CN-370000-GW283-WC06CO1.pdf

This is a Task Assignment Change Order Form for DEP Contract No. GW283, specifically Change Order Number 1 for Task Assignment WC-006. The document involves the Florida Department of Health as the contractor, with Michael Berry serving as the Contractor Coordinator and Robert Perlowski as the DEP Contract Manager. The contracting entity is the Florida Department of Environmental Protection.

The change order authorizes the addition of two additional months of Potable Well Surveys and Sampling services, extending the service period to September 30, 2015, with an associated funding increase of $66,012.18. The deliverable frequency has been modified from monthly to quarterly reporting. The original task amount was $519.00; with the net increase of $1,038.00 from this change order, the total task amount reaches $1,557.00. The original completion date of July 31, 2015 has been extended by two months to September 30, 2015. Funding is allocated from Org Code 37450102000 under Fund ID 780001, with the full $1,038.00 increase charged to account 374503001 in module 101492. The change order was approved on July 20, 2015, by the Contractual Authority and subsequently by the Funding Authority on July 28, 2015.