CN-370000-GC925-T8CO2.pdf

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Attached to
Master Agreement FL|GC925|7de0a589851d924e0330488f92d8fc21
Contract number
GC925
Issued by
Florida

About this file

This is a Task Assignment Change Order Form (Change Order No. 2) issued by the Florida Department of Environmental Protection (FDEP) dated February 5, 2025, for Task Assignment GC925-8 with Orange County. The form documents modifications to an existing contract and requires approval signatures from the contractor representative (Renée H. Parker), the FDEP Contract Manager (Roger Ruiz), a Budget Representative (Tameshia N. Reid), and Contractual Authority (Mara Gambineri). All required approvals were obtained between February 12 and February 17, 2025.

The change order addresses performance measure adjustments due to personnel issues within Orange County's operations. Specifically, the second Performance Measures requirement has been modified so that after eight months, Orange County shall complete 61 percent or 687 Routine Compliance Inspections. The original task amount remains $1,090,293.69 with no net change in the financial commitment or task completion date of June 30, 2025. The funding is allocated from Organization Code 37450100000 under Object Code 132500, Budget Entity 37450300, Special Category 100029, with the full amount of $1,090,293.69 charged to year code 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:

GC925-8 02/05/2025 2

ORANGE COUNTY

Renée H. Parker

Roger Ruiz

Performance Measures:

Due to personnel issues, GC925-8 Orange County, for the second Performance Measures, after (8) eight months shall complete (61%) or 687 Routine Compliance Inspections.

1,090,293.69 1,090,293.69

06/30/25 06/30/25

06/30/25

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 $ 1,090,293.69

Jane Gregory Digitally signed by Jane Gregory Date: 2025.02.12 13:37:21 -05'00'

02/12/2025 Roger Ruiz Digitally signed by Roger Ruiz Date: 2025.02.12 14:12:07 -05'00'

Tameshia N. Reid Digitally signed by Tameshia N.

Reid Date: 2025.02.12 14:23:20 -05'00'

Mara Gambineri Digitally signed by Mara Gambineri Date: 2025.02.17 21:47:25 -05'00'

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