CN-370000-HW684-D033CCO1.pdf

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Attached to
Master Agreement FL|HW684|68b160b8827755ddf560142dd2a41e53
Contract number
HW684
Issued by
Florida

About this file

This document is a Task Assignment Change Order (TACO) No. 1 issued by the State of Florida Department of Environmental Protection (FDEP) to GHD Services, Inc. for groundwater monitoring services at the Dixie Cleaners site located in Jacksonville, Duval County, Florida. The Task Assignment (TA) Number is DC033C under Contract Number HW684. Mackenzie Childs serves as the FDEP project manager, while Brian Moore is the contractor's project manager. The change order was executed on January 14, 2026, with an effective completion date of April 10, 2026.

The change order authorizes a cost decrease due to labor adjustments and a change in personnel in Subtask 3. The total compensation was reduced from $12,760.19 to $12,065.57, representing a decrease of $694.62. The work consists of four subtasks: Subtask 1 (Project Management), Subtask 2 (Groundwater Monitoring Summary Email due July 28, 2025, invoiced at $3,623.86), Subtask 3 (Groundwater Monitoring Summary Email due October 28, 2025, invoiced at $1,957.27), and Subtasks 1 & 4 (Groundwater Monitoring Report and Project Management due February 11, 2026, invoiced at $6,484.44). The contract terms specify a fixed unit rate payment structure, with invoicing contingent upon FDEP review and approval of deliverables. The completion date of April 10, 2026, remained unchanged.

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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.

DC033C 1 HW684

Mackenzie Childs 850-245-8929 Contractor GHD Services, Inc Contractor

Contractor Brian Moore Contractor 813-971-3882

ERIC_4590

Dixie Cleaners

✔ $ 12,065.57 $ 12,760.19

$ 12,065.57 $ 12,760.19 ✔ Completion

Completion 04/10/2026 04/10/2026 0

✔ 1 1 1

GHD Services, Inc Contractor

Brian Moore Digitally signed by Brian Moore Date: 2026.01.14 14:29:30 -05'00'

Mubeen Darji

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

Date: 2026.01.14 14:04:15 -05'00'

N/A

This Change Order authorizes a cost decrease due to labor adjustments and a change in personnel.

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

Contract Number:

Task Assignment #:

Change Order #:

Deliverables:

Deliverable Deliverable Due Date

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

TOTAL COST

BWC TAFORM 01/18

HW684

DC033C

Subtask 3: Groundwater Monitoring Summary Email (data and field notes)

Subtasks 1 & 4: Groundwater Monitoring Report + Project Management

Subtask 2: Groundwater Monitoring Summary Email (data and field notes) 07/28/2025

10/28/2025

02/11/2026

Subtask 2: FDEP review and approval of Groundwater Monitoring Summary Email (data and field notes)

Subtask 3: FDEP review and approval of Groundwater Monitoring Summary Email (data and field notes)

Subtasks 1 & 4: FDEP review and approval of Groundwater Monitoring Report + Project Management

$ 3,623.86

$ 1,957.27

$ 6,484.44

$ 12,065.57

Memorandum

TO: Negotiation File Dixie Cleaners Jacksonville, Duval County

ERIC_4590

FROM: Mackenzie Childs, Project Manager

SUBJECT: Negotiation Summary Task Assignment Change Order DC033C-1 (HW684)

DATE: January 5, 2026

This Change Order authorizes a total cost decrease due to labor adjustments and a change in personnel.

The previous cost total was $12,760.19. Total costs were decreased by $694.62 resulting in a new final cost total of $12,065.57. There is a $0.03 rounding error associated with the final Cost Estimate form. GHD may invoice according to the included schedule.

Specific negotiated subtasks are as follows:

Subtask 3:

Labor adjustments and a change in personnel.

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LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Dixie Cleaners SUBTASK 2: Groundwater Monitoring

DATE: 1/12/2026

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Manager JM Field work preparation 1 Project Manager JM Site Access 1 Project Manager JM IDW Characterization 1 Project Manager JM Summary Email 2

Senior Technician SA mob/demob 6 Senior Technician SA depth to water measurements (16 wells) 2 Senior Technician SA Groundwater Sampling (5 wells) 7.5

15.5

Administrative Assistant JJ Data Entry (dtw measurements and gw (4 wells)) 1 Administrative Assistant JJ Summary Tables (elev, gw parameters, gw analytical) 1

TOTAL LABOR 22.5

VEHICLE TYPE RATE UNIT USEAGE

Company Truck $120.00 day 1 $120.00

TOTAL VEHICLE $120.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00 $0.00 $0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

Erwin Remediaiton IDW Disposal $125 drum 1 $125.00

TOTAL $125.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

VOHs EPA 8260 $73.00 4 $292.00 MW004, MW005, MW010, and MW016 small cooler two day sample shipping $52.00 1 $52.00

Ice $6.50 1 $6.50

TOTAL LAB $350.50

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Expendables

Expendables $40.00 day 1 $40.00

Equipment (Analytical Related)

Groundwater Sampling Kit $290.00 day 1 $290.00 Poly Tubing $0.30 ft 52 $15.60 Silicon Tubing $3.00 ft 4 $12.00

Equipment (IDW Related) Drum $100.00 drum 1 $100.00

TOTAL EQUIPMENT $457.60

FINAL --7/24/96

SUBTASK 3: Groundwater Monitoring

DATE: 1/12/2026

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Manager JM Field work preparation 1 Project Manager JM Site Access 1 Project Manager JM IDW Characterization 1 Project Manager JM Email summary with notes and data 2

Senior Technician SA mob/demob 0 Senior Technician SA depth to water measurements (16 wells) 0 Senior Technician SA Groundwater Sampling (5 wells) 0

Junior Technician WO mob/demob 1 Junior Technician WO depth to water measurements (16 wells) 1.5 Junior Technician WO Groundwater Sampling (5 wells) 6

8.5

Administrative Assistant JJ Data Entry (dtw measurements and gw (4 wells)) 1 Administrative Assistant JJ Summary Tables (elev, gw parameters, gw analytical) 1

TOTAL LABOR 15.5

VEHICLE TYPE RATE UNIT USEAGE

Company Truck $120.00 day 1 $120.00

TOTAL VEHICLE $120.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00 $0.00 $0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

Erwin Remediaiton IDW Disposal $125 drum 1 $125.00

TOTAL $125.00 MW004, MW005, MW010, and MW016

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

VOHs EPA 8260 $73.00 4 $292.00 small cooler two day sample shipping $52.00 1 $52.00

Ice $6.50 1 $6.50

TOTAL LAB $350.50

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Expendables

Expendables $40.00 day 1 $40.00

Equipment (Analytical Related)

Groundwater Sampling Kit $290.00 day 1 $290.00 Poly Tubing $0.30 ft 52 $15.60 Silicon Tubing $3.00 ft 4 $12.00

Equipment (IDW Related) Drum $100.00 drum 1 $100.00

TOTAL EQUIPMENT $457.60

SUBTASK 4: Groundwater Monitoring

DATE: 1/12/2026

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Sr Professional Engineer JH Conclusions/Recommendations (GWMR) 1

Project Manager JM Field work preparation 1 Project Manager JM Site Access 1 Project Manager JM Prepare GWMR - Background information and regulatory status 3 Project Manager JM Groundwater Sampling Methodology (GWMR) 1 Project Manager JM Groundwater Flow Evaluation (GWMR) 1 Project Manager JM Groundwater Analytical Data Summary (GWMR) 2 Project Manager JM SRCR Section 2 Project Manager JM Laboratory data validation 1.5 Project Manager JM IDW Characterization 1 Project Manager JM Conclusions/Recommendations (RASR) 2

15.5

Senior Technician SA mob/demob 6 Senior Technician SA depth to water measurements (16 wells) 2 Senior Technician SA Groundwater Sampling (5 wells) 7.5

15.5

Drafting Technician KJ Groundwater Elevation Plans (3 sets of data) 2 Drafting Technician KJ Groundwater Analytical Figure (3 rounds of samples) 3

Administrative Assistant JJ Data Entry (dtw measurements and gw (4 wells)) 1 Administrative Assistant JJ Summary Tables (elev, gw parameters, gw analytical) 1 Administrative Assistant JJ Publishing GWMR 2

TOTAL LABOR 41

VEHICLE TYPE RATE UNIT USEAGE

Company Truck $120.00 day 1 $120.00

TOTAL VEHICLE $120.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00 $0.00 $0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

Erwin Remediaiton IDW Disposal $125 drum 1 $125.00

TOTAL $125.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

VOHs EPA 8260 $73.00 4 $292.00 MW004, MW005, MW010, and MW016 small cooler two day sample shipping $52.00 1 $52.00

Ice $6.50 1 $6.50

TOTAL LAB $350.50

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Expendables

Expendables $40.00 day 1 $40.00

Equipment (Analytical Related)

Groundwater Sampling Kit $290.00 day 1 $290.00 Poly Tubing $0.30 ft 52 $15.60 Silicon Tubing $3.00 ft 4 $12.00

Equipment (IDW Related) Drum $100.00 drum 1 $100.00

TOTAL EQUIPMENT $457.60

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SUBTASK 3: Groundwater Monitoring

DATE: 1/12/2026

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Manager JM Field work preparation 0 Project Manager JM Site Access 0 Project Manager JM IDW Characterization 0 Project Manager JM Email summary with notes and data 0

Senior Technician SA mob/demob -6 Senior Technician SA depth to water measurements (16 wells) -2 Senior Technician SA Groundwater Sampling (5 wells) -7.5

-15.5

Junior Technician WO mob/demob 1 Junior Technician WO depth to water measurements (16 wells) 1.5 Junior Technician WO Groundwater Sampling (5 wells) 6

8.5

Administrative Assistant JJ Data Entry (dtw measurements and gw (4 wells)) 0 Administrative Assistant JJ Summary Tables (elev, gw parameters, gw analytical) 0

TOTAL LABOR -7

VEHICLE TYPE RATE UNIT USEAGE

Company Truck $120.00 day 0 $0.00

TOTAL VEHICLE $0.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00 $0.00 $0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

Erwin Remediaiton IDW Disposal $125 drum 0 $0.00

TOTAL $0.00 MW004, MW005, MW010, and MW016

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

VOHs EPA 8260 $73.00 0 $0.00 small cooler two day sample shipping $52.00 0 $0.00

Ice $6.50 0 $0.00

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Expendables

Expendables $40.00 day 0 $0.00

Equipment (Analytical Related)

Groundwater Sampling Kit $290.00 day 0 $0.00 Poly Tubing $0.30 ft 0 $0.00 Silicon Tubing $3.00 ft 0 $0.00

Equipment (IDW Related) Drum $100.00 drum 0 $0.00

TOTAL EQUIPMENT $0.00

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From: Brian Moore To: Childs, Mackenzie Cc: Cheryl Tidwell; Jenna Martin Subject: Dixie DC033C Date: Friday, November 21, 2025 8:13:40 AM Attachments: TA_033C Delta CO1.xlsx

TA_033C Final CO1.xlsx TA_033C.xlsx

EXTERNAL MESSAGE

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

Mackenzie, A proposed change order is attached to adjust labor in subtask 3

Thank you

BRIAN MOORE PE

GHD

Proudly employee owned | ghd.com 5904 Hampton Oaks Parkway Suite F Tampa FL 33610 USA O 813 971 3882 D 813 257 0658 M 813 335 2147 E brian.moore@ghd.com

CONFIDENTIALITY NOTICE: This email, including any attachments, is confidential and may be privileged. If you are not the intended recipient please notify the sender immediately, and please delete it; you should not copy it or use it for any purpose or disclose its contents to any other person. GHD and its affiliates reserve the right to monitor and modify all email communications through their networks.

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.

HW684

DC033C April 10, 2026

This Task Assignment authorizes GHD Services, Inc to conduct quarterly groundwater monitoring at Dixie Cleaners.

Mackenzie Childs 850-245-8929 GHD Services, Inc.

Brian Moore 813-971-3882

ERIC_4590

5711 Bowden Rd, Duval County, Jacksonville, FL 32216

Dixie Cleaners

$ 12,760.19

$ 12,760.19

Scope of Work

GHD Services, Inc.

Brian Moore Digitally signed by Brian Moore Date: 2025.06.12 14:36:06 -04'00'

Mubeen Darji

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

Date: 2025.06.11 16:18:00 -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

File details come from the government source that posted it. Updated .