CN-370000-GC927-T8CO2.pdf

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Attached to
Master Agreement FL|GC927|adfed6b093109682e55afa87e225e538
Contract number
GC927
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 (DEP) on May 19, 2025, for Task Assignment GC927-8 with Lee County. The contractor representative is Katherine Kallas, and the DEP Contract Manager is Roger Ruiz. The change order was approved by Tameshia N. Reid (Budget Representative) and Natasha Lampkin (Contractual Authority) on May 21, 2025.

The change order modifies the performance requirements due to personnel issues affecting Invoice 12. Specifically, it reduces the scope of routine compliance inspections for storage tank systems from 200 facilities to 173 facilities (57% completion) across Lee, Charlotte, and DeSoto Counties. The original completion deadline of May 31, 2025, is extended to June 30, 2025. The task amount remains unchanged at $265,329.63, with no net increase or decrease to the contract value. Funding is allocated from Organizational Code 37450104000 under Object Code 132500, Budget Entity 37450300, Special Category 100029, for the amount of $265,329.63.

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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 05/19/2025 2

LEE COUNTY

Katherine Kallas

Roger Ruiz

Performance Measures:

Due to personnel issues, for Invoice 12, GC927-8 Lee County, shall complete (57%) or 173 Routine Compliance Inspections.

This change revises the sentence in Task Assignment #8 for DEP Contract GC927 reading:

"Conduct routine compliance inspections for storage tank systems at the 200 facilities within Lee, Charlotte, and DeSoto Counties, identified in Exhibit #1, by May 31, 2025.", to read:

"Conduct routine compliance inspections for storage tank systems at the 173 facilities within Lee, Charlotte, and DeSoto Counties, identified in Exhibit #1, by June 30, 2025."

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

Katherine Kallas Digitally signed by Katherine Kallas Date: 2025.05.21 07:27:47 -04'00'

05/21/2025 Roger Ruiz Digitally signed by Roger Ruiz Date: 2025.05.21 07:58:24 -04'00'

Tameshia N. Reid Digitally signed by Tameshia N.

Reid Date: 2025.05.21 08:55:04 -04'00'

Natasha Lampkin Digitally signed by Natasha Lampkin Date: 2025.05.21 11:07:30 -04'00'

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