CN-370000-HW552-DC06MCO1.pdf
PDF 700 KB Posted
- Contract number
- HW552
- Issued by
- Florida
About this file
This document is a Task Assignment Change Order No. 1 for Florida Department of Environmental Protection (FDEP) Contract No. HW552, Task Assignment DC006M, issued on December 28, 2020. The parties involved include the FDEP, the contractor Professional Service Industries (PSI), represented by Nana Westmark, and the project site at Priceless Dry Cleaners located at 220 N Orlando Avenue, Winter Park, Orange County, Florida (ERIC_5015). The contract manager is Killian Talley with phone number 850-245-8928.
The change order extends the task completion date by four months from the original deadline of December 31, 2020, to April 30, 2021, to allow adequate time for completion of the design document and ongoing discussions between the FDEP and contractor. The deliverable is an Interim Source Removal Work Plan with a revised due date of February 26, 2021. There is no change in the total cost associated with this change order; the fixed price task assignment remains $9,460.89, representing 88 labor hours. The contractor may invoice upon FDEP receipt and approval of the Interim Source Removal Work Plan according to the Deliverables and Invoice Schedule Attachment. The change order was executed by Killian Talley (DEP Task Manager and Contract Manager), William E. Burns, Jr. (Contractual Authority), and Nana G Westmark (Contractor Representative).
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Text version
DEP CONTRACT NO.
Task Assignment #: Change Order No.:
Contractor Name:
Contractor Representative:
DEP Contract Manager: Phone #:
Site Name:
Site ID / Facility ID::
Description of Change [use additional pages if necessary]:
The Deliverable and Invoice Schedule is attached.
Final Deliverable:
TASK ASSIGNMENT TYPE AND NOT TO EXCEED AMOUNTS:
Cost Reimbursement Fixed Fee
Original Task Amount
Task Amount Prior to this Change Order Net Increase/decrease in task amount Task amount with all change orders $0.00 $0.00 $0.00 $0.00
Original Task Completion Date:
Completion Date Prior to this Change:
Net Increase/Decrease in Task Period:
Completion Date with all Change Orders:
DEP Task Manager:
DEP Contract Manager:
Contractual Authority:
Contractor Representative:
CC: Procurement Section (MS 93) Section Representative ________
FIXED PRICE
TASK ASSIGNMENT NOTIFICATION CHANGE ORDER FORM
ITEM
$0.00
$0.00
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).
Final Deliverable Due Date:
$0.00
$0.00
CHANGE IN TASK TIME
FEE SCHEDULE
COST PLUS FIXED FEE
TOTAL
WCP TAFORM 01_18
HW552
1DC006M
Professional Service Industries (PSI)
Nana Westmark
850-245-8928Killian Talley
Priceless Dry Cleaners
ERIC_5015
This Task Assignment Change Order extends the task completion date to allow adequate time for completion of design document and discussion between Department and Contractor.
There is no change in the total cost related to this change order.
Interim Source Removal Work Plan 02/26/2021
$ 9,460.89 $ 0.00 $ 0.00 $ 0.00
$ 9,460.89 $ 0.00 $ 0.00 $ 0.00 $ 9,460.89
$ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00
$ 9,460.89
12/31/2020
12/31/2020
4 month
04/30/2021
Killian Talley Digitally signed by Killian Talley Date: 2020.12.28 10:48:54 -05'00'
Killian Talley Digitally signed by Killian Talley Date: 2020.12.28 10:49:02 -05'00'
William E. Burns, Jr. Digitally signed by William E. Burns, Jr.
Date: 2020.12.28 12:26:17 -05'00'
Nana G Westmark Digitally signed by Nana G Westmark Date: 2020.12.28 14:08:16 -05'00'
$ 9,460.89 $ 0.00 $ 0.00 $ 0.00
$ 9,460.89
Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment
WCP TAFORM 01_18
Contract Number:
Task Assignment #:
Change Order #:
Deliverables:
Deliverable Deliverable Due Date
Invoice Schedule:
Requirements for Invoice Submittal Amount to be Invoiced
TOTAL COST
HW552
DC006M
$ 9,460.89
Subtasks 1-2: Submittal of Interim Source Removal Work Plan
Subtasks 1-2: FDEP receipt and approval of Interim Source Removal Work Plan
02/26/2021
$ 9,460.89
Florida Department of Memorandum Environmental Protection
Printed on recycled paper.
To: HW552 Contract Negotiation File Priceless Dry Cleaners Winter Park, Orange County
ERIC_5015
From: Killian Talley, Project Manager Date: December 28, 2020 Subject: Negotiation Summary
HW552 DC006M-1
This Task Assignment Change Order extends the deliverable and task completion due dates in order to allow additional time for document submittal and communications between the Department and Contractor. Previously the contractor had been discussing site reconstruction activities with the real property owner. Interim Source Removal Work Plan was based on assumption that the building on source property would be removed.
There is no cost change related to this change order.
The FDEP project manager agrees to the scope of work and final cost associated with this Task Assignment Change Order. The final cost for this Task Assignment Change Order is $9,460.89 with 88 labor hours.
PSI may invoice following the schedule established in the Deliverables and Invoice Schedule Attachment, which accompanies the Task Assignment Notification Form.
| Task Assignment CHANGE ORDER |
| BWC Task Assignment Change Order Form (Rev 02-17).pdf |
| Task Assignment CHANGE ORDER |
| 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 .