CN-370000-GC923-T9CO3.pdf

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Attached to
Master Agreement FL|GC923|21eb49e9add8d0a822f0e74cfeb05ad4
Contract number
GC923
Issued by
Florida

About this file

This is a Task Assignment Change Order Form (Change Order No. 3) issued by the Florida Department of Environmental Protection (DEP) for contract GC923-9 with Polk County. The change order is dated May 26, 2026, and was executed by Contractor Representative Melissa Whittaker and DEP Contract Manager Roger Ruiz. The document was approved by Budget Representative Tameshia N. Reid and Contractual Authority Natasha Lampkin on May 28, 2026.

The change order reduces the scope of routine compliance inspection (RCI) services for storage tank systems in Polk and Hardee Counties from 430 facilities to 250 facilities, resulting in a net reduction of 180 RCIs due to personnel issues. The task amount is correspondingly reduced by $144,000, from the original amount of $355,374.47 to a revised total of $211,374.47. The completion date for conducting routine compliance inspections at the 250 facilities is extended from May 31, 2026, to June 30, 2026. Funding for this change order is allocated from Org. Code 37450100000, E.O. JD, Object Code 132500, Budget Entity 37450300, Special Category 100029, in Year 00, with both a positive funding amount of $355,374.47 and a corresponding reduction of $144,000.00.

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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 05/26/2026 3

POLK COUNTY

Melissa Whittaker

Roger Ruiz

1) GC923-9 Polk reduction of Routine Compliance Inspection (RCI) facilities from 430 RCIs to 250 RCIs due to personnel issues.

A net reduction of 180 RCIs.

A net reduction of -$144,000.

2) This change revises the sentence in Task Assignment #9 for DEP Contract GC923 reading:

"Conduct routine compliance inspections for storage tank systems at the 250 facilities within Polk and Hardee Counties, identified in Exhibit #1, by May 31, 2026.", to read:

"Conduct routine compliance inspections for storage tank systems at the 250 facilities within Polk and Hardee Counties, identified in Exhibit #1, by June 30, 2026."

355,374.47 355,374.47

355,374.47 355,374.47

-144,000.00 -144,000.00

211,374.47 211,374.47

06/30/26 06/30/26 -144,000.00 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

37450100000 JD 132500 37450300 100029 00 -$ 144,000.00

Melissa Whittaker Digitally signed by Melissa Whittaker Date: 2026.05.28 08:48:51 -04'00'

05/28/2026 Roger Ruiz Digitally signed by Roger Ruiz Date: 2026.05.28 09:02:40 -04'00'

Tameshia N. Reid Digitally signed by Tameshia N.

Reid Date: 2026.05.28 10:03:32 -04'00'

Natasha Lampkin Digitally signed by Natasha Lampkin Date: 2026.05.28 11:59:58 -04'00'

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