CN-370000-HW682-DC13BCO1.pdf

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Attached to
Master Agreement FL|HW682|8fccc28dda898687f0dd3c309f3a996b
Contract number
HW682
Issued by
Florida

About this file

This document is a Task Assignment Change Order (TACO) executed between the State of Florida Department of Environmental Protection (FDEP) and Environmental Consulting and Technology, Inc. (ECT). The change order amends Task Assignment DC013B under Contract HW682 for work at the Southside Cleaners site located at 901 South Florida Avenue in Lakeland, Polk County, Florida. The original Task Assignment was signed October 5, 2023, and the change order was executed July 8, 2024. Key personnel include Karlee Fowler as FDEP Project Manager, Mark A. Culbreth as ECT's Contract Manager, and Teresa Booeshaghi as the authorizing official for FDEP.

The change order authorizes a no-cost time extension due to delays caused by driller availability, extending the task completion date from July 31, 2024, to January 31, 2025, adding 184 days to the project schedule. The total Task Assignment value remains unchanged at $123,176.06 for 279 labor hours and covers initial site assessment activities including ground penetrating radar (GPR), direct push testing (DPT), soil sampling, well installation, sampling, and magnetic anomaly gradient surveying (MAGS) work. Deliverables are structured across eight subtasks with corresponding invoice milestones tied to FDEP approval, with payment amounts ranging from $3,497.77 to $68,476.90, payable upon completion and approval of each deliverable phase through December 6, 2024.

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Text version

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.

DC013B 1 HW682

Karlee Fowler 850-245-8944 Contractor Environmental Consulting and Technology, Inc. (ECT) Contractor

Contractor Mark A. Culbreth Contractor 813-289-9338

ERIC_5377

Southside Cleaners

✔ $ 123,176.06 $ 123,176.06

$ 123,176.06 $ 123,176.06 Completion

✔ Completion 07/31/2024 01/31/2025 184

✔ 1 1 1

Environmental Consulting &Technology, Inc.

Contractor Mark A. Culbreth

Contract Manager

7/8/2024

Digitally signed by Mark Culbreth Date: 2024.07.08 11:10:04-04'00'Mark Culbreth

Teresa Booeshaghi

Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2024.07.08 10:23:54 -04'00'

7/8/2024

This change order authorizes a no cost time extension necessitated by the availability of drillers.

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

HW682

DC013B

$ 123,176.06

Email deliverable for GPR and Field Notes (Subtask 2)

Email deliverable DPT and Soil Sampling Field Notes (Subtask 3)

Email deliverable well installation and sampling Field Notes (Subtask 4)

Email deliverable for MAGS Field Notes (Subtask 5)

PLS and IDW Manifest (Subtask 6 and 7)

SAR and PM (Subtask 8 and 1)

FDEP Approval of Email deliverable for GPR and Field Notes (Subtask 2)

FDEP Approval of Email deliverable well installation and sampling Field Notes (Subtask 4)

FDEP Approval of Email deliverable for MAGS Field Notes (Subtask 5)

FDEP Approval of SAR and PM (Subtask 8 and 1)

FDEP Approval of PLS and IDW Manifest (Subtask 6 and 7)

FDEP Approval of Email deliverable DPT and Soil Sampling Field Notes (Subtask 3)

07/26/2024

08/30/2024

08/30/2024

09/27/2024

12/06/2024

10/25/2024

$ 68,476.90

$ 3,497.77

$ 26,027.77

$ 5,495.57

$ 6,414.13

$ 13,263.92

FFLORIDAA DEPARTMENTT OFF

EEnvironmentall Protection

Bob Martinez Center 2600 Blair Stone Road

Tallahassee, FL 32399-2400

Ronn DeSantiss Governor

Jeanette Nuñez Lt. Governor

Shawnn Hamiltonn Secretary

Memorandum

TO:

FROM:

SUBJECT:

DATE:

HW682 Contract File

ERIC_

K , Project Manager Negotiation Summary Task Assignment DC-003

This Task Assignment authorizes

The Task Assignment $ , The project manager agrees to the scope of work and associated costs. ECT may invoice according to the attached schedule.

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

DC013B July 31, 2024

This Task Assignment authorizes ECT to to conduct initial site assessment activities at the Southside Cleaners site located in Lakeland, Florida. All work will be conducted in accordance with the scope of work and cost proposal submitted on October 3, 2023.

Kelly Crain 850-245-8953 Environmental Consulting and Technology, Inc. (ECT)

Mark A. Culbreth 813-289-9338

ERIC_5377

901 South Florida Avenue, Lakeland, Polk County, FL

Southside Cleaners

$ 123,176.06

$ 123,176.06

Select One

Environmental Consulting and Technology, Inc. (ECT

Mark A. Culbreth

Contract Manager

10/5/2023

Teresa Booeshaghi

Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2023.10.05 14:28:36 -04'00'

10/5/2023

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

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