CN-370000-HW556-BF08B.pdf

WCP TAFORM 04-2017

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 Deliverable:

Final Deliverable Due Date:

TASK ASSIGNMENT TYPE AND NOT TO EXCEED AMOUNTS:

FIXED FEE

RETAINAGE:

TOTAL TASK ASSIGNMENT VALUE:

DEP Task Manager:

DEP Contract Manager:

Contractual Authority:

Contractor Representative:

CC: Procurement Section (MS93)

Section Representative _____

COST REIMBURSEMENT

FIXED PRICE FEE SCHEDULE

Period of Performance:

Execution of Task Assignment through:

COST PLUS FIXED FEE

TASK ASSIGNMENT NOTIFICATION FORM

HW556

BF008B SRPPM SRP13

Cardno

Roger Register Phone #: 850-556-1369

Carrie L. Kruchell, P.G. 850.245.8765

ERIC_5550

Boynton Beach Town Square Project

100 E. Boynton Beach Blvd.

Additional Site Assessment (Soil & GW)

Per Cardno's (revised) 10-31-17 Supplemental Site Assessment Work Plan and Cost Proposal/Level of Effort, confirmatory GW sampling at MW-1 will proceed, followed by SB installation & soil sample collection from (3) suspect buried debris piles via a GeoProbe; one in-situ, discreet confirmatory GW sample (GW-1 through GW-3) will be collected from the SB installed at the downgradient position at each anomalous area. Soils will be field-screened by an OVA prior to soil sample collection for confirmatory analysis. An SSAR, will be provided as the final deliverable and will include tables, figures and conclusions and recommendations.

Supplemental Site Assessment Report

02/15/2018

03/31/2018

$ 18,577.47

$ 18,577.47

Carrie Kruchell Digitally signed by Carrie Kruchell Date: 2017.11.01 16:12:02 -04'00'

Carrie Kruchell Digitally signed by Carrie Kruchell Date: 2017.11.01 16:12:11 -04'00'

Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2017.11.02 09:34:52 -04'00'

Roger Register Digitally signed by Roger Register DN: cn=Roger Register, o=Cardno, ou=Brownfields Practice Leader, email=Roger.Register@cardno.com, c=US Date: 2017.11.02 14:49:35 -04'00'

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

HW556

BF008B

Field notes, COC, photos (subtask 2) 12/30/2017

Final Supplemental Site Assessment Report (subtask 3) 02/15/2018

Field notes, COC, photos (subtask 2) $ 13,427.80

Final Supplemental Site Assessment Report (subtask 3) $ 5,149.67

$ 18,577.47