CN-370000-HW559-BF05ECO1.pdf
PDF 68 KB Posted
- Contract number
- HW559
- Issued by
- Florida
About this file
This is a Task Assignment Notification Change Order Form (TACO) for DEP Contract No. HW559, Change Order No. 1, issued by the Florida Department of Environmental Protection (DEP). The contractor is Wood Environment & Infrastructure Solutions, Inc. (Wood E&IS), represented by Ron White, P.G., with Carrie Kruchell, P.G. serving as the DEP Contract Manager. The work pertains to the Avalon Inn Property (Site ID: COM_347598).
The change order authorizes a supplemental site assessment with a net decrease in the task amount of $1,181.75, reducing the total task cost from $16,355.46 to $15,173.71 under a fixed-price arrangement. The work consists of two deliverables: Tidal cycle water levels and field notes (Subtask 2), due 09/26/2018 with an invoice amount of $10,849.19 upon department approval, and a Supplemental Site Assessment Report (Subtask 3), due 09/27/2018 with an invoice amount of $4,324.52 upon department approval. The task completion date has been extended by 39 days from the original date of 09/17/2018 to 10/26/2018, with final deliverables and invoicing required no later than 09/30/2018. All signatures were obtained between September 12-17, 2018.
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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
HW559
1BF005E
Wood Environment & infrastructure Solutions, Inc. (Wood)
Ron White, P.G. Phone# (850) 298-7715
(850) 245-8765Carrie Kruchell, P.G.
Avalon Inn Property
COM_347598
The Department approves this Task Assignment Change Order (TACO) in accordance with the attached revised Cost Proposal and Level of Effort (WP/LOE) submitted by Wood Environment & Infrastructure Solutions, Inc.
(Wood E&IS) on September 11, 2018. The Final Supplemental Site Assessment Report and final invoicing must be completed no later than 9/30/18.
Supplemental Site assessment Report 09/27/2018
$ 16,355.46 $ 0.00 $ 0.00 $ 0.00
$ 16,355.46 $ 0.00 $ 0.00 $ 0.00 $ 16,355.46
($ 1,181.75) $ 0.00 $ 0.00 $ 0.00 ($ 1,181.75)
$ 15,173.71
09/17/2018
09/17/2018
39 days
10/26/2018
Jim Mccarthy Digitally signed by Jim Mccarthy Date: 2018.09.12 12:44:23 -04'00'
Carrie Kruchell Digitally signed by Carrie Kruchell Date: 2018.09.14 08:46:31 -04'00'
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2018.09.14 13:09:49 -04'00'
Ron.White Digitally signed by Ron.White DN: cn=Ron.White Date: 2018.09.17 13:47:01 -04'00'
$ 15,173.71 $ 0.00 $ 0.00 $ 0.00
$ 16,355.46
Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment
BWC TAFORM 2/03
Contract Number:
Task Assignment #:
Change Order #:
Deliverables:
Deliverable Deliverable Due Date
Invoice Schedule:
Requirements for Invoice Submittal Amount to be Invoiced
TOTAL COST
HW559
BF005E
$ 15,173.71
Tidal cycle water levels and Field notes (Subtask 2).
Supplemental Site Assessment Report (Subtask 3).
Department approval of Tidal cycle water levels and Field notes (Subtask 2)
Department approval Supplemental Site Assessment Report (Subtask 3 and Subtask 1)
09/26/2018
09/27/2018
$ 4,324.52
$ 10,849.19
| 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 .