CN-370000-GW283-WC07CO1.pdf

This is a Task Assignment Change Order Form for DEP Contract No. GW283, Change Order Number 1, issued by the Florida Department of Health as the contractor. The document involves the Florida Department of Environmental Protection as the contracting agency. Key personnel include Michael Berry as the Contractor Contract Coordinator and Robert Perlowski as the DEP Contract Manager. The change order was approved by Jorge Casprry (Contractual Authority) and Wayne Kiger (Funding Authority) on July 30, 2015.

The change order authorizes the addition of two additional months of administrative services, extending the service period to September 30, 2015, and modifies the deliverable reporting schedule from monthly to quarterly. The original task amount was $497.83, with a net increase in task amount of $995.66, resulting in a total task amount of $1,493.49 with all change orders. The completion date is extended from July 31, 2015 to September 30, 2015. Funding is sourced from Organization Code 37450102000 under Fund ID 780001, Object Code 139900, with the total amount of $1,493.49 allocated to Category Year 16 under Module B.E. 37450300 and Account 101492.