CN-370000-HW682-DC11ACO1.pdf
PDF 2 MB Posted
- Contract number
- HW682
- Issued by
- Florida
About this file
This document is a Task Assignment Change Order (TACO) issued by the State of Florida Department of Environmental Protection (FDEP) to Environmental Consulting and Technology, Inc. (ECT), a private environmental consulting firm based in Tampa, Florida. The TACO amends the original Task Assignment DC011A under Contract HW682 for work at the Bolton Plaza site in Orange Park, Clay County, Florida. The project is identified by ERIC reference number 4269, with Kelly Crain serving as the FDEP project manager and Mark A. Culbreth as the contractor's project manager.
The change order extends the task assignment completion date from June 23, 2023, to October 23, 2023—an extension of 122 days—to accommodate additional sampling activities needed to fill data gaps for the source removal plan. There is no change in the contract price; the total task assignment value remains $16,183.76 based on a fixed unit rate for 77 total labor hours. The deliverables include Draft Figures and Tables (due July 7, 2023, with invoicing of $12,185.39 upon FDEP approval) and ISRP and Project Management documentation (due August 31, 2023, with invoicing of $3,998.37 upon FDEP approval). ECT is responsible for conducting supplemental assessment activities and preparing an interim source removal plan in accordance with the scope of work and cost proposal submitted on February 22, 2023.
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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. 8/17/2020
STATE OF FLORIDA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
Task Assignment Change Order This Change Order is entered into between the Parties named below and amends the Task Assignment (TA) and any previous TA Change Orders (TACO) as follows:
1. TA Number: TACO Number: Contract Number:
TACO Description:
2. Parties State of Florida Department of Environmental Protection (Department)
Department’s Project Manager: Department’s 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 Name:
4. ☐ There are no changes to the TA compensation.
☐ The compensation of the TA is changed to the amounts indicated below:
Amended Price Price Prior to TACO ☐ Fixed Price:
☐ Fixed Unit Rate: (Extended Price)
☐ Cost Reimbursement:
Total TA Value:
5. ☐ There are no changes to the TA Expiration Date.
☐ The TA Completion Date is changed from ______________ to ______________ (a total of ______ days).
6. ☐ There are no changes to the Attachments.
☐ Attachment ___ is replaced with Attachment -____.
7. ☐ No Additional Changes.
☐ Additional Changes:
8. All other terms and conditions of the TA remain in effect. If and to the extent that any inconsistencies may appear between the TA and this TACO, the provisions of this TACO shall control.
IN WITNESS WHEREOF, this TACO 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.
DC011A 01 HW682
This Task Assignment Change Order authorizes a date extension due the need to conduct additional sampling.
Ginger Shirah 850-245-8899 Contractor Contractor
Contractor Contractor
Contractor
Environmental Consulting and Technology, Inc. (ECT) Mark A. Culbreth 813-289-9338
ERIC_4269
Bolton Plaza
$ 0.00 $ 0.00 Completion
Completion✔ 06/23/2023 10/23/2023 122
1 1
Mark A. Culbreth
Vice President Digitally signed by Mark Culbreth Date: 2023.06.20 09:04:10-04'00'Mark Culbreth Kelly Crain Digitally signed by Kelly Crain
Date: 2023.06.20 08:41:40 -04'00'
N/A
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
HW682
DC011A
$ 16,183.76
Draft Figures and Tables (Subtask 2)
ISRP and Project Management (Subtask 3 and 1)
FDEP Approval of Draft Figures and Tables (Subtask 2)
FDEP Approval of ISRP and Project Management (Subtask 3 and 1)
07/07/2023
08/31/2023
$ 3,998.37
$ 12,185.39
Printed on recycled paper.
FLORIDA DEPARTMENT OF
Environmental Protection
Bob Martinez Center 2600 Blair Stone Road
Tallahassee, FL 32399-2400
Ron DeSantis Governor
Jeanette Nuñez Lt. Governor
Shawn Hamilton Secretary
From:
Date:
To: HW682 Contract Negotiation File Bolton Plaza Orange Park, Clay County
ERIC_4269
Ginger Shirah, Project Manager June 19, 2023
Subject: Negotiation Summary
HW682 DC011A-01
This Task Assignment Change Order provides a time extension that is necessary due to a need to conduct additional sampling in order to fill data gaps for the source removal plan.
The task assignment completion date has been extended to October 23, 2023.
There is no change in cost associated with this change order. The FDEP project manager agrees to the scope of work and final cost associated with this Task Assignment that was previously approved. The final cost for this Task Assignment is $16,183.76 with 77 total labor hours.
Shirah, Ginger K
From: Mark Culbreth <mculbreth@ectinc.com> Sent: Monday, June 19, 2023 11:23 AM To: Shirah, Ginger K Subject: Boulton Plaza: TACO - Extension of Time to Complete Task Assignment
EXTERNAL MESSAGE
This email originated outside of DEP. Please use caution when opening attachments, clicking links, or responding to this email.
Ginger, ECT was issued Task Assignment DC011A to conduct the supplemental assessment and prepare an interim source removal plan for the Boulton Plaza site. The Task Assignment CompleƟon date is June 23, 2023. ECT would like to request an extension of the CompleƟon date to October 23, 2023. The need for the CompleƟon date extension is the need to conduct addiƟonal sampling.
Please let me know if you have any quesƟons regarding this request.
Thank you
Mark A. Culbreth, P.G. (Florida) Vice President | Site Assessment & Remediation
Environmental Consulting & Technology, Inc.
1408 North Westshore Blvd. Suite 115 | Tampa, Florida 33607 813-725-5950 (Direct) | 813-382-8953 (Mobile) mculbreth@ectinc.com | www.ectinc.com
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
DC011A Completion June 23, 2023
ECT will conduct supplemental assessment activities and prepare an interim source removal plan for the Bolton Plaza site located in Orange Park, Florida. All work will be conducted in accordance with the scope of work and cost proposal submitted on February 22, 2023.
Kelly Crain 850-245-8953 Contractor Environmental Consulting and Technology, Inc. (ECT) Contractor
Contractor Mark A. Culbreth Contractor 813-289-9338
ERIC_4269
661 Blanding Blvd, Orange Park, Clay County
Bolton Plaza
Contractor Contractor
✔ $ 16,183.76
$ 16,183.76
Select One
Environmental Consulting and Technology, Inc. (ECT Contractor Mark A. Culbreth
Contract Manager 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: 2023.02.23 14:26:01-05'00' Foxit PhantomPDF Version: 10.1.6
Mark Culbreth
Kelly Crain
Kelly Crain Digitally signed by Kelly Crain Date: 2023.02.23 14:19:43 -05'00'
N/A
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
Draft Figures and Tables (Subtask 2) 04/19/2023
ISRP and Project Management (Subtask 3 and 1) 05/12/2023
FDEP Approval of Draft Figures and Tables (Subtask 2) $ 12,185.39
FDEP Approval of ISRP and Project Management (Subtask 3 and 1) $ 3,998.37
$ 16,183.76
HW682
DC011A
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