CN-370000-GC910-T8CO2.pdf
PDF 132 KB Posted
- Contract number
- GC910
- 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) for DEP Contract GC910 with Escambia County. The document was executed on May 5, 2025, and is managed by FDEP Contract Manager Roger Ruiz and Contractor Representative Robert Jake Gallman.
The change order modifies Task Assignment #8, which requires Escambia County to conduct routine compliance inspections for storage tank systems at 467 facilities across seven counties: Escambia, Santa Rosa, Okaloosa, Walton, Washington, and Holmes Counties. The primary modification extends the task completion deadline from May 31, 2025, to June 30, 2025. The task amount remains unchanged at $491,476.12, comprising a fee schedule of $459,796.12 with an additional $31,680.00 in funding. Funding is allocated from Organization Code 37450104000 under the JD entity, Object Code 132500, Budget Entity 37450300, Special Category 100029. The document was approved by Budget Representative Tameshia N. Reid and Contractual Authority John J Truitt on May 6, 2025, with copies distributed to the Procurement Section and Bureau of Finance & Accounting.
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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:
GC910-8 05/05/2025 2
Escambia County
Robert Jake Gallman
Roger Ruiz
This change revises the sentence in Task Assignment #8 for DEP Contract GC910 reading:
"Conduct routine compliance inspections for storage tank systems at the 467 facilities within Escambia, Santa Rosa, Okaloosa, Walton, Bay, Washington and Holmes Counties, identified in Exhibit #1, by May 31, 2025.", to read:
"Conduct routine compliance inspections for storage tank systems at the 467 facilities within Escambia, Santa Rosa, Okaloosa, Walton, Washington and Holmes Counties, identified in Exhibit #1, by June 30, 2025."
459,796.12 459,796.12
491,476.12 491,476.12
491,476.12 491,476.12
06/30/25 06/30/25
06/30/25
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
37450104000 JD 132500 37450300 100029 00 $ 459,796.12
37450104000 JD 132500 37450300 100029 00 $ 31,680.00
Robert Jake Gallman
Digitally signed by Robert Jake Gallman Date: 2025.05.05 13:53:59 -05'00'
05/05/2025 Roger Ruiz Digitally signed by Roger Ruiz Date: 2025.05.05 14:56:22 -04'00'
Tameshia N. Reid Digitally signed by Tameshia N.
Reid Date: 2025.05.05 20:17:55 -04'00'
John J Truitt Digitally signed by John J Truitt Date: 2025.05.06 10:19:03 -04'00'
05/06/2025
File details come from the government source that posted it. Updated .