Task Assignment Change Order Form Summary

This is a Task Assignment Change Order Form (Change Order No. 1) for DEP Contract No. GW283, issued on January 22, 2014. The document involves the Florida Department of Health as the contractor, with Tim Foster serving as the Contractor Contract Manager and Brian Dougherty as the DEP Contract Coordinator. The change order was approved by multiple agencies including the Florida Department of Environmental Protection and authorized by the Contractual Authority and Funding Authority representatives.

The change order modifies Task Assignment Number WC-002 to accommodate an increase in potable well survey work. Specifically, the work elements require the addition of seven notable well surveys at $155.00 each ($1,085.00 total), fourteen portable well samples at $89.00 each ($1,246.00 total), and seven county potable well samples at $23.00 each ($161.00 total). The net increase in task amount is $2,492.00, bringing the total task amount from $5,000.00 to $7,492.00. The task completion date remains unchanged at June 30, 2014. Funding for this increase is allocated to Organization Code 37450102000, Fund ID Z8, Object Code 139900, and Category 37450300, with a total amendment amount of $2,492.00.