CN-370000-GW281-TP26CO3.pdf

This document is a Task Assignment Change Order Form for the Florida Department of Health, associated with DEP Contract No. GW281. The document involves multiple Florida state agencies, specifically the Florida Department of Health and the Florida Department of Environmental Protection, with key personnel including Michael Berry (Contractor Contract Manager) and Andy Brackney (DEP Contract Coordinator).

The change order extends the existing task assignment for the Potable Well Survey and Sampling task by 92 days, moving the completion date from June 30, 2012 to September 30, 2012. The original task amount was $958,350.00, with no net increase in the task amount reflected on this change order. The purpose of the extension is to ensure proper expenditure of remaining funds. The document includes signatures from various authorities including the Contract Manager, DEP Contract Coordinator, Contractual Authority, Funding Authority, and Procurement Section, indicating multi-level approval for this time extension.