CN-370000-GW283-PET11CO1.pdf

This is a Task Assignment Change Order Form for DEP Contract No. GW283, dated June 20, 2017, involving the Florida Department of Health (FDOH) as the contractor and the Florida Department of Environmental Protection (FDEP) as the contracting agency. The change order is identified as Change Order No. 1 for Task Assignment Pet 11, with Michael Berry serving as the FDOH Contract Manager and Robert Perlowski as the DEP Contract Coordinator.

The change order authorizes a $10,000.00 increase in funding for Task Assignment Pet 12, based on actual work to date and year-ending projections, with no net increase to the overall task assignment. The original task amount was $241,376.00, and with this change order, the total task amount increases to $251,376.00. The task completion date remains unchanged at June 30, 2017. Funding information indicates the allocation is under Org Code 37450404555, Fund ID 212001, Object Code 139900, Module 4713, and Grant # 374503000 with a category of 104132. The change order was approved by both the Contractual Authority and Funding Authority on June 24, 2017 and June 21, 2017, respectively.