CN-370000-PL513-T104CO1.pdf

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Attached to
Master Agreement FL|PL513|6a741daf4000c898ad5cb3cdacc6cf50
Contract number
PL513
Issued by
Florida

About this file

Task Assignment Change Order Form Summary

This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (DEP) for Contract No. PL513. The document evidences a modification to an existing task assignment between the DEP and a contractor, with Frank Price serving as the Contractor Contract Manager and Deborah Burr as the DEP Contract Manager. The change order was approved by Amy Horton (Budget Representative) and Callie DeHaven (Contractual Authority) and was signed in August 2022.

The change order modifies Task Assignment Number 104 by replacing two easements (LO-002 and LO-003) scheduled for Spring 2023 with two new easements (BN-002 and BN-003). The modification results in a net decrease of $2,344 in the task amount, reducing the total from $65,014 to $62,670. The task completion date remains unchanged at June 16, 2023. Funding is allocated to organizational codes 3.7 and 3.7 with no changes to the timeline. The change order was distributed to Ruth Heggen in the Procurement Section and the Bureau of Finance & Accounting for processing and record-keeping purposes.

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Text version

Attachment 8

TASK ASSIGNMENT CHANGE ORDER FORM

DEP CONTRACT NO. PL513

Task Assignment Number:. _____________ _ Change Order Number _______ _

Contractor Contract Manager:. ________________ _ Phone Number: _____ _

DEP Contract Manager: _________________ _ Phone Number:. _____ _

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

CHANGE IN TASK AMOUNT

Item Fixed Fee Fee Schedule Total

OriQinal 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: ___________ _

Change In Funding Information:

-=--Or g

. C o de

____ IE.O. !Object Code !Budget Entity !Special Category I Grant# !Year IA m=o u nl l.::..:...37 _____ 1_1 ___ 1 ___ 1 ____ 1 ___ 1 _ _____...I$,.____ __ ___.

l.:<.:...37 _____ 1_1 ___ 1 ___ 1 ____ 1 l_ _____...l$L--__ ___.

CONTRACTOR

Contract Manager Date cc: Ruth Heggen, Procurement Section (MS93) Bureau of Finance & Accounting (MS78) - 2 copies

FLORIDA DEPARTMENT OF

ENVIRONMENTAL PROTECTION

Contract Manager

APPROVED:

Budget Representative

Contractual Authority

DEP Contract No. PL263, Attachment B, Page 1 of 1

Date

Date

Date

$65,014 $65,014

$62,670 $62,670

$65,014 $65,014

- $2,344 - $2,344

June 16, 2023 June 16, 2023

June 16, 2023 none

104 1

Frank Price 850-224-8207

Deborah Burr 850-245-2773

Replace two easements (LO-002, LO-003) in Spring 2023 schedule with two new easements (BN-002, BN-003)

Digitally signed by Frank Price Date: 2022.07.15 12:24:09 -04'00'

Deborah Burr Digitally signed by Deborah Burr Date: 2022.08.10 13:33:58 -04'00'

Amy Horton Digitally signed by Amy Horton Date: 2022.08.15 09:53:54 -04'00'

Callie DeHaven Digitally signed by Callie DeHaven Date: 2022.08.15 09:57:50 -04'00'

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