CN-370000-GC916-T17CO1.pdf
PDF 370 KB Posted
- Contract number
- GC916
- 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 Brevard County. The change order, numbered 1 and dated January 26, 2026, modifies an existing task assignment (GC916-17) and has been approved by authorized representatives from both the contractor and FDEP, including Tina Swanson as the Contractor Representative and Roger Ruiz as the DEP Contract Manager.
The change order increases funding for Variable Inspections by $8,600, resulting in a net increase to the total task amount. The original task amount was $213,071.47, which remains unchanged prior to this modification. With the addition of $8,600, the revised task amount with all change orders is $221,671.47. The task completion date remains fixed at June 30, 2026, with no extension to the schedule. Funding is sourced from Org. Code 37450104000 with Object Code 132500, Budget Entity 37450300, and Special Category 100029. The change order was executed on January 27, 2026, and has been approved by the Budget Representative (Tameshia N. Reid) and Contractual Authority (Natasha Lampkin). Copies of the approved change order are distributed to the Procurement Section and Bureau of Finance & Accounting.
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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:
GC916-17 01/26/2026 1
BREVARD COUNTY
Tina Swanson
Roger Ruiz
Increase in funds for Variable Inspections for $8,600.
A net increase of $8,600.
213,071.47 213,071.47
213,071.47 213,071.47
+8,600 +8,600
221,671.47 221,671.47
06/30/26 06/30/26 +8,600 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
37450104000 JD 132500 37450300 100029 00 $ 213,071.47
37450104000 JD 132500 37450300 100029 00 $ 8,600.00
Digitally signed by Swanson, Tina Date: 2026.01.27 14:54:55 -05'00' 01/27/2026 Roger Ruiz
Digitally signed by Roger Ruiz Date: 2026.01.27 16:03:47 -05'00'
Tameshia N. Reid Digitally signed by Tameshia N.
Reid Date: 2026.01.27 16:22:40 -05'00'
Natasha Lampkin Digitally signed by Natasha Lampkin Date: 2026.01.27 16:27:06 -05'00'
File details come from the government source that posted it. Updated .