CN-370000-GC923-T9CO1.pdf
PDF 305 KB Posted
- Contract number
- GC923
- Issued by
- Florida
About this file
This document is a Task Assignment Change Order Form (OOO-012) issued by the Florida Department of Environmental Protection (DEP) for contract GC923-9 with Polk County. The change order is dated October 13, 2025, and represents Change Order No. 1. The contractor is Polk County, with Ralph Meder serving as the Contractor Representative and Roger Ruiz as the DEP Contract Manager.
The change order modifies performance measures due to personnel issues, requiring that Polk County complete 13% or 56 Routine Compliance Inspections within the first four months of performance. The original task amount of $355,374.47 remains unchanged, with no net increase or decrease in the total task amount. The task completion date remains June 30, 2026, with no modification to the task period. Funding is allocated through Organizational Code 37450100000 under E.O. JD with Object Code 132500, Budget Entity 37450300, Special Category 100029, and Year 00, totaling $355,374.47. The change order was approved by Tameshia N. Reid (Budget Representative) on October 14, 2025, and John J Truitt (Contractual Authority) on October 16, 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:
GC923-9 10/13/2025 1
POLK COUNTY
Ralph Meder
Roger Ruiz
Performance Measures:
Due to personnel issues, GC923-9 Polk County, for the first Performance Measures, after (4) four months shall complete (13%) or 56 Routine Compliance Inspections.
355,374.47 355,374.47
06/30/26 06/30/26
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 $ 355,374.47
Ralph J Meder, P.G., CPG
Digitally signed by Ralph J Meder, P.G., CPG
Date: 2025.10.13 10:19:46 -04'00'
10/13/2025 Roger Ruiz Digitally signed by Roger Ruiz Date: 2025.10.13 10:33:01 -04'00'
Tameshia N. Reid Digitally signed by Tameshia N.
Reid Date: 2025.10.14 09:48:56 -04'00'
John J Truitt Digitally signed by John J Truitt Date: 2025.10.16 14:07:15 -04'00'
File details come from the government source that posted it. Updated .