CN-370000-GC922-T11CO2.pdf

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

About this file

This is a Task Assignment Change Order Form (OOO-012) issued by the Florida Department of Environmental Protection for Task Assignment GC922-11, dated May 11, 2026. The document involves Pinellas County as the contractor, with Charles Minor, REHS, serving as the contractor representative and Roger Ruiz as the DEP Contract Manager. Change Order No. 2 was approved by budget representative Tameshia N. Reid and contractual authority John J. Truitt on May 12, 2026.

The change order increases funding for Variable Inspections by $14,000, resulting in a net increase to the task amount. The original task amount was $440,345.26, which prior to this change order stood at $449,345.26. With this change order, the total task amount increases to $463,345.26. The task completion date remains unchanged at June 30, 2026. Funding is allocated through Organizational Code 37450100000 using Object Code 132500, Budget Entity 37450300, and Special Category 100029. The two funding lines total $449,345.26 and $14,000.00 respectively, with Year code 00. The change order was distributed to the Procurement Section (MS93) and Bureau of Finance & Accounting (MS78).

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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 05/11/2026 2

PINELLAS COUNTY

Charles Minor, REHS

Roger Ruiz

Increase in funds for Variable Inspections for $14,000.

A net increase of $14,000.

440,345.26 440,345.26

449,345.26 449,345.26

+14,000 +14,000

463,345.26 463,345.26

06/30/26 06/30/26 +14,000 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 $ 449,345.26

37450100000 JD 132500 37450300 100029 00 $ 14,000.00

Charles Minor Digitally signed by Charles Minor Date: 2026.05.11 09:04:36 -04'00' 05/11/2026 Roger Ruiz Digitally signed by Roger Ruiz

Date: 2026.05.11 09:22:47 -04'00'

Tameshia N. Reid Digitally signed by Tameshia N.

Reid Date: 2026.05.11 10:41:20 -04'00'

John J. Truitt Digitally signed by John J. Truitt Date: 2026.05.12 10:46:34 -04'00'

05/12/2026

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