CN-370000-HW559-BF591B.pdf

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Attached to
Master Agreement FL|HW559|509fc45f3e18ec62b81cfe162c847c8d
Contract number
HW559
Issued by
Florida

About this file

This is a Task Assignment Notification Form issued by the Florida Department of Environmental Protection (DEP) under DEP Contract No. HW559, Task Assignment No. BF591B. The contracting parties include the DEP as the government agency and Wood Environment & Infrastructure Solutions, Inc. as the contractor. The work is being performed at the Gilchrist County/Former Colt's Station site located at 1022 E. Wade Street, Trenton, Gilchrist County, Florida. Key personnel include Ron White, P.G., as the Contractor Representative; Carrie Kruchell, P.G., as the DEP Contract Manager; and A. James McCarthy Jr. as the DEP Task Manager.

The task assignment authorizes Supplemental Site Assessment (SSA) Activities consisting of the installation of two down gradient monitor wells and sampling of new and existing monitor wells. The final deliverable is a Supplemental Site Assessment Letter Report including results from one quarter of groundwater monitoring of all wells onsite. The contract is structured as a fixed price task assignment with a total value of $20,234.23 and no retainage. Invoicing is contingent upon departmental approval of three deliverables: the QAPP Workplan ($2,057.10, due 07/09/2019), Field notes, Chain of Custody, Monitor well Installation logs, and Groundwater sampling logs ($14,185.58, due 08/01/2019), and the Supplemental Site Assessment Letter Report ($3,991.55, due 08/14/2019). The period of performance extends through 09/30/2019.

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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 SRP18BF591B

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) Activities

The Department approves this Task Assignment (TA) based upon the Cost Proposal and Level of Effort (CP/LOE) submitted to the Department on June 14, 2019 (revised June 25, 2019) by Wood PLC. The TA includes the installation of two down gradient monitor wells and sampling of the new and existing monitor wells. The final deliverable will be a Supplemental Site Assessment letter report including results from one quarter of groundwater monitoring of all wells onsite.

Supplemental Site Assessment Report

08/14/2019

09/30/2019

$ 20,234.23 $ 0.00 $ 0.00 $ 0.00

$ 0.00

A. James McCarthy Jr Digitally signed by A. James McCarthy Jr Date: 2019.06.27 10:07:31 -04'00'

Carrie Kruchell Digitally signed by Carrie Kruchell Date: 2019.06.28 09:32:48 -04'00'

Jennifer Farrell Digitally signed by Jennifer Farrell Date: 2019.06.28 12:02:09 -04'00'

Ron.White Digitally signed by Ron.White DN: cn=Ron.White Date: 2019.06.28 13:11:25 -04'00'

$ 20,234.23

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

QAPP Workplan 07/09/2019

Field notes, COC, Monitor well Installation logs, and Groundwater sampling logs.

08/01/2019

Supplemental Site Assessment Letter Report 08/14/2019

Department approval of QAPP Workplan (Subtask 2) $ 2,057.10

Department approval of Field notes, COC, Monitor well Installation logs & Groundwater sampling logs (Subtask 3 ) $ 14,185.58

Department approval of Supplemental Site Assessment Letter Report (Subtasks 4 &

1) $ 3,991.55

$ 20,234.23

HW559

BF591B

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 .