CN-370000-HW559-DC001B.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 for Florida Department of Environmental Protection (FDEP) Contract No. HW 559, issued to Wood Environment and Infrastructure. The task assignment (DC001B) is managed by FDEP Contract Manager David Meyers, P.G., with contractor representative Ron White P.G. and Geoffrey Schaefer PE. The assignment applies to multiple hazardous waste cleanup and drycleaning sites across multiple locations within Florida.

Wood Environment and Infrastructure will address critical response issues at FDEP Hazardous Waste Cleanup Section and drycleaning sites on an as-needed basis. The task assignment is structured as a fixed price contract with a total value of $2,500.00 and zero retainages. The sole deliverable is documentation of completed site activities, due February 9, 2022. Payment of the full $2,500.00 is contingent upon FDEP approval of the documentation of completed site activities. The period of performance extends through the final deliverable due date of February 9, 2022.

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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

HW 559

D000 NADC001B

Wood Environment and Infrastructure

Ron White P.G./Geoffrey Schaefer PE

850-245-8945David Meyers, P.G.

Multiple

Multiple

Multiple

Critical Response

Wood will address critical response issues at Hazardous Waste Cleanup Section/Drycleaning sites on an as-needed basis.

Completed Site Activities

02/09/2022

02/09/2022

$ 2,500.00

$ 0.00

David S. Meyers Digitally signed by David S. Meyers Date: 2021.06.02 14:23:03 -04'00'

David S. Meyers Digitally signed by David S. Meyers Date: 2021.06.02 14:23:31 -04'00'

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

Date: 2021.06.02 15:21:49 -04'00'

Digitally signed by Geoffrey Schaefer Date: 2021.06.02 17:02:04 -04'00'

$ 2,500.00

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 02/09/2022

FDEP approval of Documentation of completied site activities $ 2,500.00

$ 2,500.00

HW559

DC001B

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

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