CN-370000-GC911-T8CO1.pdf

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Attached to
Master Agreement FL|GC911|7fad29d6b3cd25f6cd90c1c00b9c09ae
Contract number
GC911
Issued by
Florida

About this file

This is a Task Assignment Change Order Form (OOO-012) issued by the Florida Department of Environmental Protection (FDEP) on April 14, 2025. The document modifies Task Assignment Number GC911-8 with the Contractor, Dade County, represented by Bernardo Bieler, P.E. The change order was approved by FDEP Contract Manager Roger Ruiz and processed through the department's budget and contractual authority.

The change order increases funding for Variable Inspections services by $35,000, raising the total task amount from $592,783.10 to $627,783.10. The task completion date remains June 30, 2025, with no extension to the original timeline. Funding is allocated from Organizational Code 37450104000 under Budget Entity 37450300, Special Category 100029, with the $35,000 increase recorded as a separate line item. All required approvals were obtained, including signature authorization from Budget Representative Tameshia N. Reid and Contractual Authority John J Truitt on April 16, 2025. Copies were distributed to the Procurement Section (MS93) and Bureau of Finance & Accounting (MS78).

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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:

GC911-8 04/14/2025 1

DADE COUNTY

Bernardo Bieler, P.E.

Roger Ruiz

Increase in funds for Variable Inspections for $35,000.

A net increase of $35,000.

592,783.10 592,783.10

592,783.10 592,783.10

+35,000 +35,000

627,783.10 627,783.10

06/30/25 06/30/25 +35,000 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 $ 592,783.10

37450104000 JD 132500 37450300 100029 00 $ 35,000.00

Digitally signed by Bernardo M.

Bieler Date: 2025.04.15 09:19:23 -04'00'

04/15/2025 Roger Ruiz Digitally signed by Roger Ruiz Date: 2025.04.15 10:28:40 -04'00'

Tameshia N. Reid Digitally signed by Tameshia N.

Reid Date: 2025.04.16 08:20:13 -04'00'

John J Truitt Digitally signed by John J Truitt Date: 2025.04.16 14:08:37 -04'00'

04/16/2025

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