CN-370000-HW680-DC10ACO1.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.

DC010A 1 HW680

Site access has been finalized. A time extension of 31 days is added to complete the work.

Theresa Pepe 850-245-8966 Contractor Contractor

Contractor Contractor

Contractor

Arcadis U.S. Inc.

Gus Suarez 813-205-4703

ERIC_5422

J & D Cleaners (former)

$ 0.00 $ 0.00 Completion

Completion✔ 09/30/2022 10/31/2022 31

✔ 1 1 1

Arcadis U.S. Inc.

Gus Suarez

Contract Manager

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

Date: 2022.09.12 15:04:13 -04'00'

Kelly Crain

Kelly Crain Digitally signed by Kelly Crain Date: 2022.09.12 14:16:31 -04'00'

9-12-22

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

DC010A

$ 7,774.17

Annual Monitoring Report/IDW manifest/Project Management

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

09/30/2022

$ 7,774.17

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 J & D Cleaners Facility ID No. 57-9808602; ERIC_5422 Milton, Santa Rosa County FROM: Theresa C. Pepe, Project Manager SUBJECT: Task Assignment Change Order DC010A-1 (HW680) DATE: September 12, 2022

Since the August 24, 2022, change order memo from Arcadis, a signed site access form from the off-site property has been received. A time extension of thirty-one days is added to allow Arcadis to complete the work.

This change order adds thirty-one 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: Martineau, Duncan Subject: Upcoming Deliverables - J&D, Bulter, Herman Jackson, and Randolphs Date: Wednesday, August 24, 2022 11:04:30 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, Please see the summary of upcoming deliverables:

Site ERIC ID TA Deliverable Deliverable Due Date

TA Completion Date Notes

J&D Cleaners (former) ERIC_5422 DC010A

Annual Monitoring Report / IDW manifest / Project Management

8/31/2022 9/30/2022 Still need off-site access agreements

Butler Cleaners ERIC_4573 DC006A

Annual Monitoring Report / IDW manifest / Project Management

9/8/2022 10/13/2022 GW sampling scheduled for 8/29/22

Herman Jackson Cleaners

ERIC_4587 DC007A

Annual Monitoring Report / IDW manifest / Project Management

9/16/2022 10/13/2022 GW sampling scheduled for 8/31/22

Randolphs Alterations &

Cleaners

ERIC_4863 DC009A

Annual Monitoring Report / IDW manifest / Project Management

9/30/2022 10/31/2022 Still need access agreements

The most pressing issue is J&D Cleaners. The deliverable due date is 8/31/22 but we still don’t have off-site access agreements. Can we get a due date extension? Also wanted to let you know that Butler Cleaners and Herman Jackson Cleaners will be sampled next week. We may have an issue meeting the deadlines for those reports but should be able to submit prior to the TA Completion Date.

Thanks, 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

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.

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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

DC010A Completion September 30, 2022

Arcadis will conduct annual groundwater monitoring from select wells at the site. All activities will be performed according to the March 10, 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_5422

6815 Caroline Street, Milton, Santa Rosa County

J & D Cleaners (former)

Contractor Contractor

✔ $ 7,774.17

$ 7,774.17

Scope of Work

Arcadis U.S. Inc.

Contractor Gus Suarez

Contract Manager

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

Date: 2022.03.25 15:37:54 -04'00'

William E. Burns, Jr.

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

Date: 2022.03.25 15:22:24 -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

Annual Monitoring Report/IDW manifest/Project Management 08/31/2022

FDEP approval of Annual Monitoring Report/IDW manifest/Project Management $ 7,774.17

$ 7,774.17

HW680

DC010A