CN-370000-HW559-DC02HCO1.pdf

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

About this file

This document is a Task Assignment Change Order (TACO) issued by the Florida Department of Environmental Protection (FDEP) for Contract No. HW559, Task Assignment DC002H. The contractor is Wood Environment & Infrastructure Solutions, represented by Ron White. The FDEP Contract Manager is Crystal Posey, located at the Baymeadows Place Cleaners facility (ERIC_4558) in Jacksonville, Duval County, Florida. This change order extends the task completion period and modifies contract terms related to groundwater monitoring services at the specified site.

The change order extends the task completion date by one month, from October 30, 2020 to November 30, 2020, to allow additional time for processing a reduction change order and completing invoicing procedures. The underlying task involves conducting annual groundwater sampling and submitting an Annual NAM Report and ADaPT/GIS update in electronic format, with subtasks including project management. The total task assignment value remains fixed at $8,137.51 on a fixed-price basis, with no changes to cost reimbursement or fixed fee components. The deliverable due date is July 30, 2020, and invoice payment is contingent upon FDEP approval of the annual NAM Report and ADaPT/GIS update. The change order specifically notes that monitoring well MW-14 was not sampled in the 2020 groundwater sampling report, necessitating submission of an additional change order to address this deficiency.

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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

1DC002H

Wood Environment & Infrastructure Solutions

Ron White

850-245-8851Crystal Posey

Baymeadows PlaceCleaners

ERIC_4558

This Task Assignment Change Order (TACO) extends the task completion date, in order to allow more time for a reduction TACO and invoicing to be completed, as requested by the Contract Manager.

Annual NAM Report and ADaPT/GIS update (submitted electronically) 07/30/2020

$ 8,137.51 $ 0.00 $ 0.00 $ 0.00

$ 8,137.51 $ 0.00 $ 0.00 $ 0.00 $ 8,137.51

$ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00

$ 8,137.51

10/30/2020

10/30/2020

1 month

11/30/2020

Crystal Posey Digitally signed by Crystal Posey Date: 2020.10.23 17:07:02 -04'00'

Crystal Posey Digitally signed by Crystal Posey Date: 2020.10.23 17:07:08 -04'00'

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

Date: 2020.10.26 12:24:32 -04'00'

Ron.White Digitally signed by Ron.White DN: cn=Ron.White Date: 2020.10.26 13:11:42 -04'00'

$ 8,137.51 $ 0.00 $ 0.00 $ 0.00

$ 8,137.51

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

WCP TAFORM 01_18

Contract Number:

Task Assignment #:

Change Order #:

Deliverables:

Deliverable Deliverable Due Date

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

TOTAL COST

HW559

DC002H

$ 8,137.51

Subtask 1 & 2: Annual NAM Report and ADaPT/GIS update (submitted electronically); Project Management

FDEP Approval of Annual NAM Report and ADaPT/GIS update (submitted electronically); Project Management - Subtask 1 & 2

07/30/2020

$ 8,137.51

Ron DeSantis Governor

Jeanette Nuñez Lt. Governor

Noah Valenstein Secretary

FLORIDA DEPARTMENT OF

Environmental Protection

Bob Martinez Center 2600 Blair Stone Road

Tallahassee, FL 3

2399-2400

Memorandum

TO:

FROM:

SUBJECT:

DATE:

HW559 Contract File

Crystal Posey, Project Manager

Baymeadows Place Cleaners

ERIC_4558

HW559 DC002H

TACO 1

October 23, 2020

This Task Assignment Change Order (TACO) extends the task completion date by one month, in order to allow more time for a change order to be completed and invoicing. In the 2020 groundwater sampling report, MW-14 was not sampled. Therefore, Wood will need to submit a change order for this missing monitoring well. The requested extra time will be needed for this to be completed, along with invoicing.

The FDEP Project Manager agrees to the scope of work and final cost associated with this Task Assignment Change Order (TACO), total task amount is $8,137.51.

The final task completion date is now November 30th, 2020.

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

DC002H

Wood Environment & Infrastructure Solutions

Ron White

850-245-8851Crystal Posey

Baymeadows PlaceCleaners

ERIC_4558

07/30/2020

$ 8,137.51

D000 N/A

9551 Baymeadows Rd, Jacksonville, Duval County

Monitoring

This Task Assignment authorizes Wood to conduct annual groundwater sampling in accordance with the Wood scope of work, cost estimate form, and bid documentation dated March 16th, 2020.

Annual NAM Report and ADaPT/GIS update (submitted electronically)

10/30/2020

$ 8,137.51 $ 0.00 $ 0.00 $ 0.00

$ 0.00

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

WCP TAFORM 01-2018

Contract Number:

Task Assignment #:

Deliverables:

Deliverable Deliverable Due Date

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

TOTAL COST $ 8,137.51

Subtask 1 & 2: Annual NAM Report and ADaPT/GIS update (submitted electronically); Project Management

FDEP Approval of Annual NAM Report and ADaPT/GIS update (submitted electronically); Project Management - Subtask 1 & 2

07/30/2020

$ 8,137.51

HW559

DC002H

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
HW559 DC002H Baymeadows Task Assignment.pdf
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
Baymeadows NAM CP 3.16.20.pdf
PermaFix Qte 3.16.20.pdf
Est. Total
LTL Transportation, per drum (55-gallon)
Transportation Stop Fee
Unit Price
Quantity/Size
Copy of Baymeadows Annual NAM CP 4.17.20 - Original.pdf
Cost Estimate
T2-1st NAM

File details come from the government source that posted it. Updated .