Task Assignment Change Order Form Summary

This document is a Task Assignment Change Order Form (Change Order No. 001) for DEP Contract No. PL266, issued by the Florida Department of Environmental Protection. The contract involves NorthStar Contracting Group, Inc. as the contractor, with Pamela Jackson serving as the Contractor Contract Manager and Aric Larson as the DEP Designated Task Manager and DEP Contract Manager. The project pertains to the Old Town Creek Watershed and is located in Hardee/Polk County, with Crews Groves Inc. identified as the Owner/Parcel.

The change order extends the due date for final products by 14 days, adjusting the original task completion date from September 19, 2017 to October 3, 2017. The task amount remains unchanged at $16,448.70, comprising a fee schedule of $14,873.95 and cost reimbursement of $1,574.75. The funding source is identified as Object Code 131545, Fund 348014, Specification Category 084108, with the total amount of $16,448.70 charged to Year 16 under Grant NA. The change order was approved on September 18, 2017 by the DEP Contract Manager and on September 18, 2017 by the Contractual Authority, with funding authority approval dated August 21, 2017.