CN-370000-HW685-BIL3ACO1.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.

BIL03A 1 HW685

This change order is executed in order to extend deliverable due dates as well as the TA expiration date by 60 days.

Justin Cross 850.245.8968 Contractor Contractor

Contractor Contractor

Contractor

WSP USA, Inc.

Geoff Schaefer, P.E. 850.298.7707

ERIC_5564

Former Colt's Station

$ 0.00 $ 0.00 Completion

Completion✔ 03/27/2024 05/31/2024 65

1 1

WSP USA, Inc.

Matthew Crews

Environmental Engineer

2/7/2024

Crews, Matt (USMC700671) Digitally signed by Crews, Matt (USMC700671) Date: 2024.02.07 13:56:54 -05'00'

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2024.02.07 11:50:54 -05'00'

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

BIL03A

$ 10,272.19

QAPP Workplan/HASP

Field notes, photos, COCs, sampling logs

Supplemental Site Assessment Report/Project Management

FDEP approval of QAPP Workplan/HASP, field notes, photos, COCs, and sampling logs (Subtask 2)

FDEP approval of Supplemental Site Assessment Report/Project Managment (Subtasks 1 & 3)

12/29/2023

03/29/2024

05/03/2024

$ 4,523.13

$ 5,749.06 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 Environment & Infrastructure, Inc., HW685 Contract File

FROM: Justin Cross, Contract Manager

DATE: January 31, 2024

SUBJECT: Negotiation Summary – BIL22

Task Assignment (TA) Change Order #1 - BIL03AC1 Supplemental Site Assessment (SSA) Activities Former Colt’s Station, Gilchrist County

ERIC_5564

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 fieldwork and report deliverables due to fieldwork scheduling issues. There is no change to the original cost of $10,272,.19.

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. 8/26/2020

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.

HW685

BIL03A March 27, 2024

Per WSP's 12/07/2023 (revised 12/08/2022) Cost Proposal and Level of Effort, this task assignment covers the collecting of groundwater samples from three (3) existing monitoring wells as well as depth to water measurements for seven (7) monitoring wells at the Former Colt's Station site in Gilchrist County.

Justin Cross 850.245.8968 WSP USA Inc.

Geoff Schaefer, P.E. 850.298.7707

ERIC_5564

1022 SE State Road 26, Trenton, Gilchrist County

Former Colt's Station

$ 10,272.19

$ 10,272.19

Scope of Work

WSP USA Inc.

Matthew C. Crews

Environmental Engineer

12/19/2023

Crews, Matt (USMC700671) Digitally signed by Crews, Matt (USMC700671) Date: 2023.12.19 08:47:04 -05'00'

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2023.12.13 16:05:25 -05'00'

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