CN-370000-HW552-DC01K.pdf
PDF 137 KB Posted
- Contract number
- HW552
- Issued by
- Florida
About this file
This is a Task Assignment Notification Form under DEP Contract No. HW552, issued by the Florida Department of Environmental Protection (FDEP). The task assignment, designated as DC001K, involves Professional Service Industries, Inc. (PSI) as the contractor. Key personnel include Nana Westmark as the contractor representative and Killian Talley as the DEP contract manager. The task assignment authorizes PSI to address critical issues at multiple Hazardous Waste Cleanup Section sites on an as-needed basis, with no specific geographic limitations noted.
The task assignment is structured as a fixed-price contract with a total value of $2,500.00 and no retainage. The sole deliverable is documentation of completed site activities, with a due date of December 9, 2021. Invoice payment of $2,500.00 is contingent upon FDEP receipt and approval of the completed site activities. The period of performance extends through the same final deliverable due date of December 9, 2021. All required signatures were executed digitally on June 3, 2021, indicating the task assignment became effective on that date.
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Text version
DEP CONTRACT NO.
Task Assignment #: Module #: Grant #:
Contractor Name:
Contractor Representative:
DEP Contract Manager: Phone #:
DEP Site #:
Site Name:
Address(Street, City, County):
Phase:
Task Description [use additional pages if necessary]:
The Deliverable and Invoice Schedule is attached.
Final Deliverables:
Final Deliverable Due Date:
TASK ASSIGNMENT TYPE AND NOT TO EXCEED AMOUNTS:
FIXED FEE
RETAINAGE:
TOTAL TASK ASSIGNMENT VALUE: $0.00
DEP Task Manager:
DEP Contract Manager:
Contractual Authority:
Contractor Representative:
CC: Procurement Section (MS 93) Section Representative ________
TASK ASSIGNMENT NOTIFICATION FORM
COST PLUS FIXED FEE
COST REIMBURSEMENT
FIXED PRICE FEE SCHEDULE
Period of Performance:
Execution of Task Assignment through:
DEP will review the deliverables to verify that they meet the specifications of this contract and task description. DEP’s Contract Manager shall notify the Contractor of any deficiencies in the deliverable(s) and shall give the Contractor reasonable opportunity to correct noted deficiencies and provide a revised deliverable(s).
WCP TAFORM 01_18
HW552
D000 N/ADC001K
Professional Service INdustires, Inc. (PSI)
Nana Westmark
850-245-8928Killian Talley
Multiple
Multiple
Multiple
Critical Response
Task Assignment authorizes PSI to address critical issues at Hazardous Waste Cleanup Section sites on an as-needed basis.
Completed Site Activities
12/09/2021
12/09/2021
$ 2,500.00 $ 0.00 $ 0.00 $ 0.00
$ 0.00
Killian Talley Digitally signed by Killian Talley Date: 2021.06.03 11:39:26 -04'00'
Killian Talley Digitally signed by Killian Talley Date: 2021.06.03 11:39:32 -04'00'
William E. Burns, Jr. Digitally signed by William E. Burns, Jr.
Date: 2021.06.03 13:17:50 -04'00'
Nana Westmark Digitally signed by Nana Westmark Date: 2021.06.03 15:22:18 -04'00'
$ 2,500.00
Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment
WCP TAFORM 04-2017
Contract Number:
Task Assignment #:
Deliverables:
Deliverable Deliverable Due Date
Invoice Schedule:
Requirements for Invoice Submittal Amount to be Invoiced
TOTAL COST
Documentation of completed site activities 12/09/2021
FDEP receipt and approval of completed site activities $ 2,500.00
$ 2,500.00
HW552
DC001K
Florida Department of Memorandum Environmental Protection
Printed on recycled paper.
To: HW552 Contract Negotiation File From: Killian Talley, Project Manager Date: June 3, 2021 Subject: Negotiation Summary
HW552 DC001K
Under this Task Assignment PSI will respond to critical issues at Hazardous Waste Cleanup sites on an as-needed basis.
| Task Assignment Notification |
| BWC Task Assignment Form (Rev 02_17).pdf |
| Task Assignment Notification |
| BWC Task Assignment Form - Page 2 (Rev 08_10) - Rev 1.pdf |
| Deliverable & Invoice Schedule |
File details come from the government source that posted it. Updated .