CN-370000-GC928-T15CO1.pdf
PDF 325 KB Posted
- Contract number
- GC928
- Issued by
- Florida
About this file
Task Assignment Change Order Summary
This document is a Task Assignment Change Order Form (OOO-012) issued by the Florida Department of Environmental Protection (FDEP) on October 22, 2024. The change order applies to Task Assignment GC928-15 involving Citrus County as the contractor, with Glenn W. Bryant serving as the Contractor Representative and Roger Ruiz as the DEP Contract Manager.
The change order modifies performance measures due to storm impacts from Hurricane Milton. For invoice 4 of the contract, Citrus County is required to complete 27 Routine Compliance Inspections, representing 23 percent of the original commitment. The task amount remains unchanged at $102,241.41, with no modifications to the completion deadline of June 30, 2025. Funding is allocated through Organizational Code 37450100000, Object Code 132500, Budget Entity 37450300, and Special Category 100029, with the amount charged to Year 00. The change order was approved by Budget Representative Tameshia N. Reid and Contractual Authority Teresa Booeshaghi on October 23, 2024, with copies distributed to the Procurement Section (MS93) and Bureau of Finance & Accounting (MS78).
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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:
GC928-15 10/22/2024 1
CITRUS COUNTY
Glenn W. Bryant
Roger Ruiz
Performance Measures:
Due to storm impacts (Milton), for invoice 4, GC928-15 Citrus County, shall complete (23%) or 27 Routine Compliance Inspections.
102,241.41 102,241.41
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 $ 102,241.41
10/23/2024 Roger Ruiz Digitally signed by Roger Ruiz Date: 2024.10.23 15:25:24 -04'00'
Tameshia N. Reid Digitally signed by Tameshia N.
Reid Date: 2024.10.23 16:09:11 -04'00'
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2024.10.23 16:42:57 -04'00'
File details come from the government source that posted it. Updated .