CN-370000-HW561-DC01GCO7.pdf

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Master Agreement FL|HW561|9da97b3024ac9529ec6b9d50686cc80a
Contract number
HW561
Issued by
Florida

About this file

This document consists of Task Assignment Notification Change Order Forms for DEP Contract No. HW561, issued by the State of Florida Department of Environmental Protection (DEP). The contractor is Golder Associates, Inc., with Matt Crews serving as the contractor representative. Benjamin Grubbs and Maggie Power are identified as DEP Contract Managers, with William E. Burns, Jr. serving as the Contractual Authority. The work is being performed at the Critical Response site.

Change Orders 6 and 7 authorize modifications to Task Assignment DC001G. Change Order 6 adds $5,153.40 to reconcile Work Change Directive #1 for post-hurricane assessment at fuel service stations in Putnam County for Hurricane Irma, bringing the total task amount to $18,692.60. Change Order 7 extends the task completion date by six months (from December 28, 2020 to June 28, 2021) to maintain critical response activities without changing the financial amount. The contract operates on a fixed-price basis with deliverables including air monitoring reports, site visit letters, system shutdown and restart documentation for multiple hurricane events, and completed site activity documentation. Invoice payments are contingent upon DEP approval of specific deliverables, with amounts ranging from $273.62 to $6,673.16 per approved item, totaling $18,692.60 for all approved work.

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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

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

Contract Number: HW561 Task Assignment #: DC001G

Change Order #: 7

Deliverables:

Deliverable Deliverable Due Date Air Monitoring Report Completed

Site Visit Letter Report Completed

Offsite notification packages Completed

Email documentation of System Shutdown and Restart Completed

Documentation of SVE systems shutdown for Hurricane Hermine Completed

Documentation of completed site activities 28-Jun-21

Documentation of SVE systems shutdown and restart for Hurricane Irma

Completed

Documentation of assessment at fuel service stations in Putnam County

Completed

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced DEP approval of Air Monitoring Report - Previously Invoiced

$1,527.18

DEP approval of Site Visit Letter Report and Offsite Notification Package - Previously Invoiced $6,673.16

DEP approval of Tropical Storm System Shutdown and Restart - Previously Invoiced $637.65

DEP approval of SVE Systems shutdown for Hurricane Hermine - Previously Invoiced $273.62

DEP approval of Documentation of completed site activities $2,500.00

DEP approval of Documentation of SVE systems shutdown and restart for Hurricane Irma - Previously Invoiced $1,927.59

DEP approval of Documentation of assessment at fuel service stations in Putnam County - Previously Invoiced $5,153.40

TOTAL COST $18,692.60

BWC TAFORM 01_18

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