CN-370000-HW681-DC06BCO4.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:

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.

DC006B 4 HW681

Mubeen Darji 850-245-8965 CDM Smith Inc.

Leslie Samel 904-527-6727

ERIC_4671

Jasper Laundry & Cleaners

$ 157,367.97 $ 157,367.97

$ 157,367.97 $ 157,367.97

03/29/2024 10/31/2024 216

1 1 3

CDM Smith Inc.

Leslie Samel

Contract Manager

Teresa Booeshaghi

Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2024.03.12 13:03:35 -04'00'

3/12/2024

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

TO: HW681 Contract File

FROM: Mubeen Darji, P.E., Contract Manager

DATE: October 12, 2023

SUBJECT: Negotiation Summary Task Assignment DC006B

TACO #4

This Task Assignment Change Order authorizes a no cost time extension to the CDM Smith Inc.

scope of work. The TA completion date has been extended by 216 days. The new TA completion date is now October 31, 2024.

CDM Smith Inc. requested a 6-month extension to the TA for FDEP to complete review of the SSAR while CDM Smith is preparing the ISRP.

The FDEP project manager agrees to the scope of work and final cost associated with this Task Assignment Change Order. The final cost total for Task Assignment DC006B is $157,367.97 with 540 labor hours.

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.

DC006B 3 HW681

This Task Assignment Change Order is for a time extension to complete the Interim Source Removal Plan (ISRP) pending DEP comments on the Supplemental Soil Assessment Report (SSAR) that are needed to inform the ISRP.

Aaron Cohen 850-245-8974 Contractor CDM Smith Inc. Contractor

Contractor Shayne Wood Contractor 904-527-6703

ERIC_4671

Jasper Laundry & Cleaners

$ 0.00 $ 0.00

$ 0.00 $ 0.00

Completion Completion 11/30/2023 03/29/2024 120

1 1 2

CDM Smith Inc.

Contractor

Shayne Wood

Vice President

11/27/2023

Shayne Wood Digitally signed by Shayne Wood DN: C=US, E=woodsh@cdmsmith.com, O=CDM Smith, OU=NAU, CN=Shayne Wood Date: 2023.11.27 17:21:32-05'00'

Teresa Booeshaghi

Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2023.11.27 15:15:30 -05'00'

11/27/2023

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

HW681

DC006B

$ 157,367.97

Supplemental Soil Assessment Report (SSAR)

Groundwater Sampling - Updated Tables, Field Notes, and Laboratory Analytical Report

Revised ISRP

Subtasks 1 and 2: FDEP Review and approval of Supplemental Soil Assessment Report, and Project Management

Subtask 4: FDEP Review and approval of Revised ISRP

Subtask 3: FDEP Review and approval of Groundwater Sampling - Updated Tables, Field Notes, and Laboratory Analytical Report

08/30/2023

08/30/2023

01/31/2024

$ 35,293.91

$ 104,658.16

$ 17,415.90