CN-370000-GW387-PET19CO1.pdf
PDF 305 KB Posted
- Contract number
- GW387
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (OOO-012) issued by the Florida Department of Environmental Protection (FDEP) on May 11, 2020. The document modifies an existing task assignment (PET19) between the Florida Department of Health and FDEP. The change order is Change Order No. 1, with Michael Berry representing the contractor and Robert Perlowski serving as the DEP Contract Manager.
The change order reduces the total task amount by $270,000.00, decreasing the original task amount from $501,424.00 to $231,424.00. The reduction was implemented following a joint review by the Department of Water Management (DWM) and Department of Health (DOH), which determined that a budget reduction was appropriate based on current projected work and shifting priorities necessitated by the Coronavirus outbreak. The task completion date remains unchanged at June 30, 2020. The funding adjustment is reflected in Budget Entity 37450300, Project GW387, with an Organizational Code of 37450104000, Fund 212001, Object Code 131545, and Executive Order Code JC. The change order was approved by Monica J. Brady (Budget Representative) and John Truitt (Deputy Secretary) on May 18, 2020.
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Text version
OOO-012 (Effective 10-13-2017) Page 1 of 2
Florida Department of Environmental Protection
TASK ASSIGNMENT CHANGE ORDER FORM
Required Signatures: Adobe Signature
Task Assignment Number: __________________ Date: _______________ Change Order No.______________
Contractor Name: _________________________________________________________________
Contractor Representative: __________________________________________________________
DEP Contract Manager: _________ ___________
Description of Change (Use additional sheets if necessary):
Change in Task Amount
Item Cost Reimbursement Fee Schedule Total
Original Task Amount:
Task amount prior to this change order:
Net increase/decrease in task amount:
Task amount with all change orders:
Change in Task Time
Original task completion date:
Completion date prior to this change:
Net increase/decrease in task period:
Completion date with all change orders:
$501,424.00
$501,424.00
-$270,000.00
$231,424.00
OOO-012 (Effective 10-13-2017) Page 2 of 2
Florida Department of Environmental Protection
TASK ASSIGNMENT CHANGE ORDER FORM
Change in Funding Information
Budget Entity Project # Grant # Org Code Fund Special Category
Object Code
EO Amount
Total:
CONTRACTOR FLORIDA DEPARTMENT OF
ENVIRONMENTAL PROTECTION
Contract Manager Date Contract Manager Date
APPROVED:
Budget Representative Date
Deputy Secretary Date
Secretary Date cc: Procurement Section (MS93) Bureau of Finance & Accounting (MS78) - 2 copies
Monica J. Brady Digitally signed by Monica J. Brady Date: 2020.05.18 11:06:38 -04'00'
John Truitt Digitally signed by John Truitt Date: 2020.05.18 13:27:32 -04'00'
BerryMS Typewriter 05/14/2020
File details come from the government source that posted it. Updated .