CN-370000-GC928-T18CO2.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 (Change Order No. 2) 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 executed on April 21, 2026, and has received all required approvals from Tameshia N. Reid (Budget Representative) and Elizabeth Kromhout (Contractual Authority).

The change order modifies Task Assignment #18, which requires the contractor to conduct routine compliance inspections for storage tank systems at 51 facilities within Sumter County as identified in Exhibit #1. The primary modification extends the task completion deadline from May 31, 2026, to June 30, 2026. The task amount remains unchanged at $47,097.75, with no net increase or decrease in the contract value. Funding is allocated under Organization Code 37450100000, E.O. JD, Object Code 132500, Budget Entity 37450300, Special Category 100029, Year 00, with the full amount of $47,097.75 charged to this line item. The change order affects only the timeline for completion, not the scope of work or financial obligations.

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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 04/21/2026 2

CITRUS COUNTY

Glenn W. Bryant

Roger Ruiz

This change revises the sentence in Task Assignment #18 for DEP Contract GC928 reading:

"Conduct routine compliance inspections for storage tank systems at the 51 facilities within Sumter County, identified in Exhibit #1, by May 31, 2026.", to read:

"Conduct routine compliance inspections for storage tank systems at the 51 facilities within , identified in Sumter County, Exhibit #1, by June 30, 2026."

47,097.75 47,097.75

47,097.75 47,097.75

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: 2026.04.21 17:58:55 -04'00'

04/21/2026 Roger Ruiz Digitally signed by Roger Ruiz Date: 2026.04.22 09:32:08 -04'00'

Tameshia N. Reid Digitally signed by Tameshia N.

Reid Date: 2026.04.22 15:57:56 -04'00'

Elizabeth Kromhout

Digitally signed by Elizabeth Kromhout Date: 2026.04.28 09:07:17 -04'00'

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