CN-370000-GC922-T11CO1.pdf

PDF 364 KB Posted

Attached to
Master Agreement FL|GC922|3878a620099fd3faf779cdfc1121e6f0
Contract number
GC922
Issued by
Florida

About this file

This is a Task Assignment Change Order Form issued by the Florida Department of Environmental Protection (FDEP) for a contract with Pinellas County. The change order, dated February 10, 2026, represents Change Order No. 1 to Task Assignment GC922-11. The contractor is represented by Charles Minor, REHS, and the DEP Contract Manager is Roger Ruiz.

The change order increases funding for Variable Inspections by $9,000, bringing the total task amount from $440,345.26 to $449,345.26. The task completion date remains June 30, 2026, with no extension to the contract timeline. The funding is sourced from Organization Code 37450100000 under E.O. JD with Object Code 132500, Budget Entity 37450300, and Special Category 100029. The change order was approved on February 11, 2026, with digital signatures from all required parties including the contractor, contract manager, budget representative, and contractual authority.

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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:

GC922-11 02/10/2026 1

PINELLAS COUNTY

Charles Minor, REHS

Roger Ruiz

Increase in funds for Variable Inspections for $9,000.

A net increase of $9,000.

440,345.26 440,345.26

440,345.26 440,345.26

+9,000 +9,000

449,345.26 449,345.26

06/30/26 06/30/26 +9,000 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 $ 440,345.26

37450100000 JD 132500 37450300 100029 00 $ 9,000.00

Charles Minor Digitally signed by Charles Minor Date: 2026.02.10 11:26:48 -05'00' Roger Ruiz

Digitally signed by Roger Ruiz Date: 2026.02.11 07:59:29 -05'00'

Digitally signed by Rhodes_R Date: 2026.02.11 11:02:22 -05'00'

John J Truitt Digitally signed by John J Truitt Date: 2026.02.11 13:29:50 -05'00'

02/11/2026

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