CN-370000-PL352-T2CO2.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. 2) issued by the Florida Department of Environmental Protection (FDEP) dated June 1, 2016. The change order modifies an existing task assignment (PL352) with contractor F4 TECH. The parties involved include F4 TECH, represented by Mark Milligan (850-309-3940), and FDEP, represented by Contract Manager Jim Singleton (850-245-3085). The document was approved by Budget Representative Johnson_TT and Contractual Authority Lennie Zeiler on June 3, 2016.
The change order authorizes an increase in task funding of $31,500.00, bringing the total task amount from $307,216.00 to $338,716.00. The funding consists entirely of a fee schedule with no cost reimbursement component. The net increase is allocated to the fiscal year to provide additional funding needed to complete operations through the task completion date of June 30, 2016. Funding is sourced from Org. Code 37101000000, E.O. QC, Object Code 139900, Budget Entity 37100400, Special Category 100718, Year 00, for a total amount of $338,716.00. The task completion date remains unchanged at June 30, 2016, and no extension to the task period was granted. The change order was distributed to the Procurement Section (MS93) and two copies to the Bureau of Finance & Accounting (MS78).
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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 06/01/2016 2
F4 TECH
Mark Milligan 850-309-3940
Jim Singleton 850-245-3085
Additional funding needed to complete the fiscal year.
$0.00 $250,000.00 $250,000.00
$0.00 $307,216.00 $307,216.00
$0.00 +$31,500.00 +$31,500.00
$0.00 $338,716.00 $338,716.00
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 $ 338,716.00
Digitally signed by Mark Milligan DN: cn=Mark Milligan, o=F4 Tech, ou, email=mmilligan@thinkf4.com, c=US Date: 2016.06.02 12:33:40 -04'00'
06/02/2016 Jim Singleton Digitally signed by Jim Singleton Date: 2016.06.02 15:01:35 -04'00' 06/02/2016
Johnson_TT Digitally signed by Johnson_TT Date: 2016.06.03 09:48:36 -04'00'
06/03/2016
Lennie Zeiler Digitally signed by Lennie Zeiler Date: 2016.06.03 15:08:26 -04'00'
File details come from the government source that posted it. Updated .