CN-370000-HW556-BF562A.pdf

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Attached to
Master Agreement FL|HW556|86bbd2b3f214cef39efd393b3d5af1f9
Contract number
HW556
Issued by
Florida

About this file

This is a Task Assignment Notification Form under DEP Contract No. HW556, issued by the Florida Department of Environmental Protection (DEP) to Cardno, a contractor providing environmental site assessment services. The task assignment is identified as TA BF562A under Module SRPPM and Grant SRP18. Key personnel include Bruce Moore, P.G., as the Contractor Representative, and Carrie K. Kruchell, P.G., as the DEP Contract Manager. The work location is the Town of Esto-Former Lambs Recycling site at 1071 State Road 79, Esto, Holmes County, Florida.

The contract calls for Cardno to conduct a Phase I Environmental Site Assessment (ESA) in accordance with ASTM Standards, with deliverables consisting of site visit field notes with an EDR Radius Report due July 15, 2019, and a final Phase I ESA Report due August 15, 2019. The task assignment is structured as a fixed price contract with a total not-to-exceed amount of $3,368.17, comprising two invoice milestones: $872.52 upon departmental approval of the initial site visit documentation and $2,495.65 upon approval of the final Phase I ESA Report. The period of performance extends from the execution date through October 30, 2019. No retainage is applied to this task assignment. The DEP will review all deliverables for compliance with contract specifications and provide the contractor reasonable opportunity to correct any identified deficiencies.

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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

HW556

SRPPM SRP18TA BF562A

Cardno

Bruce Moore, P.G. Phone # (850) 385-8232

(850) 245-8765Carrie K. Kruchell, P.G.

FLD982145583 & ERIC_730

Town of Esto-Former Lambs Recycling

1071 State Road 79, Esto, Holmes Co., Florida

Phase 1 Environmental Site Assessment (ESA)

The Department approves this Task Assignment (TA) based upon the Cost Proposal and Level of Effort (CP/LOE) submitted to the Department on June 27, 2019, by Cardno. A Phase I ESA will be conducted by Cardno in accordance with ASTM Standards for this site property. The final deliverable will be the Phase I ESA Report.

Phase I ESA Report

08/15/2019

10/30/2019

$ 3,368.17 $ 0.00 $ 0.00 $ 0.00

$ 0.00

A. James McCarthy Jr Digitally signed by A. James McCarthy Jr Date: 2019.06.27 16:14:42 -04'00'

Carrie Kruchell Digitally signed by Carrie Kruchell Date: 2019.06.28 09:54:59 -04'00'

Jennifer Farrell Digitally signed by Jennifer Farrell Date: 2019.06.28 12:00:34 -04'00'

W. Bruce Moore, P.G. Digitally signed by W. Bruce Moore, P.G.

Date: 2019.06.28 15:12:45 -04'00'

$ 3,368.17

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

Site Visit field notes and copy of EDR Radius Report 07/15/2019

Final Phase I ESA Report for site property 08/15/2019

Department Approval of Site Visit field notes and copy of EDR Radius Report (Subtask 2) $ 872.52

Department Approval of Final Phase I ESA Report for site property (Subtasks 3 & 1) $ 2,495.65

$ 3,368.17

HW556

BF562A

Task Assignment Notification
BWC Task Assignment Form (Rev 02_17).pdf
Task Assignment Notification
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 .