CN-370000-GW387-PRP2.pdf

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Attached to
Master Agreement FL|GW387|7759409cabfe8e3e70605dd00fbd3b19
Contract number
GW387
Issued by
Florida

About this file

This document is a Task Assignment (TA-PRP-2) issued under Contract GW387 between the State of Florida Department of Environmental Protection (Department) and the Florida Department of Health (Contractor). The Task Assignment, effective through December 31, 2024, establishes the scope and payment terms for administrative and field services related to potable well survey and sampling activities. Robert Perlowski serves as the Department Project Manager, while Mike Berry represents the Contractor as the Project Manager. The project location is Tallahassee, Florida.

The Contractor will provide comprehensive potable well survey and sampling services according to the detailed scope of work outlined in Attachment 1. Compensation is structured on both a fixed unit rate basis of $62,411.00 and a cost reimbursement basis of $91,500.00, for a total Task Assignment value of $153,911.00. The funding is allocated from Org Code 450401000 (JC 131545, Budget Entity 37450300, Appropriation Category 104132) for Fiscal Year 2024. Services include locating potable wells within specified distances of contamination risk sources, collecting water samples, obtaining GPS coordinates, conducting laboratory analysis, preparing well survey reports with maps, and providing documentation of sampling activities. The scope encompasses routine surveys, confirmation sampling, follow-up sampling, re-sampling requests, updated surveys, complaint investigations, and specialized projects as assigned through change orders. The Department Lab will conduct analytical testing on collected samples at no charge to the Contractor.

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Text version

Funding Information:

Org. Code E.O.

Object Code

Budget Entity Appropriation

Category Grant # Project # Year Amount

Additional Funding Information attached on separate page.

Rev. 8/26/2020

STATE OF FLORIDA

DEPARTMENT OF ENVIRONMENTAL PROTECTION

Task Assignment This Task Assignment (TA) is entered into between the Parties named below, pursuant to Contract Number: .

1. TA Number: TA Completion Date:

TA Description:

2. Parties State of Florida Department of Environmental Protection

(Department)

Department Project Manager: Department Project Manager Phone:

Contractor Name: (Contractor ) ntractor’st ’s Project Manager: ontractor’s t’s Project Manager Phone:

3. Project Number:

(If different from TA Number)

Project Location(s):

Project Name:

4. As consideration for the services rendered by Contractor under the terms of this TA, the Department shall pay the Contractor on the following bases, up to the Total TA Value as indicated below:

Fixed Price:

Fixed Unit Rate: (Extended Price)

Cost Reimbursement:

Total TA Value:

5. The Parties agree to comply with the terms and conditions of the underlying the Contract, and the following attachments which are hereby incorporated by reference:

Attachment 1:

Additional Attachments (if necessary):

IN WITNESS WHEREOF, this TA shall be effective on the last date signed below.

State of Florida Department of Environmental Protection

CONTRACTOR Department

Name:

Title: Secretary or Designee

(Authorized Signature) (Authorized Signature)

Date:

Additional signatures attached on separate page.

GW387

PRP-2 December 31, 2024

The Contractor will provide administrative staff and services to the Department according to Contract GW387. Please see the attached pages for itemized Tasks.

Robert Perlowski 8502458917 Florida Department of Health

Mike Berry 8509016486

Tallahassee Florida

Potable Well Survey and Sampling

$ 62,411.00

$ 91,500.00

$ 153,911.00

Scope of Work

Florida Department of Health

Mike Berry

OMC Manager

6/24/2024

Tim Bahr Digitally signed by Tim Bahr Date: 2024.06.24 12:19:16 -04'00'

450401000 JC 131545 37450300 104132 GW387 00 $ 153,911.00

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ATTACHMENT

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