CN-370000-HW684-DC03CCO1.pdf

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

About this file

Task Assignment Change Order Summary

This is a Task Assignment Change Order (TACO #1) for Contract HW684 between the State of Florida Department of Environmental Protection (FDEP) and GHD Services, Inc. The document amends the original Task Assignment (DC003C) for environmental operations and maintenance services at the Valet Cleaners site located in Brandon, Hillsborough County, Florida (Project Number ERIC_4731). The change order was executed on April 15, 2025, with authorization signatures from both the contractor (Brian Moore) and FDEP (John Travis, Secretary or Designee). The Project Manager for FDEP is Mackenzie Childs, and the Contractor's Project Manager is Brian Moore, a Professional Engineer.

The change order reconciles Work Change Directive #1 (WCD#1), which required preparation of an off-site notification package due to off-site testing results. The compensation for the Task Assignment is increased from $11,459.51 to $12,657.43, representing a total cost increase of $1,197.92. This amended price includes a Fixed Unit Rate of $11,997.43 (Extended Price) and Cost Reimbursement of $660.00. The deliverables include four subtasks: Subtask 2 (Email with field notes and laboratory data, $3,001.53), Subtasks 3 & 1 (Remedial Action Status Report and Project Management, $7,695.80), Subtask 4 (12-month utilities from March 2024 through February 2025, $900.00), and Subtask 5 (WCD#1, $1,060.10). The Task Assignment Completion Date remains June 18, 2025, with no change in duration. Attachment 1 was replaced with Attachment 1-1 in this change order.

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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.

DC003C 1 HW684

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

Contractor Brian Moore Contractor 813-971-3882

ERIC_4731

Valet Cleaners

✔ $ 11,997.43 $ 10,799.51 ✔ $ 660.00 $ 660.00

$ 12,657.43 $ 11,459.51 ✔ Completion

Completion 06/18/2025 06/18/2025 0

✔ 1 1 1

GHD Services, Inc Contractor

Brian Moore Digitally signed by Brian Moore Date: 2025.04.15 11:57:19 -04'00'

John Travis

John Travis Digitally signed by John Travis Date: 2025.04.15 09:00:43 -04'00'

N/A

This Change Order reconciles WCD#1.

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

DC003C

Subtasks 3 & 1: Remedial Action Status Report + Project Management

Subtask 4: 12 Month Utilities (March 2024 through February 2025)

Subtask 5: WCD#1

Subtask 2: Email with field notes and laboratory data 08/09/2024

02/21/2025

04/18/2025

02/17/2025

Subtask 2: Email with field notes and laboratory data

Subtask 3 & 1: Remedial Action Status Report + Project Management

Subtask 4: 12 Month Utilities (March 2024 through February 2025)

Subtask 5: WCD#1

$ 3,001.53

$ 7,695.80

$ 900.00

$ 1,060.10

$ 12,657.43

FFLORIDAA DEPARTMENTT OF

EEnvironmentall Protection

Bob Martinez Center

2600 Blair Stone Road Tallahassee, FL 32399-2400

Ronn DeSantis Governor

Alexiss A.. Lambert

Secretary

Memorandum

TO: Negotiation File Valet Cleaners Brandon, Hillsborough County

ERIC_4731

FROM: Mackenzie Childs, Project Manager

SUBJECT: Negotiation Summary Task Assignment Change Order DC003-1 (HW684)

DATE: April 10, 2025

This Change Order authorizes a total cost increase due to reconciling WCD#1.

The previous cost total was $11459.51. Total costs were increased by $1197.92 resulting in a new final cost total of $12657.43.

Specific negotiated subtasks are as follows:

Subtask 1:

Project Management is automatically calculated as a percentage of total labor in accordance with

Contract HW684.

Subtask 5:

Reconciles WCD#1

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LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Valet Cleaners SUBTASK 2: O&M (6 months)

DATE: 4/10/2025

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Manager JM Field Work Preparation with Scope of Work 2 Project Manager JM site access for sampling (scheduling with owner) 1 Project Manager JM Prepare Email Summary and Submit 8

Senior Technician WM Mob/demob (1 day) 2 Senior Technician WM Semi-Annual O&M Site Visit 6

Staff Assistants JJ Data Entry and Table Generation 1

TOTAL LABOR 20

VEHICLE TYPE RATE UNIT USEAGE

Company Truck $120.00 day 1 $120.00

TOTAL VEHICLE $120.00

PER DIEM STAFF RATE UNIT USEAGE

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

TO15 $200.00 1 $200.00

sample shipping small (Next Day) AIR $110.00 1 $110.00

TOTAL LAB $310.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Expendables $40.00 day 1 $40.00

Air Sampling Pump $27.00 Day 1 $27.00 Anemometer $33.00 Day 1 $33.00 Vacuum Gauges $19.00 Day 1 $19.00 OVA $125.00 Day 1 $125.00 Summa Canister $33.00 each 1 $33.00

TOTAL EQUIPMENT $277.00

FINAL --7/24/96

SUBTASK 3: O&M (6 months)

DATE: 4/10/2025

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Sr. Professional Engineer JH Conclusions/Recommendations-RASR 1

Professional Engineer JM Field Work Preparation (O&M and GW) 2 Professional Engineer JM Site Access 1 Professional Engineer JM Detail system operations (performance criteria, flow variations) - RASR 1.5 Professional Engineer JM Detail system troubleshooting (runtime, major repairs, operational issues)-RASR 1.5 Professional Engineer JM Detail system influent data (mass calculation, concentration trends)-RASR 1.5 Professional Engineer JM Groundwater Field Parameter Results and evaluation - RASR 1.5 Professional Engineer JM Water Level evaluation - RASR 1.5 Professional Engineer JM Groundwater analytical results evaluataion -RASR 2 Professional Engineer JM Characterize IDW for Disposal 1 Professional Engineer JM Laboratory Data Validation -RASR 1.5 Professional Engineer JM Conclustion and Recommendations-RASR 1

Senior Technician WM Mob/demob (3 day) 2 Senior Technician WM Semi-annual O&M visit 5 Senior Technician WM Water Levels (17 wells) 2 Senior Technician WM Groundwater sampling 6 wells 9

Drafting Technician PM Prepare GW Flow Figures (shallow/deep) 2 Drafting Technician PM Prepare GW Analytical Figures (shallow/deep) 2

Staff Assistants JJ Data Entry and Table Generation (new well, elevations, 6 wells) 1.5 Staff Assistants JJ Document Preparation/Publishing 2

3.5

TOTAL LABOR 42.5

VEHICLE TYPE RATE UNIT USEAGE

Company Truck $120.00 day 2 $240.00

TOTAL VEHICLE $240.00

PER DIEM STAFF RATE UNIT USEAGE

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

Erwin Remediation IDW Disposal $125.00 drum 1 $125.00

TOTAL $125.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

VOCs (BTEX and VOHs) (PID/Hall Series) $110.00 6 $660.00

TO15 $200.00 1 $200.00

sample shipping (Two Day GW VOCs $52.00 1 $52.00 sample shipping (Next DayAir $110.00 1 $110.00 Ice $6.50 1 $6.50

TOTAL LAB $1,028.50

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Expedanbles $40.00 day 3 $120.00

Air Sampling Pump $27.00 Day 1 $27.00 Anemometer $33.00 Day 1 $33.00 Vacuum Gauges $19.00 Day 1 $19.00 Tedlar Air Bags $20.00 each 1 $20.00 OVA $125.00 Day 1 $125.00 Groundwater Sampling Kit $290.00 Day 1 $290.00 Poly Tubing $0.30 ft 125 $37.50 Silicone Tubing $3.00 ft 6 $18.00

Drum $100.00 drum 1 $100.00

TOTAL EQUIPMENT $789.50

SUBTASK 4: Utilities (12 months)

DATE: 4/10/2025

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

TOTAL LABOR 0

VEHICLE TYPE RATE UNIT USEAGE

TOTAL VEHICLE $0.00

PER DIEM STAFF RATE UNIT USEAGE

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

Tampa Electric Monthly Electric 12 months $55.00 $660.00 Handling Fee 12 months $20.00 $240.00

TOTAL $900.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

TOTAL EQUIPMENT $0.00

SUBTASK 3: WCD#1

DATE: 4/11/2025

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Professional Engineer JM Prepare off-site notice package 4

Drafting Technician PM Prepare off-site notice figure 4

Staff Assistants JJ Prepare off-site notice package 2

TOTAL LABOR 10

VEHICLE TYPE RATE UNIT USEAGE

TOTAL VEHICLE $0.00

PER DIEM STAFF RATE UNIT USEAGE

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Drum $100.00 drum 1 $100.00

TOTAL EQUIPMENT $100.00

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SUBTASK 3: WCD#1

DATE: 4/11/2025

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Professional Engineer JM Prepare off-site notice package 4

Drafting Technician PM Prepare off-site notice figure 4

Staff Assistants JJ Prepare off-site notice package 2

TOTAL LABOR 10

VEHICLE TYPE RATE UNIT USEAGE

TOTAL VEHICLE $0.00

PER DIEM STAFF RATE UNIT USEAGE

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

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LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Drum $100.00 drum 1 $100.00

TOTAL EQUIPMENT $100.00

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Pa

Site Name: Site ID #:

Contract #: Contractor:

• Reason for Work Change Directive :

• Description of Work Change Directive :

• Attachments (if applicable, list documents supporting change):

• Costs (if negotiated unit costs, provide information below):

WCP WCD 07-2018

Authorized Contractor Signature:

Authorized FDEP Signature:

WORK CHANGE DIRECTIVE FORM

FDEP Supervisor Approval:

(if applicable)

Additional work is not authorized without prior FDEP approval as indicated by an approved Work Change Directive Form or Task Assignment Change Order Form. It is the Contractor's responsibility to ensure that additional costs associated with this WCD are resolved by a Task Assignment Change Order (TACO) prior to the completion date of the original Task Assignment or subsequent TACOs completed prior to the execution date of this WCD. Failure to do so will result in a loss of reimbursement for work associated with this WCD.

Task Assignment #: Work Change Directive #:

Maximum Estimated Increase in Task Amount:

From: Brian Moore To: Childs, Mackenzie Cc: Cheryl Tidwell; Jenna Martin Subject: DC003C Valet Cleaners Date: Monday, March 31, 2025 10:38:12 AM Attachments: image001.png image002.png image003.png image004.png image005.png TA_003C.xlsx TA_003C WCD#1.xlsx TA_003C Final CO1.xlsx DC003C WCD#1 (003).pdf

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 for Valet to rectify WCD#1.

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

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