CN-370000-HW685-DC07CCO1.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.

DC007C 1 HW685

Patrick McGrane 850-245-8899 Contractor WSP USA Inc. Contractor

Contractor Matt Crews Contractor 904-363-3430

ERIC_5511

Ormond Beach Cleaners Inc

✔ $ 19,061.80 $ 19,061.80

$ 19,061.80 $ 19,061.80 Completion

✔ Completion 01/23/2026 04/24/2026 91

✔ 1 1 1

WSP USA Inc.

Contractor Matthew Crews

Environmental Engineer

1/5/2026

Crews, Matt (USMC700671) Digitally signed by Crews, Matt (USMC700671) Date: 2026.01.05 10:55:01 -05'00'

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2025.12.29 08:48:08 -05'00'

N/A

This Change Order authorizes a no cost time extension due to complications in scheduling field work.

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

HW685

DC007C

Subtasks 1 & 3 - Project Management; Reporting

Subtask 2 - Annual Groundwater Monitoring 01/30/2026

02/27/2026

Subtask 2 - Submittal and FDEP approval of email summary containing field documentation, certified laboratory report for VOCs, and signed waste manifest(s)

Subtasks 1 & 3 - Submittal and FDEP approval of the Annual Groundwater Monitoring Report

$ 12,250.02

$ 6,811.78

$ 19,061.80

Memorandum

TO: Negotiation File

Ormond Beach Cleaners Inc Ormond Beach, Volusia County

ERIC_5511

FROM: Patrick McGrane, Project Manager

SUBJECT: Negotiation Summary Task Assignment Change Order DC007C-1 (HW685)

DATE: December 22, 2025

This Change Order authorizes a no-cost time extension to the Task Assignment completion date and all deliverable due dates.

The final cost total remains $19,061.80. The Task Assignment completion date has been from 1/23/2026 to 4/24/2026, a 91-day extension. Deliverable due dates have been extended by a similar amount of time. WSP may invoice according to the included schedule.

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

DC007C Completion January 23, 2026

This Task Assignment authorizes WSP to conduct groundwater sampling at Ormond Beach Cleaners in accordance with the May 21, 2025 Scope of Work, Cost Estimate, and Bid Documentation.

Patrick McGrane 850-245-8899 Contractor WSP USA Inc. Contractor

Contractor Matt Crews Contractor 904-363-3430

ERIC_5511

1482 West Granada Boulevard, Ormond Beach, Volusia County

Ormond Beach Cleaners Inc

Contractor Contractor

✔ $ 19,061.80

$ 19,061.80

Scope of Work

WSP USA Inc.

Contractor Matthew Crews

Environmental Engineer

5/30/2025

Crews, Matt (USMC700671) Digitally signed by Crews, Matt (USMC700671) Date: 2025.05.30 14:05:58 -04'00'

Mubeen Darji

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

Date: 2025.05.28 16:26:59 -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

BWC TAFORM 01/18

HW685

DC007C

Subtasks 1 & 3 - Project Management; Reporting

Subtask 2 - Annual Groundwater Monitoring 09/19/2025

10/31/2025

Subtask 2 - Submittal and FDEP approval of email summary containing field documentation, certified laboratory report for VOCs, and signed waste manifest(s)

Subtasks 1 & 3 - Submittal and FDEP approval of the Annual Groundwater Monitoring Report

$ 12,250.02

$ 19,061.80

$ 6,811.78