CN-370000-HW560-CSS3ACO1.pdf
PDF 511 KB Posted
- Contract number
- HW560
- Issued by
- Florida
About this file
This document is a Task Assignment Notification Change Order Form (TACO) issued by the Florida Department of Environmental Protection (FDEP) to Tetra Tech, Inc. for work at the Regency Artistic Metal Finishing site located in Holiday, Pasco County, Florida. The change order, effective April 1, 2021, modifies Task Assignment CSS-30A under DEP Contract No. HW560. Key personnel include Gerry Walker, P.G., as Contractor Representative, and Kelly Crain as DEP Contract Manager. The change order was approved by DEP Task Manager Ginger Shirah and Contractual Authority Jennifer Farrell.
The task involves site inspection work with soil and groundwater sampling activities, with deliverables including a Site Inspection Workplan/Quality Assurance Project Plan (QAPP) and Site Health and Safety Plan (HASP), field notes and documentation from private well sampling activities, and a final Site Inspection Report. The change order extends three deliverable due dates due to delays in receiving EPA approval of planning documents: the QAPP and HASP deliverable remains due February 12, 2021; field notes documentation was extended from March 19, 2021 to April 16, 2021; and the final Site Inspection Report was extended from April 9, 2021 to May 6, 2021. The overall period of performance was extended from May 14, 2021 to June 15, 2021, representing a 32-day extension. The total task assignment value remains fixed at $24,965.81 with no cost increase, distributed across three invoicing milestones: $2,396.17 upon FDEP approval of planning documents, $16,498.67 upon approval of field sampling documentation, and $6,070.97 upon approval of the final inspection report.
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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
HW560
01CSS-30A
Tetra Tech, Inc.
Gerry Walker, P.G. Phone #: (850) 385-9899
(850) 245-8953Kelly Crain
Regency Artistic Metal Finishing
ERIC_7532
The Department approves this Task Assignment Change Order (TACO) in accordance with the attached correspondence submitted by Tetra Tech, Inc. on March 31, 2021. Delays in receiving an approved QAPP from FDEP and EPA resulted in a later field work date than originally anticipated, and therefore a date extension has been issued for the last two deliverables. The deliverable for subtask 2 is now due on April 16, 2021 and the final deliverable is now due on May 6, 2021. There is no change in Task Assignment amount.
Final Site Inspection Report 05/06/2021
$ 24,965.81 $ 0.00 $ 0.00 $ 0.00
$ 24,965.81 $ 0.00 $ 0.00 $ 0.00 $ 24,965.81
$ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00
$ 24,965.81
05/14/2021
05/14/2021
06/15/2021
Ginger Shirah Digitally signed by Ginger Shirah Date: 2021.04.01 07:32:33 -04'00'
Kelly Crain Digitally signed by Kelly Crain Date: 2021.04.01 08:39:33 -04'00'
Digitally signed by Jennifer Farrell Date: 2021.04.01 11:43:00 -04'00'
Digitally signed by: Gerald Walker DN: CN = Gerald Walker email = gerry.walker@tetratech.com C = US O = Tetra Tech OU = 112-NUS Date: 2021.04.01 14:02:53 -04'00'
Gerald Walker
$ 24,965.81 $ 0.00 $ 0.00 $ 0.00
$ 24,965.81
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
HW560
CSS-30A
$ 24,965.81
Site Inspection Workplan/Quality Assurance Project Plan (QAPP) and Site Health and Safety Plan (HASP)
Field notes, lab shipment receipts, chain of custody, and photographic log from private well sampling activities
Site Inspection Report
FDEP Approval of the Site Inspection Workplan/QAPP & HASP (Subtask 2)
FDEP Approval of the Site Inspection Report (Subtasks 1 and 4)
FDEP Approval of field notes, lab shipment receipts, chain of custody, and photographic log from private well sampling activities (Subtask 3)
02/12/2021
04/16/2021
05/06/2021
$ 16,498.67
$ 2,396.17
$ 6,070.97
Shirah, Ginger K
From: Walker, Gerry <Gerry.Walker@tetratech.com> Sent: Wednesday, March 31, 2021 2:27 PM To: Shirah, Ginger K Cc: Hicks, Richard Subject: Request for no cost schedule extension for Contract HW560 Task Assignment CSS-30A Regency
Artistic Metal Refinishing
Ginger, Tetra Tech requests a no cost/schedule extension for Contract HW560 Task Assignment CSS‐30A the Regency Artistic Metal Refinishing site in Holiday, Pasco County, Florida. The extension is needed due to delays in getting final EPA approval of the planning documents which has delayed completion of the field work and the report. Below is a proposed revised schedule.
Deliverable Original due date Requested revised due date Final Deliverable due date 04/01/2021 05/06/2021
Site Inspection Workplan/Quality Assurance Project Plan (QAPP) 02/12/2021 no change and Site Health and Safety Plan (HASP)
Field notes, lab shipment receipts, chain of custody, and photographic 3/19/2021 4/16/2021 log from private well sampling activities
Site Inspection Report 04/09/2021 5/6/2021
Period of Performance end date 05/14/2021 06/15/2021
Please let me know if you have any questions or need more information. Thanks.
Gerald Walker P.G. Program Manager Direct: 850.536-8126 | Main: 850.385.9899 ext. 5368126 | Fax: 850.536-9102 gerry.walker@tetratech.com
Tetra Tech | Complex World, Clear Solutions™ Tetra Tech Inc. | Tallahassee Office 1558 Village Square Blvd., Suite 2 | Tallahassee, FL 32309 www.tetratech.com
PLEASE NOTE: This message, including any attachments, may include privileged, confidential and/or inside information. Any distribution or use of this communication by anyone other than the intended recipient is strictly prohibited and may be unlawful. If you are not the intended recipient, please notify the sender by replying to this message and then delete it from your system.
Task Assignment Notification/Change Order
Deliverables and Invoice Schedule Attachment
WC) TAFORM $""&$%#
Contract Number:
Task Assignment #:
Deliverables:
Deliverable Deliverable Due Date
Invoice Schedule:
Requirements for Invoice Submittal Amount to be Invoiced
TOTAL COST
Site Inspection Workplan/Quality Assurance Project Plan (QAPP) and Site Health and Safety Plan (HASP) 02/12/2021
Field notes, lab shipment receipts, chain of custody, and photographic log from private well sampling activities 03/19/2021
Site Inspection Report 04/09/2021
FDEP Approval of the Site Inspection Workplan/QAPP & HASP (Subtask 2)
$ 2,396.17
FDEP Approval of field notes, lab shipment receipts, chain of custody, and photographic log from private well sampling activities (Subtask 3) $ 16,498.67
FDEP Approval of the Site Inspection Report (Subtasks 1 and 4)
$ 6,070.97
$ 24,965.81
HW560
CSS-30A
| 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 |
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