CN-370000-GW283-TOX14.pdf
PDF 662 KB Posted
- Contract number
- GW283
- Issued by
- Florida
About this file
This is a Revised Task Assignment Notification Form (TOX14) dated June 25, 2019, for DEP Contract No. GW283 between the Florida Department of Environmental Protection (DEP) and the Florida Department of Health (DOH). The task assignment establishes administrative services for cost reimbursement related to the Water Supply Restoration Funding Program for well survey and sampling services. The contractor contact coordinator is Michael Berry (850-901-6486) and the DEP Contract Manager is Lauren Coleman (850-245-2961). The task assignment execution period runs from July 1, 2019, through December 30, 2019.
The task assignment provides for Administrative Services with an annual cost reimbursement of $52,339.50 for the Water Supply Restoration Funding Program, with a total task assignment value not to exceed $52,339.50. Services include quarterly invoicing with applicable backup documentation. Deliverables consist of quarterly invoices and additional services as described in the attached "DOH Contract GW283-Total Administrative Services FY 19/20 Task Assignment Subtasks." Funding derives from three organizational codes (37220201001, 37220201001, and 37220201001) with specific fund IDs, object codes, modules, and grant numbers. The contractor is not authorized to perform services exceeding the FY19/20 fiscal year amount. The cost reimbursement model covers administrative services costs invoiced quarterly, with services encompassing data management, report preparation, quality assurance, technical support, and invoice processing for the Well Surveillance Program.
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Text version
ATTACHMENT D4
Revised Fee Schedule for Well Survey and Sampling Services
The Contractor shall be compensated In accordance with the following rates as evidenced by an executed Task Assignment Notification Form or Task Assignment Change Order Form.
ITEM .
FEE SCHEDULE
1. Drinking Water Well Surveyl Well Location
Well Survey Request( as outlined In Attachment C Scope of Services) 217.00/survey
GPS Well Location or Well Property Location( or if> 10 wells per request) 12.50/well
11. Drinking Water Sample Collection
Three or Less Water Samples from the same well 93.001well
More than three Water Samples from the same well 103.00twell
Ill. Out of County( additional fee for above services) 23.001surveyfiocaton/sample
IV. Miscellaneous Expenses
A. DEP User Licenses for DOH Lab Sample Manager information 6,684.00 system if requested by DEP( up to 4 at$ 1, 716 each)
B. Nitrate Field Screening Testing 5.001test
C. Request for CHD Assistance( no GPS location or well sampling 41. 00/ visit required)
D. Hands-on training session on water well surveying and sampling 700.001session conducted by CHD staff( one-day session for up to 6 staff)
V. Cost Reimbursement as Authorized by an Executed Task Assignment
A. Administrative Services
Administrative services costs shall be compensated on a cost reimbursement basis in the amount specified in each Task Assignment Notification Form and Change Order as outlined In paragraph S.A. of the Contract and Section VII of the Scope of Services. These costs shall be Invoiced on a quarterly basis.
B. Training and Travel
With the exception of training sessions conducted by CHD staff, the Contractor shall be reimbursed for the actual costs of training and travel up to the amount specified in each Task Assignment Notification Form and Change Order as outlined in Paragraph S.C. of the Contract and Section Vill of the Scope of Services. Ail associated travel expenses will be reimbursed In accordance with Section 112.061, F. S. These costs shall be invoiced on a quarterly basis.
DEP Contract No. GW283, Attachment D• 1, Page 1 of 2
C. Equipment Maintenance and Repair
The Contractor shall be reimbursed for the actual cost of maintenance and repairs of DEP and DOH owned GPS equipment as outlined in Paragraph S.C. of this Contract and Section Vill of the Scope of Services up to the amount specified In each Task Assignment Notification Form and Change Order. These costs shall be Invoiced on a quarterly basis.
D. Equipment Purchase/ Replacement
The Contractor shall be reimbursed for the actual cost of GPS equipment purchased as outlined in Paragraph S.C. of this Contract and Section Bill of the Scope of Services up to the amount specified in each Task Assignment Notification Form and Change Order. Any equipment purchased over$ 1, 000.00 will be the property of DEP and must be pre-authorized by DEP. Other equipment purchase requirements are specified in Paragraph 27, Section A through E of this contract Attachment F( Property Reporting Form) will be*used to list all equipment purchased under this contract
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
DEP Contract No. GW283, Attachment D- 1, Page 2 of 2
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