CN-370000-GC918-T15CO3.pdf
PDF 130 KB Posted
- Contract number
- GC918
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection on June 24, 2025. The document modifies an existing task assignment (GC918-15) with Alachua County, represented by contractor Ted Goodman, with Roger Ruiz serving as the DEP Contract Manager.
The change order adjusts the contract performance measures due to tank removal activities that will prevent inspection of four sites. Consequently, Alachua County shall complete 469 Routine Compliance Inspections for Invoice 12, rather than the original number. The task amount remains unchanged at $443,173.77 with a completion date of June 30, 2025. Funding for this task is sourced from two budget line items under Organization Code 37450104000, Object Code 132500, with Budget Entity 37450300 and Special Category 100029: $425,173.77 from the primary allocation and $18,000.00 from a secondary allocation. The document has been approved by Ted Goodman (Contractor), Roger Ruiz (DEP Contract Manager), Fletch Herrald (Budget Representative), and John J Truitt (Contractual Authority), all signed digitally on June 24-25, 2025.
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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 06/24/2025 3
ALACHUA COUNTY
Ted Goodman
Roger Ruiz
Performance Measures:
Due to tank removal, four sites will not be inspected, thus for Invoice 12, GC918-15 Alachua County shall complete 469 Routine Compliance Inspections.
425,173.77 425,173.77
443,173.77 443,173.77
443,173.77 443,173.77
06/30/25 06/30/25
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: 2025.06.24 15:27:28 -04'00'
06/24/2025 Roger Ruiz Digitally signed by Roger Ruiz Date: 2025.06.24 15:32:02 -04'00'
Fletch Herrald Digitally signed by Fletch Herrald Date: 2025.06.24 16:03:46 -04'00'
John J Truitt Digitally signed by John J Truitt Date: 2025.06.25 13:28:51 -04'00'
File details come from the government source that posted it. Updated .