CN-370000-PL352-T2C01.pdf
PDF 1 MB Posted
- Contract number
- PL352
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. 1) issued by the Florida Department of Environmental Protection (FDEP) on May 6, 2016. The document modifies an existing task assignment (2 PL352) with contractor F4 TECH, represented by Mark Milligan. The DEP Contract Manager is Jim Singleton. The change order was approved by Lane SR (Budget Representative) and Clark G (Contractual Authority) on May 13 and May 16, 2016, respectively.
The change order increases the task assignment amount by $57,216.00 to accommodate additional funding needed to complete the fiscal year and authorizes the addition of Big Bend Forestry as a new subcontractor at a rate of $105 per hour. The original task amount of $250,000.00 is increased to a total of $307,216.00 with all change orders. The task completion date remains unchanged at June 30, 2016. Funding is allocated through Organization Code 37101000000, with Object Code 139900, Budget Entity 37100400, and Special Category 100718, totaling $307,216.00 in the year 00.
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Text version
OOO-012 (Effective 09-14-2015) 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:
2 PL352 05/06/2016 1
F4 TECH
Mark Milligan 850-309-3940
Jim Singleton 850-245-3085
Additional funding needed to complete the fiscal year.
Addition of a new Subcontractor: Big Bend Forestry, $105 per hour
$0.00 $250,000.00 $250,000.00
$0.00 $250,000.00 $250,000.00
$0.00 +$57,216.00 +$57,216.00
$0.00 $307,216.00 $307,216.00
June 30, 2016 June 30, 2016 None June 30, 2016
OOO-012 (Effective 09-14-2015) Page 2 of 2
Florida Department of Environmental Protection
TASK ASSIGNMENT CHANGE ORDER FORM
Change in Funding Information
Org. Code E.O. Object Code Budget Entity
Special Category
Grant # Year Amount
CONTRACTOR FLORIDA DEPARTMENT OF
ENVIRONMENTAL PROTECTION
Contract Manager Date Contract Manager Date
APPROVED:
Budget Representative Date
Contractual Authority Date cc: Procurement Section (MS93) Bureau of Finance & Accounting (MS78) - 2 copies
37101000000 QC 139900 37100400 100718 00 $ 307,216.00
Digitally signed by Mark Milligan DN: cn=Mark Milligan, o=F4 Tech, ou, email=mmilligan@thinkf4.com, c=US Date: 2016.05.12 15:28:31 -04'00'
05/12/2016 Jim Singleton Digitally signed by Jim Singleton Date: 2016.05.13 08:16:34 -04'00'
Lane_SR Digitally signed by Lane_SR Date: 2016.05.13 08:24:29 -04'00'
Clark_G Digitally signed by Clark_G Date: 2016.05.16 09:14:44 -04'00'
File details come from the government source that posted it. Updated .