Task Assignment Change Order Form Summary

This is a Task Assignment Change Order Form for DEP Contract No. GW283, issued by the Florida Department of Environmental Protection in conjunction with the Florida Department of Health. The change order, numbered 2 under Task Assignment WC-006, modifies the terms of an existing contract with the Florida Department of Health, with Michael Berry serving as the Contractor Coordinator and Robert Perlowski as the DEP Contract Manager.

The change order authorizes the addition of nine additional months of Potable Well Surveys and Sampling services, extending the service period through June 30, 2016, with a corresponding funding increase of $3,664.00. The deliverable format is modified from monthly to quarterly reporting. The original task completion date of July 31, 2015 is extended by nine months to June 30, 2016. Funding is allocated from Org. Code 37450102000 under E.O. ZB, Fund ID 780001, with an Object Code 139900 and funding amount of $3,664.00 identified under year 16. The task amount increases from the original $519.00 to a total of $5,221.00 across all change orders, reflecting the cumulative net increase of $1,557.00 prior to this change order and the additional $3,664.00 authorized herein.