CN-370000-WQ154-T3CO1.pdf
PDF 180 KB Posted
- Contract number
- WQ154
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (DEP) for Contract No. WQ154. The document involves Industrial Economics, Inc. (IEc) as the consultant, with Nadia Martin serving as the consultant representative and Carolyn Pigott as the DEP Contract Manager. The project, titled Council Monitoring and Assessment Work Group (CMAWG), is assigned Project No. RST00801 and is managed by DEP Project Manager Lisa Robertson.
The change order extends the task end date from December 31, 2021 to December 31, 2022 to ensure continued service delivery. The task amount remains unchanged at $24,804.40 in reimbursement costs with no fixed fee component, resulting in a total task amount of $24,804.40 and a net change of $0.00. All rates are subject to the Master Service Agreement. The original task execution date was December 7, 2020. The change order was executed on December 20, 2021, with signatures from all required parties including the DEP Budget Representative, DEP Project Manager, DEP Contract Manager, consultant representative, and DEP Contract Authority.
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Text version
Florida Department of Environmental Protection
TASK ASSIGNMENT CHANGE ORDER FORM
DEP Contract No.: Task Assignment No.: Change No.: Project No.:
Project Name:
Consultant Name:
Consultant Representative: Phone: Email:
DEP Contract Manager: Phone: Email:
DEP Project Manager: Phone: Email:
Description and Justification of Change:
Change in Task Amount Item Reimbursement Fixed Fee Total
Present Task Amount:
Net increase/decrease in task amount for this Change Order:
New Total Task Amount:
Change in Task Time Original Task Execution Date:
Present Task End Date:
New Task End Date:
Approval Signatures DEP Budget Representative Signature Date
DEP Project Manager Signature Date
DEP Contract Manager Signature Date
Consultant Representative Signature Date
DEP Contract Authority Signature Date
Project # Grant # Org Code Cat/Yr Fund Module Object Code EO Amount
29-digit FLAIR Code:
3 1 RST00801
Council Monitoring and Assessment Work Group (CMAWG)
Nadia Martin 617-354-0074 x155 NMartin@indecon.com
Carolyn Pigott 850-245-2197 Carolyn.Pigott@FloridaDEP.gov
Lisa Robertson 850-245-2177 Lisa.Robertson@FloridaDEP.gov
Extending task end date to December 31, 2022 to ensure continued services. All rates subject to Master Service Agreement.
$ 24,804.40 $ 24,804.40 $ 0.00
$ 24,804.40 $ 0.00 $ 24,804.40
12/07/2020 12/31/2021 12/31/2022
Carolyn Pigott
Carolyn Pigott
Nadia Martin 12/20/2021
Lisa Robertson
WQ154
Industrial Economics, Inc. (IEc)
Carolyn Pigott Digitally signed by Carolyn Pigott Date: 2021.12.20 11:02:08 -05'00'
Carolyn Pigott Digitally signed by Carolyn Pigott Date: 2021.12.20 11:02:36 -05'00'
Lisa Robertson Digitally signed by Lisa Robertson Date: 2021.12.20 11:04:33 -05'00'
$ 0.00
File details come from the government source that posted it. Updated .