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.

BIL01A 4 HW685

This Task Assignment Change Order authorizes a task assignment completion date time extension only.

Megan Johnson 850.245.8994 Contractor Contractor

Contractor Contractor

Contractor

WSP USA Inc.

Matt Crews 904.363.3430

ERIC_18138

Pelican Harbor Seabird Station

✔ $ 27,298.84

$ 0.00 $ 27,298.84 Completion

Completion✔ 09/15/2023 11/03/2023 49

✔ 1 1 4

WSP USA Inc.

Matt Crews, P.E.

Asst. Vice President, Environmental Engineer

9/13/2023

Crews, Matt (USMC700671) Digitally signed by Crews, Matt (USMC700671) Date: 2023.09.13 11:06:47 -04'00'

Kelly Crain

Kelly Crain Digitally signed by Kelly Crain Date: 2023.09.12 13:27:59 -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

HW685

BIL01A

$ 27,298.84

Summary of Previous Assessment and Remediation Activities

Preliminary Design

Interim Source Removal Work Plan; Project Management

Department approval of Summary of Previous Assessment and Remediation Activities (Subtask 2)

Department approval of Project Management and Interim Source Removal Work Plan (Subtasks 1 and 4)

Department approval of Preliminary Design (Subtask 3)

02/24/2023

04/28/2023

08/18/2023

$ 6,623.28

$ 3,971.14

$ 16,704.42 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: WSP USA Inc., HW685 Contract File

FROM: Megan Johnson, Contract Manager

DATE: September 12, 2023

SUBJECT: Negotiation Summary – BIL22

Task Assignment (TA) Change Order #4 – TA BIL01AC4 Pelican Harbor Seabird Station – Site ID # ERIC_18138 File Review, Preliminary Design, ISR Work Plan

This Task Assignment Change Order (TACO) extends the Task Assignment completion date. Specific changes are detailed below:

• The contractor requested a time extension for the task assignment completion date due to a delay in DERM reviewing the Subtask 4 deliverable, ISR Workplan. This is to allow edits, as needed.

There is no change to the original cost of $27,298.84.

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.

BIL01A 3 HW685

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 WSP USA Inc. Contractor

Contractor Matt Crews Contractor 904.363.3430

ERIC_18138

Pelican Harbor Seabird Station

✔ $ 27,298.84

$ 0.00 $ 27,298.84 Completion

✔ Completion 07/24/2023 09/15/2023 53

✔ 1 1 3

WSP USA Inc.

Contractor Matt Crews, P.E.

Asst. Vice President, Environmental Engineer

7/21/2023

Crews, Matt (USMC700671) Digitally signed by Crews, Matt (USMC700671) Date: 2023.07.21 15:00:32 -04'00'

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2023.07.20 11:36:15 -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

HW685

BIL01A

$ 27,298.84

Summary of Previous Assessment and Remediation Activities

Preliminary Design

Interim Source Removal Work Plan; Project Management

Department approval of Summary of Previous Assessment and Remediation Activities (Subtask 2)

Department approval of Project Management and Interim Source Removal Work Plan (Subtasks 1 and 4)

Department approval of Preliminary Design (Subtask 3)

02/24/2023

04/28/2023

08/18/2023

$ 6,623.28

$ 3,971.14

$ 16,704.42