CN-370000-GC915-T9CO1.pdf

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Attached to
Master Agreement FL|GC917|07963924f771028d1313984d19570664
Contract number
GC917
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 (FDEP) on January 22, 2026, for Hillsborough County. The contractor is represented by Steffanie L. Wickham, CHMM, CPM, with Roger Ruiz serving as the DEP Contract Manager. The change order was approved by multiple FDEP representatives, including Nicole D. Garcia (Contractor), Tameshia N. Reid (Budget Representative), and John J Truitt (Contractual Authority), with digital signatures dated February 3-6, 2026.

The change order increases funding for Variable Inspections by $43,000, raising the total task amount from $571,936.69 to $614,936.69. The original task completion date of June 30, 2026, remains unchanged. The funding is allocated under Organizational Code 37450100000, E.O. JD, Object Code 132500, Budget Entity 37450300, and Special Category 100029. Two separate line items are documented in the Change in Funding Information section: the original amount of $571,936.69 and the additional $43,000.00, both funded in Year 00. The change order was distributed to the Procurement Section (MS93) and the Bureau of Finance & Accounting (MS78) for processing.

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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:

GC915-9 01/22/2026 1

HILLSBOROUGH COUNTY

Steffanie L. Wickham, CHMM, CPM

Roger Ruiz

Increase in funds for Variable Inspections for $43,000.

A net increase of $43,000.

571,936.69 571,936.69

571,936.69 571,936.69

+43,000 +43,000

614,936.69 614,936.69

06/30/26 06/30/26 +43,000 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 $ 571,936.69

37450100000 JD 132500 37450300 100029 00 $ 43,000.00

Nicole D. Garcia Digitally signed by Nicole D.

Garcia Date: 2026.02.03 14:34:22 -05'00'

02/03/2026 Roger Ruiz Digitally signed by Roger Ruiz Date: 2026.02.04 08:08:45 -05'00'

Tameshia N. Reid Digitally signed by Tameshia N.

Reid Date: 2026.02.05 13:51:22 -05'00'

John J Truitt Digitally signed by John J Truitt Date: 2026.02.06 08:35:15 -05'00'

02/06/2026

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