CN-370000-HW555-DC01ACO9.pdf
PDF 1 MB Posted
- Contract number
- HW555
- Issued by
- Florida
About this file
This document is a Task Assignment Notification Change Order Form for the Florida Department of Environmental Protection (DEP) contract HW555. The contract involves GHD Services, Inc. as the contractor, with Brian Moore serving as the Contractor Representative and Billy Hessman as the DEP Contract Manager. The change order is identified as Change Order No. 9 for Task Assignment DC001A. This change order was executed on November 23-24, 2020, and is effective through the remaining duration of the HW555 contract.
Change Order No. 9 extends the final deliverable due date and task completion date by six months, from December 9, 2020, to June 9, 2021, to provide critical response through the contract's remaining duration. The change order reconciles Work Change Directives (WCDs) #10 and #11 which authorized costs for hurricane response actions associated with Hurricane Dorian. The total task amount remains unchanged at $14,792.80, with no cost increase associated with this time extension. The deliverables include documentation of completed site activities related to multiple hurricane preparedness and response efforts, including system shutdowns before Hurricanes Isaac, Erika, Colin, Hermine & Matthew, and Hurricane Irma, as well as property inventory documentation, post-hurricane condition assessments, and hurricane response documentation. The invoice schedule shows that the total cost of $14,792.80 has been distributed across multiple tasks, with most amounts previously invoiced and a final payment of $2,500.00 due upon approval of the documentation of completed site activities.
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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
HW555
9DC001A
GHD Services, Inc.
Brian Moore
850-245-8972Billy Hessman
N/A
N/A
This Task Assignment Change Order extends the final deliverable due date and task completion date 6 months to provide critical response through the remaining contract duration. No change in cost is associated with this Change Order.
Documentation of Completed Site Activities 06/09/2021
$ 2,500.00 $ 0.00 $ 0.00 $ 0.00
$ 14,792.80 $ 0.00 $ 0.00 $ 0.00 $ 14,792.80
$ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00
$ 14,792.80
12/09/2015
12/09/2020
6 months
06/09/2021
Billy Hessman Digitally signed by Billy Hessman Date: 2020.11.23 08:45:22 -05'00'
Billy Hessman Digitally signed by Billy Hessman Date: 2020.11.23 08:45:29 -05'00'
William E. Burns, Jr. Digitally signed by William E. Burns, Jr.
Date: 2020.11.24 08:08:49 -05'00'
Brian Moore Digitally signed by Brian Moore Date: 2020.11.24 09:13:47 -05'00'
$ 14,792.80 $ 0.00 $ 0.00 $ 0.00
$ 2,500.00
Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment
Contract Number:
Task Assignment #:
Change Order #:
Deliverables Schedule:
Deliverable Deliverable Due Date
BWC TAFORM 01_18
Completed
Completed
Completed
Completed
Completed
Completed
Completed
Completed
HW555
DC001A
Documentation of Completed Site Activities
Documentation of system shutdown before Isaac
Documentation of system shutdown before Erika
Documentation of system shutdown before Colin
Documentation of system shutdown before Hermine & Matthew
Documentation of system shutdown before Hurricane Irma
Property Inventory Spreadsheet with Hurricane Preparedness Checklist
Documentation of site conditions after Hurricane Michael
Documentation of hurricane response for Hurricane Dorian
6/9/21
WCP TACO Form (02-2019)
Contract Number:
Task Assignment #:
Change Order #:
Invoice Schedule:
Requirements for Invoice Submittal Amount to be Invoiced
TOTAL COST $0.00
HW555
DC001A
WCP TACO Form (02-2019)
Task 2: Approval of documentation of completed site activities $ 2,500.00
Tasks 1, 3, & 4: Approval of documentationof completed site activities - Previously Invoiced
Tasks 1 & 5: Approval of documentation of completed site activities - Previously Invoiced
Tasks 1 & 6: Approval of documentation of completed site activities - Previously Invoiced
Tasks 1 & 7: Approval of documentation of completed site activities - Previously Invoiced
Tasks 1 & 8: Approval of documentation of completed site activities - Previously Invoiced
Tasks 1 & 9: Approval of documentation of completed site activities - Previously Invoiced
Tasks 1 & 10: Approval of documentation of completed site activities - Previously Invoiced
Tasks 1, 11, & 12: Approval of documentation of completed site activities - Previously Invoiced
$ 477.54
$ 1,269.64
$ 3,516.98
$ 2,273.88
$ 806.54
$ 750.21
$ 1,732.75
$ 1,465.26
$ 14,792.80
FLORIDA DEPARTMENT OF
Environmental Protection
Bob Martinez Center
2600 Blair Stone Road Tallahassee, FL 32399-2400
Ron DeSantis Governor
Jeanette Nuñez
Lt. Governor
Noah Valenstein Secretary
To: HW555 Contract File
From: Billy Hessman, Contract Manager
Date: November 20, 2020
Subject: Negotiation Summary for Critical Response
HW555 DC001A
Change Order #9
Task Assignment Change Order DC001A-9 extends the final deliverable due date and task completion date 6 months to go through the duration of the HW555 contract.
The final cost total for Task Assignment DC001A-9 remains $14,792.80.
| 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 .