CN-370000-HW686-DC01ACO5.pdf
PDF 939 KB Posted
- Contract number
- HW686
- Issued by
- Florida
About this file
This document is a Task Assignment Change Order (TACO) Number 5 issued by the State of Florida Department of Environmental Protection (FDEP) to Professional Services Industries, Inc. (Intertek-PSI), Contract Number HW686. The change order amends Task Assignment DC001A and reconciles costs for contractor services performed in response to Hurricane Helene in September 2024. The FDEP Project Manager is Mary Uribe, and the contractor's Project Manager is Joshua Newell. The work was performed at four sites: Coastal Cleaners (ERIC_5272), Custom Commerce (ERIC_5234), Main Street (ERIC_5423), and Westwood (ERIC_4706).
The change order authorizes a decrease in cost to reconcile Work Change Directive 5, with the amended total task value decreasing from $27,915.58 to $32,339.49 on a fixed unit rate basis. However, the negotiation summary clarifies that WCD 7 authorized up to $5,000 for labor and resources to evaluate systems and perform shutdown and restart operations on four systems, with actual costs of $4,423.91. The cost increase for this TACO is $4,423.91, resulting in a final cost of $32,339.49. Deliverables include site securement documentation, system shutdowns and startups, and project management activities, with invoicing contingent upon FDEP approval of documented completed site activities and supporting documentation. The task completion date remains December 21, 2026.
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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:
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.
DC001A 5 HW686
Mary Uribe • Responsibilities o As a Contractor Professional Services Industries, Inc. (Intertek- PSI) Contractor
Contractor Joshua Newell Contractor 863 712 4342 Various
Various
✔ $ 32,339.49 $ 27,915.58
$ 0.00
$ 32,339.49 $ 27,915.58 ✔ Completion
Completion 12/21/2026 12/21/2026 0
1 1 5
Contractor
Joshua S Newell Digitally signed by Joshua S Newell Date: 2024.11.19 14:18:03-05'00'
Mubeen Darji
Mubeen Darji, P.E. Digitally signed by Mubeen Darji, P.E.
Date: 2024.11.19 13:59:34 -05'00'
This TACO authorizes a decrease in cost to reconcile WCD 5. Hurricane Helene, September 2024. Sites serviced: Coastal Cleaners ERIC_5272, Custom Commerce ERIC_5234, Main Street ERIC_5423, Westwood ERIC_4706
Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment
Contract Number: HW686 Task Assignment #: DC001A- 5
Deliverables:
Deliverable Deliverable Due Date Documentation of completed site activities 12/21/2026
Off site notice documentation and Project management 8/1/2022 Field notes and redesign of the SVE System at coastal cleaners & Documentation of System Shutdown before Hurricane Ian & Documentation of system restart and siteconditions following Hurricane Ian and PM
12/1/2022
Field notes and documentation relating to system repairs at Westwood and Custom Commerce 3/30/2023
Email confirmation of system shutdown and restart for 3 sites before and after Hurricane Idalia 9/7/2023
Email notification/summary of site securement and manual shutdown of Coastal, Custom, Main St, and Westwood sites prior to Hurricane Helene landfall.
2/7/2025
Documentation of system startup post - Hurricane Helene 2/7/2025
Invoice Schedule:
Requirements for Invoice Submittal Amount to be Invoiced Submittal and FDEP approval of Documentation of Completed Site Activities 2,500.00
Submittal and FDEP approval of Off site notice & Project management 1,459.73
Submittal and FDEP approval of Field notes and redesign of the SVE system at Coastal Cleaners, & documentation of system shutdown before hurricane Ian, & documentation of system restart and site conditions following Hurricane Ian
10,239.91
Field notes and documentation relating to system repairs at Westwood and Custom Commerce 10,114.80
Email confirmation of system shutdown and restart for 3 sites before and after hurricane Idalia 3,601.14
Hurricane Helene Project Management 437.62 Hurricane Helene Site Securement, System Shutdown, System Startup 3,986.29
TOTAL COST $32,339.49
BWC TAFORM 01/18
FFLORIDA DDEPARTMENT OF
EEnvironmental Protection
Bob Martinez Center
2600 Blair Stone Road Tallahassee, FL 32399-2400
Ron DeSantis Governor
Jeanette NNuñez
Lt. Governor
Shawn Hamilton Secretary
Memorandum
TO: Various Sites
FROM: Mary Uribe, Project Manager
SUBJECT: Negotiation Summary
HW686 DC0001A-5
DATE: November 6th, 2024
This Task Assignment Change Order reconciles costs for PSI to perform site securement, shut downs, and startups related to Hurricane Helene. Costs were authorized by WCD 7.
WCD 7 was authorized for up to $5,000 for labor and resources to evaluate systems within the hurricane’s path and perform shut down and restart on four systems. The actual cost related to this was $4,423.91.
The cost increase related to this change is $4,423.91.
The FDEP project manager agrees to the scope of work and final cost associated with this TACO. The final cost for this TACO is $32.339.49.
PSI may invoice following the schedule established in the Deliverables and Invoice Schedule Attachment, which accompanies the TACO Notification Form.
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R E V
C E F
I n t e r t e k P S I
P a g
LEVEL OF EFFORT/EXPENSE WORKSHEET
SITE : Hurricane Helene SubTask 2 SVE Systems Shutdown and Restart
DATE: 9/24/2024
LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON
STAFF-TITLE WORK DESCRIPTION HOURS
Senior Geologist, N Westmark Technical Assistance 2 Total Hours: 2
Project Engineer, J Newell Generate Letter Report 2 Total Hours: 2
Project Scientist, S Luth Custom Commerce ERIC_5234 - Travel and System Shutdown, inspection, start-up 4 Coastal Cleaners ERIC_5272 - Travel and System shutdown, inspection, startup 4 Westwood ERIC_4706 - Travel and System shutdown, inspection, startup 4 Main Street ERIC_5423 - Travel and System shutdown, inspection, startup 8 Upload Photos and Field Notes to Project Folder 3 Generate Photo Log 2
Total Hours: 25
Administrative Assistant, B Meynardie Compile Documents 1 Total Hours: 1
TOTAL LABOR 30
VEHICLE TYPE RATE UNIT USEAGE
$0.00
Equipment Van / Truck $120.00 day 2 $240.00
$0.00
TOTAL VEHICLE $240.00
PER DIEM STAFF RATE UNIT USEAGE
$0.00 $0.00 $0.00 $0.00
TOTAL PER DIEM $0.00
SUBCONTRACTOR COSTS
NAME PURPOSE COST
$0.00
TOTAL $0.00
LABORATORY COSTS
PARAMETER RATE # SAMPLES #QAQC
$0.00
$0.00 0 $0.00
TOTAL LAB $0.00
EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS
$0.00 Site Reconnaisance Kit $150.00 day 2 $300.00 $300.00 Expendables $40.00 day 2 $80.00
TOTAL EQUIPMENT $380.00
Site Name: Site ID #:
Contract #: Contractor:
• Reason for Work Change Directive :
• Description of Work Change Directive :
• Attachments (if applicable, list documents supporting change):
• Costs (if negotiated unit costs, provide information below):
WCP WCD 07-2018
Authorized Contractor Signature:
Authorized FDEP Signature:
WORK CHANGE DIRECTIVE FORM
FDEP Supervisor Approval:
(if applicable)
Additional work is not authorized without prior FDEP approval as indicated by an approved Work Change Directive Form or Task Assignment Change Order Form. It is the Contractor's responsibility to ensure that additional costs associated with this WCD are resolved by a Task Assignment Change Order (TACO) prior to the completion date of the original Task Assignment or subsequent TACOs completed prior to the execution date of this WCD. Failure to do so will result in a loss of reimbursement for work associated with this WCD.
Task Assignment #: Work Change Directive #:
Maximum Estimated Increase in Task Amount:
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.
DC001A 4 HW686
This Task Assignment Change Order authorizes an increase in cost to reconcile WCD #6.
Kelly Crain (850)245-8953 Contractor Contractor
Contractor Contractor
Contractor
Professional Service Industries, Inc. (Intertek-PSI) Nana G. Westmark 813-886-1075
Multiple
Multiple
✔ $ 27,915.58 $ 24,314.44
$ 27,915.58 $ 24,314.44 ✔ Completion
Completion 0
✔ 1 1 4
Professional Service Industries, Inc. (Intertek-PSI)
Nana Westmark
Senior Geologist / Principal Consultant
Nana G Westmark Digitally signed by Nana G Westmark Date: 2023.10.18 14:12:30 -04'00' Kelly Crain Digitally signed by Kelly Crain
Date: 2023.10.18 10:16:22 -04'00'
N/A
Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment
Contract Number:
Task Assignment #:
Deliverables:
Deliverable Deliverable Due Date
Invoice Schedule:
Requirements for Invoice Submittal Amount to be Invoiced
TOTAL COST
HW686
DC001A
$ 27,915.58
Documentation of completed site activities
Off site notice documentation and Project management
Field notes and redesign of the SVE System at coastal cleaners & Documentation of System Shutdown before Hurricane Ian & Documentation of system restart and site conditions following Hurricane Ian and PM
Field notes and documentation relating to system repairs at Westwood and Custom Commerce
Email confirmation of system shutdown and restart for 3 sites before and after Hurricane Idalia
Submittal and FDEP approval of Documentation of Completed Site Activities
Submittal and FDEP approval of Field notes and redesign of the SVE System at coastal cleaners, & Documentation of System Shutdown before Hurricane Ian, & Documentation of system restart and site conditions following Hurricane Ian & PM
Field notes and documentation relating to system repairs at Westwood and Custom Commerce
Email confirmation of system shutdown and restart for 3 sites before and after Hurricane Idalia
Submittal and FDEP approval of Off site notice & Project management
12/21/2026
08/01/2022
12/01/2022
03/30/2023
09/07/2023
$ 1,459.73
$ 2,500.00
$ 10,239.91
$ 10,114.80
$ 3,601.14
File details come from the government source that posted it. Updated .