CN-370000-HW554-DC01J.pdf

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Attached to
Master Agreement FL|HW554|b8491b6aee5cca18e2fd02a5beae48f4
Contract number
HW554
Issued by
Florida

About this file

This is a Task Assignment Notification Form issued by the Florida Department of Environmental Protection (DEP) under DEP Contract No. HW554. The task assignment (DC001J) is issued to APTIM, with Eric Kramer, P.E. serving as the contractor representative and Melissa A Walsh as the DEP Contract Manager. The assignment covers multiple DEP sites in the Hazardous Waste Cleanup Section and is designated for the Critical Response phase of work.

The task assignment is structured as a fixed price contract with a total value of $2,500.00 and no retainage. APTIM is tasked with addressing critical issues at hazardous waste cleanup section sites on an as-needed basis. The primary deliverable is documentation of completed site activities, due by December 31, 2021. Payment authorization requires FDEP approval of the documentation of completed site activities, at which point the full $2,500.00 amount becomes invoiceable. The period of performance extends through December 31, 2021. The task assignment was executed on June 1-2, 2021, with digital signatures from all required parties including the DEP Task Manager, Contract Manager, Contractual Authority (William E. Burns, Jr.), and contractor representative.

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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

HW554

D000 N/ADC001J

APTIM

Eric Kramer, P.E.

(850)-245-8960Melissa A Walsh

Multiple

Multiple

Multiple

Critical Response

APTIM will address critical issues at Hazardous Waste Cleanup Section sites on an as-needed basis.

Completed Site Activities

12/31/2021

12/31/2021

$ 2,500.00 $ 0.00 $ 0.00 $ 0.00

$ 0.00

Melissa Walsh Digitally signed by Melissa Walsh Date: 2021.06.01 14:44:42 -04'00'

Melissa Walsh Digitally signed by Melissa Walsh Date: 2021.06.01 14:44:51 -04'00'

William E. Burns, Jr. Digitally signed by William E. Burns, Jr.

Date: 2021.06.02 07:23:57 -04'00'

Kramer, Eric K Digitally signed by Kramer, Eric K Date: 2021.06.02 13:02:25 -04'00'

$ 2,500.00

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

WCP TAFORM 01-2018

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 12/31/2021

FDEP approval of documentation of completed site activities $ 2,500.00

$ 2,500.00

HW554

DC001J

Copy of DC007G est.pdf
Cost Estimate
2-Quarterly #1
2-Quarterly #2
3-SRCR Rpt
Bid Quotes IDW (002).pdf
IDW Bid Summary
EQ
Clark Quote
ER Quote

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