CN-370000-GW387-TOX18CO3.pdf
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- Contract number
- GW387
- Issued by
- Florida
About this file
This is a Revised Task Assignment Change Order (Change Order 3) for DEP Contract No. GW387, executed on June 7, 2022, between the Florida Department of Health (contractor) and the Florida Department of Environmental Protection (contracting agency). The contracting parties are represented by Michael Berry (OMC Manager, Florida Department of Health) and Robert Perlowski and Lauren Coleman (Florida Department of Environmental Protection). The task assignment number is TOX18, and the performance period extends through June 30, 2022.
The contractor shall provide administrative services not exceeding $137,629.81 and perform state-wide potable well surveys and sampling services not exceeding $274,805.00 under a cost reimbursement fee schedule for the Water Supply Restoration Funding Program. Specific deliverables include 25 potable well surveys at $225.00 each ($5,625.00), 2,500 sampling events at $95.00 each ($237,500.00), 68 multiple samples at $110.00 each ($7,480.00), 622 out-of-county events at $25.00 each ($15,550.00), 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 $412,434.81. Funding is allocated across three funding sources: $146,792.00 (EO Fund ID 780001, Grant 104134), $195,142.81 (ZB Fund ID 780001, Grant 101492), and $70,500.00 (JC Fund ID 212001, Grant 104132), all for fiscal year 2021/22.
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Text version
REVISED TASK ASSIGNMENT CHANGE ORDER
FORM DEP CONTRACT NO. GW387 CHANGE ORDER 3
Task Assignment Number: TOX18 Date: __6/7/22_____________________________
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 $137,629.81 and perform state-wide Potable Well Surveys and Sampling not exceeding $274,805.00 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, 2500 sampling events at $95.00 each for a total of $237,500.00, 68 Multiple Samples at
110.00 each for a total of $7,480.00, 622 Out of County events at 25.00 each for a total of $15,550.00, 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
37220201001 ZE 780001 139900 8249 104134 NA 21/22 $146,792.00
37220201001 ZB 780001 139900 8249 101492 NA 21/22 $195,142.81
37220201001 JC 212001 139900 NA 104132 NA 21/22 $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 $412,434.81
Digitally signed by Michael Berry DN: C=US, OU=Bureau of Environmental Health, O=Florida Department of Health, CN=Michael Berry, E=michael.berry@flhealth.gov Reason: I am approving this document Location: your signing location here Date: 2022.06.08 11:26:41-04'00' Foxit PDF Reader Version: 11.2.1
Michael Berry Robert Perlowski Digitally signed by Robert Perlowski Date: 2022.06.08 14:06:56 -04'00'
Jessica Madden Digitally signed by Jessica Madden Date: 2022.06.08 16:07:14 -04'00'
Angela Knecht Digitally signed by Angela Knecht Date: 2022.06.08 16:38:48 -04'00'
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| FY 20-21 Proposal |
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