CN-370000-GC918-T15CO1.pdf
PDF 127 KB Posted
- Contract number
- GC918
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (OOO-012) issued by the Florida Department of Environmental Protection on April 2, 2025. The document pertains to Task Assignment Number GC918-15 with Alachua County as the contractor. Ted Goodman represents the contractor, and Roger Ruiz serves as the DEP Contract Manager. This is Change Order No. 1, executed with digital signatures from all authorized parties, including budget representative Tameshia N. Reid and contractual authority John J Truitt.
The change order increases funding for Variable Inspections by $18,000, raising the total task amount from $425,173.77 to $443,173.77. The task completion date remains June 30, 2025, with no extension to the performance period. Funding is allocated under Organization Code 37450104000 with Object Code 132500, Budget Entity 37450300, and Special Category 100029. The financial increase is supported by two funding line items: the original amount of $425,173.77 and the additional $18,000.00, both coded to year 00. The change order was approved and distributed to the Procurement Section (MS93) and 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:
GC918-15 04/02/2025 1
ALACHUA COUNTY
Ted Goodman
Roger Ruiz
Increase in funds for Variable Inspections for $18,000.
A net increase of $18,000.
425,173.77 425,173.77
425,173.77 425,173.77
+18,000 +18,000
443,173.77 443,173.77
06/30/25 06/30/25 +18,000 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 $ 425,173.77
37450104000 JD 132500 37450300 100029 00 $ 18,000.00
Ted A. Goodman, P.G.
Digitally signed by Ted A.
Goodman, P.G.
Date: 2025.04.02 13:48:17 -04'00'
04/02/2025 Roger Ruiz Digitally signed by Roger Ruiz Date: 2025.04.02 14:20:07 -04'00'
Tameshia N. Reid Digitally signed by Tameshia N.
Reid Date: 2025.04.02 15:13:16 -04'00'
John J Truitt Digitally signed by John J Truitt Date: 2025.04.18 10:05:45 -04'00'
File details come from the government source that posted it. Updated .