CN-370000-GC904-223ACO2.pdf
PDF 2 MB Posted
- Contract number
- GC904
- Issued by
- Florida
About this file
This is a Task Assignment Change Order (TACO 2) issued by the State of Florida Department of Environmental Protection amending Task Assignment GC904-223A under Contract GC904. The parties to this agreement are the State of Florida Department of Environmental Protection and Geosyntec Consultants. The Department's Project Manager is Melissa Brock (850-245-8922), and the Contractor's Project Manager is Joe Applegate (850-556-8419). The project is identified as "Petroleum Products Corp," and the change order was executed on July 12, 2023.
This change order extends the deliverable due date for Task 1 from July 17, 2023 to July 28, 2023, with no change to the Point of Sale (POS) date. The extension was granted to allow time for site reconnaissance field notes to be completed due to delays in obtaining a Site Access Agreement. The site reconnaissance is scheduled for July 13, 2023. The fixed unit rate compensation remains at $4,601.19, with a total Task Assignment Value of $4,601.19. The deliverables required include HASP, HSW, Site Reconnaissance Documents, and a copy of the executed access agreement, all due by July 28, 2023. Invoicing is contingent upon submission of the Task 1 Deliverable and SPI Attachment B details. Funding is provided through Org. Code 450202000, E.O. JG, Object Code 139900, Budget Entity 37450300, Appropriation Category 087889, in Fiscal Year 23.
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Text version
Funding Information:
Org. Code E.O. Object Code Budget Entity Appropriation
Category Grant # Project # Year Amount
☐ Additional Funding Information attached on separate page.
Rev. 8/17/2020
STATE OF FLORIDA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
Task Assignment Change Order This Change Order is entered into between the Parties named below and amends the Task Assignment (TA) and any previous TA Change Orders (TACO) as follows:
1. TA Number: TACO Number: Contract Number:
TACO Description:
2. Parties State of Florida Department of Environmental Protection (Department)
Department’s Project Manager: Department’s Project Manager Phone:
Contractor Name: (Contractor ) ntractor’st ’s Project Manager: ontractor’s t’s Project Manager Phone:
3. Project Number:
(If different from TA Number) Project Name:
4. ☐ There are no changes to the TA compensation.
☐ The compensation of the TA is changed to the amounts indicated below:
Amended Price Price Prior to TACO ☐ Fixed Price:
☐ Fixed Unit Rate: (Extended Price)
☐ Cost Reimbursement:
Total TA Value:
5. ☐ There are no changes to the TA Expiration Date.
☐ The TA Completion Date is changed from ______________ to ______________ (a total of ______ days).
6. ☐ There are no changes to the Attachments.
☐ Attachment ___ is replaced with Attachment -____.
7. ☐ No Additional Changes.
☐ Additional Changes:
8. All other terms and conditions of the TA remain in effect. If and to the extent that any inconsistencies may appear between the TA and this TACO, the provisions of this TACO shall control.
IN WITNESS WHEREOF, this TACO shall be effective on the last date signed below.
State of Florida Department of Environmental Protection
CONTRACTOR Department Name:
Title: Secretary or Designee
(Authorized Signature) (Authorized Signature) Date:
☐ Additional signatures attached on separate page.
GC904-223A 2 GC904
Due date extension only TACO to give time to get site recon field notes for the deliverable due to delay in obtaining SAA. Site recon will be conducted 7/13/2023.
Melissa Brock 850-245-8922 Contractor Contractor
Contractor Contractor
Contractor
Geosyntec Consultants Joe Applegate 850-556-8419
Petroleum Products Corp
✔ $ 4,601.19
$ 0.00 $ 4,601.19 ✔ Expiration
Expiration 0
1 1
TACO 2 Changes Task 1 deliverable due date from 7/17/23 to 7/28/2023. POS date does not change.
Geosyntec Consultants
Joe Applegate
Project Manager
Joseph Applegate Digitally signed by Joseph Applegate Date: 2023.07.12 15:14:57 -04'00'
Kelly Crain
Kelly Crain Digitally signed by Kelly Crain Date: 2023.07.12 15:44:18 -04'00'
450202000 JG 139900 37450300 087889 NA NA 23 $ 4,601.19
Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment
WCP TAFORM 01_18
Contract Number:
Task Assignment #:
Change Order #:
Deliverables:
Deliverable Deliverable Due Date
Invoice Schedule:
Requirements for Invoice Submittal Amount to be Invoiced
TOTAL COST
GC904
GC904-223A
$ 4,601.19
HASP, HSW, Site Recon Docs, Copy of executed access agreement
Task 1 Deliverable, SPI Attachment B details
07/28/2023
$ 4,601.19
File details come from the government source that posted it. Updated .