CN-370000-HW553-CS15BCO1.pdf
PDF 485 KB Posted
- Contract number
- HW553
- Issued by
- Florida
About this file
This document is a Task Assignment Notification Change Order Form (Change Order No. 1) issued by the Florida Department of Environmental Protection (DEP) under Contract No. HW553. The contractor is Ecology & Environment, Inc., represented by Steven Elliott, with DEP Contract Manager Carrie L. Kruchell, P.G. The work is being performed at Don's Auto Recycling, Inc., located at 3141 Sharpe Rd., Apopka, Orange County, Florida (Facility ID: COM_196708). The task assignment (CSS-15B) was originally issued under Module CERSI and Grant CER17.
The primary deliverable is a Site Inspection Report with a final due date of May 10, 2018. This change order, requested by E&E on March 6, 2018, increases the task amount by $1,726.32 to cover additional materials, personnel changes, well abandonment work, sample shipping costs, and project management expenses. The task amount prior to the change order was $34,055.84, bringing the total task amount with all change orders to $35,782.16. The invoice schedule allocates payments as follows: $13,492.06 upon FDEP approval of Site Inspection Field Notes Mobilization 1, $14,417.88 upon approval of Mobilization 2 field notes, and $7,872.22 upon approval of the final Site Inspection Report. The completion date remains June 11, 2018 with no change in task period. The work is structured as a fixed-price contract with no fee schedule or cost reimbursement components.
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Text version
BWC TAFORM 08/14
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
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 (MS93) Section Representative _____
FIXED PRICE
TASK ASSIGNMENT NOTIFICATION CHANGE ORDER FORM
ITEM
Final Deliverable Due Date:
CHANGE IN TASK TIME
FEE SCHEDULE
COST PLUS FIXED FEE
TOTAL
HW553
CSS-15B 1
Ecology & Environment, Inc.
Steven Elliott 850-523-0954
Carrie L. Kruchell, P.G. (850) 245-8765
Don's Auto Recycling, Inc.
COM_196708
Per E&E's 03/06/18 request, this change order will increase the costs associated with additional materials. It will also cover increased costs for personnel changes as well as additional work necessary for well abandonment. Costs for shipping samples and project management also increased.
Site Inspection Report 05/10/2018
$ 34,055.84 $ 0.00 $ 0.00 $ 0.00
$ 34,055.84 $ 0.00 $ 0.00 $ 0.00
$ 1,726.32 $ 0.00 $ 0.00 $ 0.00
06/11/2018
06/11/2018
06/11/2018
$ 34,055.84
$ 34,055.84
$ 1,726.32
$ 35,782.16 $ 0.00 $ 0.00 $ 0.00 $ 35,782.16
Padraic Conner Digitally signed by Padraic Conner Date: 2018.03.26 12:51:41 -04'00'
Carrie Kruchell Digitally signed by Carrie Kruchell Date: 2018.03.26 13:30:16 -04'00'
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2018.03.26 15:03:25 -04'00'
Steven Elliott Digitally signed by Steven Elliott Date: 2018.03.27 10:40:41 -04'00'
Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment
BWC TAFORM 2/03
Contract Number:
Task Assignment #:
Change Order #:
Deliverables:
Deliverable Deliverable Due Date
Invoice Schedule:
Requirements for Invoice Submittal Amount to be Invoiced
TOTAL COST
HW553
CSS-15B
$ 35,782.16
Site Inspection Field Notes: Mob 1
Site Inspection Field Notes: Mob 2
Site Inspection Report
FDEP Approval of Site Inspection Field Notes; Mob 1 (Subtask 2)
FDEP Approval of Site Inspection Report (Subtask 1 & 4)
FDEP Approval of Site Inspection Field Notes: Mob 2 (Subtask 3)
02/06/2018
03/12/2018
05/10/2018
$ 14,417.88
$ 13,492.06
$ 7,872.22
| 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 .