CN-370000-GC928-T17CO4.pdf

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Master Agreement FL|GC928|50aefb3cbc8bdfa9b7de13feeaacf442
Contract number
GC928
Issued by
Florida

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Task Assignment Change Order Summary

This is a Task Assignment Change Order Form (OOO-012) issued by the Florida Department of Environmental Protection (FDEP) for Citrus County, effective May 6, 2026. The document represents a contractual modification between the FDEP and Citrus County, with Glenn W. Bryant serving as the Contractor Representative and Roger Ruiz as the DEP Contract Manager. The change order has been approved by Tameshia N. Reid (Budget Representative) and Natasha Lampkin (Contractual Authority).

The change order increases funding for Variable Inspections by $2,700, raising the total task amount from $103,698.36 to $106,398.36. The task completion date remains unchanged at June 30, 2026. The funding is allocated from Org. Code 37450100000 under E.O. JD with Object Code 132500, Budget Entity 37450300, and Special Category 100029. The total modification consists of two line items: $103,698.36 for the original amount and $2,700.00 for the increase, both charged to year 00. This represents Change Order No. 4 under Task Assignment GC928-17.

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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:

GC928-17 05/06/2026 4

CITRUS COUNTY

Glenn W. Bryant

Roger Ruiz

Increase in funds for Variable Inspections for $2,700.

A net increase of $2,700.

103,698.36 103,698.36

103,698.36 103,698.36

+2,700 +2,700

106,398.36 106,398.36

06/30/26 06/30/26 +2,700 06/30/26

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 $ 103,698.36

37450100000 JD 132500 37450300 100029 00 $ 2,700.00

Glenn W Bryant Digitally signed by Glenn W Bryant Date: 2026.05.06 09:02:12 -04'00'

05/06/2026 Roger Ruiz Digitally signed by Roger Ruiz Date: 2026.05.06 10:15:48 -04'00'

Tameshia N. Reid Digitally signed by Tameshia N.

Reid Date: 2026.05.07 16:33:46 -04'00'

Natasha Lampkin Digitally signed by Natasha Lampkin Date: 2026.05.27 16:29:27 -04'00'

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