CN-370000-WQ019-T4CO3.pdf
PDF 103 KB Posted
- Contract number
- WQ019
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form for DEP Contract No. WQ019 between the Florida Department of Environmental Protection (FDEP) and Wood Environment & Infrastructure, Inc. The change order was executed on April 3, 2020, and approved on April 4, 2020. The contractor's contract manager is Michael Phelps (863-667-2345), and the FDEP contract manager is Moira R. Homann (850-245-8460). This change order pertains to Task Assignment Number 12 and is designated as Change Order No. 003.
The change order extends the contract and all related task assignments for an additional six months, with the extended performance period commencing on April 21, 2020, and expiring no later than October 19, 2020. The original task completion date of April 2, 2020, was extended by 182 days to October 19, 2020. All contract modifications are subject to the same terms and conditions as the original contract. The document includes provisions for funding information organized by organization code, budget entity, executive order object code, special category, and year, with allocation rows identified under organizational code 37. No specific pricing adjustments, fee schedules, or cost reimbursement amounts are detailed in the change in task amount section of this form.
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Text version
ATTACHMENT D
TASK ASSIGNMENT CHANGE ORDER FORM
DEP CONTRACT NO. WQ019
Task Assignment Number: ___ 1 2 __________ ,Change Order No. ----
Contractor Contract Manager_· __ M_ i_ch_ a_e_l P_h _el -'-p_s ______ .Phone Number: 863-667- 2345
Moira R. Homann 850 245-8460 DEP Contract Manager: ____ , ________ _,hone Number:
Description of Change (Use additional sheets if necessary): This contract was extended for up to six (6) months. Contract and task assignments will be extended subiect to the same terms and conditions of original Contract. Task assignment performance oeriod$ are extended starting in April 21 2020 and exnire no later than October 19, 2020.
CHANGE IN TASK AMOUNT
Item Fixed Price Fee Schedule Cost Total Reimbursement
Original Task Amount:
Task amount orior to this channeorder:
Net increase/decrease in task amount Task amount with all chanae orders:
CHANGE IN TASK TIME
Original task completion dafe: __ A_p _rir.,...2...,0, .,...,2=0
2_0=-=--
Completion date prior to this change:_A�p_ri _l 2_0�2_0_20 _______ _ Net increase/decrease in task period: (increase) 182 days Completion date with all change orders: October 19 2020
Change In Funding Information:
Ora. Code Budoet Entttv E.O. Obiect Code Soecial Cat=orv Year Amount 37 $
37 $
37 $
37 $
37 $
WOOD ENVIRONMENT & INFRASTRUCTURE, INC. FLORIDA DEPARTMENT OF
ENVIRONMENT AL PROTECTION
� .fuv,....,____ 04/03/ 2020 Contract Manager cc: Procurement Section (MS93)
Date
Bureau of Finance & Accounting (MS78) - 2copies
Contract Manager Date
--1/--/-f-1. C
Budget Coo inator Date � 04/04/2020 _o~u� __
Director, Environmental Assessment Date and Restoration
DEP Contract No, WQ019, Attachment D, Page 1 of1
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