CN-370000-HW680-HW03ACO1.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.

HW003A 1 HW680

This change order authorizes a time extension of 77 days to complete the final audit reports.

Theresa Pepe 850-245-8966 Contractor Contractor

Contractor Contractor

Contractor

Arcadis U.S. Inc.

Gus Suarez 813-205-4703

N/A

Institutional Controls and Engineering Controls Audit Program (ICECAP)

✔ $ 0.00 $ 0.00

$ 0.00 $ 0.00 Completion

Completion✔ 06/30/2023 09/15/2023 77

✔ 1 1 1

Arcadis U.S. Inc.

Gus Suarez

Contract Manager

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

Date: 2023.06.22 08:33:03 -04'00'

Teresa Booeshaghi

Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2023.06.20 15:57:41 -04'00'

6/20/2023

N/A

Task Assignment Notification/Change Order

Deliverables and Invoice Schedule Attachment

Contract Number: HW680

Task Assignment #: HW003A

Change order # 1

Deliverables:

Deliverable Deliverable Due Date

Receipt of six (6) Audit Reports 31-Jul-22

Receipt of seven (7) Audit Reports 30-Aug-22

Receipt of eight (8) Audit Reports 30-Sep-22

Receipt of eight (8) Audit Reports 31-Oct-22

Receipt of eight (8) Audit Reports 30-Nov-22

Receipt of eight (8) Audit Reports 31-Dec-22

Receipt of eight (8) Audit Reports 31-Jan-23

Receipt of eight (8) Audit Reports 28-Feb-23

Receipt of eight (8) Audit Reports 30-Jun-23

Receipt of eight (8) Audit Reports 31-Jul-23

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

FDEP approval of six (6) Audit Reports (July 2022 submittal)

Previously Invoiced

$14,706.64

FDEP approval of seven (7) Audit Reports (August 2022 submittal) Previously Invoiced $17,157.75

FDEP approval of Eight (8) Audit Reports (September 2022 submittal) Previously Invoiced $19,608.86

FDEP approval of Eight (8) Audit Reports (October 2022 submittal) Previously Invoiced

$19,608.86

FDEP approval of Eight (8) Audit Reports (November 2022 submittal) Previously Invoiced

$19,608.86

FDEP approval of Eight (8) Audit Reports (December 2022 submittal) Previously Invoiced $19,608.86

FDEP approval of Eight (8) Audit Reports (January 2023 submittal) $19,608.86

FDEP approval of Eight (8) Audit Reports (February 2023 submittal)

$19,608.86

FDEP approval of Eight (8) Audit Reports (June 2023 submittal) $19,608.86

FDEP approval of Eight (8) Audit Reports (July 2023 submittal) $19,608.85

TOTAL COST $188,735.26

BWC TAFORM 01/18

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 Institutional Controls and Engineering Controls Audit Program (ICECAP) Multiple sites

FROM: Theresa C. Pepe, Project Manager SUBJECT: Task Assignment Change Order HW003A-1 (HW680) DATE: June 14, 2023

Additional time is required to complete the final sixteen audit reports. The invoice/deliverable schedule is adjusted accordingly. Further information is provided in the June 13, 2023, change order request memo from Brian Burke of Arcadis.

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

G:\ENV\TF\FDEP Drycleaners\FDEP Drycleaner Program\ICECAP\FY2023\Proposal\Extension Request Memo - ICECAR 06132023.docx

Arcadis U.S., Inc.

3109 West Dr. Martin Luther King

Jr. Boulevard

Suite 350

Tampa

Florida 33607

Tel 813 903 3100

Fax 813 903 9115 www.arcadis.com

Page:

1/1

Ms. Theresa Pepe, Project Manager

Hazardous Waste Cleanup Section

Florida Department of Environmental Protection

Bob Martinez Center, MS 4520

2600 Blair Stone Road

Tallahassee, FL 32399-2400

Date: June 13, 2023

Our Ref: 30018982

Subject: Task Assignment HW003A Extension Request Memo

Dear Ms. Pepe:

Arcadis U.S., Inc. (Arcadis) is assisting the Florida Department of Environmental

Protection (FDEP) with audits for seventy-seven (77) sites as part of the

Institutional Controls and Engineering Controls Audit Program (ICECAP). The

ICECAP scope includes file reviews of the FDEP Oculus database, Institutional

Controls Registry, Water Management District information, county property appraiser and clerk of courts databases. In addition, Arcadis communicates with the property owners and performs site visits to document the the current property use, engineering controls, and conformance with any property restrictions.

These activities are being performed in accordance with Task Assignment

HW003A. To date, 61 of the 77 audit reports have been submitted to FDEP and subsequently approved. The anticipated schedule for submittal of the final 16 reports is listed below.

6/30/2023: Submittal of eight audit reports

7/30/2023: Submittal of final eight audit reports

As such, Arcadis requests an extension for HW003A to 9/15/2023 to account for the review and invoicing of the final reports. Arcadis appreciates the opportunity to continue to assist the FDEP with the ICECAP. Please call or email me if you have any questions regarding this request.

Sincerely, Arcadis U.S., Inc.

Brian R. Burke, P.G.

Project Manager

ENVIRONMENT

Date:

June 13, 2023

Contact:

Brian R. Burke, P.G.

Phone:

813.353.5755

Email:

Brian.Burke@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

HW003A Completion June 30, 2023

This task provides hours and associated costs for Arcadis staff to evaluate and audit the implementation of Institutional Controls and Engineering Controls for seventy-seven

(77) sites in accordance with the Arcadis June 20, 2022 cost proposal.

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

Contractor Gus Suarez Contractor 813-205-4703

HW003A

Multiple Sites

Institutional Controls and Engineering Controls Audit Program (ICECAP)

Contractor Contractor

✔ $ 188,735.26

$ 188,735.26

Scope of Work

Arcadis U.S., Inc.

Contractor Gus Suarez

Contract Manager

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

Date: 2022.06.29 08:07:40 -04'00'

Teresa Booeshaghi

Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2022.06.28 16:08:27 -04'00'

N/A

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

Contract Number: HW680 Task Assignment #: HW003

Deliverables:

Deliverable Deliverable Due Date Receipt of six (6) Audit Reports 31-Jul-22 Receipt of seven (7) Audit Reports 30-Aug-22 Receipt of eight (8) Audit Reports 30-Sep-22 Receipt of eight (8) Audit Reports 31-Oct-22 Receipt of eight (8) Audit Reports 30-Nov-22 Receipt of eight (8) Audit Reports 31-Dec-22 Receipt of eight (8) Audit Reports 31-Jan-23 Receipt of eight (8) Audit Reports 28-Feb-23 Receipt of eight (8) Audit Reports 31-Mar-23 Receipt of eight (8) Audit Reports 30-Apr-23

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

FDEP approval of six (6) Audit Reports (July 2022 submittal) $14,706.64

FDEP approval of seven (7) Audit Reports (August 2022 submittal)

$17,157.75

FDEP approval of Eight (8) Audit Reports (September 2022 submittal)

$19,608.86

FDEP approval of Eight (8) Audit Reports (October 2022 submittal)

$19,608.86

FDEP approval of Eight (8) Audit Reports (November 2022 submittal)

$19,608.86

FDEP approval of Eight (8) Audit Reports (December 2022 submittal)

$19,608.86

FDEP approval of Eight (8) Audit Reports (January 2023 submittal)

$19,608.86

FDEP approval of Eight (8) Audit Reports (February 2023 submittal)

$19,608.86

FDEP approval of Eight (8) Audit Reports (March 2023 submittal) $19,608.86

FDEP approval of Eight (8) Audit Reports (April 2023 submittal) $19,608.8

TOTAL COST $188,735.2

BWC TAFORM 01/18