CN-370000-GW387-T32DC.pdf
PDF 683 KB Posted
- Contract number
- GW387
- Issued by
- Florida
About this file
This is a Task Assignment Form issued by the Florida Department of Environmental Protection (FDEP) on February 3, 2020, under Contract GW387. The assignment involves the Florida Department of Health (DOH) as the contractor, with Mike Berry serving as the contractor representative and Robert Perlowski as the FDEP Contract Manager. The task is designated as Assignment No. 32DC and is managed by FDEP Task Manager Doris Brown.
The task requires DOH to provide administrative services and conduct a statewide potable well survey and sampling program for the Drycleaning Cleanup Program. The scope includes administrative services at a cost of $75,000.00, up to 250 potable well surveys at $217.00 each (totaling $54,250.00), and 450 sampling events at $93.00 each (totaling $41,850.00), for a combined task value of $171,000.00. All deliverables and documentation must comply with Tasks 1-9 and Attachment A (Scope of Work) of Contract GW387, with monthly invoicing and fixed rate reimbursement per Attachment B. The task commenced on February 3, 2020, with a completion date of June 30, 2020. Performance measures require work to be executed consistent with professional standards, with the Department Task Manager reviewing deliverables for compliance. Financial consequences include mandatory re-performance of unsatisfactory work at no additional cost within 30 days, or potential contract termination for failure to perform.
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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:
Michael Berry
Teresa Booeshaghi 02/05/2020
BerryMS Typewriter 2/5/2020
File details come from the government source that posted it. Updated .