CN-370000-PL278-T8CO1.pdf

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Attached to
Master Agreement FL|PL278|c02a60fddd32fe315d357b38de995cd3
Contract number
PL278
Issued by
Florida

About this file

This is a Task Assignment Change Order (Form DEP Contract No. PL278) issued by the Florida Department of Environmental Protection (DEP) for work performed by PSI, Inc. on behalf of Alachua Conservation Trust, Inc. The document modifies task assignment PL278.008 related to the Strategic Managed Area Lands List project located in Columbia County, Florida. The contractor's project manager is Nana Westmark, with James Parker serving as both the DEP Designated Task Manager and DEP Contract Manager.

The change order addresses a time extension due to scheduling conflicts with a subcontractor, extending the task completion date by 20 days from June 17, 2022 to July 7, 2022. The task amount remains unchanged at $15,096.62, with no net increase or decrease in the contracted cost. Funding for this task is allocated from Org. Code 371024000000 under E.O. QH, with Object Code 131545, Fund Spec. Category 084108, and Grant Year 22. The change order was approved on June 8-9, 2022, with digital signatures from contractor and departmental representatives.

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CN-370000-HW560.pdf PDF
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CN-370000-PL278-CO01.pdf PDF
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CN-370000-PL278-T7.pdf PDF
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CN-370000-PL278-T8.pdf PDF
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Text version

ATTACHMENT B

TASK ASSIGNMENT CHANGE ORDER

FORM DEP CONTRACT NO, PL278

Task Assignment Number: __ ______ Change Order No.: _____ File Number: ______ _

Project Name: _________________________________ _

Owner's Name/Parcel#:. ___________________ _ County: ________ _

Phone Number: Contractor Contract Manager: _____ �-----------

DEP Designated Task Manager:_�-------------- Phone Number: _______ _

DEP Contract Manager:------------------ Phone Number:. _______ _

Description of Change (Use additional sheets if necessary):. _____________________ _

CHANGE IN TASK AMOUNT

Item Fee Schedule Cost Reimbursement Fixed Price

Oriqinal Task Amount:

Task amount prior to this chanqe order:

Net increase/decrease in task amount:

Task amount with all chanqe 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: _____ ______ _

PSI, INC. FLORIDA DEPARTMENT OF

ENVIRONMENTAL PROTECTIO

Contract Manager

FOR DEPARTMENT USE ONLY:

C F I f hanqe ln undinq n ormat1on:

Orq. Code E.O.

37102400000

Date

BE Obiect Code cc: Ruth Heggen, Procurement Section (MS93) Bureau of Finance & Accounting (MS75)-2 copies

DEP Contract Manager or designee

APPROVED:

Contractual Authority

Funding Authority

Fund Spec. Cat. Grant# Year

DEP Contract No. PL278, Attachment B, Page 1 of 1

Total

Date

Date

Date

Amount

PL278.008 1 328526

Strategic Managed Area Lands List

Alachua Conservation Trust, Inc. Columbia

Nana Westmark 813-886-1075

James Parker 850-245-3045

James Parker 850-245-3045

Time extension due to scheduling conflicts with subcontractors. .

$15,096.62 $15,096.62

$15,096.62 $15,096.62 0 0

$15,096.62 $15,096.62

6/17/2022

6/17/2022 + 20 Days

7/7/2022

QH 131545 423001 084108 22 $15,096.62

James Parker

Digitally signed by James Parker Date: 2022.06.08 10:41:46 -04'00'

Digitally signed by Robbie Parrish Date: 2022.06.08 10:50:33 -04'00'

Amy Horton Digitally signed by Amy Horton Date: 2022.06.08 12:59:51 -04'00'

Nana G Westmark

Digitally signed by Nana G Westmark Date: 2022.06.09 10:09:02 -04'00'

File details come from the government source that posted it. Updated .