CN-370000-HW559-BF593B.pdf

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 SRP18BF593B

Wood Environment & infrastructure Solutions, Inc. (Wood)

Ron White, P.G. Phone# 850) 298-7715

850) 245-8765Carrie Kruchell, P.G.

COM_363678

City of Pensacola Maritime Park Marina Pilings Project

Main St, Pensacola, Pensacola Bay, Escambia County

Oversight and Transportation and Disposal (T&D) of Creosote Preserved Pier Pilings

The Department approves this Task Assignment (TA) based upon the Cost Proposal and Level of Effort (CP/LOE) submitted by Wood on March 26, 2019 (revised May 7, 2019) in order provide oversight and project management during the T&D of creosote-preserved wood pilings to a Class I lined landfill. As relayed to the City of Pensacola in an email dated March 14, 2019, fieldwork associated with this TA must begin no later than May 15, 2019. The final deliverable will be the Completion Summary Report.

Completion Summary Report for the T & D of the Creosote Preserved Pilings.

07/31/2019

09/30/2019

$ 191,110.16 $ 0.00 $ 0.00 $ 0.00

$ 0.00

Jim Mccarthy Digitally signed by Jim Mccarthy Date: 2019.04.04 16:52:30 -04'00'

Carrie Kruchell Digitally signed by Carrie Kruchell Date: 2019.05.08 08:55:41 -04'00'

Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2019.05.09 20:41:33 -04'00'

Ron.White Digitally signed by Ron.White DN: cn=Ron.White Date: 2019.05.10 08:30:27 -04'00'

$ 191,110.16

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, daily status reports, completed weigh tickets and completed waste manifests & photographs of T&D of creosote preserved pilings 07/01/2019

Completion Summary Report of T & D of creosote preserved pilings, and any remaining completed weigh tickets and completed waste manifests 07/31/2019

Department approval of Field notes, daily status reports, completed weigh tickets and completed waste manifests & photographs of T & D of creosote preserved pilings (Subtask 2)

$ 187,431.36

Department approval of Completion Summary Report and any remaining completed weigh tickets and completed waste manifests (Subtasks 3 & 1) $ 3,678.80

$ 191,110.16

HW559

BF593B