CN-370000-GC928-T15CO3.pdf
PDF 337 KB Posted
- Contract number
- GC928
- 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 (FDEP) for DEP Contract GC928. The contractor is Citrus County, represented by Glenn W. Bryant, with Roger Ruiz serving as the FDEP Contract Manager. The change order was dated May 20, 2025, and requires Adobe digital signatures for authorization.
The change modifies Task Assignment #15, which requires the contractor to conduct routine compliance inspections for storage tank systems at 117 facilities within Citrus and Hernando Counties as identified in Exhibit #1. The modification extends the task completion deadline from May 31, 2025, to June 30, 2025, providing an additional month for task completion. The task amount remains unchanged at $107,991.41, with no net increase or decrease in the total contract value. Funding is allocated from two sources under Organization Code 37450100000, with $102,241.41 assigned to year "00" and $5,750.00 assigned to year "0.0" under Object Code 132500 and Budget Entity 37450300. The change order was approved by Budget Representative Tameshia N. Reid and Contractual Authority Natasha Lampkin on May 21, 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:
GC928-15 05/20/2025 3
CITRUS COUNTY
Glenn W. Bryant
Roger Ruiz
This change revises the sentence in Task Assignment #15 for DEP Contract GC928 reading:
"Conduct routine compliance inspections for storage tank systems at the 117 facilities within Citrus and Hernando Counties, identified in Exhibit #1, by May 31, 2025.", to read:
"Conduct routine compliance inspections for storage tank systems at the 117 facilities within Citrus and Hernando Counties, identified in Exhibit #1, by June 30, 2025."
102,241.41 102,241.41
107,991.41 107,991.41
107,991.41 107,991.41
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
37450100000 JD 132500 37450300 100029 0.0 $ 5,750.00
05/20/2025 Roger Ruiz Digitally signed by Roger Ruiz Date: 2025.05.20 15:48:33 -04'00'
Tameshia N. Reid Digitally signed by Tameshia N.
Reid Date: 2025.05.21 08:38:25 -04'00'
Natasha Lampkin Digitally signed by Natasha Lampkin Date: 2025.05.21 08:58:09 -04'00'
File details come from the government source that posted it. Updated .