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 7 HW685

Patrick McGrane 850-245-8899 WSP USA Inc.

Matt Crews 904-363-3430 Multiple

Multiple

$ 30,754.42 $ 21,693.88

$ 30,754.42 $ 21,693.88

12/27/2026 12/27/2026 0

1 1 7

WSP USA Inc.

Matthew Crews

Environmental Engineer

8/13/2024

Crews, Matt (USMC700671) Digitally signed by Crews, Matt (USMC700671) Date: 2024.08.13 09:58:24 -04'00'

Mubeen Darji

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

Date: 2024.08.13 08:46:46 -04'00'

N/A

This Change Order authorizes a cost increase to reconcile costs associated with WCD #8 - WCD #13.

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

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: Negotiation File

FROM: Patrick McGrane, Project Manager

SUBJECT: Negotiation Summary Task Assignment Change Order DC001A-7 (HW685)

DATE: August 8, 2024

This Change Order authorizes a total cost increase to reconcile Work Change Directives #8 through #13.

Specific costs can be found in the included Subtask 2 Scope of Work.

The previous cost total was $21,693.88. Total costs were increased by $9,060.54 resulting in a new final cost total of $30,754.42. WSP may invoice according to the included schedule.

Specific negotiated subtasks are as follows:

Subtask 1:

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

Contract HW685.

Subtask 2:

Costs contained in this Subtask are for the reconciliation of SVE fencing repairs (WCD #8, WCD #9, and

WCD #10), groundwater sampling (WCD #11), and site visits with updated property owner information and pictures (WCD #12 and WCD #13). A breakdown of labor hours and equipment can be found in the

Subtask 2 LOE. .

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Multiple SUBTASK 2: Multiple

DATE: 8/7/2024

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Project Sci/Eng (L. Chappell) 1

Sci/Eng/Admin (T. Dawalt) 5

Project Sci/Eng (E. Oien) 7

Project Sci/Eng (E. Oien)

Senior Project Sci/Eng (L. Chappell)

Senior Project Sci/Eng (L. Chappell) 6

Staff Sci/Eng (Z. Lawson) 7

Sci/Eng/Admin (D. Johnson) 6

Senior Project Sci/Eng (B. Lucero) 1

Senior Consultant (M. Crews) 1

Senior Project Sci/Eng (S. Sider) 4

Senior Consultant (M. Crews) 4

Sci/Eng/Admin (B. Coppersmith) 6

TOTAL LABOR 55

VEHICLE TYPE RATE UNIT USEAGE

Equipment Van (WCD #8) $120.00 Per day 1 $120.00

Equipment Van (WCD #9) $120.00 Per day 1 $120.00

Equipment Van (WCD #10) $120.00 Per day 1 $120.00

Equipment Van (WCD #11) $120.00 Per day 1 $120.00 Truck (WCD #13) $120.00 Per Day 1 $120.00

TOTAL VEHICLE $600.00

PER DIEM STAFF RATE UNIT USEAGE

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

Erwin - WCD #11 T&D - Non-Haz Water $125.00 per drum 1 $125.00

TOTAL $125.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

Total VOHs EPA Method 8260B WCD #11 $73.00 1 $73.00 Total VOCs EPA Method 8021 - IDWWCD #11 $110.00 1 $110.00

TOTAL LAB $183.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Miscellaneous Expendables (WCD #8) $40.00 Per Day 1 $40.00

Miscellaneous Expendables (WCD #9) $40.00 Per Day 1 $40.00

Miscellaneous Expendables (WCD #10) $40.00 Per Day 1 $40.00

Miscellaneous Expendables (WCD #11) $40.00 Per Day 1 $40.00 Miscellaneous Expendables (WCD #13) $40.00 Per Day 1 $40.00

PPE- Level D (WCD #8) $35.00 Per Man Day 1 $35.00 Construction/O&M Supplies (WCD #10) $75.00 Per Day 1 $75.00

Deep Groundwater Sampling Kit (WCD #11) $415.00 Per Day 1 $415.00 Tubing, Poly HDPE (WCD #11) $0.30 Per Foot 90 $27.00

Tubing, Silicon 3/16 x 3/8 (WCD #11) $3.00 Per Foot 1 $3.00 Drum, 55-gallon (WCD #11) $100.00 Per Each 1 $100.00

TOTAL EQUIPMENT $855.00

WCD #13 - Fairfax North site visit to take updated site photos and determine number of parcels with crawl spaces (3 hours). Update property owner information table and prepare photo log (3 hours).

WCD #8: Mobilization to Big B Cleaners #31 site (1 hour). Assess property damage to system/fence, make repairs, maintain plant growth, dispose of yard waste, scan and upload notes/photos (4 hours).

WCD #13 - Fairfax North site visit to take updated site photos and determine number of parcels with crawl spaces (3 hours). Prepare and submit e-mail deliverable with final Fairfax North property owner information table (1 hour).

WCD #8: Prepare e-mail deliverable following Big B Cleaners #31 site visit (1 hour).

WCD #9 - Field Preparation (2 hours). Mobilization to Big B Cleaners # 31 site (1 hour). Assess property damage to system/fence, make repairs, maintain plant growth, dispose of yard waste, scan and upload notes/photos (4 hours).

WCD #10 -Field Preparation (1 hour), Mobilize to Big B Cleaners #31 (1 hour). Pickup fence repair materials and complete repair (3 hours). Upload note/photos (1 hour).

WCD #11 - Big B Cleaners #31: Verification of property ownership with property access forms prior to mobilization (1 hour). Characterize IDW and prepare waste profile for transportation and disposal of IDW (2 hours). Prepare and submit email summary with, field documentation, laboratory chain-of-custody, and certified laboratory report (2 hours). Deliver Samples to Lab (1 hour).

WCD #11 - Big B Cleaners #31: Field event preparation (1 hour). Groundwater Sampling:

Instrument calibration, measure water levels, measure field parameters, collect samples from 1 well for chlorinated VOC analysis, including IDW sampling and staging (5 hours). Update data tables (1 hour).

WCD #11 - Big B Cleaners #31: Field event preparation (1 hour). Groundwater Sampling:

Instrument calibration, measure water levels, measure field parameters, collect samples from 1 well for chlorinated VOC analysis, including IDW sampling and staging (5 hours).

WCD #11 - Big B Cleaners #31: Update figure with new analytical data (1 hour).

WCD #12 - Prepare and submit e-mail deliverable with final Fairfax North property owner information table.

WCD #12 - Prepare draft Fairfax North property owner information table.

WCD #10: Prepare e-mail deliverable following Big B Cleaners #31 site visit; covers work done under WCD #9 and 10 (1 hour).

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:

Authorized ContractorSignature:

Authorized FDEPSignature:

FDEP SupervisorApproval:

(if applicable)

Big B #031 Cleaners ERIC_4822

HW685 WSP USA Inc.

DC001A 8

Property owner called and said that the system compound fence was damaged, and has been set to side of property.

WSP recommends a site visit to assess the damage to fence/system.

1-hr Mobilization 3-hr onsite to take pictures, measurements of fence, inspect system, clear yard waste 1-hr to haul waste to Marpan recycling and unload

$ 900.00

Digitally signed by Logan.Chappell @wsp.com DN: cn=Logan.Chappell@wsp.com Date: 2024.01.09 17:23:01 -05'00'

Logan.Chappell @wsp.com

Patrick McGrane Digitally signed by Patrick McGrane Date: 2024.01.10 08:33:12 -05'00'

Aaron Cohen Digitally signed by Aaron Cohen Date: 2024.01.11 14:07:42 -05'00'

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:

Authorized ContractorSignature:

Authorized FDEPSignature:

FDEP SupervisorApproval:

(if applicable)

Multiple Multiple

HW685 WSP USA Inc.

DC001A 9

Property owner called and said that the system compound fence was damaged, and has been set to side of property.

WSP recommends a site visit to assess the damage to fence/system.

2-hr Field Prep at warehouse 1-hr Mobilization 3-hr onsite to take pictures, measurements of fence, inspect system, clear yard waste 1-hr to dispose of yard waste.

1-hr Compile Email Deliverable

$ 1,500.00

Digitally signed by Chappell, Logan (USLC 689471) DN: cn=Chappell, Logan (USLC689471), ou =Active, email=Logan.Chappell@wsp.com Date: 2024.06.03 09:52:39 -04'00'

Chappell, Logan

(USLC689471)

Patrick McGrane Digitally signed by Patrick McGrane Date: 2024.06.03 10:34:39 -04'00'

Mubeen Darji, P.E.

Digitally signed by Mubeen Darji, P.E.

Date: 2024.06.03 12:46:27 -04'00'

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:

Authorized ContractorSignature:

Authorized FDEPSignature:

FDEP SupervisorApproval:

(if applicable)

Multiple Multiple

HW685 WSP USA Inc.

DC001A 10

Upon arriving on site following tornado, the fence was damaged, and in need of repair. The fence was not able to be salvaged based on materials which remained onsite. WSO requests costs to mobilize to site and repair fence.

WSP would pickup fence repair materials, mobilize to site, and install repair section.

Mobilize to site; Pickup repair materials , Make Repair, Upload documents, Repair material costs

$ 1,200.00

Digitally signed by Chappell, Logan (USLC 689471) DN: cn=Chappell, Logan (USLC689471), ou =Active, email=Logan.Chappell@wsp.com Date: 2024.06.10 16:21:00 -04'00'

Chappell, Logan

(USLC689471)

Patrick McGrane Digitally signed by Patrick McGrane Date: 2024.06.10 16:28:16 -04'00'

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:

Authorized ContractorSignature:

Authorized FDEPSignature:

FDEP SupervisorApproval:

(if applicable)

Multiple Multiple

HW685 WSP USA Inc.

DC001A 11

WSP is requesting approval of this work change directive to cover costs associated with sampling two offsite monitoring wells associated with the Big B Cleaners #31 site (ERIC_4822). The property owner contacted DEP indicating that the wells were scheduled to be abandoned on 6/25/2024.

WSP will mobilize to the property and collect groundwater samples from two wells (BBMW007 and BBMW010). WSP will stage IDW on the Big B #31 Cleaners site for subsequent T&D.

None

5 hours for Senior Consultant (MC) - verify property ownership; waste characterization; email deliverable (2 staff) 8 hours each for Staff Sci/Eng - field prep; sampling; update data tables, deliver samples to Lab 1 hour for Senior Proj Sci/Eng - update CAD figures Vehicle, equipment, and lab costs using HW685 rates

$ 4,500.00

Digitally signed by Chappell, Logan

(USLC689471)

DN: cn=Chappell, Logan (USLC689471), ou=Active, email=Logan.Chappell@wsp.com Date: 2024.06.24 10:20:00 -04'00'

Chappell, Logan

(USLC689471)

Patrick McGrane Digitally signed by Patrick McGrane Date: 2024.06.24 10:24:26 -04'00'

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:

Authorized ContractorSignature:

Authorized FDEPSignature:

FDEP SupervisorApproval:

(if applicable)

Multiple Multiple

HW685 WSP USA Inc.

DC001A 12

WSP is requesting approval of this work change directive to cover costs associated with updating the property owner information table for the Fairfax North site, per DEP e-mail request dated 7/22/2024.

WSP labor hours using HW685 rates. WSP will use the Duval County Property Appraiser's website to update property information table for 45 parcels and one City of Jacksonville right-of-way.

1 hour for Senior Consultant (MC) using HW685 rates 4 hours for Senior Project Sci/Eng (SS) using HW685 rates

$ 900.00

Crews, Matt

(USMC700671)

Digitally signed by Crews, Matt

(USMC700671)

Date: 2024.07.23 10:08:16 -04'00'

Patrick McGrane Digitally signed by Patrick McGrane Date: 2024.07.23 10:20:50 -04'00'

Mubeen Darji, P.E.

Digitally signed by Mubeen Darji, P.E.

Date: 2024.07.23 10:25:30

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:

Authorized ContractorSignature:

Authorized FDEPSignature:

FDEP SupervisorApproval:

(if applicable)

Multiple Multiple

HW685 WSP USA Inc.

DC001A 13

WSP is requesting approval of this work change directive to complete a site visit at the Fairfax North site, per DEP e-mail correspondence dated 8/1/2024. WSP will take updated site photos and evaluate the presence of crawl spaces at each parcel. WSP will update the property information table and prepare a photo log.

WSP labor hours, vehicle, and expendables using HW685 rates.

4 hour for Senior Consultant (MC) using HW685 rates 6 hours for Sci/Eng/Admin (SS) using HW685 rates

$ 1,700.00

Crews, Matt

(USMC700671)

Digitally signed by Crews, Matt

(USMC700671)

Date: 2024.08.02 08:43:28 -04'00'

Patrick McGrane Digitally signed by Patrick McGrane Date: 2024.08.02 08:57:40 -04'00'

Mubeen Darji, P.E.

Digitally signed by Mubeen Darji, P.E.

Date: 2024.08.02 09:11:41

McGrane, Patrick

From: Crews, Matt <matt.crews@wsp.com> Sent: Thursday, August 8, 2024 3:52 PM To: McGrane, Patrick Cc: Chappell, Logan Subject: DC001A (TACO #7) - Critical Response for Big B Cleaners #31 and Fairfax North Attachments: DC001A (Delta #7) -Critical Response LOECEF.xlsx; HW685 DC001A -Critical Response WCD#8-signed.pdf; HW685 DC001A -Critical Response WCD#9-signed.pdf; HW685 DC001A -Critical Response WCD#10-signed.pdf; HW685 DC001A -Critical Response WCD#11-signed.pdf; HW685 DC001A -Critical Response WCD#12-signed.pdf; HW685 DC001A -Critical Response WCD#13-signed.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.

Patrick, WSP has attached the les necessary to complete TACO #7 for TA DC001A, which will rectify work change directives WCD #8 through WCD #13. WSP completed site activities at the Big B Cleaners #31 site and the Fairfax North site under the Critical Response TA.

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

Thanks, Matt

Matthew Crews, P.E.

Assistant Vice President, Environmental Engineer

T+ 1 904-363-3430 M+ 1 904-327-8420

WSP USA Inc.

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

NOTICE: This communication and any attachments ("this message") may contain information which is privileged, confidential, proprietary or otherwise subject to restricted disclosure under applicable law. This message is for the sole use of the intended recipient(s). Any unauthorized use, disclosure, viewing, copying, alteration, dissemination or distribution of, or reliance on, this message is strictly prohibited. If you have received this message in error, or you are not an authorized or intended recipient, please notify the sender immediately by replying to this message, delete this message and all copies from your e-mail system and destroy any printed copies.

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 6 HW685

This Task Assignment Change Order authorizes an increase in costs to reconcile Work Change Directive (WCD) #7 and complete TACO #6

Opeyemi Kehinde 850-245-8887 Contractor WSP USA Inc. Contractor

Contractor Matt Crews Contractor 904-363-3430 Multiple

Multiple

$ 21,693.88 $ 19,658.94

$ 21,693.88 $ 19,658.94

Completion Completion 0

1 1 6

Contractor

Matthew Crews

Environmental Engineer

10/16/2023

Crews, Matt (USMC700671) Digitally signed by Crews, Matt (USMC700671) Date: 2023.10.16 10:40:42 -04'00' Kelly Crain Digitally signed by Kelly Crain

Date: 2023.10.12 12:32:09 -04'00'

N/A

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

Contract Number:

Task Assignment #:

Change Order #:

Deliverables:

Deliverable Deliverable Due Date 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

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced Documentation of Completed Site Activities

$2,500.00

Documentation of Completed Site Activities $1,351.30

Documentation of Completed Site Activities $1,094.44

Documentation of Completed Site Activities $962.44

Documentation of Completed Site Activities $2,964.97

Documentation of Completed Site Activities $10,785.79

Documentation of Completed Site Activities $2,034.94

TOTAL COST $21,693.88

BWC TAFORM 01_18