CN-370000-HW683-BIL1BCO2.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.

BIL01B 2 HW683

This Task Assignment Change Order authorizes a time extension only, for the task assignment completion date and deliverable dates.

Megan Johnson 850.245.8994 Contractor Contractor

Contractor Contractor

Contractor

Geosyntec Consultants Tori Hood 561.922.1033

BF139801015

Former Biscayne Chemical Site

✔ $ 69,717.86

$ 0.00 $ 69,717.86 Completion

Completion✔ 09/15/2023 10/27/2023 42

✔ 1 1 2

Geosyntec Consultants

Joseph Applegate, P.G.

Senior Principal Hydrogeologist

Joseph Applegate Digitally signed by Joseph Applegate Date: 2023.07.27 14:53:03 -04'00'

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2023.07.27 14:10:00 -04'00'

N/A

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

HW683

BIL01B

$ 69,717.86

Field documentation of monitoring well installations and PARM 7 groundwater sampling; IDW water characterization profile, IDW manifest.

PARM 7 Report; Project Management.

Department approval of field documentation (Subtasks 2 and 3)

Department approval of Project Management and PARM 7 Report (Subtasks 1 and 4)

08/18/2023

09/22/2023

$ 18,240.01

$ 51,477.85 www.FloridaDEP.gov

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: Geosyntec Consultants, HW683 Contract File

FROM: Megan Johnson, Contract Manager

DATE: July 27, 2023

SUBJECT: Negotiation Summary – BIL22

Task Assignment (TA) Change Order #2 – TA BIL01BC2 Former Biscayne Chemical – Site ID # BF139801015 Well Installation and Post Active Remediation Monitoring activities

This Task Assignment Change Order (TACO) extends the Task Assignment completion date and the interim and final deliverable due dates. Specific changes are detailed below:

• The contractor requested a time extension for the interim and final deliverables due to a delay in receiving signed site access for two off-site wells.

There is no change to the original cost of $69,717.86.

http://www.floridadep.gov/

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.

BIL01B 1 HW683

The Department approves this Task Assignment Change Order (TACO) for changes in cost associated with groundwater assessment and PARM activities at the below project site. This TACO is based upon the delta Level of Effort submitted to the Department on June 1, 2023 by Geosyntec Consultants.

Megan Johnson 850.245.8994 Contractor Geosyntec Consultants Contractor

Contractor Tori Hood Contractor 561.922.1033

BF139801015

Former Biscayne Chemical Site

✔ $ 69,717.86 $ 74,071.17

$ 69,717.86 $ 74,071.17 ✔ Completion

Completion 08/31/2023 09/15/2023 15

✔ 1 1 1

Geosyntec Consultants Contractor Joseph Applegate, P.G.

Senior Principal Hydrogeologist

Joseph Applegate Digitally signed by Joseph Applegate Date: 2023.06.09 14:15:18 -04'00'

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2023.06.09 13:41:20 -04'00'

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

HW683

BIL01B

$ 69,717.86

Field documentation of monitoring well installations and PARM 7 groundwater sampling; IDW water characterization profile, IDW manifest.

PARM 7 Report; Project Management.

Department approval of field documentation (Subtasks 2 and 3)

Department approval of Project Management and PARM 7 Report (Subtasks 1 and 4)

07/14/2023

08/14/2023

$ 18,240.01

$ 51,477.85