CN-370000-HW686-DC01ACO3.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 3 HW686

This Task Assignment Change Order authorizes an increase in cost to reconcile WCD #5.

Skylar Schwed (850)245-8795 Contractor Contractor

Contractor Contractor

Contractor

Professional Service Industries, Inc. (Intertek-PSI) Nana G. Westmark 813-886-1075

Multiple

Multiple

✔ $ 24,314.44 $ 14,199.64

$ 24,314.44 $ 14,199.64 ✔ Completion

Completion 0

✔ 1 1 3

Professional Service Industries, Inc. (Intertek-PSI)

Nana Westmark

Senior Geologist / Principal Consultant

Nana G Westmark Digitally signed by Nana G Westmark Date: 2023.01.17 15:34:09 -05'00' Kelly Crain Digitally signed by Kelly Crain

Date: 2023.01.13 15:21:44 -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

HW686

DC001A

$ 24,314.44

Documentation of completed site activities

Off site notice documentation and Project management

Field notes and redesign of the SVE System at coastal cleaners & Documentation of System Shutdown before Hurricane Ian & Documentation of system restart and site conditions following Hurricane Ian and PM

Field notes and documentation relating to system repairs at Westwood and Custom Commerce

Submittal and FDEP approval of Documentation of Completed Site Activities

Submittal and FDEP approval of Field notes and redesign of the SVE System at coastal cleaners, & Documentation of System Shutdown before Hurricane Ian, & Documentation of system restart and site conditions following Hurricane Ian & PM

Field notes and documentation relating to system repairs at Westwood and Custom Commerce

Submittal and FDEP approval of Off site notice & Project management

12/21/2026

08/01/2022

12/01/2022

03/30/2023

$ 1,459.73

$ 2,500.00

$ 10,239.91

$ 10,114.80

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:

HW686 Contract Negotiation File Skylar Murphy, Project Manager January 13 2022

Subject: Negotiation Summary

HW686 DC001A-3

This Task Assignment change order reconciles costs for trouble shooting 2 SVE systems post Hurricane Ian. Costs were authorized by work change directives WCD #5.

Work change directive #5 was authorized for up to $11,800 for Labor and resources to evaluate systems that were non-operational located at Westwood Cleaners ERIC_4706, and Custom Commerce ERIC_5234.The actual cost related to this was $10,114.80.

The cost increase related to this change order is $10,114.80.

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 is $24,314.44.

PSI may invoice following the schedule established in the Deliverables and Invoice Schedule Attachment, which accompanies the Task Assignment Change Order Notification Form.

Printed on recycled paper.

FDEP COST ESTIMATEContractor: Professional Service Industries, Inc. (Intertek-PSI)

Date: 1/3/2023

Task #: SubTask 1 Project Management SubTask 6

Site: Various SVE Systems SubTask 2 Westwood ERIC_4702 SubTask 7

Activity/Phase: Troubleshoot SVE Systems SubTask 3 Custom Commerce ERIC_5234 SubTask 8

Project Manager: Nana Westmark SubTask 4 SubTask 9

SubTask 5 SubTask 10

Totals 1 2 3 4 5 6 7 8 9 10 Labor Rate Category

$56.99 Project Manager 4 4.0 $0.00 Principal Consultant 0 0 0 0 0 0 0 0 0 0

$60.00 Senior Engineer, MR 0 0 0 0 0 0 0 0 0 0 $56.99 Senior Geologist, NW 0 0 0 0 0 0 0 0 0 0

$0.00 Senior Scientist 0 0 0 0 0 0 0 0 0 0 $0.00 Certified Industrial Hygientist 0 0 0 0 0 0 0 0 0 0 $0.00 Certified Hazardous Materials Manager 0 0 0 0 0 0 0 0 0 0 $0.00 Florida Licensed Asbestos Consultant 0 0 0 0 0 0 0 0 0 0 $0.00 Project Manager 0 0 0 0 0 0 0 0 0 0

$43.27 Project Engineer, JN 0 0 0 0 0 0 0 0 0 0 $43.27 Project Engineer, IK 8 4 4 0 0 0 0 0 0 0 $40.87 Project Engineer, MK 0 0 0 0 0 0 0 0 0 0 $37.02 Project Engineer, SJ 0 0 0 0 0 0 0 0 0 0 $33.74 Project Scientist, SB 0 0 0 0 0 0 0 0 0 0 $29.86 Project Scientist 0 0 0 0 0 0 0 0 0 0 $29.77 Project Scientist, RF 0 0 0 0 0 0 0 0 0

$0.00 QA Officer 0 0 0 0 0 0 0 0 0 0 $31.51 Remediation Specialist, RH 35 35 0 0 0 0 0 0 0 0 $29.86 GIS / CAD Specialist, DG 0 0 0 0 0 0 0 0 0 0 $28.85 Staff Scientist, RP 0 0 0 0 0 0 0 0 0 0 $25.00 Staff Scientist, QH 0 0 0 0 0 0 0 0 0 0 $24.94 Staff Scientist, BW 0 0 0 0 0 0 0 0 0 0 $30.91 Environmental Specialist, CC 0 0 0 0 0 0 0 0 0 0 $22.06 Environmental Specialist, MZ 14 0 14 0 0 0 0 0 0 0 $20.81 Administrative Assistant, BM 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 61 4 39 18 0 0 0 0 0 0 0

Direct Labor $1,986.37 $228.52 $1,275.93 $481.92 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 151.02% $2,999.82 $345.11 $1,926.91 $727.80 $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 $4,986.19 $573.63 $3,202.84 $1,209.72 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 02/03 CEF Intertek-PSI Page 1

FDEP COST ESTIMATEContractor: Professional Service Industries, Inc. (Intertek-PSI)

Date: 1/3/2023

Task #: SubTask 1 Project Management SubTask 6

Site: Various SVE Systems SubTask 2 Westwood ERIC_4702 SubTask 7

Activity/Phase: Troubleshoot SVE Systems SubTask 3 Custom Commerce ERIC_5234 SubTask 8

Project Manager: Nana Westmark SubTask 4 SubTask 9

SubTask 5 SubTask 10

Totals 1 2 3 4 5 6 7 8 9 10

Travel Vehicle Rental $600.00 $360.00 $240.00 $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 $600.00 $360.00 $240.00 $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 $920.00 $0.00 $920.00 $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 Equipment Rep $500.00 $500.00 $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 $1,420.00 $500.00 $920.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Handling Fee $142.00 $50.00 $92.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $1,562.00 $550.00 $1,012.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Laboratory Analytical Costs $453.00 $0.00 $453.00 $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 $453.00 $0.00 $453.00 $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 $200.00 $120.00 $80.00 $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) $1,815.00 $1,305.00 $510.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Field Expenses $2,015.00 $1,425.00 $590.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal $9,616.19 $573.63 $5,537.84 $3,504.72 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee $498.61 $57.36 $320.28 $120.97 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $10,114.80 $630.99 $5,858.12 $3,625.69 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 02/03 CEF Intertek-PSI Page 2

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Various SVE Systems SubTask 2 Westwood ERIC_4702

DATE: 1/3/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Engineer, I King Technical Assistance 4 Total Hours: 4

Troubleshoot SVE System / Replace Motor Starter Remediation Specialist, R Hanson Field Event Preparation 1

Travel (1 hr roundtrip) 1 Troubleshoot electrical panel 3 Troubleshoot system 12

Field Event Preparation 1 Travel (1 hr roundtrip) 1 Replace start motor 16

Total Hours: 35

TOTAL LABOR 39

VEHICLE TYPE RATE UNIT USEAGE

$0.00

Equipment Van / Truck $120.00 day 3 $360.00

$0.00

TOTAL VEHICLE $360.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00 $0.00 $0.00 $0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

$0.00

Remedial Systems Integrated - address motor starter $500.00 $500.00

TOTAL $500.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

$0.00

$0.00

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Construction/O&M/Pilot Test Kit $360.00 day 3 $1,080.00 Construction/O&M supplies $75.00 day 3 $225.00

$1,305.00

Expendables $40.00 day 3 $120.00

TOTAL EQUIPMENT $1,425.00

FINAL --7/24/96

Page 3 Copy of WCD 5 DC001A Draft Reconcile 2023

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Various SVE Systems SubTask 3 Custom Commerce ERIC_5234

DATE: 1/3/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Engineer, I King Technical Assistance 4 Total Hours: 4

Collect water sample for characterization Environmental Specialist, M Zilske Field Event Preparation 1

Travel (3 hr roudtrip) 3 Collect sample from polytank 1 Sample kit pick-up, drop off 1

Meet subcontractor on site for water pump-out Environmental Specialist, M Zilske Field Event Preparation 1

Travel (3 hr roudtrip) 3 Oversight of water pumpout 4

Total Hours: 14

TOTAL LABOR 18

VEHICLE TYPE RATE UNIT USEAGE

$0.00

Equipment Van / Truck $120.00 day 2 $240.00

$0.00

TOTAL VEHICLE $240.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00 $0.00 $0.00 $0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

$0.00

Water pump-out and disposal per event for ~100 gallons $920.00 $920.00

TOTAL $920.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

$0.00

$14.00 8 $112.00 price per metal Mercury $26.00 1 $26.00 PFAS compounds by Method 8327 or 1633 $315.00 1 $315.00

$0.00

TOTAL LAB $453.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Construction/O&M/Pilot Test Kit $360.00 day 1 $360.00 Construction/O&M supplies $75.00 day 2 $150.00

$510.00

Expendables $40.00 day 2 $80.00

TOTAL EQUIPMENT $590.00

8 RCRA metals (Ar, Ba, Cd, Cr, Pb, Ni, Se, Au), Method 6020

FINAL --7/24/96

Page 4 Copy of WCD 5 DC001A Draft Reconcile 2023

Site Name: Site ID #:

Contract #: Contractor:

• Reason for Work Change Directive :

• Description of Work Change Directive :

• Attachments (if applicable, list documents supporting change):

• Costs (if negotiated unit costs, provide information below):

WCP WCD 07-2018

Authorized Contractor Signature:

Authorized FDEP Signature:

WORK CHANGE DIRECTIVE FORM

FDEP Supervisor Approval:

(if applicable)

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.

Task Assignment #: Work Change Directive #:

Maximum Estimated Increase in Task Amount:

Westwood Cleaners, Custom Commerce Cleaners ERIC_4706, ERIC_5234

HW686 Professional Service Industries, Inc. (Intertek-PSI)

DC001A 5

2 sites require troubleshooting after Hurricane shutdown and re-start

Westwood Cleaners- potentially needs new motor starter and re-wiring, electrical troubleshooting.

Custom Commerce - needs polytank pump-out due to high water level, and lab results for subcontractor to transport and dispose of water.

Labor - ~$5000 Subs - ~$4000 Lab - ~$750 Field, Travel - ~$2050

$ 11,800.00

Nana G Westmark Digitally signed by Nana G Westmark Date: 2022.10.26 15:28:43 -04'00'

Skylar Schwed Digitally signed by Skylar Schwed Date: 2022.10.27 08:49:51 -04'00'

Kelly Crain Digitally signed by Kelly Crain Date: 2022.10.27 08:57:16 -04'00'

Invoice

Invoice Date 11/9/2022

Invoice # 279699

BILL TO:

Professional Service Industries, Inc.

5801 Benjamin Center, Suite 112 Tampa, FL 33634

Generator/ Job Site:

6642 Ridge Rd.

POrt Richey, FL

23800 County Road 561 Astatula, FL 34705

P.O. Number

Terms Net 30

Sales Rep JTI

Ship Date 11/9/2022

Manifest/BOL/#

210696

TOTAL DUE

Subtotal

Sales Tax (7.0%)

A charge of 1-1/2% per month, 18% per annum will be added monthly to balances unpaid 30 days after date of invoice. Collection Cost and/or reasonable attorneys fees will be due in the event any collection process becomes necessary.

Federal I.D. # 59-3142880

Tel: (407) 656-8114 Fax: (407) 358-5030 1-800-293-1743

DESCRIPTION QUANTITY UNIT TYPE UNIT PRICE AMOUNT

Vacuum Truck - Flat Rate 1 each 920.00 920.00

FDEP Facility ID#51 9500743 /ERIC_5234

Please remit payment to: Petrotech Southeast, Inc.

23800 County Road 561, Astatula, FL 34705

$920.00

$0.00

October 17, 2022

Robert Hanson

5801 Benjamin Center Dr., Unit 112

Tampa, FL 33634

Via e-mail at robert.hanson@intertek.com

Subject: Quote for System Repair

4511 Gunn Hwy, Tampa, FL

Dear Scott, Remedial Systems Integrated, LLC (RSI) is pleased to provide you with this quote for a system repair. Herein are itemized costs are provided as requested.

Replacement of Motor Starter and Overload for SVE Blower on system: $500.00

Should you have any questions or would like to discuss options presented in this proposal, please do not hesitate to contact me directly at remedialsystems@outlook.com or via my cell at (813)

585-8769.

Quote is good for 60 days.

Respectfully, Remedial Systems Integrated, LLC

Simo Koncalovic, Owner mailto:remedialsystems@outlook.com

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 2 HW686

This Task Assignment Change Order authorizes an increase in cost to reconcile WCD#2, WCD #3, and WCD#4.

Skylar Schwed (850)245-8795 Contractor Professional Service Industries, Inc. (Intertek-PSI) Contractor

Contractor Nana G. Westmark Contractor 813-886-1075 Multiple

Multiple

✔ $ 14,199.64 $ 3,959.73

$ 14,199.64 $ 3,959.73 ✔ Completion

Completion 0

✔ 1 1 2

Professional Service Industries, Inc. (Intertek-PSI) Contractor Nana Westmark

Senior Geologist / Principal Consultant

Nana G Westmark Digitally signed by Nana G Westmark Date: 2022.10.27 10:41:57 -04'00'

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2022.10.27 09:47:54 -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

HW686

DC001A

$ 14,199.64

Documentation of completed site activities

Off site notice documentation and Project management.

Field notes and redesign of the SVE System at coastal cleaners & Documentation of System Shutdown before Hurricane Ian & Documentation of system restart and site conditions following Hurricane Ian and PM

Submittal and FDEP approval of Documentation of Completed Site Activities

Submittal and FDEP approval of Field notes and redesign of the SVE System at coastal cleaners, & Documentation of System Shutdown before Hurricane Ian, & Documentation of system restart and site conditions following Hurricane Ian & PM

Submittal and FDEP approval of Off site notice & Project management

12/21/2026

08/01/2022

12/01/2022

$ 1,459.73

$ 2,500.00

$ 10,239.91