CN-370000-HW682-DC07BCO1.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.

DC007B 1 HW682

Karlee Fowler 850-245-8944 Contractor Contractor

Contractor Contractor

Contractor

Environmental Consulting and Technology, Inc. (ECT) Mark A. Culbreth 813-289-9338

ERIC_4570

American Drive In Cleaners

✔ $ 6,484.85 $ 6,484.85

$ 6,484.85 $ 6,484.85 Completion

Completion✔ 05/09/2024 08/30/2024 113

✔ 1 1 1

Environmental Consuting & Technology, Inc.

Mark A. Culbreth

Contract Manager

5/8/2024

Digitally signed by Mark Culbreth Date: 2024.05.08 13:44:16-04'00'Mark Culbreth

Mubeen Darji

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

Date: 2024.05.08 12:41:20 -04'00'

This change order authorizes a no cost time extension to allow additional time to complete and review the report.

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

WCP TAFORM 01_18

Contract Number:

Task Assignment #:

Change Order #:

Deliverables:

Deliverable Deliverable Due Date

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

TOTAL COST

HW682

DC007B

$ 6,484.85

Annual NAM Report

IDW Manifest; Project Management

Upon Submittal and FDEP approval of Annual NAM Report

Upon Submittal and FDEP approval of IDW Manifest; Project Management

07/26/2024

07/26/2024

$ 840.88

$ 5,643.97

FFLORIDAA DEPARTMENTT OF

EEnvironmentall Protection

Bob Martinez Center 2600 Blair Stone Road

Tallahassee, FL 32399-2400

Ronn DeSantis Governor

Jeanette Nuñez Lt. Governor

Shawnn Hamilton Secretary

Memorandum

TO:

FROM:

SUBJECT:

DATE:

HW682 Contract File American Drive In Cleaners

ERIC_4570

Karlee Fowler, Project Manager Negotiation Summary Task Assignment DC007B-01 April 24, 2024

This Task Assignment Change Order authorizes a no cost time extension to allow additional time to complete and review the Natural Attenuation Monitoring Report.

The Task Assignment total remains $6,484.85 for 35 labor hours, task end date is now August 30, 2024. The project manager agrees to the scope of work and associated costs. ECT may invoice according to the attached schedule.

Fowler, Karlee

From: Courtney Wranosky <cwranosky@ectinc.com> Sent: Tuesday, April 30, 2024 10:49 AM To: Fowler, Karlee; Mark Culbreth; Leif Layton Subject: RE: Expiring Tasks

EXTERNAL MESSAGE

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

Good Morning Karlee, We’re requesting a 90-day extension for all of the following sites to allow for completion of the reports, FDEP to review the reports/TACOs and for invoicing.

Victorian Cleaners Fashion Square Cleaners American Drive-In Adams Cleaner Jet Cleaners #7

Thanks, Courtney Wranosky Associate Scientist

Environmental Consulting & Technology, Inc.

C: 518.586.4651 | cwranosky@ectinc.com

Follow us:

From: Fowler, Karlee <Karlee.Fowler@FloridaDEP.gov> Sent: Tuesday, April 30, 2024 9:26 AM To: Mark Culbreth <mculbreth@ectinc.com>; Leif Layton <llayton@ectinc.com>; Courtney Wranosky <cwranosky@ectinc.com> Subject: Expiring Tasks

Hi all, Please see the below tasks that are set to expire in the next couple of weeks. Please let me know ASAP if a time extension is needed for any of them.

HW682 ECT (682) DC004B 5 Victorian Cleaners RI Cost Adjustment for Change in Scope of Work

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.

HW682

DC007B May 9, 2024

This Task Assignment authorizes ECT to perform annual groundwater monitoring in accordance with the attached Scope of Work and Cost Estimate.

Ginger Shirah 850-245-8899 Environmental Consulting and Technology, Inc. (ECT)

Mark A. Culbreth 813-289-9338

ERIC_4570

4178 Herschel St, Jacksonville, Duval County

American Drive In Cleaners

$ 6,484.85

$ 6,484.85

Scope of Work

Environmental Consulting and Technology, Inc. (ECT)

Mark A. Culbreth

Contract Manager

8/18/2023

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2023.08.18 10:56:21 -04'00'

N/A

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

WC TAFORM

Contract Number:

Task Assignment #:

Deliverables:

Invoice Schedule:

TOTAL COST