CN-370000-GC928-T15CO2.pdf
PDF 332 KB Posted
- Contract number
- GC928
- 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 on April 7, 2025. The document involves a contract with Citrus County, represented by Glenn W. Bryant as the Contractor Representative. Roger Ruiz serves as the DEP Contract Manager, with approvals from Tameshia N. Reid (Budget Representative) and Tim Bahr (Contractual Authority).
The change order increases funding for Variable Inspections by $5,750, resulting in a net increase to the task amount from $102,241.41 to $107,991.41. The task completion date remains June 30, 2025, with no extension to the timeline. The funding is allocated across two budget line items under Organizational Code 37450100000, using Object Code 132500, Budget Entity 37450300, and Special Category 100029. The original amount of $102,241.41 (Year 00) and the additional $5,750.00 (Year 0.0) are both charged to the same cost center and budget category. The change order was digitally signed and approved on April 11 and April 15, 2025, respectively.
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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 04/07/2025 2
CITRUS COUNTY
Glenn W. Bryant
Roger Ruiz
Increase in funds for Variable Inspections for $5,750.
A net increase of $5,750.
102,241.41 102,241.41
102,241.41 102,241.41
+5,750 +5,750
107,991.41 107,991.41
06/30/25 06/30/25 +5,750 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
37450100000 JD 132500 37450300 100029 0.0 $ 5,750.00
04/11/2025 Roger Ruiz Digitally signed by Roger Ruiz Date: 2025.04.14 07:35:39 -04'00'
Tameshia N. Reid Digitally signed by Tameshia N.
Reid Date: 2025.04.15 09:44:35 -04'00'
Tim Bahr Digitally signed by Tim Bahr Date: 2025.04.15 09:52:43 -04'00'
File details come from the government source that posted it. Updated .