CN-370000-HW561-DC08LCO3.pdf
PDF 391 KB Posted
- Contract number
- HW561
- Issued by
- Florida
About this file
This document consists of three Task Assignment Notification Change Order Forms for DEP Contract No. HW561, Task Assignment DC008L, involving the contractor Golder Associates (represented by Matt Crews) and the Florida Department of Environmental Protection (DEP). The contract manager is Ben Grubbs, and the site is Jay's Professional Dry Cleaners and Laundry (Facility ID: ERIC_4521). The three change orders document progressive modifications to the original task assignment between April and May 2020.
The task involves preparation of an ISR (Initial Site Reconnaissance) Work Plan with a fixed price of $16,805.97 across all change orders. Change Order No. 1 extended the subcontractor bid submission deadline by 31 days, moving the completion date from June 30, 2020 to July 31, 2020. Change Order No. 2 extended the timeline by 57 days for FDEP to respond to property owners regarding proposed construction drawings, with the completion date adjusted from May 4, 2020 to June 30, 2020. The deliverable in all instances is the ISR Work Plan with an invoice trigger upon submittal and FDEP approval, for the full contract amount of $16,805.97. No cost increases were implemented through any of the change orders; all modifications were time extensions only.
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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
HW561
3DC008L
Golder Associates
Matt Crews
(850) 245-8992Ben Grubbs
Jay's Professional Dry Cleaners and Laundry
ERIC_4521
This Task Assignment Change Order authorizes a time extension for the subcontractors to submit their bids.
ISR Work Plan 06/01/2020
$ 16,805.97 $ 0.00 $ 0.00 $ 0.00
$ 16,805.97 $ 0.00 $ 0.00 $ 0.00 $ 16,805.97
$ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00
$ 16,805.97
04/03/2020
06/30/2020
31 days
07/31/2020
Benjamin Grubbs Digitally signed by Benjamin Grubbs Date: 2020.05.19 09:27:50 -04'00'
Benjamin Grubbs Digitally signed by Benjamin Grubbs Date: 2020.05.19 09:28:03 -04'00'
Digitally signed by Jennifer Farrell Date: 2020.05.20 08:07:54 -04'00'
Jesse C. Brown Digitally signed by Jesse C. Brown Date: 2020.05.20 10:23:48 -04'00'
$ 16,805.97 $ 0.00 $ 0.00 $ 0.00
$ 16,805.97
Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment
BWC TAFORM 2/03
Contract Number:
Task Assignment #:
Change Order #:
Deliverables:
Deliverable Deliverable Due Date
Invoice Schedule:
Requirements for Invoice Submittal Amount to be Invoiced
TOTAL COST
HW561
DC008L
$ 16,805.97
Subtask 2: ISR Work Plan
Subtasks 1 & 2: Submittal and FDEP approval of ISR Work Plan
06/01/2020
$ 16,805.97
| 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 |
File details come from the government source that posted it. Updated .