CN-370000-GC904-223BCO2.pdf
PDF 2 MB Posted
- Contract number
- GC904
- Issued by
- Florida
About this file
This document is a Task Assignment Change Order (TACO #2) issued by the State of Florida Department of Environmental Protection to amend an existing Task Assignment (TA #GC904-223B) with contractor Geosyntec Consultants. The change order modifies the terms of the original contract between the Department and the contractor, with project management oversight provided by Melissa Brock for the Department and Joe Applegate for Geosyntec Consultants.
The change order extends project completion dates to allow for additional soil sampling required to complete delineation activities related to the Petroleum Products Corp project, pending EPA approval of the proposed scope of work. Specifically, the Task 2 deliverable due date was extended from October 17, 2023 to December 15, 2023, the Task 3 deliverable due date was extended from November 17, 2023 to January 16, 2024, and the Period of Service end date was extended from January 17, 2024 to March 18, 2024, representing a 61-day extension. The total contract value remains $49,781.73 with no changes to compensation. Deliverables include an Updated HASP, Interim Remedial Report ($42,732.07), Waste Manifest ($7,049.66), and associated documentation. Funding is allocated under Florida's fiscal year 2023 budget with Org. Code 450202000, E.O. code JG, Object Code 139900, Budget Entity 37450300, and Appropriation Category 087889.
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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 2 GC904
Change order to extend due dates. Additional soil sampling will be required to complete delineation and FDEP is waiting on EPA approval of proposed scope of work.
Melissa Brock 850-245-8922 Contractor Contractor
Contractor Contractor
Contractor
Geosyntec Consultants Joe Applegate 850-556-8419
Petroleum Products Corp
✔ $ 49,781.73
$ 0.00 $ 49,781.73 Expiration
Expiration✔ 01/17/2024 03/18/2024 61
1 1
TACO2 changes Task 2 deliverable due date from 10/17/2023 to 12/15/2023, Task 3 deliverable due date from 11/17/2023 to 1/16/2024, and POS end date from 1/17/2024 to 3/18/2024.
Geosyntec Consultants
Joe Applegate
Project Manager
Joseph Applegate Digitally signed by Joseph Applegate Date: 2023.09.20 16:05:59 -04'00'
Jennifer Farrell
Digitally signed by Jennifer Farrell Date: 2023.09.21 10:33:42 -04'00'
450202000 JG 139900 37450300 087889 NA NA 23 $ 49,781.73
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
GC904-223B
$ 49,781.73
Updated HASP
Interim Remedial Report
Waste Manifest
Updated HASP
Waste Manifest
Interim Remedial Report
07/17/2023
12/15/2023
01/16/2024
$ 42,732.07
$ 0.00
$ 7,049.66
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