CN-370000-HW680-DC31BCO1.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.

DC031B 1 HW680

This change order authorizes a time extension of sixty-three days for equipment delivery.

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

Gus Suarez 813-205-4703

ERIC_5413

Rivergate Drycleaners

$ 157,174.35 $ 157,174.35

$ 1,200.00 1200

$ 158,374.35 $ 158,374.35

09/20/2024 11/22/2024 63

1 1 1

Arcadis U.S. Inc.

Gus Suarez

Contract Manager

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

Date: 2024.03.19 14:27:37 -04'00'

Teresa Booeshaghi

Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2024.03.19 13:58:16 -04'00'

3/19/2024

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

Jeanette Nuñez Lt. Governor

Shawn Hamilton Secretary

Memorandum

TO: Negotiation File Rivergate Drycleaners Facility ID No. 26-9501255; ERIC_5413 Port St. Lucie, St. Lucie County FROM: Theresa C. Pepe, Project Manager SUBJECT: Task Assignment Change Order DC031B-1 (HW680) DATE: March 19, 2024

Arcadis is awaiting delivery of the new remedial equipment for installation. A time extension of sixty days-three will allow completion of the work. For additional information, see the March 15, 2023, biweekly update from Doug McGlone of Arcadis.

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

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

DC031B Completion September 20, 2024

This Task Assignment authorizes Arcadis to install a soil vapor extraction system according to the approved Interim Source Removal (ISR) Work Plan.

The payment of utility invoices is the only portion of this Task Assignment that is Cost Plus.

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

Contractor Gus Suarez Contractor 813-205-4703

ERIC_5413

1193 SE Port St. Lucie Blvd, Port St. Lucie, St. Lucie County

Rivergate Drycleaners

Contractor Contractor

$ 157,174.35

$ 1,200.00

$ 158,374.35

Scope of Work

Arcadis U.S. Inc.

Contractor

Gus Suarez

Contract Manager

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

Date: 2023.10.23 14:44:01 -04'00'

Teresa Booeshaghi

Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2023.10.23 12:31:34 -04'00'

10/23/2023

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

Construction Completion & Documentation 03/29/2024

Submittal of Property Purchase Documentation 04/05/2024

System Startup/As-Built Reports 04/30/2024

First Quarter O&M email summary/IDW manifest 07/31/2024

First Quarter Utility Invoices 08/16/2024

FDEP approval of Construction Completion & Documentation $ 79,224.77

FDEP approval of Equipment Purchase with paid invoice;Property reporting form and component list $ 54,900.00

FDEP approval of System Startup/As-Built Reports $ 9,097.79

FDEP approval of First Quarter O&M email summary/IDW manifest/Project Management $ 13,891.79

FDEP approval of First Quarter Utility Invoices Utilities (Cost Plus Fixed Fee) = not to exceed $1,200.00 Utilities Handling Fee = $60.00

$ 1,260.00

$ 158,374.35

HW680

DC031B