CN-370000-HW685-DC01ACO2.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.

DC001A 02 HW685

This Task Assignment Change Order authorizes an increase in costs to reconcile Work Change Directive (WCD) #2 in accordance with the November 10, 2022 Scope of Work and Cost Estimate.

Ginger Shirah 850-245-8899 Contractor Contractor

Contractor Contractor

Contractor

Golder Associates USA Inc.

Matt Crews 904-363-3430

Multiple

Multiple

✔ $ 4,945.74 $ 3,851.30

$ 4,945.74 $ 3,851.30 ✔ Completion

Completion 0

✔ 1 1 2

Donald Miller Digitally signed by Donald Miller Date: 2022.11.15 15:56:26 -05'00' David Phillips Digitally signed by David Phillips

Date: 2022.11.15 13:35:59 -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

DC001A

$ 4,945.74

Documentation of Completed Site Activities

Documentation of Completed Site Activities

Documentation of Completed Site Activities

Documentation of Completed Site Activities

Documentation of Completed Site Activities

Documentation of Completed Site Activities

12/27/2026

01/26/2022

11/30/2022

$ 1,351.30

$ 2,500.00

$ 1,094.44

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

To:

From:

Date:

HW685 Contract Negotiation File Critical Response, Multiple Sites Hurricane Ian Response Ginger Shirah, Project Manager November 15, 2022

Subject: Negotiation Summary

HW685 DC001A-2

This Task Assignment Change Order authorizes an increase in costs to reconcile Work Change Directive (WCD) #2 in accordance with the November 10, 2022, Scope of Work and Cost Estimate.

Subtask 1: Project Management An automatic calculation based upon total direct labor hours determines the labor hours within this subtask.

Subtask 2: Hurricane Ian Response Activities This subtask was created to cover the labor hours and vehicle and equipment costs necessary to reconcile WCD #2. The hours and costs are associated with securing the IDW drums at the Fairfax North site and the Jet Cleaners site, and securin the SVE system at the Lake Lucina site.

The cost increase related to this change order is $1,094.44.

The FDEP 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 #2 is $4,945.74. Please Note: the total amended cost on the TACO #1 is not correct. Amended TA cost prior to this change #2 was $3,851.30.

Printed on recycled paper.

FDEP COST ESTIMATE

Contractor: Golder Associates USA Inc.

Date: 11/10/2022

Task #: DC001A SubTask 1 Project Management SubTask 6

Site: Multiple Sites SubTask 2 Hurricane Ian Response SubTask 7

Activity/Phase: Critical Response SubTask 3 SubTask 8

Project Manager: Ginger Shirah SubTask 4 SubTask 9

SubTask 5 SubTask 10

Totals 1 2 3 4 5 6 7 8 9 10

Labor Rate Category

$59.62 Project Manager (MC) 1 0.6

$0.00 Program Leader - X-14 0 0 0 0 0 0 0 0 0 0

$0.00 Practice Leader - X-13 0 0 0 0 0 0 0 0 0 0

$59.62 Senior Consultant - X-12 (MC) 2 2 0 0 0 0 0 0 0 0

$0.00 Senior Sci/Eng - X-11 0 0 0 0 0 0 0 0 0 0

$0.00 Senior Project Sci/Eng - P-10 0 0 0 0 0 0 0 0 0 0

$39.16 Project Sci/Eng - P-9 (DM) 4 4 0 0 0 0 0 0 0 0

$0.00 Staff Sci/Eng - P-8 0 0 0 0 0 0 0 0 0 0

$0.00 Sci/Eng/Admin - P-7 0 0 0 0 0 0 0 0 0 0

$0.00 0 0 0 0 0 0 0 0 0 0

$0.00 0 0 0 0 0 0 0 0 0 0

$0.00 0 0 0 0 0 0 0 0 0 0

$0.00 0 0 0 0 0 0 0 0 0 0

$0.00 0 0 0 0 0 0 0 0 0 0

$0.00 0 0 0 0 0 0 0 0 0 0

$0.00 0 0 0 0 0 0 0 0 0 0

$0.00 0 0 0 0 0 0 0 0 0 0 $0.00 0 0 0 0 0 0 0 0 0 0

$0.00 0 0 0 0 0 0 0 0 0 0

$0.00 0 0 0 0 0 0 0 0 0 0

$0.00 0 0 0 0 0 0 0 0 0 0

$0.00 0 0 0 0 0 0 0 0 0 0

$0.00 0 0 0 0 0 0 0 0 0 0

$0.00 0 0 0 0 0 0 0 0 0 0

$0.00 0 0 0 0 0 0 0 0 0 0

$0.00 0 0 0 0 0 0 0 0 0 0

Total Hours 7 0.6 6.0 0 0 0 0 0 0 0 0

Direct Labor $311.74 $35.86 $275.88 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 172.50% $537.75 $61.86 $475.89 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Gen & Admin 0.00% $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Fringe 0.00% $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Labor $849.49 $97.72 $751.77 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 02/03 CEF ARCADIS Page 2

FDEP COST ESTIMATEContractor: Golder Associates USA Inc.

Date: 11/10/2022

Task #: DC001A SubTask 1 Project Management SubTask 6

Site: Multiple Sites SubTask 2 Hurricane Ian Response SubTask 7

Activity/Phase: Critical Response SubTask 3 SubTask 8

Project Manager: Ginger Shirah SubTask 4 SubTask 9

SubTask 5 SubTask 10

Totals 1 2 3 4 5 6 7 8 9 10

Travel

Vehicle Rental $120.00 $120.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Mileage Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Air Fare $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Per diem + Hotel $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Travel $120.00 $120.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor (Equipment Procurement)

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor Subtotal $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Procurement Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Subcontractor Cost $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor (Services Procurement)

Drilling (Conventional) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Drilling (Non-conventional) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Mobile Laboratory $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Surveying $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

IDW $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Utilities $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor Subtotal $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Handling Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Subcontractor Cost $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Laboratory

Analytical Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Fast Turnaround Charges $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Sample Shipping $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Laboratory $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Field Expenses

Personal Protection $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Expendables $40.00 $40.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Equipment (Drilling related) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Equipment (Analytical related) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Equipment (IDW related) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Equipment (Other) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Field Expenses $40.00 $40.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal $1,009.49 $97.72 $911.77 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Completion Fee $84.95 $9.77 $75.18 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $1,094.44 $107.49 $986.95 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 02/03 CEF ARCADIS Page 3

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Multiple Sites SUBTASK 2: Hurricane Ian Response

DATE: 11/10/2022

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Consultant (M. Crews) 2

Project Sci/Eng (D. McDaniels) 4

TOTAL LABOR 6

VEHICLE TYPE RATE UNIT USEAGE

Truck (WCD #2) $120.00 Per 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

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Expendables (WCD #2) $40.00 Per Day 1 $40.00

TOTAL EQUIPMENT $40.00

WCD #2 - Secure IDW at Fairfax North and Jet Cleaners. Secure SVE system at Lake Lucina.

WCD #2 - Submit field documentation e-mail to FDEP following Hurricane Ian Response activities.

FINAL --7/24/96

Contract No. HW685

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.

STATE OF FLORIDA

DEPARTMENT OF ENVIRONMENTAL PROTECTION

Work Change DirectiveForm

ATTACHMENT 6

Site Name: Site ID #:

Contract #:

Task Assignment #:

Contractor:

Work Change Directive #:

• Reason for Work Change Directive :

• Description of Work Change Directive :

• Attachments(if applicable, listdocuments supportingchange):

• Costs (if negotiated unitcosts, provide information below):

Maximum Estimated Increase in Task Amount:

AuthorizedContractorSignature:

AuthorizedFDEPSignature:

FDEP SupervisorApproval:

(if applicable)

Multiple Multiple

HW685 Golder Associates USA Inc.

DC001A 2

In preparation for Hurricane Ian, Golder is requesting approval of this work change directive to secure IDW at the Fairfax North site and Jet Cleaners. Golder will also secure the SVE system at Lake Lucina.

Golder labor, vehicle, and equipment using HW685 rates.

None

2 hours for Senior Sci/Eng (M.Crews); 8 hours for Project Sci/Eng (D. McDaniels) using HW685 rates Truck and Miscellaneous Expendables using HW685 rates (1 day each)

$ 1,700.00

Matthew C. Crews Digitally signed by Matthew C.

Crews Date: 2022.09.27 09:13:18 -04'00'

Ginger Shirah Digitally signed by Ginger Shirah Date: 2022.09.27 09:30:30 -04'00'

Aaron Cohen Digitally signed by Aaron Cohen Date: 2022.09.27 10:07:26 -04'00'

Shirah, Ginger K

From: Crews, Matt <Matt_Crews@golder.com> Sent: Thursday, November 10, 2022 3:38 PM To: Shirah, Ginger K Cc: Mongillo, Ralph Subject: DC001A (TACO #2) - Critical Response - Hurricane Ian Response TA and Deliverables Attachments: DC001A (Delta #2) - Critical Response - Hurricane Ian LOECEF.xlsx; DC001A (WCD #2) - Hurricane Ian

Response WCD.pdf; DC001A (TACO #1) - Critical Response Signed TA.pdf; DC001A (Delta #1) - Critical Response - Lake Lucina SVE Repair LOECEF.xlsx; DC001A (TACO #2) - Field Notes.pdf;

DC001A (TACO #2) - Site Photos.pdf

Follow Up Flag: Follow up Flag Status: Flagged

EXTERNAL MESSAGE

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

Ginger, Golder has attached the files necessary to rectify work change directive WCD #2 and complete TACO #2 for TA DC001A (Hurricane Ian Response). Golder has also attached field documentation and site photos as the deliverable for TACO #2.

Please review and let us know if you have any questions or comments.

Thanks, Matt

Matthew Crews, P.E.

Senior Lead Consultant, Environmental Engineer

T: +1 904 363 3430 D: +1 904 207 6023 C: +1 904 327 8420

9428 Baymeadows Road, Suite 400, Jacksonville, Florida, USA 32256 wsp.com | golder.com

WSP and Golder have joined together to form the premier environmental consultancy in the industry. Together we are 14,000 strong, Future Ready©, and delivering innovative solutions to our clients around the globe.

As of October 28, 2021, Golder Associates Inc. is now Golder Associates USA Inc.

This email transmission is confidential and may contain proprietary information for the exclusive use of the intended recipient. Any use, distribution or copying of this transmission, other than by the intended recipient, is strictly prohibited. If you are not the intended recipient, please notify the sender and delete all copies. Electronic media is susceptible to unauthorized modification, deterioration, and incompatibility. Accordingly, the electronic media version of any work product may not be relied upon.

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.

DC001A 1 HW685

This Task Assignment Change Order authorizes an increase in costs to reconcile Work Change Directive (WCD) #1 in accordance with the January 26, 2022, Scope of Work and Cost Estimate.

Ben Grubbs 850-245-8992 Golder Associates USA Inc.

Matt Crews 904-363-3430 Multiple

Multiple

$ 1,351.30 $ 2,500.00

$ 1,351.30 $ 2,500.00

1 1 1

Golder Associates USA Inc.

Donald Miller

Principal

Donald Miller Digitally signed by Donald Miller Date: 2022.01.31 11:18:57 -05'00'

William E. Burns, Jr.

William E. Burns, Jr. Digitally signed by William E. Burns, Jr.

Date: 2022.01.31 10:19:51 -05'00'

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