CN-370000-HW682-DC21ACO1.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) issued by the State of Florida Department of Environmental Protection (FDEP) for Contract Number HW682, Task Assignment Number DC021A. The contract involves the FDEP and the contractor Environmental Consulting and Technology, Inc. (ECT), with Karlee Fowler serving as the Department's Project Manager and Mark A. Culbreth as the contractor's representative. The work is located at Koretizing Cleaners II (D282) in Jacksonville, Duval County, Florida, under Project Number ERIC_4575.

This TACO authorizes a no-cost time extension for ECT to complete annual groundwater monitoring activities at the site. The task assignment maintains a fixed unit rate total value of $12,966.56 with 54 labor hours allocated across four subtasks: Project Management (Subtask 1), Well Installation/Abandonment (Subtask 2), Groundwater Sampling (Subtask 3), and Investigative Derived Waste (IDW) Management (Subtask 4). The completion date was extended from June 7, 2024, to August 30, 2024, representing an 84-day extension due to driller availability scheduling delays. Deliverables include well installation/abandonment field notes ($5,704.31), annual NAM report ($5,524.27), and IDW manifest/project management documentation ($1,737.98), with invoicing contingent upon FDEP approval of each deliverable. The change order was executed on February 13, 2024, and becomes effective upon the final authorized signature.

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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:

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.

DC021A 01 HW682

This Change Order authorizes a no cost time extension for ECT to perform annual groundwater monitoring at Koretizing Cleaners II (D282)

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

Contractor Mark A. Culbreth Contractor 813-289-9338

ERIC_4575

Koretizing Cleaners II (D282)

✔ $ 12,966.56 $ 12,966.56

$ 12,966.56 $ 12,966.56 ✔ Completion ✔ Completion 06/07/2024 08/30/2024 84

✔ 1 1 1

Contractor Mark A. Culbreth

Contract Manager

2/13/2024

Digitally signed by Mark Culbreth Date: 2024.02.13 09:34:50-05'00'Mark Culbreth

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2024.02.13 09:19:42 -05'00'

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

HW682

DC021A

$ 12,966.56

Well Installation/Abandonment Field Notes (Subtask 2)

Annual NAM Report (Subtask 3)

IDW Manifest; Project Management (Subtask 1 & 4)

Upon submittal and FDEP approval of Well Installation/Abandonment Field Notes (Subtask 2)

Upon Submittal and FDEP approval of IDW Manifest; Project Management (Subtask 1 & 4)

Upon Submittal and FDEP approval of Annual NAM Report (Subtask 3)

05/03/2024

06/28/2024

07/29/2024

$ 5,704.31

$ 5,524.27

$ 1,737.98

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

To:

From:

Date:

HW68 Contract Negotiation File

County

ERIC_

Project Manager

Subject: Negotiation Summary

HW68

This Task Assignment

Subtask 1: Project Management An automatic calculation based upon total direct labor hours determines the labor hours within this subtask.

Subtask :

Subtask :

Fowler, Karlee

From: Fowler, Karlee Sent: Wednesday, January 31, 2024 9:56 AM To: Gregory Sattler Cc: Mark Culbreth; Courtney Wranosky Subject: RE: Koretizing Cleaners II (D282) ERIC_4545 TA DC021A Time Extensions

Thank you for le ng me know, Greg. I’ll go ahead and put together a me extension TACO.

Thanks!

Karlee

From: Gregory Sattler <gsattler@ectinc.com> Sent: Wednesday, January 31, 2024 9:49 AM To: Fowler, Karlee <Karlee.Fowler@FloridaDEP.gov> Cc: Mark Culbreth <mculbreth@ectinc.com>; Courtney Wranosky <cwranosky@ectinc.com> Subject: Koretizing Cleaners II (D282) ERIC_4545 TA DC021A Time Extensions

EXTERNAL MESSAGE

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

Good morning Karlee, I am reques ng me extensions for all the Kore zing Cleaners II (D282), TA DC021A SubTasks. I cannot get the drilling scheduled as plan, and as a result, the first drilling date now is April 26th. I am reques ng the following date extensions.

SubTask 2 Well Install and Well Abandonment; changed from January 13, 2024, to May 3, 2024.

SubTask 3 Annual Report; changed from March 13, 2024, to June 28, 2024.

SubTask 4 IDW Manifest; changed from April 12, 2024, to July 29, 2024.

SubTask 1 PM; changed from May 12, 2024, to July 29, 2024.

A ached is the signed TA as a reference.

I am available any me to discuss the recommended change if needed.

Best Regards, Gregory Sattler, P.E.

Senior Remediation Engineer| Site Assessment & Remediation

Environmental Consulting & Technology, Inc.

3751 Maguire Boulevard | Suite 234 | Orlando, Florida 32803 C: 321.245.2124 | gsattler@ectinc.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.

HW682

DC021A June 7, 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_4575

2261 Edgewood Avenue West, Jacksonville, Duval County

Koretizing Cleaners II (D282)

$ 12,966.56

$ 12,966.56

Scope of Work

Environmental Consulting and Technology, Inc. (ECT

Gregory L. Sattler

Contract Manager

Kelly Crain Digitally signed by Kelly Crain Date: 2023.09.08 15:27:38 -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

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