CN-370000-GW283-PET12CO1.pdf

This is a Task Assignment Change Order Form (Attachment B) for DEP Contract No. GW283, issued on January 13, 2017, between the Florida Department of Environmental Protection (FDEP) and the Florida Department of Health (FDOH). The contract involves a Contractor Contract Manager, Michael Berry, and DEP Contract Coordinator, Robert Perlowski. The document authorizes a reduction in funding based on actual work to date and year-ending projections, resulting in a net decrease to the Task Assignment of $50,000.00.

The original task amount was $628,856.00 in cost reimbursement, with a task completion date of June 30, 2017. Following this change order, the net decrease reduces the task amount by $50,000.00, resulting in a revised task amount with all change orders of $578,856.00. The task period remains unchanged at zero days, maintaining the original completion date of June 30, 2017. The funding information references Org. Code 37450404555, Fund ID JC, and includes object code 212001, module 139900, and grant year 2017 with a total adjustment amount of -$50,000.00. The change order was signed and approved by representatives from both the Florida Department of Health and the Florida Department of Environmental Protection on January 20, 2017, and January 13, 2017, respectively.