CN-370000-HW560-CSS-18A.pdf
PDF 122 KB Posted
- Contract number
- HW560
- Issued by
- Florida
About this file
This is a Task Assignment Notification Form issued by the Florida Department of Environmental Protection (FDEP) under DEP Contract No. HW560. The task assignment (CSS-18A) was awarded to Tetra Tech, Inc., with Gerald Walker, P.G. serving as the contractor representative and Carrie Kruchell, P.G. as the FDEP Contract Manager. The work is located at QMS Circuits, 40 Hill Ave, Fort Walton Beach, Okaloosa County, Florida (DEP Site #COM_6123), and falls under the CERSI module with Grant #CER17.
The task assignment encompasses a site inspection phase with a fixed-price value of $33,878.00 and no retainage. The scope includes project management, a Site Inspection Work Plan and Health and Safety Plan, soil sampling, well installation, and groundwater sampling, with the final deliverable being a Site Inspection Report due November 16, 2018, and execution through December 28, 2018. The deliverables and invoice schedule is structured in three components: Site Inspection Workplan and HASP ($3,998.79, due September 4, 2018); Field notes, monitoring well construction logs, well sampling logs, chain of custody, and photographic documentation ($21,704.85, due September 24, 2018); and the Final Site Inspection Report ($8,174.36, due November 16, 2018). All invoicing is contingent upon FDEP approval of the respective deliverables.
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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
HW560
CERSI CER17CSS 18-A
Tetra Tech
Gerald Walker, P.G. 850-385-9889
850-245-8765Carrie Kruchell, P.G.
COM_6123
QMS Circuits
40 Hill Ave. Ft. Walton Beach, Okaloosa County
Site Inspection
The Department approves this Task Assignment (TA) in accordance with the attached Cost Proposal and Level of Effort (WP/LOE) submitted by Tetra Tech, Inc. on August 6, 2018 and revised on August 16, 2018, and August 27, 2018. This TA includes Project Management, a Site Inspection Work Plan and Health and Safety Plan, and Soil Sampling, Well installation, and Groundwater Sampling. The final deliverable is the Site Inspection Report.
Site Inspection Report
11/16/2018
12/28/2018
$ 33,878.00 $ 0.00 $ 0.00 $ 0.00
$ 0.00
Padraic Conner Digitally signed by Padraic Conner Date: 2018.08.23 13:44:26 -04'00'
Laura K Barrett Digitally signed by Laura K Barrett Date: 2018.08.28 09:28:08 -04'00'
Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2018.08.28 13:30:53 -04'00'
Digitally signed by: gerry.walker@tetratech.com DN: CN = gerry.walker@tetratech.com Date: 2018.08.28 14:04:18 -05'00' gerry.walker@tetratech.com
$ 33,878.00
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
Site Inspection Workplan and HASP 09/04/2018
Field notes, monitoring well construction logs, well sampling logs, chain of custody, and photographic log from the Site Inspection Activities 09/24/2018
Final Site Inspection Report 11/16/2018
FDEP approval of the Site Inspection Work Plan and HASP (Subtask 2) $ 3,998.79
FDEP approval of the Site Inspection field notes, monitoring well construction logs, well sampling logs, chain of custody, and photographic log (Subtask 3) $ 21,704.85
FDEP approval of the Final Site Inspection Report (Subtasks 1 and 4) $ 8,174.36
$ 33,878.00
HW560
CSS-18A
| 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 .