CN-370000-GC904-223BCO1.pdf
PDF 485 KB Posted
- Contract number
- GC904
- Issued by
- Florida
About this file
This document is a Task Assignment Change Order (TACO) Number 1 issued by the State of Florida Department of Environmental Protection (FDEP) to amend Task Assignment GC904-223B under Contract GC904. The contractor is Geosyntec Consultants, with Joe Applegate serving as the Project Manager. The Department's Project Manager is Melissa Brock. The change order was executed on July 18, 2023, and relates to environmental remediation services at the Petroleum Products Corp facility (9-Digit Facility ID #068732818).
The change order authorizes additional soil sampling and laboratory analysis services at a net cost of $0.00, accomplished through reallocation of contingency funding. Specifically, the work involves adding two soil samples at 0-2 feet depth from boring locations SB-3-FR and SB-5-FR, with analysis including polycyclic aromatic hydrocarbons, total recoverable petroleum hydrocarbons, TRPH fractionation, PCBs, arsenic, and lead testing. The task deliverables include an updated Health and Safety Plan (due 07/17/2023), an Interim Remedial Report (due 10/17/2023), and a Waste Manifest (due 11/17/2023), with corresponding invoicing amounts of $42,732.07, $0.00, and $7,049.66 respectively, totaling $49,781.73. The FDEP cost share is 100 percent, with funding sourced from Appropriation Category 087889, Project #37450300, Organization Code 450202000.
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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.
GC904-223B 1 GC904
Field request for change to add additional samples field requests are $0 net cost due to contingency funding reallocation
Melissa Brock 850-245-8922 Contractor Geosyntec Consultants Contractor
Contractor Joe Applegate Contractor 850-556-8419
Petroleum Products Corp
✔ $ 49,781.73
$ 0.00 $ 49,781.73 ✔ Completion
Completion 0
✔ B B 1 field change to add two soil samples at 0-2' from SB-3-FR and SB-5-FR and analysis per the SM- see SPI attached for document changes to be added to original SOW
Geosyntec Consultants Contractor Joe Applegate
Project Manager
7/17/23
Jennifer Farrell
Digitally signed by Jennifer Farrell Date: 2023.07.18 09:34:39 -04'00'
450202000 JG 139900 37450300 087889 NA NA 23 $ 49,781.73
Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment
Contract Number:
Task Assignment #:
Deliverables:
Deliverable Deliverable Due Date
Invoice Schedule:
Requirements for Invoice Submittal Amount to be Invoiced
TOTAL COST
GC904
GC904-223B
$ 49,781.73 updated HASP
Interim Remedial Report
Waste Manifest updated HASP
Waste Manifest
Interim Remedial Report
07/17/2023
10/17/2023
11/17/2023
$ 42,732.07
$ 0.00
$ 7,049.66
068732818 Contract #: GC904 Petroleum Product Corp Contractor:
Brittany.Anding Contractor Phone:
(850) 245-8856 FDEP Cost Share %: 100.00% Brittany.Anding@floridadep.gov
TASK PAY ITEM UNIT OF MEASURE PAY ITEM PRICE UNITS EXTENDED PRICE
2 9-5. Per Sample $109.61 2 $ 219.22
2 9-8. Per Sample $78.67 2 $ 157.34
2 9-8.a. Per Sample $328.37 2 $ 656.74
2 9-9. Per Sample $73.51 2 $ 147.02
2 9-11. Per Sample $15.47 2 $ 30.94
2 9-14. Per Sample $15.47 2 $ 30.94
2 8-6. Per Sample $36.33 2 $ 72.66
9-Digit Facility ID #:
Facility Name:
Task Manager Phone:
Task Manager Email:
This is an authorization for the costs associated with the change in quantities of services being provided and/or deliverable due dates. In order for these costs to be paid, these changes must be processed through a change order to the purchase requisition and a revised Purchase Order issued by MFMP prior to initiating work.
DESCRIPTION
Soil, Lead (EPA 6010 or EPA 6020)
Soil/Sediment Sample Collection
Soil, Polycyclic Aromatic Hydrocarbons (EPA 8270 or EPA 8310)
Soil, Total Recoverable Petroleum Hydrocarbons (FL-PRO)
Soil, TRPH Fractionation (MADEP-EPH/VPH Method or TPHCWG Direct Method)
Soil, PCBs [or Aroclors] (EPA 8082)
Soil, Arsenic (EPA 6010 or EPA 6020)
Description of Change and Justification: Include complete description of who, what, where, when, how and why.
field change to add two soil samples at 0-2' from SB-3-FR and SB-5-FR and analysis per the SM- it is a net $0 cost due to adjusting contingency funding to allow for the changes
Geosyntec Consultants Task Manager Name:
Page 1 of 2F&TS Schedule of Pay Items 10-06-22
068732818 Contract #: GC904 Petroleum Product Corp Contractor:
9-Digit Facility ID #:
Facility Name: Geosyntec Consultants
3 23-1. NOT BILLABLE $1.00 -1314.86 $ (1,314.86)
Task Change Order Subtotals
2 1,314.86$ 3 (1,314.86)$
Period of Service: 0.00$
Total Authorized Cost (FDEP Share: 100%)
Contingent Funding - Allowance only to be used as offset for field change orders
Deliverable Name
*For reimbursable pay items the cost listed is a "not to exceed" amount. Fees will be reimbursed for the pay item based on the actual invoice. Please note, the unit of measure for these items will be displayed as dollars for invoicing purposes. Please refer to the Scope of Work for additional description of these items.
Previous End Date New End Date
Previous Due Date New Due Date
Page 2 of 2F&TS Schedule of Pay Items 10-06-22
Florida Department of Environmental Protection-Division of Waste Management-Petroleum Restoration Program
Request for Change - Authorization for Change in Scope of Work
068732818 Contract #: GC904 PO #:
Petroleum Product Corp Contractor: CO #:
Brittany.Anding Contractor Phone: CO Type:
(850) 245-8856 FDEP Cost Share %: 100.00% Ref #:
Brittany.Anding@floridadep.gov
TASK PAY ITEM UNIT OF MEASURE PAY ITEM PRICE UNITS EXTENDED PRICE
2 9-5. Per Sample $109.61 2 $ 219.22
2 9-8. Per Sample $78.67 2 $ 157.34
2 9-8.a. Per Sample $328.37 2 $ 656.74
2 9-9. Per Sample $73.51 2 $ 147.02
2 9-11. Per Sample $15.47 2 $ 30.94
2 9-14. Per Sample $15.47 2 $ 30.94
2 8-6. Per Sample $36.33 2 $ 72.66
3 23-1. NOT BILLABLE $1.00 -1314.86 $ (1,314.86)
Task Change Order Subtotals
2 1,314.86$ 3 (1,314.86)$
Period of Service: 0.00$
Total Authorized Cost (FDEP Share: 100%)
Contractor Representative: Joseph Applegate 7/17/2023 (Print Name) (Date)
FDEP Task Manager:
(Print Name) (Date)
Administrative Reviewer:
(Print Name) (Date)
Reviewer (optional):
Technical Approval (optional):
Cost Center Approval (optional):
*For reimbursable pay items the cost listed is a "not to exceed" amount. Fees will be reimbursed for the pay item based on the actual invoice. Please note, the unit of measure for these items will be displayed as dollars for invoicing purposes. Please refer to the Scope of Work for additional description of these items.
(Signature)
Previous End Date New End Date
(Signature)
Previous Due Date New Due DateDeliverable Name
Description of Change and Justification: Include complete description of who, what, where, when, how and why.
field change to add two soil samples at 0-2' from SB-3-FR and SB-5-FR and analysis per the SM- it is a net $0 cost due to adjusting contingency funding to allow for the changes
Geosyntec Consultants Task Manager Name:
(Signature)
Soil, Lead (EPA 6010 or EPA 6020)
Soil/Sediment Sample Collection
Contingent Funding - Allowance only to be used as offset for field change orders
Soil, Polycyclic Aromatic Hydrocarbons (EPA 8270 or EPA 8310)
Soil, Total Recoverable Petroleum Hydrocarbons (FL-PRO)
Soil, TRPH Fractionation (MADEP-EPH/VPH Method or TPHCWG Direct Method)
Soil, PCBs [or Aroclors] (EPA 8082)
Soil, Arsenic (EPA 6010 or EPA 6020)
9-Digit Facility ID #:
Facility Name:
Task Manager Phone:
Task Manager Email:
This is an authorization for the costs associated with the change in quantities of services being provided and/or deliverable due dates. In order for these costs to be paid, these changes must be processed through a change order to the purchase requisition and a revised Purchase Order issued by MFMP prior to initiating work.
DESCRIPTION
Page 1 of 1F&TS Schedule of Pay Items 10-06-22
File details come from the government source that posted it. Updated .