CN-370000-GC904-223BCO5.pdf
PDF 1 MB Posted
- Contract number
- GC904
- Issued by
- Florida
About this file
This is a Task Assignment Change Order (TACO #5) issued by the State of Florida Department of Environmental Protection (FDEP) to amend an existing task assignment with Geosyntec Consultants under Statewide Contract GC904. The change order modifies Task Assignment GC904-223B for environmental remediation work at the Petroleum Products Corp facility (9-Digit Facility ID: 068732818). The FDEP's project manager is Melissa Brock, while Geosyntec Consultants' project manager is Joe Applegate. The change order was signed on March 22, 2024, and is digitally authorized by Jennifer Farrell, Secretary or Designee for the FDEP.
The change order authorizes a date extension only with no modification to compensation, maintaining the total task assignment value of $56,877.95. The task completion date was extended from June 4, 2024, to June 18, 2024, totaling 14 days. Deliverables include an Updated Health and Safety Plan (due 07/17/2023), an Interim Remedial Report/Tabulated Spreadsheet (due 03/29/2024), and Waste Manifest(s)/Photos/Field Notes (due 04/19/2024), with invoice amounts of $0.00, $48,513.43, and $8,364.52 respectively. The extension was requested to allow missing laboratory data to be incorporated into Task 2 reporting and to obtain final waste disposal manifests. Funding is provided through Appropriation Category 087889 with FDEP bearing 100 percent of the cost share.
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Text version
Digitally signed by Jennifer Farrell Date: 2024.03.22 11:27:41 -04'00'
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
$ 56,877.95
Updated HASP
Interim Remedial Report
Waste Manifest
Updated HASP
Waste Manifest
Interim Remedial Report
07/17/2023
03/29/2024
04/19/2024
$ 48,513.43
$ 0.00
$ 8,364.52
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 #: GC904-223B Petroleum Product Corp Contractor: CO #: 5 Brittany.Anding Contractor Phone: CO Type: Date Extension Only
(850) 245-8856 FDEP Cost Share %: 100.00% Ref #: 904-223B Brittany.Anding@floridadep.gov
TASK PAY ITEM UNIT OF MEASURE PAY ITEM PRICE UNITS EXTENDED PRICE
Task Change Order Subtotals
2 -$ 3 -$
Period of Service: -$
Total Authorized Cost (FDEP Share: 100%)
Contractor Representative: J. Brooks Baldwin 3/22/2024 (Print Name) (Date)
FDEP Task Manager: Brittany Anding (Print Name) (Date)
Administrative Reviewer:
(Print Name) (Date)
Reviewer (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)
6/4/2024 6/18/2024
Previous End Date New End Date
(Signature)
Previous Due Date New Due Date
3/22/2024 4/5/2024
3/29/2024 4/19/2024
Deliverable Name
Interim Remedial Report/Tabulated Spreadsheet Waste Manifest(s)/Photos/Field Notes (if necessary)
Description of Change and Justification: Include complete description of who, what, where, when, how and why.
Geosyntec is submitting this RFC for an extension on Tasks 2, 3 and POS end date. Missing lab data needs to be incorporated into the report for Task 2 and Geosyntec has not received the final waste disposal manifests.
Geosyntec Consultants 850.528.2268Task Manager Name:
(Signature)
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 2F&TS Schedule of Pay Items 10-06-22
3/22/2024
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 #: GC904-223B Petroleum Product Corp Contractor: CO #: 5Geosyntec Consultants
9-Digit Facility ID #:
Facility Name:
Technical Approval (optional):
Cost Center Approval (optional):
Page 2 of 2F&TS Schedule of Pay Items 10-06-22
| PPC Bamboo Park time extension TA_3_22_24_geo signed.pdf |
| TACO5-GC904-223B-TK2_3-POS-068732818.pdf |
| Needs RFC attached TACO5-GC904-223B-TK2_3-POS-068732818.pdf |
| TACO4-GC904-223B-TK2_3-POS-068732818.pdf |
| RFC#5_AttachmentB-Revision 1-SPI-068732818-TSS-Forensics.pdf |
| RFC |
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