CN-370000-GC914-T7CO1.pdf
PDF 372 KB Posted
- Contract number
- GC914
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (OOO-012) issued by the Florida Department of Environmental Protection (DEP) for Leon County. The document modifies Task Assignment #7 under DEP Contract GC914, dated June 11, 2024. The contractor is Leon County, represented by Edwin French, with Roger Ruiz serving as the DEP Contract Manager. The change order has been approved by budget representative Tameshia N. Reid and contractual authority Teresa Booeshaghi.
The change order extends the completion deadline for routine compliance inspections of storage tank systems at 163 facilities across Leon, Gadsden, Jefferson, and Wakulla Counties from May 31, 2024, to June 30, 2024. The task amount remains unchanged at $145,679.54, with no net increase or decrease in funding. The total task amount with all change orders continues to be $145,679.54. Funding is allocated from Org. Code 37450104000 under Object Code 132500, Budget Entity 37450300, Special Category 100029, with Year Code 00. There is no net change to the task period, and all signatures were executed on June 11, 2024.
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Other files
| File | Type | Posted |
|---|---|---|
| CN-370000-GC914 (1).pdf | ||
| CN-370000-GC914 (1).pdf.crdownload | CRDOWNLOAD file | |
| CN-370000-GC914-T1CO2.pdf | ||
| CN-370000-GC914-T2.pdf | ||
| CN-370000-GC914-T3CO1.pdf | ||
| CN-370000-GC914-T6.pdf | ||
| CN-370000-GC914-T6CO1.pdf | ||
| CN-370000-GC914-T2CO2.pdf | ||
| CN-370000-GC914-T4.pdf | ||
| CN-370000-GC914-T9CO1.pdf | ||
| CN-370000-GC914-A2.pdf | ||
| CN-370000-GC914-T1.pdf | ||
| CN-370000-GC914-T3.pdf | ||
| CN-370000-GC914-T7.pdf | ||
| CN-370000-GC914-T8CO1.pdf | ||
| CN-370000-GC914-T9.pdf | ||
| CN-370000-GC914-A1.pdf | ||
| CN-370000-GC914-A3.pdf | ||
| CN-370000-GC914-CO1.pdf | ||
| CN-370000-GC914-T2CO1.pdf | ||
| CN-370000-GC914-T5.pdf | ||
| CN-370000-GC914-T8.pdf |
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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:
GC914-7 06/11/2024 1
LEON COUNTY
Edwin French
Roger Ruiz
This change revises the sentence in Task Assignment #7 for DEP Contract GC914 reading:
"Conduct routine compliance inspections for storage tank systems at the 163 facilities within Leon, Gadsden, Jefferson and Wakulla Counties, identified in Exhibit #1, by May 31, 2024.", to read:
"Conduct routine compliance inspections for storage tank systems at the 163 facilities within Leon, Gadsden, Jefferson and Wakulla Counties, identified in Exhibit #1, by June 30, 2024."
145,679.54 145,679.54
145,679.54 145,679.54
0 0
145,679.54 145,679.54
06/30/24 06/30/24 06/30/24
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 $ 145,679.54
Edwin C. French
IV
Digitally signed by Edwin C. French IV DN: cn=Edwin C. French IV, o=Department of Development Support & Environmental Managment, ou=Petroleum Storage Tank Division, email=frenche@leoncountyfl.gov, c=US Date: 2024.06.11 14:05:04 -04'00'
06/11/2024 Roger Ruiz Digitally signed by Roger Ruiz Date: 2024.06.11 14:35:45 -04'00'
Tameshia N. Reid Digitally signed by Tameshia N.
Reid Date: 2024.06.11 14:42:09 -04'00'
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2024.06.11 14:57:33 -04'00'
File details come from the government source that posted it. Updated .