CN-370000-HW680-HW023A.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. 8/26/2020

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

HW023A Completion December 21, 2026

This Task Assignment authorizes Arcadis to address critical issues at Waste Site Cleanup Section State-Funded sites on an as needed basis in accordance with a request from the Waste Site Cleanup Section.

Theresa Pepe 850-245-8966 Contractor Contractor

Contractor Contractor

Contractor Contractor

Contractor

Arcadis U.S. Inc.

Arcadis U.S. Inc.

Gus Suarez 813-205-4703 Multiple

Multiple

Multiple

✔ $ 2,500.00

$ 2,500.00

Scope of Work

Gus Suarez

Contract Manager

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

Date: 2023.09.28 16:47:32 -04'00'

Kelly Crain

Kelly Crain Digitally signed by Kelly Crain Date: 2023.09.28 16:24:30 -04'00'

N/A

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

WCP TAFORM 04-2017

Contract Number:

Task Assignment #:

Deliverables:

Deliverable Deliverable Due Date

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

TOTAL COST

Documentation of Completed Site Activities 12/21/2026

FDEP approval of Documentation of Completed Site Activities $ 2,500.00

$ 2,500.00

HW680

HW023A

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 Critical Response, Multiple State-Funded Sites FROM: Theresa Pepe, Project Manager SUBJECT: Task Assignment HW023A (HW680) DATE: September 27, 2023

Arcadis U.S., Inc. will perform critical tasks at State-Funded sites on an as needed basis in accordance with a request from the Waste Site Cleanup Section. The Section will request the services in writing and will identify the site or sites to be addressed.

The final task assignment total is $2,500.00. Arcadis may invoice according to the attached schedule.