CN-370000-GW283-TOX8.pdf

This is a Revised Task Assignment Notification Form for DEP Contract No. GW283, executed on April 28, 2016. The document involves the Florida Department of Health as the contractor, with Michael Berry serving as the Contractor Contract Coordinator and Cherlea Coultles as the DEP Contract Manager. The task assignment is designated as TOX8 and covers the performance period from July 1, 2016, through June 30, 2017. The document was approved by Jessica Kleinfelter as Contractual Authority and signed by the Procurement Section Funding Authority on June 30, 2016.

The task assignment pertains to administrative services for annual cost reimbursement in the amount of $219,433.00 for the Certification and Restoration Program, with quarterly invoicing required and applicable backup documentation. The task assignment type is designated as Cost Reimbursement with a total value not to exceed $204,433.00. Funding is allocated across three organizational codes: $75,000 from Code 37_352040000 (Fund ID FDB, Object Code 139950, Module 8249), $119,433 from Code 37_352040000 (Fund ID WOATE, Object Code 139950, Module 8249), and $10,000 from Code 37_352040000 (Fund ID IPTF, Object Code 139950, Module 104132). The contractor is not authorized to perform any services that exceed the FY15/16 fiscal year amount.