CN-370000-GW387-WC02.pdf

PDF 638 KB Posted

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

About this file

This is a Task Assignment Form issued by the Florida Department of Environmental Protection (FDEP) under an indefinite delivery contract vehicle. The document establishes a specific task order (WC-02) under FDEP Contract No. GW387 between FDEP and the Florida Department of Health (DOH). The assignment was executed on May 20, 2020, with task manager Brian Dougherty overseeing the effort on behalf of FDEP and contractor representative Mike Berry representing DOH.

The task requires DOH to provide administrative services and conduct potable well surveys and sampling activities for the Waste Cleanup Program. Pricing is structured on a tiered, fixed-unit basis: surveys up to 10 surveys (1-2 mile distance) at $225 each, up to 15 surveys (1-2 mile distance) at $420 each, up to 10 surveys (greater than 2 mile distance) at $630 each, up to 5 surveys at $1,120 each, and samples at $95 per unit up to 1,500 samples, with out-of-county services at $25 per unit up to 300 units. Administrative services are capped at $60,321.00. The task runs from July 1, 2020, through June 30, 2021, with a total authorized amount of $231,027.00 on a cost-reimbursement basis. DOH must submit monthly invoices and all deliverables in accordance with the rate schedule outlined in Attachment B and the scope of work in Attachment A. Performance standards require work to be executed at professional quality standards, with unsatisfactory deliverables subject to re-performance at no additional cost within 30 days or potential contract termination.

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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:

6/30/2020

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