CN-370000-GC914-T9CO2 (1).pdf
PDF 132 KB Posted
- Contract number
- HW682
- 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) for DEP Contract GC914. The document modifies Task Assignment #9 and involves Leon County as the contractor, with Edwin French serving as the contractor representative and Roger Ruiz as the FDEP Contract Manager.
The change order extends the completion deadline for routine compliance inspections of storage tank systems at 215 facilities located across Leon, Gadsden, Jefferson, and Wakulla Counties from May 31, 2026 to June 30, 2026. The task amount remains unchanged at $206,690.50, with funding allocated from Org. Code 37450100000, Object Code 132500, Budget Entity 37450300, and Special Category 100029. No net increase or decrease in the task amount occurs as a result of this change order, which was approved on May 27, 2026 and executed by authorized representatives from both the contractor and FDEP.
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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:
GC914-9 04/29/2026 2
LEON COUNTY
Edwin French
Roger Ruiz
This change revises the sentence in Task Assignment #9 for DEP Contract GC914 reading:
"Conduct routine compliance inspections for storage tank systems at the 215 facilities within Leon, Gadsden, Jefferson, and Wakulla Counties, identified in Exhibit #1, by May 31, 2026.", to read:
"Conduct routine compliance inspections for storage tank systems at the 215 facilities within Leon, Gadsden, Jefferson, and Wakulla Counties, identified in Exhibit #1, by June 30, 2026."
189,190.50 189,190.50
206,690.50 206,690.50
206,690.50 206,690.50
06/30/26 06/30/26
06/30/26
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
37450100000 JD 132500 37450300 100029 00 $ 206,690.50
Edwin C. French
IV
Digitally signed by Edwin C.
French IV Date: 2026.05.01 13:43:07 -04'00'
05/01/2026 Roger Ruiz Digitally signed by Roger Ruiz Date: 2026.05.04 08:21:38 -04'00'
Tameshia N. Reid Digitally signed by Tameshia N.
Reid Date: 2026.05.27 10:08:40 -04'00'
Natasha Lampkin Digitally signed by Natasha Lampkin Date: 2026.05.27 13:13:42 -04'00'
File details come from the government source that posted it. Updated .