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.

DC006A 1 HW682

This Task Assignment Change Order removes PPE costs, adds an additional unit of expendables and sampling kit, and authorizes a due date extension.

Kelly Crain 850-245-8953 Contractor ECT Contractor

Contractor Gregory Sattler Contractor 321-245-2124

ERIC_4625

Crossroads Square Shopping Center

✔ $ 6,772.81 $ 6,477.81

$ 6,772.81 $ 6,477.81 Completion

✔ Completion 12/30/2022 03/29/2023 89

✔ 1 1 1

Contractor Mark A.Culbreth

Contract Manager Digitally signed by Mark Culbreth DN: CN=Mark Culbreth, E=mculbreth@ectinc.com Reason: I am approving this document Location: your signing location here Date: 2022.11.03 09:28:07-04'00' Foxit PhantomPDF Version: 10.1.6

Mark Culbreth

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2022.11.02 16:09:48 -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

DC006A

$ 6,772.81

Annual Groundwater Monitoring Report; Project Mgmt (Subtasks 1 and 2)

Approval of Annual Groundwater Monitoring Report; Project Mgmt (Subtasks 1 and 2)

12/30/2022

$ 6,772.81

Printed on recycled paper.

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: HW682 Contract Negotiation File Crossroads Square Shopping Center Jacksonville, Duval County

ERIC_4625

From: Kelly Crain, Project Manager Date: November 2, 2022 Subject: Negotiation Summary

HW683 DC006A-1

This Task Assignment Change Order removes an unnecessary cost for PPE and adds an additional unit for Expendables and Shallow Groundwater Sampling Kit which should have been included in the original TA because the field work is expected to take 2 days to complete. This Task Assignment Change Order also grants a due date extension of the final deliverable and extends the TA Completion Date.

Prior to field work, ECT will obtain an updated Access Agreement from the current real property owner of the Crossroads Square Shopping Center (ERIC_4625) site. PFAS screening for the site will be tasked under a separate Task Assignment.

The cost increase related to this change order is $295.00. The DEP project manager agrees to the scope of work and final cost associated with this Task Assignment Change Order. The final cost for this Task Assignment Change Order is $6,772.81 with 46.2 labor hours.

ager: Mark Culbreth SubTask 4

SubTask 5

TTotals 1 2 3 Labor Rate Category

80.12 PProject Manager 2 2.2

80.12 Senior Principal Scientist (MC) 2 2 0

37.13 Staff Engineer / Scientist (LL) 14 13.5 0

26.54 GIS Analyst / Graphics (JV) 6 6 0

22.44 Technician (BC) 17 16.5 0

31.45 Administrative (BJ) 6 6 0

Total Hours 46.2 2.2 44.0 0

Direct Labor $1,559.06 $179.36 $1,379.70 $0.00

Overhead 125.30% $1,953.50 $224.74 $1,728.76 $0.00 Gen & Admin 0.00% $0.00 $0.00 $0.00 $0.00 Fringe 47.40% $739.00 $85.02 $653.98 $0.00 Total Labor $4,251.56 $489.12 $3,762.44 $0.00

Travel Vehicle Rental $240.00 $240.00 $0.00 Per diem + Hotel $202.00 $202.00 $0.00 Total Travel $442.00 $442.00 $0.00

Subcontractor (Equipment Procurement) Total Subcontractor Cost $0.00 $0.00 $0.00

Subcontractor (Services Procurement)

IDW $176.00 $176.00 $0.00

Subcontractor Subtotal $176.00 $176.00 $0.00 Handling Fee $17.60 $17.60 $0.00 Total Subcontractor Cost $193.60 $193.60 $0.00

Laboratory Analytical Costs $584.00 $584.00 $0.00 Sample Shipping $70.00 $70.00 $0.00 Total Laboratory $654.00 $654.00 $0.00

Field Expenses Personal Protection $0.00 $0.00 $0.00 Expendables $80.00 $80.00 $0.00 Shallow Groundwater Sampling Kit $580.00 $580.00 $0.00 Metal Detector $40.00 $40.00 $0.00 Equipment (IDW related) $100.00 $100.00 $0.00 Equipment (Ice) $6.50 $6.50 $0.00 Total Field Expenses $806.50 $806.50 $0.00

Subtotal $6,347.66 $489.12 $5,858.54 $0.00 Completion Fee $425.15 $48.91 $376.24 $0.00

Total Estimated Cost $6,772.81 $538.03 $6,234.78 $0.00

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Crossroads Square Shopping Plaza SUBTASK:2 Annual NAM and Reporting (DELTA)

DATE: 10/13/2022

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

M. Culbreth Sr. Principal Scientist Develop conclusions and recommendations and prepare final report 2

Total 2 L. Layton Staff Engineer Verification of property ownership, notify RPO of field activities 2

Prepare Health and Safety Plan 2 Characterization and waste profile for transportation and disposal of IDW 0.5 Prepare and submit field notes, sample forms, laboratory report and updated tables 1 and figures in an email deliverable to the DEP.

Prepare draft report 8

13.5 J. Von Bronstel GIS Analyst Initial new site figure creation and prepare figures for report 6

Total 6 B Carrick Technician Field event preparation, conduct instrument calibration 2

Mobilize from Orlando to Jacksonville for annual groundwater monitoring 2.5 Locate and open wells. Allow for stabilization and measure depth to water at 7 wells 2 Collect groundwater samples from 7 monitoring wells. 7 Place purge water in 55-gallon drum and collect characterization sample for analysis 0.5 Demobilize from Jacksonville to Orlando 2.5

Total 16.5 B. Jarvis Administrative Initial new site table creation, data entry, and report production 6

Total 6

TOTAL LABOR 44.0

VEHICLE TYPE RATE UNIT USEAGE

Rental Truck $120.00 day 2 $240.00

TOTAL VEHICLE $240.00

PER DIEM STAFF RATE UNIT USEAGE

Hotel Technician $130.00 day 1 $130.00 Per diem Technician $36.00 day 2 $72.00

TOTAL PER DIEM $202.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST Units Clark Environmental IDW disposal 176 1 176

TOTAL $176.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC Units EPA Method 8260 for VOHs $73.00 7 $511.00 IDW 8260 for VOHs $73.00 1 $73.00 Sample Shipping $70.00 1 $70.00

TOTAL LAB $654.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Level D PPE $35.00 Day 0 $0.00 Expendables $40.00 Day 2 $80.00 Shallow Groundwater Sampling Kit $290.00 Day 2 $580.00 Metal Detector $40.00 Day 1 $40.00 55-Gallon Drum $100.00 Drum 1 $100.00 Ice $6.50 each 1 $6.50

$0.00

TOTAL EQUIPMENT $806.50

FINAL --7/24/96

TTotals 1 2 3 Labor Rate Category

80.12 Project Manager 0 0.0

80.12 Senior Principal Scientist (MC) 0 0 0

37.13 Staff Engineer / Scientist (LL) 0 0.0 0

26.54 GIS Analyst / Graphics (JV) 0 0 0

22.44 Technician (BC) 0 0.0 0

31.45 Administrative (BJ) 0 0 0

Total Hours 0.0 0.0 0.0 0

Direct Labor $0.00 $0.00 $0.00 $0.00

Overhead 125.30% $0.00 $0.00 $0.00 $0.00 Gen & Admin 0.00% $0.00 $0.00 $0.00 $0.00 Fringe 47.40% $0.00 $0.00 $0.00 $0.00 Total Labor $0.00 $0.00 $0.00 $0.00

Travel Vehicle Rental $0.00 $0.00 $0.00 Per diem + Hotel $0.00 $0.00 $0.00 Total Travel $0.00 $0.00 $0.00

Subcontractor (Equipment Procurement) Total Subcontractor Cost $0.00 $0.00 $0.00

Subcontractor (Services Procurement)

IDW $0.00 $0.00 $0.00

Subcontractor Subtotal $0.00 $0.00 $0.00 Handling Fee $0.00 $0.00 $0.00 Total Subcontractor Cost $0.00 $0.00 $0.00

Laboratory Analytical Costs $0.00 $0.00 $0.00 Sample Shipping $0.00 $0.00 $0.00 Total Laboratory $0.00 $0.00 $0.00

Field Expenses $0.00 $0.00 Personal Protection ($35.00) -35 $0.00 Expendables $40.00 40 $0.00 Shallow Groundwater Sampling Kit $290.00 290 $0.00

Total Field Expenses $295.00 $295.00 $0.00

Subtotal $295.00 $0.00 $295.00 $0.00 Completion Fee $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $295.00 $0.00 $295.00 $0.00

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Crossroads Square Shopping Plaza SUBTASK:2 Annual NAM and Reporting

DATE: 9/13/2022

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

M. Culbreth Sr. Principal Scientist Total 0

L. Layton Staff Engineer

J. Von Bronstel GIS Analyst

Total 0 B Carrick Technician

Total 0 B. Jarvis Administrative

Total 0

TOTAL LABOR 0.0

VEHICLE TYPE RATE UNIT USEAGE

Rental Truck $120.00 day 0 $0.00

TOTAL VEHICLE $0.00

PER DIEM STAFF RATE UNIT USEAGE

Hotel Technician $130.00 day 0 $0.00 Per diem Technician $36.00 day 0 $0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

$0.00 $0.00

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

EPA Method 8260 for VOHs $73.00 0 $0.00 IDW 8260 for VOHs $73.00 0 $0.00 Sample Shipping $70.00 0 $0.00

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Level D PPE $35.00 Day -1 ($35.00) Expendables $40.00 Day 1 $40.00 Shallow Groundwater Sampling $290.00 Day 1 $290.00 Metal Detector $40.00 Day 0 $0.00 55-Gallon Drum $100.00 Drum 0 $0.00 Ice $6.50 each 0 $0.00

$0.00

TOTAL EQUIPMENT $295.00

FINAL --7/24/96

TTotals 1 2 3 Labor Rate Category

80.12 PProject Manager 2 2.2

80.12 Senior Principal Scientist (MC) 2 2 0

37.13 Staff Engineer / Scientist (LL) 14 13.5 0

26.54 GIS Analyst / Graphics (JV) 6 6 0

22.44 Technician (BC) 17 16.5 0

31.45 Administrative (BJ) 6 6 0

Total Hours 46.2 2.2 44.0 0

Direct Labor $1,559.06 $179.36 $1,379.70

Overhead 125.30% $1,953.50 $224.74 $1,728.76 $0.00 Gen & Admin 0.00% $0.00 $0.00 $0.00 $0.00 Fringe 47.40% $739.00 $85.02 $653.98 $0.00 Total Labor $4,251.56 $489.12 $3,762.44 $0.00

Travel Vehicle Rental $240.00 $240.00 $0.00 Per diem + Hotel $202.00 $202.00 $0.00 Total Travel $442.00 $442.00 $0.00

Subcontractor (Equipment Procurement) Total Subcontractor Cost $0.00 $0.00 $0.00

Subcontractor (Services Procurement)

IDW $176.00 $176.00 $0.00

Subcontractor Subtotal $176.00 $176.00 $0.00 Handling Fee $17.60 $17.60 $0.00 Total Subcontractor Cost $193.60 $193.60 $0.00

Laboratory Analytical Costs $584.00 $584.00 $0.00 Sample Shipping $70.00 $70.00 $0.00 Total Laboratory $654.00 $654.00 $0.00

Field Expenses Personal Protection $35.00 $35.00 $0.00 Expendables $40.00 $40.00 $0.00 Shallow Groundwater Sampling Kit $290.00 $290.00 $0.00 Metal Detector $40.00 $40.00 $0.00 Equipment (IDW related) $100.00 $100.00 $0.00 Equipment (Ice) $6.50 $6.50 $0.00 Total Field Expenses $511.50 $511.50 $0.00

Subtotal $6,052.66 $489.12 $5,563.54 $0.00 Completion Fee $425.15 $48.91 $376.24 $0.00

Total Estimated Cost $6,477.81 $538.03 $5,939.78 $0.00

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

DC006A Completion December 30, 2022

ECT will conduct groundwater sampling at the Crossroads Square Shopping Center site located in Jacksonville, Florida. All work will be conducted in accordance with the scope of work and cost proposal submitted on August 9, 2022.

Melissa Walsh 850-245-8960 Contractor Environmental Consulting and Technology, Inc. (ECT) Contractor

Contractor Mark A. Culbreth Contractor 813-289-9338

ERIC_4625

8102 Blanding Blvd Jacksonville Duval County

Crossroads Square Shopping Center

Contractor Contractor

✔ $ 6,477.81

$ 6,477.81

Scope of Work

Environmental Consulting and Technology, Inc. (ECT Contractor Mark A. Culbreth

Contract Manager Digitally signed by Mark Culbreth DN: CN=Mark Culbreth, E=mculbreth@ectinc.com Reason: I am approving this document Location: your signing location here Date: 2022.09.23 11:49:26-04'00' Foxit PhantomPDF Version: 10.1.6

Mark Culbreth

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2022.09.23 07:25:19 -04'00'

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

Annual Groundwater and PDB Installation Documentation; Groundwater Monitoring Field Documentation and Laboratory Report; IDW Disposal Documentation, and project management. Subtasks 1 & 2

10/30/2022

Upon Submittal and approval of Annual Groundwater and PDB Installation Documentation; Groundwater Monitoring Field Documentation and Laboratory Report; IDW Disposal Documentation and project management. Subtasks 1 & 2

$ 6,477.81

$ 6,570.69

HW682

DC006A