CN-370000-GC915-T8CO1.pdf
PDF 131 KB Posted
- Contract number
- GC915
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Change Order No. 1) issued by the Florida Department of Environmental Protection on March 20, 2025, for a task assignment with Hillsborough County. The document is executed by Steffanie L. Wickham, CHMM, CPM, serving as the Contractor Representative for Hillsborough County, and Roger Ruiz, serving as the DEP Contract Manager. The change order has been approved by Tameshia N. Reid, Budget Representative, and John J Truitt, Contractual Authority.
The change order increases funding for Variable Inspections by $20,000, resulting in a net increase to the total task amount from $565,238.72 to $585,238.72. The task completion date remains June 30, 2025, with no extension to the original timeline. The funding is allocated under Organizational Code 37450104000 with Object Code 132500, Budget Entity 37450300, and Special Category 100029. The two funding entries reflect the original amount of $565,238.72 and the additional $20,000.00 appropriation. Copies of the executed change order are to be distributed to the Procurement Section (MS93) and the Bureau of Finance & Accounting (MS78).
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Other files
| File | Type | Posted |
|---|---|---|
| CN-370000-GC915-ARC1.pdf.crdownload | CRDOWNLOAD file | |
| CN-370000-GC915-T1CO1.pdf | ||
| CN-370000-GC915-T4.pdf | ||
| CN-370000-GC915-T9.pdf | ||
| CN-370000-GC915.pdf.crdownload | CRDOWNLOAD file | |
| CN-370000-GC915-A2.pdf | ||
| CN-370000-GC915-T1CO2.pdf | ||
| CN-370000-GC915-T2.pdf | ||
| CN-370000-GC915-T2CO1.pdf | ||
| CN-370000-GC915-T7.pdf | ||
| CN-370000-GC915-ARC1.pdf | ||
| CN-370000-GC915-T2CO2.pdf | ||
| CN-370000-GC915-T2CO3.pdf | ||
| CN-370000-GC915-T3.pdf | ||
| CN-370000-GC915-T7CO1.pdf | ||
| CN-370000-GC915-T8.pdf | ||
| CN-370000-GC915-T1.pdf | ||
| CN-370000-GC915-T3CO1.pdf | ||
| CN-370000-GC915-T5.pdf | ||
| CN-370000-GC915-T6.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:
GC915-8 03/20/2025 1
HILLSBOROUGH COUNTY
Steffanie L. Wickham, CHMM, CPM
Roger Ruiz
Increase in funds for Variable Inspections for $20,000.
A net increase of $20,000.
565,238.72 565,238.72
565,238.72 565,238.72
+20,000 +20,000
585,238.72 585,238.72
06/30/25 06/30/25 +20,000 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 $ 565,238.72
37450104000 JD 132500 37450300 100029 00 $ 20,000.00
Steffanie Wickham Digitally signed by Steffanie Wickham Date: 2025.04.04 13:24:53 -04'00' Roger Ruiz Digitally signed by Roger Ruiz
Date: 2025.04.07 07:45:31 -04'00'
Tameshia N. Reid Digitally signed by Tameshia N.
Reid Date: 2025.04.08 11:19:00 -04'00'
John J Truitt Digitally signed by John J Truitt Date: 2025.04.08 12:31:08 -04'00'
File details come from the government source that posted it. Updated .