CN-370000-HW680-DC05ACO1.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.

DC005A 1 HW680

A time extension of 60 days is added due to awaiting signed site access forms from some properties.

Theresa Pepe 850-245-8966 Contractor Contractor

Contractor Contractor

Contractor

Arcadis U.S. Inc.

Gus Suarez 813-205-4703

ERIC_4876

Concord Custom Cleaners #208

✔ $ 8,237.12 $ 8,237.12

$ 8,237.12 $ 8,237.12 Completion

Completion✔ 06/30/2022 08/29/2022 60

✔ 1 1 1

Arcadis U.S. Inc.

Gus Suarez

Contract Manager

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

Date: 2022.05.16 15:39:30 -04'00'

William E. Burns Jr.

William E. Burns, Jr. Digitally signed by William E. Burns, Jr.

Date: 2022.05.16 10:22:27 -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

DC005A

$ 8,237.12

Annual Monitoring Report/IDW manifest/Project Management

FDEP approval of Annual Monitoring Report/IDW manifest/Project Management

07/19/2022

$ 8,237.12

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 Concord Custom Cleaners #208 Facility ID No. 37-9600306; ERIC_4876 Tallahassee, Leon County FROM: Theresa C. Pepe, Project Manager SUBJECT: Task Assignment Change Order DC005A-1 (HW680) DATE: May 13, 2022

Updated and signed site access forms for the source property and some off-site properties have not yet been received. Therefore, a time extension of sixty days is added to the task assignment.

For additional information, see the May 12, 2022, change order request memo from Mike O’Sullivan of Arcadis.

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

From: OSullivan, Mike To: Pepe, Theresa Cc: Suarez, Gus Subject: RE: May Final Deliverables and TA"s expiring Date: Thursday, May 12, 2022 8:28:28 AM Attachments: image001.png image002.png image003.png image004.png image005.png image006.png

EXTERNAL MESSAGE

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

Theresa, We are on track to meet the deliverable due date for the Kathy's Cleaners Report (5/31/2022) but are still waiting on Access Agreements for Concord Custom #208. We have sent Access Agreements to the property owners for the Site (AMI Largest Economy LLC) , and the two off-site property owners (FSU and the City of Tallahassee) but have not received signed copies. Because we cannot schedule the groundwater monitoring event until the Access Agreements are signed, we will not be able to meet the Report due date of 5/20/2022. I would like to request a due date extension to allow enough time to receive the Access Agreements and complete the monitoring event.

Thank you, Mike

Mike O’Sullivan PG Senior Geologist Arcadis U.S., Inc.

1705 Metropolitan Boulevard Tallahassee, FL | 32308 | USA T +1 850 895 4739 M +1 850 491 2346 www.arcadis.com

Professional Geologist / PG-FL, 2468

From: Pepe, Theresa <Theresa.Pepe@FloridaDEP.gov> Sent: Tuesday, May 10, 2022 11:34 AM To: Suarez, Gus <Gus.Suarez@arcadis.com> Cc: McGlone, Douglas <Douglas.McGlone@arcadis.com>; Burke, Brian <Brian.Burke@arcadis.com>;

Hanna, Chad <Chad.Hanna@arcadis.com>; OSullivan, Mike <Mike.OSullivan@arcadis.com> Subject: May Final Deliverables and TA's expiring

Hello Gus, Please see attached – spreadsheets for Final Deliverables in May and TA’s expiring in May.

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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

DC005A Completion June 30, 2022

Arcadis will conduct annual groundwater monitoring from select wells at the site. All activities will be performed according to the February 22, 2022, Work Plan submitted by Arcadis.

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

Contractor Gus Suarez Contractor 813-205-4703

ERIC_4876

1100 West Tennessee Street, Tallahassee, Leon County

Concord Custom Cleaners #208

Contractor Contractor

✔ $ 8,237.12

$ 8,237.12

Scope of Work

Arcadis U.S. Inc.

Contractor Gus Suarez

Contract Manager

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

Date: 2022.02.25 10:52:01 -05'00'

William E. Burns Jr

William E. Burns, Jr. Digitally signed by William E. Burns, Jr.

Date: 2022.02.25 09:10:46 -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

Annual Monitoring Report/IDW manifest/Project Management 05/20/2022

FDEP approval of Annual Monitoring Report/IDW manifest/Project Management $ 8,237.12

$ 8,237.12

HW680

DC005A