CN-370000-GC918-T18CO1.pdf
PDF 298 KB Posted
- Contract number
- GC918
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (Form OOO-012) issued by the Florida Department of Environmental Protection on January 26, 2026. The document modifies an existing task assignment contract with Alachua County, represented by contractor Ted Goodman, with Roger Ruiz serving as the DEP Contract Manager.
The change order increases funding for Variable Inspections by $9,500, resulting in a net increase to the total task amount from $164,586.10 to $174,086.10. The task completion date remains June 30, 2026, with no extension to the original timeline. Funding is sourced from Organizational Code 37450100000 under E.O. code JD, Object Code 132500, Budget Entity 37450300, and Special Category 100029. The document was approved by all required signatories: Ted A. Goodman (Contractor), Roger Ruiz (DEP Contract Manager), Tameshia N. Reid (Budget Representative), and Natasha Lampkin (Contractual Authority), with all signatures executed digitally on January 27, 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:
GC918-18 01/26/2026 1
ALACHUA COUNTY
Ted Goodman
Roger Ruiz
Increase in funds for Variable Inspections for $9,500.
A net increase of $9,500.
164,586.10 164,586.10
164,586.10 164,586.10
+9,500 +9,500
174,086.10 174,086.10
06/30/26 06/30/26 +9,500 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 $ 164,586.10
37450100000 JD 132500 37450300 100029 00 $ 9,500.00
Ted A. Goodman, P.G.
Digitally signed by Ted A.
Goodman, P.G.
Date: 2026.01.27 11:24:30 -05'00'
01/27/2026 Roger Ruiz Digitally signed by Roger Ruiz Date: 2026.01.27 16:01:21 -05'00'
Tameshia N. Reid Digitally signed by Tameshia N.
Reid Date: 2026.01.27 16:26:53 -05'00'
Natasha Lampkin Digitally signed by Natasha Lampkin Date: 2026.01.27 16:34:57 -05'00'
File details come from the government source that posted it. Updated .