CN-370000-GC928-T18CO1.pdf

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

About this file

This is a Task Assignment Change Order Form (OOO-012) issued by the Florida Department of Environmental Protection (FDEP) on February 23, 2026. The change order modifies Task Assignment GC928-18 with Citrus County as the contractor. Glenn W. Bryant serves as the contractor representative, and Roger Ruiz acts 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 addresses performance measures for GC928-18 Sumter County due to personnel issues. It modifies the second performance measure requirement such that after eight months, the contractor shall complete 37 percent or 19 Routine Compliance Inspections instead of the original requirement. The task amount remains unchanged at $47,097.75, with no net increase or decrease. The completion date for all change orders remains June 30, 2026. Funding is allocated from Org. Code 37450100000 under Object Code 132500, Budget Entity 37450300, Special Category 100029, in the amount of $47,097.75. Copies of the approved change order are to be distributed to the Procurement Section (MS93) and the 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:

GC928-18 02/23/2026 1

CITRUS COUNTY

Glenn W. Bryant

Roger Ruiz

Performance Measures:

Due to personnel issues, GC928-18 Sumter County, for the second Performance Measures, after (8) eight months shall complete (37%) or 19 Routine Compliance Inspections.

47,097.75 47,097.75

06/30/26 06/30/26

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 $ 47,097.75

Glenn W Bryant Digitally signed by Glenn W Bryant Date: 2026.02.23 09:39:19 -05'00'

02/23/2026 Roger Ruiz Digitally signed by Roger Ruiz Date: 2026.02.23 10:12:51 -05'00'

Tameshia N. Reid Digitally signed by Tameshia N.

Reid Date: 2026.02.23 12:14:08 -05'00'

Natasha Lampkin Digitally signed by Natasha Lampkin Date: 2026.02.23 16:40:14 -05'00'

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