CN-370000-GW283-T22DCCO2.pdf

This is a Revised Task Assignment Change Order Form (Attachment B-2) for DEP Contract No. GW283, dated September 1, 2015, involving the Florida Department of Health (FDOH) as the contractor and the Florida Department of Environmental Protection (DEP) as the contracting authority. The change order is designated as Change Order No. 2 for Task Assignment Number 22DC, with primary contacts including Michael Berry from FDOH and Don Harris from DEP serving as the contract manager.

The change order authorizes three additional quarters of Administrative Services and extends the task assignment completion date to June 30, 2016, with a net increase of $43,460.25. The original task amount was $4,895.75, which increased to $14,486.75 prior to this change order, bringing the total task amount with all change orders to $57,947.00. The original task completion date of July 31, 2015 was extended by 274 days to September 30, 2015 prior to this change order, with the final completion date now set for June 30, 2016. Funding is allocated through Organization Code 37450202000, E.O. ZD, Fund ID WOATF 780001, Object Code 139900, Module D000, with the total amount of $43,460.25 charged to grant year 2016.