CN-370000-PL352-T4CO2.pdf

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Attached to
Master Agreement FL|PL352|98085a807314a03bf0b52b5cf8d23d3f
Contract number
PL352
Issued by
Florida

About this file

This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) on January 13, 2017. The change order terminates Task Assignment 4 (TA4) under contract PL352 with contractor F4 TECH. Mark Milligan serves as the contractor representative, and Jim Singleton is the FDEP contract manager. The change order was approved by Budget Representative Johnson_TT and Contractual Authority Parks Small.

Task Assignment 4 is being terminated because other task assignments have produced sufficient inventory, mapping, analysis, planning, and land management implementation work, making TA4 unnecessary. The original task amount of $45,000.00 in fee schedule costs is being reduced to $0.00, resulting in a net decrease of $45,000.00. The original task completion date was June 30, 2016, which was extended to December 31, 2016 prior to this change order; the termination maintains the December 31, 2016 completion date with no net change in the task period. Funding for the change order is charged to Organization Code 37101000000, E.O. QH, Object Code 139900, Budget Entity 37100400, Special Category 080811, for fiscal year 16 at $0.00.

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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:

TA4 PL352 01/13/2017 2

F4 TECH

Mark Milligan 850-309-3940

Jim Singleton 850-245-3085

Because other task assignments have produced an abundance of inventory, mapping, analysis, planning, and land management implementation work, TA4 is not necessary and is, therefore, being terminated.

$0.00 $45,000.00 $45,000.00

$0.00 $45,000.00 $45,000.00

$0.00 -$45,000.00 -45,000.00

$0.00 $0.00 $0.00

June 30, 2016 December 31, 2016 None December 31, 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 QH 139900 37100400 080811 N/A 16 $ 0.00

Mark Milligan Digitally signed by Mark Milligan Date: 2017.01.16 10:07:30 -05'00' 01/16/2017 Jim Singleton Digitally signed by Jim Singleton

Date: 2017.01.13 10:34:17 -05'00'

Johnson_TT Digitally signed by Johnson_TT Date: 2017.01.17 13:03:46 -05'00'

Parks Small Digitally signed by Parks Small Date: 2017.01.17 13:56:13 -05'00'

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