CN-370000-HW550-BF504BC1.pdf

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Attached to
Master Agreement FL|HW550|85d144626a85584193b4b253697535d5
Contract number
HW550
Issued by
Florida

About this file

This document is a Task Assignment Notification Change Order Form (TACO) for the Florida Department of Environmental Protection (DEP), specifically Change Order No. 01 for Task Assignment BF504B under Contract HW550. The contractor is Geosyntec Consultants, Inc., represented by Joe Applegate, P.G. The contract manager is Ginger Shirah with the DEP. The site involved is Liftmasters, Inc., located at 12875 58th Street North, Clearwater, Pinellas County, Florida 34620, identified as facility ERIC_15273.

The task assignment involves Phase II Environmental Site Assessment (ESA) activities for the Liftmasters site. The original task amount was $14,323.45 on a fixed-price basis with no change orders, resulting in a total task value of $14,323.45. The change order extends the task completion date by 14 days from April 30, 2021 to May 14, 2021, with no change to the dollar amount. The extension was issued to accommodate delays in subcontractor invoicing and allow time for final invoicing adjustments. The deliverables include the Phase II ESA Report, with supporting documentation consisting of QAPP/Work Plan and HASP, field notes, photographic logs, chain of custody records, and soil sampling logs. Invoice payments are structured in three phases totaling $14,323.45: $2,349.43 for QAPP/Work Plan and HASP approval, $8,075.19 for field documentation approval, and $3,898.83 for Phase II ESA Report approval.

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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

HW550

01BF504B

Geosyntec Consultants, Inc.

Joe Applegate, P.G. Phone #: (850) 518-1832

(850) 245-8899Ginger Shirah

Liftmasters, Inc.

ERIC_15273

The Department approves this Task Assignment Change Order (TACO) in accordance with the attached correspondence submitted by Geosyntec Consultants, Inc. on April 28, 2021. Delays were encountered as a result of subcontractor invoicing issues so the final invoice for this task assignment has taken longer to submit than expected. Therefore, a two-week date extension for the task completion date has been issued to allow time for final invoicing and any adjustments that may be needed. The task completion date is now May 14, 2021. There is no change in Task Assignment amount.

Phase II Environmental Site Assessment (ESA) Report 03/26/2021

$ 14,323.45 $ 0.00 $ 0.00 $ 0.00

$ 14,323.45 $ 0.00 $ 0.00 $ 0.00 $ 14,323.45

$ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00

$ 14,323.45

04/30/2021

04/30/2021

05/14/2021

Ginger Shirah Digitally signed by Ginger Shirah Date: 2021.04.29 08:19:09 -04'00'

Ginger Shirah Digitally signed by Ginger Shirah Date: 2021.04.29 08:19:17 -04'00'

Digitally signed by Jennifer Farrell Date: 2021.04.29 12:00:17 -04'00'

Joseph Applegate Digitally signed by Joseph Applegate Date: 2021.04.29 14:31:20 -04'00'

$ 14,323.45 $ 0.00 $ 0.00 $ 0.00

$ 14,323.45

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

HW550

BF504B

$ 14,323.45

QAPP/Work Plan and HASP

Field notes, photographic log, chain of custody, soil sampling logs

Phase II ESA Report

Department approval of QAPP/Work Plan and HASP (Subtask 2)

Department approval of Phase II ESA Report (Subtasks 1 & 4)

Department approval of field notes, photographic log, chain of custody, soil sampling logs (Subtask 3)

02/08/2021

02/26/2021

03/26/2021

$ 8,075.19

$ 2,349.43

$ 3,898.83

Shirah, Ginger K

From: David Latham <DLatham@Geosyntec.com> Sent: Wednesday, April 28, 2021 5:20 PM To: Shirah, Ginger K Cc: Joseph L. Applegate; JJ Hollingshead Subject: RE: Submittal of Phase II ESA Report; Task HW550_BF504B - LiftMasters Site; Clearwater, FL

Thanks so much Ginger for working with us on this. For now, I think the TACO for a time extension is the best plan for moving forward. Our formal request is for an extension of the TA by 2 weeks to May 14, 2021 just to be sure.

Thanks Again, Dave L.

David J. Latham, P.G. (FL) Senior Geologist

GEOSYNTEC CONSULTANTS

1200 Riverplace Blvd.

Suite 710 Jacksonville, FL 32207 Phone: 904 450 4253 Fax: 904 395 1143 Mobile: 561 809 5131 www.Geosyntec.com

From: Shirah, Ginger K <Ginger.K.Shirah@FloridaDEP.gov> Sent: Wednesday, April 28, 2021 4:39 PM To: David Latham <DLatham@Geosyntec.com> Cc: Joseph L. Applegate <JApplegate@Geosyntec.com>; JJ Hollingshead <JHollingshead@Geosyntec.com> Subject: RE: Submittal of Phase II ESA Report; Task HW550_BF504B ‐ LiftMasters Site; Clearwater, FL

CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. If you have any suspicion, please confirm with the sender verbally that this email is authentic.

Hi Dave, I checked with Billy and he says that you can submit an invoice after the TA expires, but if there is a chance the cost is going to change due to the sub fees we should probably get a change order in now to extend it so we don’t end up needing a settlement agreement. Let me know how you’d like to proceed, it’s no problem for me to submit a time extension TACO in the morning, just need an email from you guys asking for it.

Thanks!

Ginger Shirah Environmental Specialist CERCLA Site Screening Section Division of Waste Management Florida Department of Environmental Protection Ginger.K.Shirah@floridadep.gov

850.245.8899

From: David Latham <DLatham@Geosyntec.com> Sent: Wednesday, April 28, 2021 8:42 AM To: Shirah, Ginger K <Ginger.K.Shirah@FloridaDEP.gov> Cc: Joseph L. Applegate <JApplegate@Geosyntec.com>; JJ Hollingshead <JHollingshead@Geosyntec.com> Subject: RE: Submittal of Phase II ESA Report; Task HW550_BF504B ‐ LiftMasters Site; Clearwater, FL

Good Morning Ginger, You had requested that we insert Figure 2 from the Phase I report into this report (which we agree is a good idea), so please see the attached updated version which includes this figure and the associated references in the text. Regarding the invoice, we have resolved a couple of remaining subcontractor invoicing issues, which unfortunately took some extra time. Our accounting staff member said that she is not going to be able to have the final invoice ready by this Friday, but could do so by the following Friday (May 7). Do we need to send a change order for a time extension on the TA (maybe for 2 weeks to be safe)?

Thanks, GEOSYNTEC CONSULTANTS

1200 Riverplace Blvd.

Suite 710 Jacksonville, FL 32207 Phone: 904 450 4253 Fax: 904 395 1143

Sent: Tuesday, April 27, 2021 11:02 AM To: David Latham <DLatham@Geosyntec.com>

CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. If you have any suspicion, please confirm with the sender verbally that this email is authentic.

Good morning Dave, Just wanted to touch base to make sure you guys got the invoice in for Liftmasters, since the task ending at the end of this week.

Thanks!

CERCLA Site Screening Section Division of Waste Management Florida Department of Environmental Protection

Sent: Friday, April 9, 2021 3:11 PM To: Shirah, Ginger K <Ginger.K.Shirah@FloridaDEP.gov> Cc: JJ Hollingshead <JHollingshead@Geosyntec.com>; Joseph L. Applegate <JApplegate@Geosyntec.com> Subject: RE: Submittal of Phase II ESA Report; Task HW550_BF504B ‐ LiftMasters Site; Clearwater, FL

Thanks Ginger. I will get this revised report over to you today to reflect the added figure. We will also make sure that these two final subtasks gets added to the invoicing. We also very happy of course to assist with further assessment later in the fall so the County can comfortably move forward with the redevelopment project.

Thanks Again and Best Regards, GEOSYNTEC CONSULTANTS

1200 Riverplace Blvd.

Suite 710 Jacksonville, FL 32207 Phone: 904 450 4253 Fax: 904 395 1143

Sent: Thursday, April 8, 2021 9:44 AM To: David Latham <DLatham@Geosyntec.com> Cc: JJ Hollingshead <JHollingshead@Geosyntec.com>; Joseph L. Applegate <JApplegate@Geosyntec.com>

CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. If you have any suspicion, please confirm with the sender verbally that this email is authentic.

Hi Dave, Thanks for submitting the Phase II for Liftmasters. The report looks great, I would like to ask if you would mind including the site vicinity map (from the Phase I) that shows the nearby old landfills/other sites? It was really helpful when we were discussing the analytical results and why we might want to move forward with more work on the site.

If you can add that in and then please invoice for the final amount of TA BF504B (Subtaks 1 & 4 ‐ $3,898.83) at your earliest convenience, I believe the task is open until 4/30.

So with that, the County did want to proceed with a SAR to look into the TMW1 area. They are planning on turning this property into a park/kayak launch kind of recreational area, so the option to restrict the groundwater is on the table, but we need to examine it a little further to make a decision on where they want to go with the site. We told them that we could proceed under the SRP grant, but we don’t have room on the schedule to actually task this until later this fall. So we have plenty of time on our end to get proposals and such, but I did want to give you a heads up that the project would be coming up later this year.

Thank you again, we appreciate all of your work on this project!

CERCLA Site Screening Section Division of Waste Management Florida Department of Environmental Protection

Sent: Friday, March 26, 2021 9:18 PM To: Shirah, Ginger K <Ginger.K.Shirah@FloridaDEP.gov> Cc: JJ Hollingshead <JHollingshead@Geosyntec.com>; Joseph L. Applegate <JApplegate@Geosyntec.com> Subject: RE: Submittal of Phase II ESA Report; Task HW550_BF504B ‐ LiftMasters Site; Clearwater, FL

Good Evening Ginger, Please see the attached report for the Phase II sampling work at the LiftMasters Site. Let us know if you have any questions on this. Note that we are also working on getting you the invoicing for the prior approved Subtasks under this

TA.

Thanks and Best Regards, GEOSYNTEC CONSULTANTS

1200 Riverplace Blvd.

Suite 710 Jacksonville, FL 32207 Phone: 904 450 4253 Fax: 904 395 1143

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Dep Customer Survey

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Dep Customer Survey

DEP CONTRACT NO.

Task Assignment #: Module #: Grant #:

Contractor Name:

Contractor Representative:

DEP Contract Manager: Phone #:

DEP Site #:

Site Name:

Address(Street, City, County):

Phase:

Task Description [use additional pages if necessary]:

The Deliverable and Invoice Schedule is attached.

Final Deliverables:

Final Deliverable Due Date:

TASK ASSIGNMENT TYPE AND NOT TO EXCEED AMOUNTS:

FIXED FEE

RETAINAGE:

TOTAL TASK ASSIGNMENT VALUE: $0.00

DEP Task Manager:

DEP Contract Manager:

Contractual Authority:

Contractor Representative:

CC: Procurement Section (MS 93) Section Representative ________

TASK ASSIGNMENT NOTIFICATION FORM

COST PLUS FIXED FEE

COST REIMBURSEMENT

FIXED PRICE FEE SCHEDULE

Period of Performance:

Execution of Task Assignment through:

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).

WCP TAFORM 01_18

HW550

SRPPM SRP18BF504B

Geosyntec Consultants, Inc.

Joe Applegate, P.G. Phone #: (850) 518-1832

(850) 245-8953Kelly Crain

ERIC_15273

Liftmasters, Inc.

12875 58th Street North, Clearwater, Pinellas County, Florida 34620 Phase II Environmental Site Assessment

The Department approves this Task Assignment (TA) based upon the Cost Proposal and Level of Effort (CP/LOE) for Phase II Environmental Site Assessment activities, including groundwater and soil assessment activities, submitted to the Department on January 13, 2021 by Geosyntec Consultants. The final deliverable will be a Phase II Environmental Site Assessment Report, received by the Department no later than March 26, 2021.

Phase II Environmental Site Assessment (ESA) Report

03/26/2021

04/30/2021

$ 14,323.45 $ 0.00 $ 0.00 $ 0.00

$ 0.00

Ginger Shirah Digitally signed by Ginger Shirah Date: 2021.01.26 15:28:06 -05'00'

Kelly Crain Digitally signed by Kelly Crain Date: 2021.01.26 15:37:28 -05'00'

Digitally signed by Jennifer Farrell Date: 2021.01.26 16:20:51 -05'00'

Joseph Applegate Digitally signed by Joseph Applegate Date: 2021.01.27 08:37:54 -05'00'

$ 14,323.45

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

QAPP/Work Plan and HASP 02/08/2021

Field notes, photographic log, chain of custody, soil sampling logs 02/26/2021

Phase II ESA Report 03/26/2021

Department approval of QAPP/Work Plan and HASP (Subtask 2) $ 2,349.43

Department approval of field notes, photographic log, chain of custody, soil sampling logs (Subtask 3) $ 8,075.19

Department approval of Phase II ESA Report (Subtasks 1 & 4) $ 3,898.83

$ 14,323.45

HW550

BF504B

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

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