CN-370000-GW387-PET19.pdf
PDF 712 KB Posted
- Contract number
- GW387
- Issued by
- Florida
About this file
This is a Task Assignment Form (PET 19) issued by the Florida Department of Environmental Protection (FDEP) under Contract GW387. The assignment was executed on January 31, 2020, between FDEP and the Florida Department of Health (DOH), with Robert Perlowski serving as the FDEP Task Manager and Mike Berry representing DOH as the Contractor Representative.
The task requires DOH to provide administrative services and perform statewide Potable Well Surveys and Sampling for the Petroleum Restoration Program. Deliverables include surveys of up to 800 potable wells at $225.00 each ($180,000.00 total), 1,000 sampling events at $95.00 each ($95,000.00 total), and 500 out-of-county units at $25.00 each ($12,500.00 total). The task is valued at $501,424.00 on a cost reimbursement basis with a scheduled performance period from February 3, 2020, through June 30, 2020. DOH is required to submit monthly invoices and all deliverables and documentation in accordance with Tasks 1-9 and Attachment A (Scope of Work) for Contract GW387. The form specifies performance measures requiring work to be performed consistent with professional standards and includes financial consequences whereby unsatisfactory deliverables must be re-performed at no additional cost within thirty days, or the Department may suspend payments or terminate the contract.
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Text version
Florida Department of Environmental Protection
TASK ASSIGNMENT FORM
Required Signatures: Adobe Signature
FDEP Contract No: Task Assignment No: Date: DEP Task Manager:
Project:
Contractor Name:
Contractor Representative: Phone: Email:
FDEP Contract Manager: Phone: Email:
Task Description:
Deliverables:
Performance Measures:
Financial Consequences:
Florida Department of Environmental Protection
TASK ASSIGNMENT FORM
Schedule:
Start Date: Completion Date:
Fixed Price Cost: Cost Reimbursement not to exceed:
Total Task Value:
1._________________________________
, FDEP
2._________________________________
, FDEP
3. _________________________________ Budget Representative, FDEP
4. _________________________________ Contractor, Contract Manager
5. _________________________________ Contract Authority, FDEP
Signatures and Date:
Signature
Signature
Signature
Signature
Signature
Date
Date
Date
Date
Date
Encumbrance Information:
Budget Entity
Project Org Code Category Fund Object Code
EO Amount
Total:
2/3/2020
02/03/2020
File details come from the government source that posted it. Updated .