CN-370000-HW686-DC07BCO1.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.

DC007B 1 HW686

This Task Assignment Change Order authorizes a time extension of 2 months for both the final deliverable and the task completion date in order to allow PSI additional time due to driller scheduling conflicts.

Skylar Schwed (850)245-8795 Contractor Contractor

Contractor Contractor

Contractor

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

ERIC-5245

Fashion Cleaners (Former)

$ 0.00 $ 0.00 Completion

Completion✔ 05/25/2023 07/31/2023 67

✔ 1 1 1

Professional Service Industries, Inc. (Intertek-PSI)

Nana Westmark

Senior Geologist / Principal Consultant

Nana G Westmark Digitally signed by Nana G Westmark Date: 2022.10.20 08:14:52 -04'00'

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2022.10.18 10:30:03 -04'00'

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

DC007B

$ 41,483.74

Subtasks 2 & 3: IDW Manifests, Subcontractor Receipts, and Field Documentation of MAGS installation and testing.

Subtasks 4 &1: Supplemental Site Assessment Report and Project Management

Subtasks 1-4 submittal and FDEP approval of the Supplemental Site Assessment Report AND IDW Manifests, Subcontractor Receipts, and Field Documentation of MAGS installation and testing AND PM

04/24/2023

04/24/2023

$ 41,483.74

Printed on recycled paper.

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: HW686 Contract Negotiation File Fashion Cleaners New Port Richey, Pasco County, Florida 34653

ERIC_5245

From: Skylar Schwed, Project Manager Date: October 18, 2022 Subject: Negotiation Summary

HW686 DC007B-1

This Task Assignment Change Order extends the final deliverable due date of this Task assignment by 2 months and the task completion date by two months to allow PSI additional time to accommodate changes in driller scheduling and availability.

This Task Assignment Change Order results in no change in cost.

The final cost total for Task Assignment DC007B remains $41,483.74

From: Nana Westmark To: Schwed, Skylar L Cc: Huckaby, Robert; Ryan Fetter Subject: RE: Schedule Update for ERIC_5245 Fashion, New Port Richey Date: Tuesday, October 11, 2022 12:16:50 PM Attachments: image001.png

EXTERNAL MESSAGE

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

Lets make it 2 months to give us plenty of room for issues with lab, etc.

Thanks

From: Schwed, Skylar L <Skylar.Schwed@FloridaDEP.gov> Sent: Tuesday, October 11, 2022 10:23 AM To: Nana Westmark <nana.westmark@intertek.com> Cc: Huckaby, Robert <Robert.Huckaby@FloridaDEP.gov>; Ryan Fetter <ryan.fetter@intertek.com> Subject: [External] Re: Schedule Update for ERIC_5245 Fashion, New Port Richey

Good morning Nana, That seems like a reasonable request to me. Please let me know the updated schedule so I can create a time extension TACO.

Best, Skylar Schwed

Get Outlook for Android [aka.ms]

From: Nana Westmark <nana.westmark@intertek.com> Sent: Tuesday, October 11, 2022 10:14:41 AM To: Schwed, Skylar L <Skylar.Schwed@FloridaDEP.gov> Cc: Huckaby, Robert <Robert.Huckaby@FloridaDEP.gov>; Ryan Fetter <ryan.fetter@intertek.com> Subject: Schedule Update for ERIC_5245 Fashion, New Port Richey

EXTERNAL MESSAGE

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

Good Morning – Just an update on Fashion Cleaners ERIC_5245, (Home Saloon) in New Port Richey, to conduct the supplemental assessment by conducting a MAGS on the deeper vadose zone. We are currently trying to schedule the selected driller, Groundwater Protection and they are booked up through January. They are penciling us in for second week of January. Our TA DC007B includes a deliverable of the report by Feb 23, 2023. That might be a tight schedule unless everything goes perfect, according to plan.

mailto:nana.westmark@intertek.com mailto:Skylar.Schwed@FloridaDEP.gov mailto:Robert.Huckaby@FloridaDEP.gov mailto:ryan.fetter@intertek.com https://secure-web.cisco.com/19eeSn06cc6tOLi3zDdESQMnGISWfydPRwprDHqhygJouqdUFtRbnZvnpaTnP3h5SoR5IWQEVH7m6izWRSm9RWS1SqrAlY1gGBebjGmU505VJfkOY17GyUf91p53dC-Io8qRdA9wEQ4p2RQB3QdVIbRY_3XeNOlDGq49RUgki55nvhu-mRI7meP0CgCWW4wFFPabqPpt8FYN1nSZb482Sf24wSmCRR0gBMJPExfiCErVn7aA6lzrH17HbEsHaxQIj97lcTWadEaxRESTqLMWKghQSMU6RZzCqPSf7YyO68IGStqMnu5FDwmQRLunjwwzHas0pcwqOyErDhuZO4nmhFg/https%3A%2F%2Furldefense.com%2Fv3%2F__https%3A%2Faka.ms%2FAAb9ysg__%3B%21%21Ie6nUkZk%21q5aydyrZwh56iIzXIJY0Y2Rb1ozYvboef40iwFgQlaT0oeRMQ6x1Hb5nxgAtK8oUu87bO-T1hg_0CuyQaBtlbyxuc2FcVdu7POE%24 mailto:nana.westmark@intertek.com mailto:Skylar.Schwed@FloridaDEP.gov mailto:Robert.Huckaby@FloridaDEP.gov mailto:ryan.fetter@intertek.com

So, at this point, we may think about getting a time extension for DC007B.

Kind Regards, Nana Westmark, PG, CHMM Senior Geologist / Principal Consultant Building & Construction Intertek-PSI

Direct 813 – 886 – 1075 Ext 219 Mobile 813 - 267 - 2519 Office 813 – 886 – 1075 Email Nana.Westmark@intertek.com Skype Nana.Westmark.Intertek www.intertek.com/building [gcc02.safelinks.protection.outlook.com] [gcc02.safelinks.protection.outlook.com] [secure-web.cisco.com]

Intertek-PSI 5801 Benjamin Center Drive, Suite 112 Tampa, Florida 33634

Join BBEB.com to build back an ever better world!

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This message is from an EXTERNAL SENDER - please be CAUTIOUS, particularly with links and attachments.

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 bas s, 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.

gOrg. Code

HW686

DC007B Completion May 25, 2023

This Task Assignment authorizes Professional Service Industries, Inc. (PSI) to conduct a deep MAGs Survey in accordance with the PSI scope of work, cost estimate, and schedule received on September 14 2022.

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

Contractor Nana G. Westmark Contractor 813-886-1075

ERIC_5245

6502 Massachusetts Avenue New Port Richey, Pasco County, Florida 34653

Fashion Cleaners (Former)

Contractor Contractor

✔ $ 41,483.74

$ 41,483.74

Scope of Work

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

Senior Geologist / Principal Consultant

Nana G Westmark Digitally signed by Nana G Westmark Date: 2022.09.23 15:22:47 -04'00'

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2022.09.16 10:03:50 -04'00'

N/A

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

WC TAFORM

Contract Number:

Task Assignment #:

Deliverables:

Deliverable Deliverable Due Date

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

TOTAL COST

Subtasks 2 & 3: IDW Manifests, Subcontractor Receipts, and Field Documentation of MAGS installation and testing. 02/23/2023

Subtasks 4 &1: Supplemental Site Assessment Report and Project Management 02/23/2023

Subtasks 1-4 submittal and FDEP approval of the Supplemental Site Assessment Report AND IDW Manifests, Subcontractor Receipts, and Field Documentation of MAGS installation and testing AND PM

$ 41,483.74

$ 41,483.74

HW686

DC007B