CN-370000-HW558-DC001K.pdf

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Attached to
Master Agreement FL|HW558|146f330b53bd60a9234ae2599bc7c6cc
Contract number
HW558
Issued by
Florida

About this file

This is a Task Assignment Notification Form under Florida Department of Environmental Protection (FDEP) Contract No. HW558, issued on June 3, 2021. The contract involves the state of Florida, specifically the Hazardous Waste Cleanup Section of FDEP, and Earth Systems Inc., a private environmental services contractor. The task assignment is designated as DC001K under Module D000, with Killian Talley serving as the DEP Contract Manager and James Paxton as the Contractor Representative.

The task assignment authorizes Earth Systems to address critical issues at multiple FDEP Hazardous Waste Cleanup Section sites on an as-needed basis during the Critical Response phase. The contract operates under a fixed price arrangement with a total task assignment value of $2,500.00 and zero retainage. The single deliverable consists of documentation of completed site activities, due on February 13, 2022. Invoice payment of $2,500.00 is contingent upon FDEP's receipt and approval of the completed site activities documentation. The period of performance extends through February 13, 2022, with FDEP's Contract Manager authorized to review all deliverables and notify the contractor of any deficiencies requiring correction.

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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

HW558

D000 N/ADC001K

Earth Systems

Jim Paxton

850-245-8928Killian Talley

Multiple

Multiple

Multiple

Critical Response

Task Assignment authorizes Earth Systems to address critical issues at Hazardous Waste Cleanup Section sites on an as-needed basis.

Completed Site Activities

02/13/2022

02/13/2022

2500 0 0 0

Killian Talley Digitally signed by Killian Talley Date: 2021.06.03 11:41:58 -04'00'

Killian Talley Digitally signed by Killian Talley Date: 2021.06.03 11:42:03 -04'00'

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

Date: 2021.06.03 13:19:26 -04'00'

James Paxton Digitally signed by James Paxton DN: C=US, E=jpaxton@eathsys.net, O=Earth Systems Inc, CN=James Paxton Date: 2021.06.03 13:33:24-04'00'

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

Documentation of completed site activities 02/13/2022

FDEP receipt and approval of completed site activities $ 2,500.00

$ 2,500.00

HW558

DC001K

Florida Department of Memorandum Environmental Protection

Printed on recycled paper.

To:

From:

Date:

HW558 Contract Negotiation File Killian Talley, Project Manager June 3, 2021

Subject: Negotiation Summary

HW558 DC001K

Under this Task Assignment Earth System will respond to critical issues at Hazardous Waste Cleanup sites on an as-needed basis.

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 .