Task Assignment Change Order Form - DEP Contract No. GW283

This is a Task Assignment Change Order Form (Change Order No. 2) issued on June 20, 2017, for DEP Contract No. GW283 between the Florida Department of Health (FDOH) as the contractor and the Florida Department of Environmental Protection (DEP) as the contracting agency. The change order was authorized by Michael Berry (FDOH Contract Manager) and Robert Perlowski (DEP Contract Coordinator). The document establishes modifications to Task Assignment PET 12 under the existing contract framework.

The change order reduces the task assignment funding by $10,000.00 and reallocates $309,592.00 based on actual work completed and year-end projections, resulting in a net funding decrease of $319,592.00. The original task amount was $628,856.00; after all change orders, the total task amount is now $259,264.00. The cost reimbursement structure shows the net increase/decrease in the task amount at $319,592.00. The task completion date remains unchanged at June 30, 2017, with no adjustment to the task period (0 Days). Funding changes were allocated across organizational codes within the Florida Department of Health, with the primary adjustment of $319,592.00 reflected in funding code 37450300. The change order was approved by the Contractual Authority and Funding Authority on June 21, 2017.