CN-370000-GW283-PET9CO2.pdf

This is a Task Assignment Change Order Form for DEP Contract No. GW283, issued on 9/8/15, between the Florida Department of Environmental Protection (as the contracting agency) and the Florida Department of Health (FDOH) as the contractor. The document authorizes a change order to a previously existing task assignment. Key contacts include Michael Berry as the FDOH Contract Manager and Robert Perlowski as the DEP Contract Coordinator.

The change order authorizes three additional quarters of administrative services in accordance with the original contract and associated attachments, specifically revising the Well Survey & Sampling Services scope of work and extending the task assignment completion date to June 30, 2016. The original task amount was $33,006.09, with prior cumulative task amounts totaling $99,018.24. This change order increases the net task amount by $297,054.81, bringing the total task amount with all change orders to $396,073.05. The original task completion date was 7/31/15, the completion date prior to this change was 9/30/15, and the net extension adds 274 days with the new completion date set for 6/30/16. Funding is allocated under Org Code 3745040455, Fund ID 212001, Object Code 139900, Module 4713, and other budgetary codes, with the total amount of $297,054.81 charged to year 15.