CN-370000-GC917-T17CO2.pdf

PDF 137 KB Posted

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. 2) issued by the Florida Department of Environmental Protection on March 11, 2026. The document pertains to Task Assignment GC917-17 with Okeechobee County, represented by contractor Daniel Buchin under the oversight of DEP Contract Manager Roger Ruiz.

The change order addresses performance measures for the contract, specifically modifying expectations due to personnel issues. The contractor is now required to complete 2 Routine Compliance Inspections (representing 2% of performance measures) after eight months, rather than the original performance schedule. The original task amount of $92,008.14 remains unchanged, with no net increase or decrease in the task amount. The task completion date remains June 30, 2026, with no extension to the task period. Funding is allocated from Organizational Code 37450100000 under Object Code 132500, Budget Entity 37450300, with Special Category 100029 in the amount of $92,008.14. The change order was approved by the Budget Representative (Elizabeth Kromhout) on March 18, 2026, and received digital signatures from all required parties between March 12 and March 18, 2026.

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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:

GC917-17 03/11/2026 2

OKEECHOBEE COUNTY

Daniel Buchin

Roger Ruiz

Performance Measures:

Due to personnel issues, GC917-17 Okeechobee County, for the second Performance Measures, after (8) eight months shall complete (2%) or 2 Routine Compliance Inspections.

92,008.14 92,008.14

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 $ 92,008.14

Daniel Buchin Digitally signed by Daniel Buchin Date: 2026.03.12 08:55:44 -04'00' 03/12/2026 Roger Ruiz Digitally signed by Roger Ruiz

Date: 2026.03.12 09:06:46 -04'00'

Digitally signed by Rhodes_R Date: 2026.03.12 10:41:19 -04'00'

03/12/2026

Elizabeth Kromhout

Digitally signed by Elizabeth Kromhout Date: 2026.03.18 12:26:20 -04'00'

03/18/2026

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