CN-370000-GC924-T9CO1.pdf

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Attached to
Master Agreement FL|GC121|a41594366540c16e4ed3325d5ea7d2bd
Contract number
GC121
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 Gulf County. The document is dated October 30, 2025, and represents Change Order No. 1 to Task Assignment GC924-9. The contractor is Gulf County, with Sarah Quaranta serving as the contractor representative and Roger Ruiz as the DEP Contract Manager. The change order was approved by Tameshia N. Reid (Budget Representative) and Natasha Lampkin (Contractual Authority).

The change order increases funds for Variable Inspections by $16,000, resulting in a net increase to the task amount. The original task amount was $69,567.01, and with this change order, the total task amount becomes $85,567.01. The task completion date remains June 30, 2026, with no extension to the timeline. The funding allocation is distributed across three budget line items: $69,148.01 and $16,000.00 allocated to Org. Code 37450100000 with E.O. JD and Object Code 132500 (Special Category 100029), and $419.00 allocated to the same org code with E.O. JG (Special Category 087889). All funding is charged to Budget Entity 37450300 for the year 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:

GC924-9 10/30/2025 1

GULF COUNTY

Sarah Quaranta

Roger Ruiz

Increase in funds for Variable Inspections for $16,000.

A net increase of $16,000.

69,567.01 69,567.01

69,567.01 69,567.01

+16,000.00 +16,000.00

85,567.01 85,567.01

06/30/26 06/30/26 +16,000.00 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 $ 69,148.01

37450100000 JG 132500 37450300 087889 00 $ 419.00

37450100000 JD 132500 37450300 100029 00 $ 16,000.00

Sarah Quaranta Digitally signed by Sarah Quaranta Date: 2025.10.30 16:15:19 -04'00' 10/30/2025 Roger Ruiz

Digitally signed by Roger Ruiz Date: 2025.10.30 16:27:56 -04'00'

Tameshia N. Reid Digitally signed by Tameshia N.

Reid Date: 2025.10.31 11:56:00 -04'00'

Natasha Lampkin Digitally signed by Natasha Lampkin Date: 2025.11.03 11:22:43 -05'00'

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