CN-370000-HW682-DC001D.pdf
PDF 877 KB Posted
- Contract number
- HW682
- Issued by
- Florida
About this file
This is a Task Assignment (TA) document executed between the State of Florida Department of Environmental Protection (FDEP) and Environmental Consulting and Technology, Inc. (ECT), pursuant to underlying Contract Number HW682. The Task Assignment Number is DC001D, with an effective date of May 11, 2022, and a completion date of August 31, 2022. The FDEP Project Manager is Melissa Walsh (850-245-8960), and the contractor's Project Manager is Mark A. Culbreth (813-289-9338). The document authorizes ECT to provide staff attendance and travel for two staff members to participate in a WSCS 2-day contractor workshop held at the FDEP Bob Martinez Center on July 12th and 13th, 2022.
The contract is structured on a fixed unit rate basis with a total Task Assignment value of $4,500.00. The sole deliverable is the signature by two staff members on workshop sign-in and sign-out sheets, with a due date of July 13, 2022. Invoice payment of $4,500.00 is contingent upon FDEP approval of completed attendance and the contractor's staff signatures on the workshop attendance documentation. The funding information section shows no specific Org Code, E.O., Object Code, Budget Entity, Appropriation Category, Grant #, or Project # listed (marked as N/A).
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Text version
Funding Information:
Org. Code E.O. Object Code Budget Entity Appropriation
Category Grant # Project # Year Amount
☐ Additional Funding Information attached on separate page.
Rev. 8/26/2020
STATE OF FLORIDA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
Task Assignment This Task Assignment (TA) is entered into between the Parties named below, pursuant to Contract Number: .
1. TA Number: TA Completion Date:
TA Description:
2. Parties State of Florida Department of Environmental Protection (Department)
Department Project Manager: Department Project Manager Phone:
Contractor Name: (Contractor ) ntractor’st ’s Project Manager: ontractor’s t’s Project Manager Phone:
3. Project Number:
(If different from TA Number)
Project Location(s):
Project Name:
4. As consideration for the services rendered by Contractor under the terms of this TA, the Department shall pay the Contractor on the following bases, up to the Total TA Value as indicated below:
☐ Fixed Price:
☐ Fixed Unit Rate: (Extended Price)
☐ Cost Reimbursement:
Total TA Value:
5. The Parties agree to comply with the terms and conditions of the underlying the Contract, and the following attachments which are hereby incorporated by reference:
Attachment 1:
☐ Additional Attachments (if necessary):
IN WITNESS WHEREOF, this TA shall be effective on the last date signed below.
State of Florida Department of Environmental Protection
CONTRACTOR Department Name:
Title: Secretary or Designee
(Authorized Signature) (Authorized Signature) Date:
☐ Additional signatures attached on separate page.
HW682
DC001D Completion August 31, 2022
This Task Assignment authorizes two staff members travel and attend the WSCS 2 day contractor workshop at FDEP Bob Martinez Center on July 12th and 13th.
Melissa Walsh 850-245-8960 Contractor Contractor
Contractor Contractor
Contractor Contractor
Contractor
Environmental Consulting and Technology, Inc. (ECT)
Environmental Consulting and Technology, Inc. (ECT)
Mark A. Culbreth 813-289-9338 N/A
N/A
Contractor Workshop
✔ $ 4,500.00
$ 4,500.00
Scope of Work
Mark A. Culbreth
Contract Manager
5/11/2022
Digitally signed by Mark Culbreth DN: CN=Mark Culbreth, E=mculbreth@ectinc.com Reason: I am approving this document Location: your signing location here Date: 2022.05.11 14:31:52-04'00' Foxit PhantomPDF Version: 10.1.6
Mark Culbreth
William E. Burns Jr.
William E. Burns, Jr. Digitally signed by William E. Burns, Jr.
Date: 2022.05.11 14:17:41 -04'00'
N/A
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
Signature by 2 staff members on workshop sign in and sign out sheets 07/13/2022
Upon FDEP approval of completed attendance and signature by 2 staff members on workshop sign in and sign out sheets $ 4,500.00
$ 4,500.00
HW682
DC001D
File details come from the government source that posted it. Updated .