CN-370000-HW559-BF591A.pdf
PDF 60 KB Posted
- Contract number
- HW559
- Issued by
- Florida
About this file
This is a Task Assignment Notification Form (WCP TAFORM 01_18) for DEP Contract No. HW559, issued by the Florida Department of Environmental Protection (DEP). The contract involves Wood Environment & Infrastructure Solutions, Inc., represented by Ron White, P.G., with Carrie Kruchell, P.G., serving as the DEP Contract Manager. The task assignment is directed to the Gilchrist County/Former Colt's Station site located at 1022 E. Wade Street, Trenton, Gilchrist County, Florida (DEP Site #21/8508484). The assignment falls under Module SRPPM and Grant SRP18, with Task Assignment #BF591A.
The deliverable under this task assignment is a Supplemental Site Assessment (SSA) Report with a final due date of March 28, 2019, with task execution extending through May 1, 2019. The work is structured as a fixed price task assignment with a total value of $4,454.68 with no retainage. The invoice schedule establishes two payment milestones: $2,882.79 upon Department approval of field notes, chain of custody documentation, and groundwater sampling logs (due February 15, 2019), and $1,571.89 upon Department approval of the Supplemental Site Assessment Report (due March 28, 2019). The Department retains the right to review deliverables for compliance with contract specifications and may require the contractor to correct any noted 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
HW559
SRPPM SRP18BF591A
Wood Environment & infrastructure Solutions, Inc.
Ron White, P.G. Phone #:(850) 298-7715
(850) 245-8765Carrie Kruchell, P.G.
21/8508484
Gilchrist County/Former Colt’s Station
1022 E. Wade Street, Trenton, Gilchrist County
Supplemental Site Assessment (SSA)
The Department approves this Task Assignment (TA) based upon the Cost Proposal and Level of Effort (CP/LOE) submitted to the Department on December 6, 2018 by Wood PLC. The final deliverable will be an SSA Report.
Supplemental Site Assessment Report
03/28/2019
05/01/2019
$ 4,454.68 $ 0.00 $ 0.00 $ 0.00
$ 0.00
Jim Mccarthy Digitally signed by Jim Mccarthy Date: 2018.12.10 15:07:18 -05'00'
Carrie Kruchell Digitally signed by Carrie Kruchell Date: 2018.12.12 13:23:01 -05'00'
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2018.12.13 10:03:04 -05'00'
Ron.White Digitally signed by Ron.White DN: cn=Ron.White Date: 2018.12.13 11:37:10 -05'00'
$ 4,454.68
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
Field notes, COC, Groundwater sampling logs 02/15/2019
Supplemental Site Assessment Report 03/28/2019
Department approval of Field notes, COC and Groundwater sampling logs (Subtask
2) $ 2,882.79
Department approval of Supplemental Site Assessment Report (Subtask 3 and Subtask 1) $ 1,571.89
$ 4,454.68
HW559
BF591A
| 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 .