CN-370000-HW680-DC07CCO1.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.

DC007C 1 HW680

This change order authorizes a time extension of 32 days to complete the report.

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

Gus Suarez 813-205-4703

ERIC_4587

Herman Jackson Cleaners

$ 14,323.56 $ 14,323.56

$ 14,323.56 $ 14,323.56

07/31/2025 09/01/2025 32

1 1 1

Arcadis U.S. Inc.

Gus Suarez

Contract Manager

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

Date: 2025.04.22 10:47:54 -04'00'

John Travis

John Travis Digitally signed by John Travis Date: 2025.04.22 08:34:53 -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

FLORIDA DEPARTMENT OF

Environmental Protection

Bob Martinez Center

2600 Blair Stone Road Tallahassee, FL 32399-2400

Ron DeSantis Governor

Alexis A. Lambert Secretary

Memorandum

TO: Negotiation File Herman Jackson Cleaners

FACID NO. 16-9502441; ERIC_4587

Jacksonville, Duval County FROM: Theresa C. Pepe, Project Manager SUBJECT: Task Assignment Change Order DC007C-1 (HW680) DATE: April 18, 2025

Arcadis has not yet received the lab report and has requested a time extension to complete the monitoring report. The DEP project manager authorizes a thirty-two-day extension. For additional information, see the April 18, 2025, memo from Mike O’Sullivan of Arcadis.

This change order adds thirty-two 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 Subject: Re: Herman Jackson - MWs paved over Date: Friday, April 18, 2025 7:58:06 AM Attachments: Outlook-lqfhvr3v.png

Outlook-A picture .png Outlook-Shape Des.png Outlook-Shape Des.png Outlook-Shape Des.png Outlook-sjxenxxu.png Outlook-A picture .png Outlook-Shape Des.png Outlook-Shape Des.png Outlook-Shape Des.png

EXTERNAL MESSAGE

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

Theresa, We were able to sample MW-21, MW-8, and MW-12 as replacement wells, and completed the sampling on 4/11/25. We are currently waiting on lab results and expect to receive them on 4/23/25 at the earliest.

Because of this I would like to request a due date extension for the AMR which is due on 4/25/25.

Thanks, Mike

Mike O’Sullivan PG Principal 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 Sent: Friday, April 11, 2025 9:10 AM To: OSullivan, Mike Subject: RE: Herman Jackson - MWs paved over

Arcadis Warning: Exercise caution with email messages from external sources such as this message. Always verify the sender and avoid clicking on links or scanning QR codes unless certain of their authenticity.

Mike, 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

DC007C Completion July 31, 2025

Arcadis will conduct annual groundwater monitoring from select wells at the site. All activities will be performed according to the January 17, 2025, Work Plan submitted by Arcadis.

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

Contractor Gus Suarez Contractor 813-205-4703

ERIC_4587

1981 San Marco Blvd, Jacksonville, Duval County

Herman Jackson Cleaners

Contractor Contractor

$ 14,323.56

$ 14,323.56

Scope of Work

Arcadis U.S. Inc.

Contractor

Gus Suarez

Contract Manager

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

Date: 2025.02.05 09:49:09 -05'00'

Mubeen Darji

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

Date: 2025.02.05 08:05:52 -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 04/25/2025

FDEP approval of Annual Monitoring Report/IDW manifest/Project Management $ 14,323.56

$ 14,323.56

HW680

DC007C