CN-370000-GW283-PET9CO1.pdf

This is a Task Assignment Change Order Form for DEP Contract No. GW283, issued on July 29, 2015. The contract involves the Florida Department of Health as the contractor, with Michael Berry serving as the Contractor Contract Coordinator and Robert Perlowski as the DEP Contract Manager. The document was executed by the Florida Department of Environmental Protection in coordination with the Petroleum Restoration Program (PRP). The change order was approved by Jorge Caspary (Contractual Authority), Wayne Kiger (Funding Authority), and the Program Administrator for the Petroleum Restoration Program.

Change Order Number 1 extends administrative services under Task Assignment PET 9 for an additional two months, with the new completion date of September 30, 2015. The original task amount was $33,006.09, and this change order increases funding by $66,012.18, resulting in a total task amount of $99,018.24. The change order also modifies the invoicing schedule from monthly to quarterly, with the final invoice due by September 30, 2015. Funding is allocated from Org Code 37450404555 with Fund ID 212001, Object Code 139900, Module 4713, Category 37450300, and Year 16, totaling $66,012.18 in additional appropriations.