Task Assignment Change Order Form Summary

This is a Task Assignment Change Order Form (DEP Contract No. GW283, Task Assignment PET 15) dated May 28, 2019, between the Florida Department of Health (contractor) and the Florida Department of Environmental Protection (contracting agency). The change order was processed by Michael Berry, Contractor Contract Coordinator, and Robert Periowski, DEP Contract Manager. The document was approved by contractual and funding authorities on May 28, 2019.

The change order authorizes a reduction in funding of $65,000.00 to Task Assignment PET 15 based on work completed to date and year-ending projections. The original task amount was $467,978.00; following this change order, the task amount with all change orders is reduced to $402,978.00. The task completion date remains June 30, 2019 with no net change to the task period. Funding for the $65,000.00 reduction is charged to Org Code 37450404555, Fund ID 212001, Object Code 131300, Module 4713, with a Category Year code of 100, and is categorized under B.E. 37450300 and 104132.