CN-370000-HW680-DC03DCO1.pdf

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.

DC003D 1 HW680

This change order authorizes a time extension of 42 days to complete the work.

Theresa Pepe 850-245-8966 Contractor Contractor

Contractor Contractor

Contractor

Arcadis U.S. Inc.

Gus Suarez 813-205-4703

ERIC_4265

Silver Hanger Cleaners

✔ $ 7,477.74 $ 7,477.74

$ 7,477.74 $ 7,477.74 Completion

Completion✔ 12/06/2024 01/17/2025 42

✔ 1 1 1

Arcadis U.S. Inc.

Gus Suarez

Contract Manager

Gus Suarez, P.E. Digitally signed by Gus Suarez, P.E.

Date: 2024.10.09 11:21:56 -04'00'

Mubeen Darji

Mubeen Darji, P.E. Digitally signed by Mubeen Darji, P.E.

Date: 2024.10.09 08:51:31 -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

HW680

DC003D

$ 7,477.74

Well Abandonment/Site Closure Report & Project Management

FDEP approval of Well Abandonment/Site Closure Report & Project Management

12/06/2024

$ 7,477.74

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

Memorandum

TO: Negotiation File Silver Hanger Cleaners Facility ID No. 10-9501908; ERIC_4265 Orange Park, Clay County FROM: Theresa C. Pepe, Project Manager SUBJECT: Task Assignment Change Order DC003D-1 (HW680) DATE: October 8, 2024

Well abandonment fieldwork has been conducted at the site, but completion reports remain pending from the Water Management District. Delays are anticipated due to the imminent arrival of Hurricane Milton. The DEP project manager authorizes a 42-day time extension so that the TA does not expire over the holiday period. For additional information, see the October 8, 2024, memo from Gus Suarez of Arcadis.

This change order adds 42 days to the completion date. There is no cost change to the task assignment. Arcadis may invoice according to the attached schedule.

From: Suarez, Gustavo To: Pepe, Theresa Subject: Silver Hanger.

Date: Tuesday, October 8, 2024 11:56:35 AM Attachments: image001.png image002.png image003.png image004.png image005.png

EXTERNAL MESSAGE

This email originated outside of DEP. Please use caution when opening attachments, clicking links, or responding to this email.

Hi Theresa.

Silver Hanger well abandonment was completed yesterday. No issues. However, the report is due next Friday (10/18). Can we maybe get a 30d extension? We still need to get the well abandonment reports from the St. Johns WMD, and the hurricane is going to delay everything.

Let me know.

Thanks, Gus Suarez, P.E. (FL/AL) Vice President Arcadis U.S., Inc.

4300 West Cypress Street, Suite 450 | Tampa, FL | 33607 | USA T +1 813 353 5778 M +1 813 205 4703 www.arcadis.com

This email and any files transmitted with it are the property of Arcadis and its affiliates. All rights, including without limitation copyright, are reserved. This email contains information that may be confidential and may also be privileged. It is for the exclusive use of the intended recipient(s). If you are not an intended recipient, please note that any form of distribution, copying or use of this communication or the information in it is strictly prohibited and may be unlawful. If you have received this communication in error, please return it to the sender and then delete the email and destroy any copies of it. While reasonable precautions have been taken to ensure that no software or viruses are present in our emails, we cannot guarantee that this email or any attachment is virus free or has not been intercepted or changed. Any opinions or other information in this email that do not relate to the official business of Arcadis are neither given nor endorsed by it.

mailto:Gus.Suarez@arcadis.com mailto:Theresa.Pepe@FloridaDEP.gov http://secure-web.cisco.com/1aXdnbaIMBncEUG4YdzFs98VU7KqCEx639q5QYJy3lYAevmqr17dafisTRoVtI-8lzPFgcjYmUOTX4pIvoiQLbwLDUvaTl2cMeLkxEubz3mtq0M49U1l0kOaviNSl82AH40RiAVfLr2AGexix3S7dtpfV17t6h6gXc2EGFGufWsoOsdiEt1Af3hX5xnkIARRHnWa_oUlQp2T1yu6hdEVP2CzSgk54RbxUeGesbldLj5SCCU-FgzcKghcwhFUeLPkUQNf5DvzjTGGg1qpYBmWPl3-GssyAY0QtHSGGOssWROy4rck1vgnW0k3HhyUZjsQq/http%3A%2F%2Fwww.arcadis.com%2F https://secure-web.cisco.com/1MgxAn9ubxHv3_2IdCraKL3xVTwl1pi0he3FH-dkNTgdPqxDRJ_hREb0kiJH1zFweoFDLFEpLt9FdoO1GAU-kbPMWkbvIDGyUlQcHHbpQdTLGYuLyOzGazpV4J95nrUEEjGVRSiQM4Hf6ZdAvfndrGXuVHQMZwFS0UWCx5hDufmr9zj3KNkv5dift8MFt8zOz1INQxLMotEo123mAvUz4lBT7xX1VRBqIPyCwemlNhs0sXCGoUEXxbpFKIAXmHqfD8Hcyld1237fEsemLighUduPg4vrflo23PcOnX4Sum5sd7E4fbDymOeimniVJtxe4/https%3A%2F%2Fwww.linkedin.com%2Fshowcase%2Farcadis-north-america%2F https://secure-web.cisco.com/1q124ScQS0LJGPqcRUBN33cvhd6-henmy41RTRzG03d2GR_fk_F130d0SM278vl9Lk0_Ly8vuFrnguUMYU4hxuGcuIZfiIF9yJBi6SkWu-KLpHOQrb8mOu31TdgsAOINO50AjSkaaCQuYLE5Q1YuP3efBTmZ203QygfoYgoAlVQssYamygrflrW_Bf8PCdw8XyF8_PlYrR0Dj-tQ96w671Unoll7Q0Y2wvxRaVQdxvugM5RuLSenldPLIXSbLd7oup1s6ZnJgSOCu5ndLFJ2eHBibPrvvt9FPP36XEWcCnLl429HjbWu5_uoHV9jn31Pk/https%3A%2F%2Ftwitter.com%2FArcadis_NA%3Fref_src%3Dtwsrc%255Egoogle%257Ctwcamp%255Eserp%257Ctwgr%255Eauthor https://secure-web.cisco.com/1dZnoRKXrrhZZ0AwSq8yD8-IHmeH-jC2VrCygyVwCv1tHt1sIEzOtCuD5xDHHkyC38WjDUGP_TkFJArSFj_-JxxoXppifm83S7kD1GFp2BekLa8NvpQSV9tbbdHb5SVotGSzYTD6VpotSS7OZ7a61sQebU9utrVqP2Fp6DngdDNgLbupqlRNwl5ysaAik1H4XoYa-jMqstFnd_QtMCQIGB8OQq_KKyEU7Ekqbnot0roiVSe8-IjRR1qxZB3-NNGkZLwe-vVHszXMSzs_7nc6Ocn5m8Ofwf83BznjuaHvNQ0SY-mQf4FLO7C5UZRhqbFPY/https%3A%2F%2Fwww.facebook.com%2FArcadisNorthAmerica%2F https://secure-web.cisco.com/1-5ce79amuRwahX1f20FH5asx7ibfAknlfoQnMVlfYTdQmFKI5SDrqBC0lSk51sBv6EvAq-U7zTqWBaTOtKfp6DCL2miNny3f3LT4mxrcyXtvz367d0YIfZZ6VfK-hPDfZyUl-0v7hOnA87nqiVZIkIkqxqfUzYdVSYnLNRVfTs9vpSMgoGkO6T9C6NwQ4P2gZWzF_diUjFcdL3YqQ5Idwhw02aoIP9CL9K2_8ZosR2iDTrwoV0FnXQuGmyKmioZdJx5ztnfrIAZHPKi0lZ7ebsZhjpuiYrtdp54_2fEq07Rs0sSLRxFgAflNPN4zuc-6/https%3A%2F%2Fwww.instagram.com%2Farcadisglobal%2F%3Fhl%3Den

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.

HW680

DC003D Completion December 6, 2024

FDEP has prepared a Site Rehabilitation Completion Order for No Further Actions without Institutional Controls. Therefore, Arcadis will properly abandon all monitor wells at the site.

All activities will be performed according to the June 12, 2024, Work Plan submitted by Arcadis.

Theresa Pepe 850-245-8966 Contractor Arcadis U.S. Inc. Contractor

Contractor Gus Suarez Contractor 813-205-4703

ERIC_4265

305-E Blanding Blvd, Orange Park, Clay County

Silver Hanger Cleaners

Contractor Contractor

✔ $ 7,477.74

$ 7,477.74

Scope of Work

Arcadis U.S. Inc.

Contractor Gus Suarez

Contract Manager

Gus Suarez, P.E. Digitally signed by Gus Suarez, P.E.

Date: 2024.06.27 10:29:22 -04'00'

Mubeen Darji

Mubeen Darji, P.E. Digitally signed by Mubeen Darji, P.E.

Date: 2024.06.26 17:04:07 -04'00'

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

Well Abandonment/Site Closure Report & Project Management 10/18/2024

FDEP approval of Well Abandonment/Site Closure Report & Project Management $ 7,477.74

$ 7,477.74

HW680

DC003D