CN-370000-GW283-TOX10.pdf

This is a Revised Task Assignment Notification Form (Attachment A-2) issued under DEP Contract No. GW283 on June 14, 2017. The document involves the Florida Department of Health as the contractor, with Michael Berry serving as the Contractor Contact Coordinator and Charles Coultas as the DEP Contract Manager. The task assignment (TOX10) is effective from July 1, 2017, through June 30, 2018, and is executed under the Florida Department of Environmental Protection's indefinite delivery vehicle contract framework.

The task assignment authorizes the Florida Department of Health to provide administrative services for annual cost reimbursement of $191,885.00 for the Certification and Restoration Program, with a maximum not-to-exceed amount of $191,885.00. The contract specifies cost reimbursement terms with no fixed price or fee schedule component. Funding is allocated across three organizational codes and fund sources: $70,000.00 from EDB funds (Object Code 139950, Module 8249), $112,885.00 from WCAIF funds (Object Code 139950, Module 8249), and $9,000.00 from IPTF funds (Object Code 139950). The deliverables include quarterly invoices with applicable backup documentation, with additional details referenced in the attached DOH Contract GW283 Total Administrative Services and Task Assignment Subtasks documentation.