CN-370000-GC927-T8CO1.pdf
PDF 392 KB Posted
- Contract number
- GC927
- Issued by
- Florida
About this file
This is a Task Assignment Change Order Form (OOO-012) issued by the Florida Department of Environmental Protection on March 3, 2025, for Task Assignment Number GC927-8 pertaining to Lee County. The document is executed between the Florida Department of Environmental Protection and Lee County, with Rick Roudebush serving as the contractor representative and Roger Ruiz as the DEP Contract Manager.
The change order modifies performance measures for the second performance period due to personnel issues. The contractor is now required to complete 55% or 167 Routine Compliance Inspections within eight months, rather than the original full performance requirement. The task amount remains unchanged at $265,329.63, with no net increase or decrease in the fee schedule. The task completion date is maintained at June 30, 2025. Funding is provided through Organizational Code 37450104000 under the JD E.O. with Object Code 132500, Budget Entity 37450300, Special Category 100029, and Year 00, totaling $265,329.63. The change order was approved by Budget Representative Tameshia N. Reid and Contractual Authority Teresa Booeshaghi on March 4, 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:
GC927-8 03/03/2025 1
LEE COUNTY
Rick Roudebush
Roger Ruiz
Performance Measures:
Due to personnel issues, GC927-8 Lee County, for the second Performance Measures, after (8) eight months shall complete (55%) or 167 Routine Compliance Inspections.
265,329.63 265,329.63
265,329.63 265,329.63
265,329.63 265,329.63
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
37450104000 JD 132500 37450300 100029 00 $ 265,329.63
Roger Ruiz Digitally signed by Roger Ruiz Date: 2025.03.04 08:06:28 -05'00'
Tameshia N. Reid Digitally signed by Tameshia N.
Reid Date: 2025.03.04 08:21:34 -05'00'
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2025.03.04 08:39:57 -05'00'
File details come from the government source that posted it. Updated .