CN-370000-HW680-DC43ACO1.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.

DC043A 1 HW680

This change order authorizes a time extension of 126 days to complete the work.

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

Gus Suarez 813-205-4703

ERIC_4757

Sun Village Cleaners

$ 6,550.59 $ 6,550.59

$ 6,550.59 $ 6,550.59

07/19/2024 11/22/2024 126

1 1 1

Arcadis U.S. Inc.

Gus Suarez

Contract Manager

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

Date: 2024.05.28 13:08:31 -04'00'

Mubeen Darji

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

Date: 2024.05.28 12:28:24 -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

Jeanette Nuñez Lt. Governor

Shawn Hamilton Secretary

Memorandum

TO: Negotiation File Sun Village Cleaners Facility ID No. 29-9502247; ERIC_4757 Tampa, Hillsborough County FROM: Theresa C. Pepe, Project Manager SUBJECT: Task Assignment Change Order DC043A-1 (HW680) DATE: May 9, 2024

Shallow wells inside the facility require a higher water table for effective sampling. The FDEP project manager authorizes a 126-day time extension due to dry conditions in the Tampa area.

For additional information, see the May 7, 2024, memo from Chad Hanna of Arcadis.

This change order adds 126 days to the completion date. There is no cost change to the task assignment. Arcadis may invoice according to the attached schedule.

From: Pepe, Theresa To: Hanna, Chad Cc: Burke, Brian Subject: RE: Sun Village Monitoring Schedule Date: Tuesday, May 7, 2024 5:16:00 PM Attachments: image007.png image008.png image009.png image010.png image011.png

Hello Chad, I will write a time extension. Thanks for the heads up.

Theresa C. Pepe, FCCM Environmental Consultant Florida Department of Environmental Protection Waste Management/Waste Site Cleanup Section Theresa.Pepe@FloridaDEP.gov 2600 Blairstone Rd. MS 4520 Tallahassee, FL 32399-2400 Office: 850-245-8705 Direct: 850-245-8966

From: Hanna, Chad <Chad.Hanna@arcadis.com> Sent: Tuesday, May 7, 2024 4:55 PM To: Pepe, Theresa <Theresa.Pepe@FloridaDEP.gov> Cc: Burke, Brian <Brian.Burke@arcadis.com> Subject: Sun Village Monitoring Schedule

EXTERNAL MESSAGE

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

Hi Theresa, Unfortunately, it’s drier now in Tampa than when the TA was issued. Do you want us to go ahead and compete the sampling event to meet the 6/14 due date or extend the TA a few months in hopes of rain over the summer? TA attached for reference.

Thank you, Chad Hanna Senior Environmental Specialist Arcadis U.S., Inc.

4300 West Cypress Street, Suite 450 | Tampa, FL | 33607 | USA T +1 813 353 5765 M +1 813 480 8498 www.arcadis.com

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

DC043A Completion July 19, 2024

Arcadis will conduct groundwater monitoring from select wells at the site. All activities will be performed according to the November 15, 2023, Work Plan submitted by Arcadis.

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

Contractor Gus Suarez Contractor 813-205-4703

ERIC_4757

4540 W. Village Drive, Tampa, Hillsborough County

Sun Village Cleaners

Contractor Contractor

$ 6,550.59

$ 6,550.59

Scope of Work

Arcadis U.S. Inc.

Contractor

Gus Suarez

Contract Manager

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

Date: 2023.11.27 16:07:35 -05'00'

Kelly Crain

Kelly Crain Digitally signed by Kelly Crain Date: 2023.11.27 10:55:50 -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 06/14/2024

FDEP approval of Annual Monitoring Report/IDW manifest/Project Management $ 6,550.59

$ 6,550.59

HW680

DC043A