CN-370000-HW561-DC03KCO1.pdf

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

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Document Summary

This is a Task Assignment Notification and Change Order Form (Change Order No. 1) for DEP Contract No. HW561 involving the Florida Department of Environmental Protection (FDEP) and Golder Associates as the contractor. The work is being performed at the Former Coin Laundry Equipment facility in Jacksonville, Duval County, located at 1692 Hammond Boulevard. The contract manager for FDEP is Ben Grubbs, and the contractor representative is Matt Crews. The change order was executed in February 2020 and authorizes a time extension for invoice submission purposes.

The contract requires Golder Associates to conduct groundwater sampling and monitoring activities in accordance with a September 27, 2019 Scope of Work. The deliverables include Subtask 2 (Groundwater Sampling Field Documentation, Lab Report, and IDW Treatment Documentation) and Subtask 3 (Annual Groundwater Monitoring Report and ADaPT/GIS Update), both marked as completed. The original task completion date was February 28, 2020, extended by 31 days to March 30, 2020 under this change order. The total fixed-price contract value is $4,862.74, with $2,648.67 previously invoiced for Subtask 2 and $2,214.07 remaining for Subtasks 1 and 3 upon FDEP approval.

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Text version

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

Contract Number: HW561 Task Assignment #: DC003K

Change Order #: 1

Deliverables:

Deliverable Deliverable Due Date Subtask 2: Groundwater Sampling Field Documentation and Lab Report, and IDW Treatment Documentation Completed Subtask 3: Annual Groundwater Monitoring Report and ADaPT/GIS Update Completed

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced Subtask 2: Submittal and FDEP approval of Groundwater Sampling Field Documentation and Lab Report, and IDW Treatment Documentation - Previously Invoiced

$2,648.67

Subtasks 1 & 3: Submittal and FDEP approval of Annual Groundwater Monitoring Report and ADaPT/GIS Update

$2,214.07

TOTAL COST $4,862.74

BWC TAFORM 01_18

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

Contract Number: HW561 Task Assignment #: DC003K

Deliverables:

Deliverable Deliverable Due Date Subtask 2: Groundwater Sampling Field Documentation and Lab Report, and IDW Treatment Documentation 15-Nov-19

Subtask 3: Annual Groundwater Monitoring Report and ADaPT/GIS Update 20-Dec-19

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced Subtask 2: Submittal and FDEP approval of Groundwater Sampling Field Documentation and Lab Report, and IDW Treatment Documentation

$2,648.67

Subtasks 1 & 3: Submittal and FDEP approval of Annual Groundwater Monitoring Report and ADaPT/GIS Update

$2,214.07

TOTAL COST $4,862.74

BWC TAFORM 01/18

Task Assignment CHANGE ORDER
Deliverable & Invoice Schedule

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