CN-370000-HW686-DC07BCO2.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.

HW003A 1 HW686

This Task Assignment Change Order authorizes a 2 month time extension on both the final deliverable due date and the task end date time to accommodate changes in fieldwork scheduling, lab analysis time, and data evaluation.

Skylar Schwed (850)245-8795 Contractor Contractor

Contractor Contractor

Contractor

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

ERIC_4916

Magic Cleaners

$ 0.00 $ 0.00 Completion

Completion✔ 05/25/2023 07/25/2023 61

✔ 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: 2023.02.14 14:23:11 -05'00' Kelly Crain Digitally signed by Kelly Crain

Date: 2023.02.13 13:38:24 -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

HW003A

$ 17,774.77

Subtasks 1 & 2: Project management & Groundwater Monitoring Report and PFAS Summary, AND IDW manifest.

Subtask 3: Email Summary of PFAS Sampling Results

Subtasks 1 & 2 & 3 Submittal and FDEP approval of the Groundwater Monitoring Report and PFAS Summary, IDW manifest AND PM, & PFAS Email Summary

04/25/2023

04/25/2023

$ 17,774.77

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:

From:

Date:

HW686 Contract Negotiation File Magic Cleaners Ocala, Marion County, Florida

ERIC_4916

Skylar Schwed, Project Manager February 10, 2023

Subject: Negotiation Summary

HW686 HW003A-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 fieldwork scheduling, lab analysis time, and data evaluation.

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

The final cost total for Task Assignment HW003A-1 remains $17,774.77.

From: Nana Westmark To: Schwed, Skylar L Subject: time extension request - Fashion, Tempo, Magic Date: Tuesday, February 7, 2023 9:31:29 AM Attachments: image001.png Importance: High

EXTERNAL MESSAGE

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

Good Morning Skylar – Hope you are well today.

PSI would like to request time extensions of 2 months for the following:

1. Tempo ERIC_5476, HW007A– we have the lab kits for PFAS (and other parameters) but the due date for the reporting is Feb 27 and that doesn’t allow us enough time to provide the field work, then the time for the lab analysis, and our evaluation.

2. Magic ERIC_4916, HW003A – same as above.

3. Fashion ERIC_5245, DC007B and C0-1 – Driller subcontractors have pushed us back again due to the sonic rig breaking down, and the parts availability.

Let me know if this works for you!

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]

Intertek-PSI 5801 Benjamin Center Drive, Suite 112 Tampa, Florida 33634 mailto:nana.westmark@intertek.com mailto:Skylar.Schwed@FloridaDEP.gov mailto:Nana.Westmark@intertek.com https://secure-web.cisco.com/1vm9iSxfxiEQL7CHYPGmW-Jt6FKyJdaZ4tv2qDkf2dgPH8qksNScMn_Ou6wRNOX1TIZIgIvrdeLh5yJ9b-vq6chVJDOQLQ_wChuqcI85TpL3pa8xsKmvWsSIZRmYuVyepyN7GEse91ztjTbNcnbe_MjnCceEsFO0LRBUAOAQ1ssuJbep5z5FwT2h0Yc4WD1htNyI2wnZSQz8qmsUpPoTNERDeSf5AL3zlarHgOupzXnrZ6KwIA7YTQ7W7j2Tg1tj3CEfPG8IOdH218ZoH0HzlMGN1Mf5YJrq_oDvexWVFRH9hUZrpY8QtWVcigy8ILZgpiaAAF9WS04lQRuh0ChZpKg/https%3A%2F%2Furldefense.com%2Fv3%2F__https%3A%2Fgcc02.safelinks.protection.outlook.com%2F%3Furl%3Dhttps%2A3A%2A2F%2A2Furldefense.com%2A2Fv3%2A2F__https%2A3A%2A2Fgcc02.safelinks.protection.outlook.com%2A2F%2A3Furl%2A3Dhttp%2A3A%2A2F%2A2Fwww.intertek.com%2A2Fbuilding%2A26data%2A3D04%2A7C01%2A7C%2A7Ce6e60d91fd384023f38108d9fc50956c%2A7Cf82250c421b643ada0095dbf5b6ad62d%2A7C0%2A7C0%2A7C637818245314857152%2A7CUnknown%2A7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%2A3D%2A7C3000%2A26sdata%2A3DvRbGaonR2CbnFAS0Dca4ptkjW7icXh66E0j0%2A2Fp%2A2BJ13I%2A3D%2A26reserved%2A3D0__%2A3BJSUlJSUlJSUlJSUlJSUlJSUl%21%21Ie6nUkZk%218l7e3Y_9sJi7T5snTt9AB9T_Ax7YUUjuMGVVA-7CA4KCgIJ_Ne3ClV4iOvUZ8FSSn-xc%2A24%26data%3D04%2A7C01%2A7C%2A7Cc4fcae041bcf49265f2808d9fc6ec1a8%2A7Cf82250c421b643ada0095dbf5b6ad62d%2A7C0%2A7C0%2A7C637818374916215896%2A7CUnknown%2A7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%2A3D%2A7C3000%26sdata%3DdPp%2A2BTVIDjNbYdwX0119sREuLath0qcAcEMHjGoPCymU%2A3D%26reserved%3D0__%3BJSUlJSUlJSUlJSoqKiolJSoqKioqKioqKioqJSUqKiolJSUlJSUlJSUlJSUlJSUlJQ%21%21Ie6nUkZk%2195zq0GPNR51LtfeZmnlqP7itfu4z7831lpWaoMqh49FmYhrXRV39llJQruqRDrG0SAP6%24 https://secure-web.cisco.com/1vm9iSxfxiEQL7CHYPGmW-Jt6FKyJdaZ4tv2qDkf2dgPH8qksNScMn_Ou6wRNOX1TIZIgIvrdeLh5yJ9b-vq6chVJDOQLQ_wChuqcI85TpL3pa8xsKmvWsSIZRmYuVyepyN7GEse91ztjTbNcnbe_MjnCceEsFO0LRBUAOAQ1ssuJbep5z5FwT2h0Yc4WD1htNyI2wnZSQz8qmsUpPoTNERDeSf5AL3zlarHgOupzXnrZ6KwIA7YTQ7W7j2Tg1tj3CEfPG8IOdH218ZoH0HzlMGN1Mf5YJrq_oDvexWVFRH9hUZrpY8QtWVcigy8ILZgpiaAAF9WS04lQRuh0ChZpKg/https%3A%2F%2Furldefense.com%2Fv3%2F__https%3A%2Fgcc02.safelinks.protection.outlook.com%2F%3Furl%3Dhttps%2A3A%2A2F%2A2Furldefense.com%2A2Fv3%2A2F__https%2A3A%2A2Fgcc02.safelinks.protection.outlook.com%2A2F%2A3Furl%2A3Dhttp%2A3A%2A2F%2A2Fwww.intertek.com%2A2Fbuilding%2A26data%2A3D04%2A7C01%2A7C%2A7Ce6e60d91fd384023f38108d9fc50956c%2A7Cf82250c421b643ada0095dbf5b6ad62d%2A7C0%2A7C0%2A7C637818245314857152%2A7CUnknown%2A7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%2A3D%2A7C3000%2A26sdata%2A3DvRbGaonR2CbnFAS0Dca4ptkjW7icXh66E0j0%2A2Fp%2A2BJ13I%2A3D%2A26reserved%2A3D0__%2A3BJSUlJSUlJSUlJSUlJSUlJSUl%21%21Ie6nUkZk%218l7e3Y_9sJi7T5snTt9AB9T_Ax7YUUjuMGVVA-7CA4KCgIJ_Ne3ClV4iOvUZ8FSSn-xc%2A24%26data%3D04%2A7C01%2A7C%2A7Cc4fcae041bcf49265f2808d9fc6ec1a8%2A7Cf82250c421b643ada0095dbf5b6ad62d%2A7C0%2A7C0%2A7C637818374916215896%2A7CUnknown%2A7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%2A3D%2A7C3000%26sdata%3DdPp%2A2BTVIDjNbYdwX0119sREuLath0qcAcEMHjGoPCymU%2A3D%26reserved%3D0__%3BJSUlJSUlJSUlJSoqKiolJSoqKioqKioqKioqJSUqKiolJSUlJSUlJSUlJSUlJSUlJQ%21%21Ie6nUkZk%2195zq0GPNR51LtfeZmnlqP7itfu4z7831lpWaoMqh49FmYhrXRV39llJQruqRDrG0SAP6%24

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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

HW003A Completion May 25, 2023

This Task Assignment authorizes Professional Service Industries, Inc. (PSI) to conduct Groundwater Monitoring AND PFAS sampling in accordance with the PSI scope of work, cost estimate, and schedule received on October 5th 2022.

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

Contractor Nana G. Westmark Contractor 813-886-1075

ERIC_4916

2400 SE 1st Avenue Ocala, Marion County, Florida

Magic Cleaners

Contractor Contractor

✔ $ 17,774.77

$ 17,774.77

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: 2022.10.10 10:58:20 -04'00'

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2022.10.07 16:29:24 -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 1 & 2: Project management & Groundwater Monitoring Report and PFAS Summary, AND IDW manifest. 02/25/2023

Subtask 3: Email Summary of PFAS Sampling Results 02/25/2023

Subtasks 1 & 2 & 3 Submittal and FDEP approval of the Groundwater Monitoring Report and PFAS Summary, IDW manifest AND PM, & PFAS Email Summary $ 17,774.77

$ 17,774.77

HW686

HW003A