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.

DC014B 2 HW680

A time extension of 62 days is added for obtaining off-site access.

Theresa Pepe 850-245-8966 Contractor Contractor

Contractor Contractor

Contractor

Arcadis U.S. Inc.

Gus Suarez 813-205-4703

ERIC_4160

Dry Cleaning Depot

✔ $ 0.00 $ 0.00

$ 0.00 $ 0.00 Completion

Completion✔ 05/30/2023 07/31/2023 62

✔ 1 1 2

Arcadis U.S. Inc.

Gus Suarez

Contract Manager

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

Date: 2023.03.29 15:13:08 -04'00'

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2023.03.29 13:43:27 -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

DC014B

$ 38,808.65

Monitor Well Installation Field Logs, and additional sampling (subtask 4)

Monitoring Report/IDW manifest/Project Management

FDEP approval of Monitor Well Installation Field Logs, and additional sampling

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

05/31/2023

06/30/2023

$ 4,755.64

$ 34,053.01

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 Dry Cleaning Depot Facility ID No. 06-9502029; ERIC_4160 Fort Lauderdale, Broward County FROM: Theresa C. Pepe, Project Manager SUBJECT: Task Assignment Change Order DC014B-2 (HW680) DATE: March 28, 2023

More time is required to negotiate off-site access. For additional information, see the March 28, 2023, change order request memo from Doug McGlone of Arcadis.

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

From: McGlone, Douglas To: Pepe, Theresa Subject: DC Depot DC014B Time Extension Date: Tuesday, March 28, 2023 8:43:32 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 feel like the church is going to grant us access to install wells ,but we will not meet the current deliverable schedule of March 31st and are requesting a 60 day time extension.

Thanks

Douglas J. McGlone PG Principal Geologist Arcadis U.S., Inc.

1500 Gateway Blvd., Suite 200 | Boynton Beach, Florida | 33426 | USA M. +1 561.662.7978 www.arcadis.com

Professional Geologist / PG-FL 2405

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. 8/17/2020

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.

DC014B 1 HW680

This change order authorizes additional sampling for contaminant free water from the subcontractor.

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

Contractor Gus Suarez Contractor 813-205-4703

ERIC_4160

Dry Cleaning Depot

✔ $ 38,808.65 $ 37,828.24

$ 38,808.65 $ 37,828.24 Completion

✔ Completion 04/28/2023 05/30/2023 32

1 1 1

Arcadis U.S. Inc.

Contractor Gus Suarez

Contract Manager

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

Date: 2022.12.15 11:39:26 -05'00'

Teresa Booeshaghi

Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2022.12.15 10:41:09 -05'00'

12/15/2022

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

HW680

DC014B

$ 38,808.65

Monitor Well Installation Field Logs and additional sampling (subtask 4)

Monitoring Report/IDW manifest/Project Management

FDEP approval of Monitor Well Installation Field Logs and additional sampling (subtask 4)

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

03/31/2023

04/28/2023

$ 4,755.64

$ 34,053.01