CN-370000-HW688-DC001C.pdf
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- Contract number
- HW688
- Issued by
- Florida
About this file
This is a Task Assignment (TA) document issued under Contract Number HW688 between the State of Florida Department of Environmental Protection (FDEP) and Wood Environment & Infrastructure Solutions, Inc. The TA was executed by Geoffrey Schaefer, Contract Manager for Wood Environment & Infrastructure Solutions, Inc., and William E. Burns Jr., Secretary or Designee for FDEP. The document was digitally signed on May 11, 2022, with an effective completion date of August 31, 2022.
The Task Assignment authorizes two staff members from Wood Environment & Infrastructure Solutions, Inc. to travel and attend a two-day Wastewater Collections Systems (WSCS) contractor workshop at the FDEP Bob Martinez Center on July 12 and 13, 2022. The compensation structure is established on a fixed unit rate basis, with a total TA value of $4,500.00. The sole deliverable requires signatures from both staff members on workshop sign-in and sign-out sheets, due by July 13, 2022. Payment of the full $4,500.00 is contingent upon FDEP's approval of completed attendance and receipt of the signed workshop attendance documentation. No additional funding source details are provided in the document.
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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.
HW688
DC001C Completion August 31, 2022
This Task Assignment authorizes two Staff members travel and attendance at the WSCS 2 day contractor workshop at FDEP Bob Martinez Center on July 12 and 13.
Ginger Shirah (850) 245-8899 Contractor Contractor
Contractor Contractor
Contractor Contractor
Contractor
Wood Environment & Infrastructure Solutions, Inc.
Wood Environment & Infrastructure Solutions, Inc.
Geoffrey Schaefer (850) 298-7707 Multiple
Multiple
Multiple
✔ $ 4,500.00
$ 4,500.00
Select One
Geoffrey Schaefer
Contract Manager
Geoff.Schaefer Digitally signed by Geoff.Schaefer Date: 2022.05.11 17:18:04 -04'00'
William E. Burns Jr.
William E. Burns, Jr. Digitally signed by William E. Burns, Jr.
Date: 2022.05.11 07:28:22 -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
HW688
DC001C
File details come from the government source that posted it. Updated .