Contract 2022-129A RCOUNTY, FL
REAL FLORIDA - REAL CLOSE
MODIFICATION OF CONTRACT
Modification Number:One (1)
Effective Date: 10/1/2023
Contracting Officer: Bill Ponko
E-mail: Bill.Ponko@Lakecountyfl.gov
Telephone Number: 352-343-9489
Issued By:
Procurement Services
Lake County Administration Building
315 W. Main St., Suite 416
Tavares, Florida 32778-7800
Contract Number: 22-943
Title: Collection, Recycling, and Proper Disposal of Used
Oil and Related Commodities
Effective Date: 10/01/2022
Contractor Name and Address:
Name: Petrotech Southeast, Inc.
Address: 23800 CR 561
City: Astaula, FL 32713
ATTENTION: Jason Yates, Vice President
INSTRUCTIONS: Contractor shall sign Signature Block showing acceptance of the below written modification and return
this form to Procurement Services within ten (10) days after receipt. Once fully executed, a copy of this modification will be
returned to the Contractor to attach to the original Contract.
DESCRIPTION OF MODIFICATION: Contract Modification to extend for one (1) year expiring September 30,
2025.
CONT TOR SIGNAATURE BLOCK
Signature:
Print Name- Jason W. Yat ,�
Title: Vice President
Date: 8/10/23
E-mail: --jason.yatez@-petrotechse.com
Secondary E-mail:
Distribution:
Original — Bid File
Copy — Contractor
Contracting Officer
LAKE COUNTY SIGNATURE BLOCK
Signature: '/
Print Name:
1
Title: Contracts g O T,cer
Date: rl I q .3
PROCUREMENT SERVICES — DIVISION OF OFFICE OF MANAGEMENT AND BUDGET SERVICES
P.O. BOX 7800.315 W. MAIN ST., TAVARES, FL 32778 • P 352.343.9839 • F 352.343.9473
Board of County Commissioners • wioir.lakecota7gf .gov