CN-370000-GW283-WC14CO1.pdf

This is a Task Assignment Change Order Form for DEP Contract No. GW283, issued on June 12, 2019. The document involves the Florida Department of Health as the contractor and the Florida Department of Environmental Protection as the contracting agency. The change order is managed by Brian Dougherty (DEP Contract Manager) and Michael Berry (Contractor Contract Coordinator).

The change order authorizes an increase in funding of $10,550.00 to support priority investigations for PFOA/PFOS contamination at Fire Training Colleges in the state. The original task amount was $21,179.00, and with this change order, the total task amount reaches $31,729.00. The scope increase includes survey work ($217 fixed price), sample analysis at $93 per unit for 98 samples totaling $9,114, and out-of-country services at $23 per unit for 53 instances totaling $1,219. The task completion date remains June 30, 2019, with funding allocated through Object Code 3450300 in the amount of $10,500.00 for fiscal year 2019. The document was approved by Derrick R. Woodard II as Contractual Authority and digitally signed by Brian Dougherty on June 19, 2019.