CN-370000-HW557-DC036H.pdf

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Attached to
Master Agreement FL|HW557|6d20a3cd85832f58780db610589fb2f8
Contract number
HW557
Issued by
Florida

About this file

This is a Task Assignment Notification Form under Florida Department of Environmental Protection (DEP) Contract HW557, executed on March 27, 2020. The contracting parties are the Florida DEP and Arcadis U.S., Inc., with William Vogelsong serving as the contractor representative and Theresa C. Pepe as the DEP Contract Manager. The task assignment pertains to environmental monitoring services at the Ridgewood Laundry and Dry Cleaners facility located at 930-C Blanding Boulevard, Orange Park, Clay County, Florida (DEP Site #ERIC_4262).

The task assignment obligates Arcadis to perform annual groundwater monitoring from select wells at the site in accordance with the March 27, 2020 Work Plan submitted by Arcadis. The work is structured into three subtasks: Project Management (calculated as a percentage of total labor), Groundwater Sampling (six wells plus one quality assurance/quality control duplicate for dry-cleaning solvents), and Reporting (Annual Groundwater Monitoring Report including data analysis and recommendations). The task assignment is fixed-price with a total value of $5,698.59, with no retainage, cost reimbursement, or fee schedule components. The final deliverable is the Annual Monitoring Report due June 12, 2020, with task execution concluding July 10, 2020. Invoice payment is contingent upon FDEP approval of the Annual Monitoring Report/Project Management deliverables.

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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

HW557

D000 N/ADC036H

Arcadis U.S., Inc.

William Vogelsong

(850) 245-8705Theresa C. Pepe

ERIC_4262

Ridgewood Laundry and Dry Cleaners

930-C Blanding Blvd. Orange Park, Clay County

Monitoring

Arcadis will perform annual groundwater monitoring from select wells at the site.

All activities will be performed according to the March 27,2020, Work Plan submitted by Arcadis.

Annual Monitoring Report

06/12/2020

07/10/2020

$ 5,698.59 $ 0.00 $ 0.00 $ 0.00

$ 0.00

Theresa C Pepe Digitally signed by Theresa C Pepe Date: 2020.03.27 16:38:20 -04'00'

Theresa C Pepe Digitally signed by Theresa C Pepe Date: 2020.03.27 16:38:38 -04'00'

Digitally signed by Jennifer Farrell Date: 2020.03.30 08:49:47 -04'00'

William D. Vogelsong Digitally signed by William D. Vogelsong Date: 2020.03.30 09:48:49 -04'00'

$ 5,698.59

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BWC Task Assignment Form - Page 2 (Rev 08_10) - Rev 1.pdf
Deliverable & Invoice Schedule

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