CN-370000-HW686-DC06CCO2.pdf

PDF 3 MB Posted

Attached to
Master Agreement FL|HW686|26652fe61cf76d14a6798f2369f5dddb
Contract number
HW686
Issued by
Florida

About this file

This document is a Task Assignment Change Order (TACO) issued by the State of Florida Department of Environmental Protection (FDEP) to Professional Service Industries, Inc. (Intertek-PSI) for the Custom Commerce Laundry remediation project. The change order amends Task Assignment DC006C under Contract HW686, with FDEP's Project Manager Mary Uribe overseeing the effort and contractor representative Joshua Newell managing execution on behalf of Intertek-PSI.

The contract modification extends the project completion timeline by six months, moving the final deliverable date from January 15, 2025 to August 15, 2025, and the task completion date from February 28, 2025 to October 31, 2025. The total task value remains unchanged at $63,009.18, consisting of $54,369.18 in fixed unit rate charges and $8,640.00 in cost-reimbursable utilities expenses with a $480.00 handling fee. Intertek-PSI will continue performing 12 months of operations and maintenance activities including two semi-annual Remedial Action System Status reports and one groundwater monitoring event in accordance with the original scope of work received November 13, 2023. Deliverables include monthly operations and maintenance summaries, field packages, analytical results for VOH and PFAS groundwater monitoring, waste manifests, and utility bill receipts, with invoicing tied to FDEP approval of each deliverable component.

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Text version

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.

DC006C 2 HW686

Mary Uribe • Responsibilities o As a Contractor Contractor

Contractor Contractor

Contractor

Professional Service Industries, Inc. (Intertek-PSI) Joshua Newell 863-712-4342

ERIC_5234

Custom Commerce Laundry

✔ $ 54,369.18 $ 54,369.18

$ 8,640.00 $ 8,640.00

$ 63,009.18 $ 63,009.18 Completion

Completion✔ 02/28/2025 10/31/2025 245

1 1

Digitally signed by Joshua S Newell Date: 2025.01.15 11:20:32-05'00'

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2025.01.14 13:31:58 -05'00'

6 months of additional utilities.

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

DC006C

$ 63,009.18

Subtask 2 & 3: Email Summary of 1st & 2nd Qtr Monthly O&M (Nov, Dec, Jan & Feb, March, April)

Subtask 4: RASS

Subtask 5 & 6: Email Summary of 3rd & 4th Qtr Monthly O&M (May, June, July & Aug, Sep, Oct)

Subtask 7: RASS

Subtask 1, 9 & 10: Project Management, Field Package & Analytical Results for VOH Groundwater Monitoring & PFAS Groundwater Monitoring, IDW

Subtask 8: Utilities

Subtask 2 & 3: FDEP Approval of Email Summary of 1st & 2nd Qtr Monthly O&M (Nov, Dec, Jan & Feb, March, April)

Subtask 5 & 6: FDEP Approval of Email Summary of 3rd & 4th Qtr Monthly O&M (May, June, July & Aug, Sep, Oct)

Subtask 7: FDEP Approval of RASS

Subtask 8: FDEP Approval of Receipt of Utilities Bill for 12 months (Cost Plus Fixed Fee) Utilities not to exceed $8,640.00, handling fee = $480.00

Subtask 1, 9 & 10: FDEP Approval of Project Management, Field Package & Analytical Results for VOH Groundwater Monitoring & PFAS Groundwater Monitoring, Waste Manifest

Subtask 4: FDEP Approval of RASS

05/20/2024

05/30/2024

11/20/2024

11/30/2024

08/15/2025

05/30/2024

$ 4,793.39

$ 15,608.33

$ 17,581.79

$ 6,332.12

$ 9,573.55

$ 9,120.00

FLORIDA DEPARTMENT OF

Environmental Protection

Bob Martinez Center

2600 Blair Stone Road Tallahassee, FL 32399-2400

Ron DeSantis Governor

Jeanette Nuñez

Lt. Governor

Alexis A. Lambert Secretary

Memorandum

TO: ERIC_5234

Custom Commerce Cleaners

FROM: Mary Uribe, Project Manager

SUBJECT: Negotiation Summary

HW686 DC006C-CO1

DATE: January 13th 2025

PSI will perform 12 months of Operations and Maintenance with two semi-annual Remedial Action System Status reports, and one groundwater monitoring event in accordance with the PSI scope of work, cost estimate, and schedule received on November 13th 2023

This TACO is for a 6-month time extension only.

Total task amount is $63,009.18 and has not changed. PSI’s time, labor, and subcontractor costs for these activities have been reviewed and are appropriate. The level-of-effort and cost estimate are reasonable for the scope of services. Final deliverable due date has been changed from 01/15/2025 to 08/15/2025. Task completion date has been changed from 02/28/2025 to 10/31/2025.

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:

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.

DC006C 1 HW686

Mary Uribe 850-245-8990 Professional Services Industries, Inc. (Intertek-PSI)

Josh Newell 863-712-4342

ERIC_5234

Custom Commerce Laundry

$ 54,369.18 $ 54,602.18

$ 8,640.00 $ 8,640.00

$ 63,009.18 $ 63,242.18

02/28/2025 02/28/2025 0

1 1 1

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2024.09.25 11:56:48 -04'00'

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

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