356.41; prior to this change order it was $102,056.41; with this change order applied, the total task amount becomes $109,056.41. The task completion date remains June 30, 2024, unchanged by this modification. Funding is allocated from Org. Code 37450104000 with Object Code 132500, Budget Entity 37450300, and Special Category 100029. The change order was approved by Budget Representative Tameshia N. Reid and Contractual Authority Teresa Booeshaghi on April 29, 2024, with copies distributed to the Procurement Section (MS93) and 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:
GC928-13 04/22/2024 2
CITRUS COUNTY
Glenn W. Bryant
Roger Ruiz
Increase in funds for Variable Inspections for $7,000.
A net increase of $7,000.
104,356.41 104,356.41
102,056.41 102,056.41
+7,000 +7,000
109,056.41 109,056.41
06/30/24 06/30/24 +7,000 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 $ 104,356.41
37450104000 JD 132500 37450300 100029 00 -$ 2,300.00
37450104000 JD 132500 37450300 100029 00 $ 7,000.00
Roger Ruiz Digitally signed by Roger Ruiz Date: 2024.04.29 07:27:06 -04'00'
Tameshia N. Reid Digitally signed by Tameshia N.
Reid Date: 2024.04.29 08:50:04 -04'00'
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2024.04.29 10:03:50 -04'00'
File details come from the government source that posted it. Updated .