CN-370000-GW283-PET9.pdf

This is a Revised Task Assignment Notification Form for DEP Contract No. GW283, issued on July 2, 2015. The contracting parties are the Florida Department of Health (contractor) and the Florida Department of Environmental Protection (DEP). The task assignment is identified as Pat 9, with Michael Berry serving as the contractor's contract coordinator and Robert Perlowski as the DEP Contract Manager.

The task assignment requires the Florida Department of Health to provide administrative services for one month at an annual cost reimbursement of $33,006.09 for the Petroleum Restoration Program, effective from July 1, 2015 through July 31, 2015. The contractor is not authorized to perform any services exceeding this annual funding amount. Deliverables include a monthly invoice with applicable backup documentation as described in the attached DOH Contract GW283-Total Administrative Services for 15/16 Task Assignment Subtasks. The total task assignment value is $33,006.09, funded under Org Code 37450404555, with funding allocation from Fund ID 212001, Object Code H39900, Module 4713, and Category Year Amount 37450300/087889 116 for $33,006.09. The document was executed by authorized representatives from both agencies on July 2, 2015.