CN-370000-GW387-TOX18CO2.pdf
PDF 211 KB Posted
- Contract number
- GW387
- Issued by
- Florida
About this file
This is a Revised Task Assignment Change Order Form (Change Order 2) for DEP Contract No. GW387 between the Florida Department of Health (contractor) and the Florida Department of Environmental Protection (DEP). The task assignment number is TOX18, effective July 1, 2021, with contract managers Robert Perlowski and Lauren Coleman representing DEP, and Michael Berry representing the Florida Department of Health. The task assignment period runs through June 30, 2022.
The contractor shall provide administrative services and perform statewide potable well surveys and sampling for the Water Supply Restoration Funding Program under a cost reimbursement fee schedule. Specific deliverables include 25 potable well surveys at $225.00 each ($5,625.00), 2,000 sampling events at $95.00 each ($190,000.00), 48 multiple samples at $110.00 each ($5,280.00), 602 out-of-county events at $25.00 each ($15,050.00), 8 field assistance units at $50.00 each ($400.00), and 550 GPS well points at $15.00 each ($8,250.00). The total task assignment value is $362,234.81, funded from three sources: $146,792.00 from Fund ID 780001 Object Code 139900, $144,942.81 from Fund ID 780001 Object Code 139900, and $70,500.00 from Fund ID 212001 Object Code 139900. Support services are compensated on a cost reimbursement basis including staff salary, employee benefits, 5% indirect costs, and overhead expenses, invoiced quarterly within twelve business days of quarter end.
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Text version
REVISED TASK ASSIGNMENT CHANGE ORDER FORM
DEP CONTRACT NO. GW387 CHANGE ORDER 2
Task Assignment Number: TOX18 Date: __7/1/21_____________________________
Contractor: Florida Department of Health
Contractor Representative: Michael Berry, OMC Manager, Florida Department of Health
DEP Contract Manager: Robert Perlowski, Florida Department of Environmental Protection
DEP Contract Manager: Lauren Coleman, P.E. Florida Department of Environmental Protection
Task Description: In accordance with DEP Contract GW387 the contractor shall provide Administrative Services not exceeding $ and perform state-wide Potable Well Surveys and Sampling not exceeding $224,60 .00 as specified in Attachment B (Rate Schedule) for one year at a cost reimbursement fee schedule. The contractor is not authorized to perform any services that exceed this funding amount for FY21/22. The contractor will perform 25 potable well surveys at $225.00 each for a total of $5,625.00, 2000 sampling events at $95.00 each for a total of $190,000.00, 48 Multiple Samples at
110.00 each for a total of $5,280.00, 602 Out of County events at 25.00 each for a total of $15,050.00, 8 Field Assistance (units) at $50.00 each for a total of $400.00, 550 GPS Well Points at $15.00 each for a total of $8,250.00 for the Water Supply Restoration Funding Program
Deliverables: When work Is performed, Deliverables are due as described In Tasks 1-10 of Contract GW387.
Performance Measures: All work must be in accordance with the Standard Operating Procedures, terms, and conditions of Contract GW387. The Contractor represents that Its services shall be performed in a manner consistent with the level of care and skill ordinarily exercised by other professional consultants under similar circumstances at the time the services are performed.
Financial Consequences: Failure to implement any of the terms and conditions of this Task Assignment shall be considered a breach of contract and shall subject the Contractor to cancellation of this Task Assignment, loss of payment, or termination of the Contract.
Period of Performance: Execution of Task Assignment through June 30, 2022.
TASK ASSIGNMENT TYPE AND NOT TO EXCEED AMOUNTS:
TOTAL TASK ASSIGNMENT VALUE $
Funding Information:
Org Code EO Fund ID Object Code
Module BE Category Grant# Year Amount
ZE 8249 104134 NA 20/21 $1 .00
ZB 8249 101492 NA 20/21 $1
JC NA 104132 NA 20/21 $70,500.00
FLORIDA DEPARTMENT OF HEALTH FLORIDA DEPARTMENT OF
EVIRONMENTAL PROTECTION
DOH Contract Manager Date DEP Contract Manager Date
APPROVED:
Budget Authority Date
Contractual Authority Date
FEE SCHEDULE COST REIMBURSEMENT
Cost Reimbursement $
6/17/2021
Trina Vielhauer Digitally signed by Trina Vielhauer Date: 2021.06.18 11:00:25 -04'00'
Jennifer Vickers Digitally signed by Jennifer Vickers Date: 2021.06.18 12:40:14 -04'00' 6/18/2021
6/18/2021
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