CN-370000-GC925-T8CO3.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. 3) issued by the Florida Department of Environmental Protection (DEP) on May 13, 2025, for Contract GC925-8 with Orange County. The contractor is represented by Renée H. Parker, and the DEP Contract Manager is Roger Ruiz. The change order was approved by Budget Representative Tameshia N. Reid and Contractual Authority Mara Gambineri.

The change order revises the completion deadline for Task Assignment #8 from May 31, 2025, to June 30, 2025. The task requires Orange County to conduct routine compliance inspections for storage tank systems at 1,127 facilities across Orange, Lake, Volusia, Seminole, and Osceola Counties, as identified in Exhibit #1. The task amount remains unchanged at $1,090,293.69, with no increase or decrease in the contracted fee. Funding is allocated from Org. Code 37450100000, Object Code 132500, Budget Entity 37450300, Special Category 100029, in Year 00. The change order involves only a time extension with no financial impact to the contract.

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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 05/13/2025 3

ORANGE COUNTY

Renée H. Parker

Roger Ruiz

This change revises the sentence in Task Assignment #8 for DEP Contract GC925 reading:

"Conduct routine compliance inspections for storage tank systems at the 1,127 facilities within Orange, Lake, Volusia, Seminole, and Osceola Counties, identified in Exhibit #1, by May 31, 2025.", to read:

"Conduct routine compliance inspections for storage tank systems at the 1,127 facilities within Orange, Lake, Volusia, Seminole, and Osceola Counties, identified in Exhibit #1, by June 30, 2025."

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

Renee H. Parker Digitally signed by Renee H.

Parker Date: 2025.05.13 13:50:32 -04'00'

05/13/2025 Roger Ruiz Digitally signed by Roger Ruiz Date: 2025.05.13 14:00:17 -04'00'

Tameshia N. Reid Digitally signed by Tameshia N.

Reid Date: 2025.05.14 10:23:43 -04'00'

Digitally signed by Mara Gambineri Date: 2025.05.16 12:59:21 -04'00'

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