CN-370000-GW387-T33DC.pdf

PDF 790 KB Posted

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

About this file

This is a Task Assignment Form (Task Assignment No. 33DC) issued by the Florida Department of Environmental Protection (FDEP) under Contract GW387. The document establishes a task order between FDEP and 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 was assigned on July 1, 2020, with a completion date of June 30, 2021, under the direction of DEP Task Manager Doris Brown.

The task requires DOH to provide administrative services and conduct state-wide potable well surveys and sampling for the Drycleaning Cleanup Program. The scope includes administrative services at a cost of $36,493.00, up to 348 potable well surveys at $225.00 each totaling $78,300.00, and 248 sampling events at $95.00 each totaling $23,560.00. The total task value is $139,878.00, with compensation provided on a fixed rate/cost reimbursement basis according to the Rate Schedule in Attachment B. All deliverables and documentation must comply with Tasks 1-9 and Attachment A (Scope of Work) for Contract GW387. Performance measures require work to be executed with professional-level care and skill, with the task manager reviewing deliverables for compliance. Financial consequences include mandatory re-performance of unsatisfactory deliverables within 30 days at no additional cost, 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 06/09/2020

06/29/2020Monica J. Brady

6/30/2020 Teresa Booeshaghi

Booeshaghi_T Underline

File details come from the government source that posted it. Updated .