CN-370000-HW686-DC09DCO2.pdf

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

About this file

This document comprises Task Assignment Change Orders (TACOs) issued by the State of Florida Department of Environmental Protection (FDEP) under Contract HW686 with Professional Service Industries, Inc. (Intertek-PSI) for environmental remediation and operations and maintenance services at the Main Street Cleaners site (ERIC_5423). TACO 1, effective June 25, 2025, reconciles the original task assignment with additional work scope, adjusting the completion date from July 25, 2025 to September 26, 2025 (a 63-day extension) and increasing the total task value to $77,595.12. TACO 2, effective August 6, 2025, addresses time extension and utilities costs only, extending the task completion date from September 26, 2025 to August 28, 2026 (a 336-day extension) while maintaining the total task value at $84,915.12.

Both change orders cover nine subtasks including quarterly operations and maintenance, a remedial action site screening report, groundwater monitoring, utilities, and project management. The amended prices reflect labor costs (including project management, senior engineers, project engineers, and project scientists), travel expenses, analytical laboratory services, equipment and supplies, subcontractor services for utilities (FPL Electric and Century Link), and handling fees. The invoice schedule requires Department approval of deliverables prior to payment, with invoicing distributed across quarterly submissions. Subtask 8 utilities costs are $15,860.00 in TACO 2 (extended 26-month period) compared to $8,540.00 in TACO 1 (9-month period), reflecting the extended operational timeline. All other contract terms and conditions remain in effect.

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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:

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.

DC009D 2 HW686

Mary Uribe 8502458990 Contractor Professional Service Industries, Inc. (Intertek-PSI) Contractor

Contractor Joshua Newell Contractor 863-712-4342

ERIC_5423

Main St Cleaners

✔ $ 84,915.12 $ 77,595.12

$ 84,915.12 $ 77,595.12 Completion

✔ Completion 09/26/2025 08/28/2026 336

1 1

Contractor Douglas Coleman PMP, CHMM, REM

Contract Manager

Douglas Coleman Digitally signed by Douglas Coleman Date: 2025.08.06 09:59:56 -04'00'

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2025.08.06 08:54:33 -04'00'

Utilities and completion date extension

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

DC009D

$ 84,915.12

Subtask 2: 1st Quarter O&M

Subtask 3 & 4 : 2nd Quarter O&M and

Subtask 5: 3rd Quarter O&M

Subtask 6: 4th Quarter O&M

Subtask 8: Utilities

Subtask 1, 7, and 9: Project Management, RASSR, and GW Monitoring

Subtask 2: DEP approval of 1st Quarter O&M

Subtask 5: DEP approval of 3rd Quarter O&M

Subtask 6: DEP approval of 4th Quarter O&M

Subtask 1, 7, and 9: DEP approval of Project Management, RASSR, and GW Monitoring

Subtask 8: DEP approval of Utilities

Subtask 3 & 4 : DEP approval of 2nd Quarter O&M and

08/20/2024

12/02/2024

02/20/2025

05/20/2025

06/06/2025

07/31/2026

$ 14,285.02

$ 10,072.34

$ 11,620.34

$ 9,027.49

$ 15,860.00

$ 24,049.93

FFLORIDA DEPARTMENT OF

EEnvironmental Protection

Bob Martinez Center 2600 Blair Stone Road

Tallahassee, FL 32399-2400

Ron DeSantis Governor

Alexis A. Lambert Secretary

Memorandum

TO:

FROM:

SUBJECT:

DATE:

ERIC_

Cleaners

Mary Uribe, Project Manager

Negotiation Summary

HW686 DC0

Total task amount is $ . 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 . Task completion date

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SITE : Main Street Cleaners ERIC_5423 SubTask 2 1st Qtr Monthly O&M

DATE: 2/9/2024

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Engineer, M Rothenburg System evaluation (1 hr/month), 3 Total hours: 3

Project Engineer, J Newell Telemetry check (3 times per week = 2 hours per month) 6 Provide oversight and technical support (2 hr/monthly, 6 hrs/quarterly) 6 O&M checklists (1 hr/month) 3 Quarterly email summary to FDEP 4

Total hours: 19 Project Scientist, J Daugherty Monthly

Field preparation 1 Mobilization 3 Conduct O&M, optimize performance 2 Collect vacuum influence / vacuum flow measurements 1 Collect vapor samples for PID screening 1 Monthly preparation, recording of system data to ongoing operational tables 1 O&M checklists (1 hr/month) 1

Monthly Field preparation 1 Mobilization 3 Conduct O&M, optimize performance 2 Collect vacuum influence / vacuum flow measurements 1 Collect vapor samples for PID screening 1 Monthly preparation, recording of system data to ongoing operational tables 1 O&M checklists (1 hr/month) 1

Monthly Field preparation 1 Mobilization 3 Conduct O&M, optimize performance 2 Collect vacuum influence / vacuum flow measurements 1 Collect vapor samples for PID screening 1 Monthly preparation, recording of system data to ongoing operational tables 1 O&M checklists (1 hr/month) 1

Additional hours to collect vapor analytical samples 3

Total hours: 33

TOTAL LABOR 55

VEHICLE TYPE RATE UNIT USEAGE

$0.00

Equipment Van / Truck $120.00 day 3 $360.00

TOTAL VEHICLE $360.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00 $0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

$0.00 $0.00

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

$200.00 6 $1,200.00

Summa cannisters $33.00 6 $198.00 $1,398.00

Shipping, large, overnight $150.00 1 $150.00

TOTAL LAB $1,548.00

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

EQUIPMENT PROCUREMENT RATE COSTING UNIT USEAGE TOTALS

TOTAL EQUIPMENT $0.00

TO-15 (VOCs) (Qtr infl and eff, + 4 SVE air samples)

FINAL --7/24/96

Page 4 TACO2 Final DC009D Main St ERIC_5423

SubTask 3 2nd Qtr Monthly O&M

DATE: 2/9/2024

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Engineer, M Rothenburg System evaluation (1 hr/month), review and submittal 3

Total hours: 3

Project Engineer, J Newell Telemetry check (3 times per week = 2 hours per month) 6 Provide oversight and technical support (2 hr/monthly, 6 hrs/quarterly) 6 O&M checklists (1 hr/month) 3 Quarterly email summary to FDEP 4

Total hours: 19 Project Scientist, J Daugherty Monthly

Field preparation 1 Mobilization 3 Conduct O&M, optimize performance 2 Collect vacuum influence / vacuum flow measurements 1 Collect vapor samples for PID screening 1 Monthly preparation, recording of system data to ongoing operational tables 1 O&M checklists (1 hr/month) 1

Monthly Field preparation 1 Mobilization 3 Conduct O&M, optimize performance 2 Collect vacuum influence / vacuum flow measurements 1 Collect vapor samples for PID screening 1 Monthly preparation, recording of system data to ongoing operational tables 1 O&M checklists (1 hr/month) 1

Monthly Field preparation 1 Mobilization 3 Conduct O&M, optimize performance 2 Collect vacuum influence / vacuum flow measurements 1 Collect vapor samples for PID screening 1 Monthly preparation, recording of system data to ongoing operational tables 1 O&M checklists (1 hr/month) 1

Additional hours to collect vapor analytical samples 2

Total hours: 32

TOTAL LABOR 54

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

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

$0.00

$0.00 $0.00

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

TO-15 (VOCs) (infl and eff per Qtr) $200.00 2 $400.00

Summa cannisters $33.00 2 $66.00 $466.00

Shipping, large, overnight $150.00 1 $150.00

TOTAL LAB $616.00

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

Page 5 TACO2 Final DC009D Main St ERIC_5423

SubTask 4 RASS

DATE: 2/9/2024

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Engineer, M Rothenburg Evaluate data 2 Review Final RASS 2 Sign and Seal RASS 1

Total hours: 5

Project Engineer, J Newell Data reduction/evaluation 12 Preparation of remediation report 8 Create figures 4 Report - Prepare final tables and figure 8

Total hours: 32

CADD / GIS Specialist, D Grove Prepare figures for RASS 2

TOTAL LABOR 39

VEHICLE TYPE RATE UNIT USEAGE

$0.00

$0.00

TOTAL VEHICLE $0.00

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 $0.00 $0.00

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

TOTAL EQUIPMENT $0.00

Page 6 TACO2 Final DC009D Main St ERIC_5423

SubTask 5 3rd Qtr Monthly O&M

DATE: 2/9/2024

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Engineer, M Rothenburg System evaluation (1 hr/month), review and submittal 3

Total hours: 3

Project Engineer, J Newell Telemetry check (3 times per week = 2 hours per month) 6 Provide oversight and technical support (2 hr/monthly, 6 hrs/quarterly) 6 O&M checklists (1 hr/month) 3 Quarterly email summary to FDEP 4

Total hours: 19

Project Scientist, J Daugherty Monthly Field preparation 1 Mobilization 3 Conduct O&M, optimize performance 2 Collect vacuum influence / vacuum flow measurements 1 Collect vapor samples for PID screening 1 Monthly preparation, recording of system data to ongoing operational tables 1 O&M checklists (1 hr/month) 1

Monthly Field preparation 1 Mobilization 3 Conduct O&M, optimize performance 2 Collect vacuum influence / vacuum flow measurements 1 Collect vapor samples for PID screening 1 Monthly preparation, recording of system data to ongoing operational tables 1 O&M checklists (1 hr/month) 1

Monthly Field preparation 1 Mobilization 3 Conduct O&M, optimize performance 2 Collect vacuum influence / vacuum flow measurements 1 Collect vapor samples for PID screening 1 Monthly preparation, recording of system data to ongoing operational tables 1 O&M checklists (1 hr/month) 1

Additional hours to collect vapor analytical samples 3

Total hours: 33

TOTAL LABOR 55

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

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

$0.00

$0.00 $0.00

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

$200.00 12 $2,400.00

Summa cannisters $33.00 12 $396.00 $2,796.00

Shipping, large, overnight $150.00 2 $300.00

TOTAL LAB $3,096.00

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

TO-15 (VOCs) (infl and eff, + 4 SVE air samples)

Page 7 TACO2 Final DC009D Main St ERIC_5423

SubTask 6 4th Qtr Monthly O&M

DATE: 2/9/2024

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Engineer, M Rothenburg System evaluation (1 hr/month), review and submittal 3

Total hours: 3

Project Engineer, J Newell Telemetry check (3 times per week = 2 hours per month) 6 Provide oversight and technical support (2 hr/monthly, 6 hrs/quarterly) 6 O&M checklists (1 hr/month) 3 Quarterly email summary to FDEP 4

Total hours: 19

Project Scientist, J Daugherty Monthly Field preparation 1 Mobilization 3 Conduct O&M, optimize performance 2 Collect vacuum influence / vacuum flow measurements 1 Collect vapor samples for PID screening 1 Monthly preparation, recording of system data to ongoing operational tables 1 O&M checklists (1 hr/month) 1

Monthly Field preparation 1 Mobilization 3 Conduct O&M, optimize performance 2 Collect vacuum influence / vacuum flow measurements 1 Collect vapor samples for PID screening 1 Monthly preparation, recording of system data to ongoing operational tables 1 O&M checklists (1 hr/month) 1

Monthly Field preparation 1 Mobilization 3 Conduct O&M, optimize performance 2 Collect vacuum influence / vacuum flow measurements 1 Collect vapor samples for PID screening 1 Monthly preparation, recording of system data to ongoing operational tables 1 O&M checklists (1 hr/month) 1

Additional hours to collect vapor analytical samples 2

Total hours: 32

TOTAL LABOR 54

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

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

$0.00

$0.00 $0.00

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

TO-15 (VOCs) (infl and eff per Qtr,) $200.00 2 $400.00

Summa cannisters $33.00 2 $66.00 $466.00

Shipping, large , overnight $150.00 1 $150.00

TOTAL LAB $616.00

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

Page 8 TACO2 Final DC009D Main St ERIC_5423

SubTask 7 RASS

DATE: 2/9/2024

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Engineer, M Rothenburg Evaluate data 2 Review Final RASS/ Groundwater Report 5 Sign and Seal RASS 1

Total hours: 8

Project Engineer, J Newell Data reduction/evaluation 12 Preparation of remediation/ groundwater monitoring report 12 Create Final figures 4 Report - Prepare final tables and figure 8 Shutdown Evaluation 3 Discussion of additional run time in RASS for WCD and TACO submittals 1

Total hours: 40

CADD / GIS Specialist, D Grove Prepare figures for RASS 8 Administrative Assistant, BM Backup generation 2

TOTAL LABOR 58

VEHICLE TYPE RATE UNIT USEAGE

$0.00 $0.00

TOTAL VEHICLE $0.00

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 $0.00 $0.00

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

TOTAL EQUIPMENT $0.00

Page 9 TACO2 Final DC009D Main St ERIC_5423

SubTask 8 Utilities

DATE: 2/9/2024

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

TOTAL LABOR

VEHICLE TYPE RATE UNIT USEAGE

$0.00 $0.00

TOTAL VEHICLE $0.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00 $0.00 $0.00 $0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

FPL Electric $450.00 Month 26 $11,700.00

Century Link Phone $120.00 Month 26 $3,120.00 $14,820.00

Handling fee Electric $20.00 Month 26 $520.00 Handling fee phone $20.00 Month 26 $520.00

$1,040.00

$0.00

TOTAL $15,860.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00 $0.00 $0.00

TOTAL EQUIPMENT $0.00

Page 10 TACO2 Final DC009D Main St ERIC_5423

SubTask 9 Groundwater Monitoring

DATE: 2/9/2024

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Geologist, N Westmark event lab kit request, equipment selection, tenant notification 3

Project Scientist, J Daugherty Field preparation 1 Travel (3 roundtrips for gw sampling) 9 Collect groundwater samples 8 shallow wells @ 1 hour each 8 2 intermediate wells @ 1.5 hrs each 3 2 deep well @ 2 hours each 4 Documentation of groundwater sampling & measurements 1

Total hours: 26

Staff Scientist, M Matar Travel (3 roundtrips for gw sampling) 9 Collect groundwater samples 7 shallow wells @ 1 hour each 7 1 intermediate wells @ 1.5 hr each 1.5 2 deep well @ 2 hours each 4 stage IDW drum 1 pickup, drop off sample kits 2 Documentation of groundwater sampling & measurements 1

Total hours: 25.5

TOTAL LABOR 54.5

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 UNIT COST

$0.00

Petrotech Southeast, LLC IDW transport & disposal 6 $100.00 $600.00 $0.00 $0.00

TOTAL $600.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC IDW

$0.00

EPA Method 8260 $73.00 22 1 $1,679.00

$1,679.00 $0.00 Sample Shipping, Large, Overnight $150.00 0 $0.00

$0.00 $0.00

TOTAL LAB $1,679.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00 Shallow Groundwater Sampling Kit $290.00 day 3 $870.00 Deep Groundwater Sampling Kit $415.00 day 3 $1,245.00 Drum for IDW $100.00 each 6 $2,115.00 $600.00

$2,715.00 Expendables $40.00 day 3 $120.00

TOTAL EQUIPMENT $2,835.00

Page 11 TACO2 Final DC009D Main St ERIC_5423

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R E V

C E F

P S I I n t e r t e k

P a g

SubTask 8 Utilities

DATE: 2/9/2024

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

TOTAL LABOR

VEHICLE TYPE RATE UNIT USEAGE

$0.00 $0.00

TOTAL VEHICLE $0.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00 $0.00 $0.00 $0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

FPL Electric $450.00 Month 12 $5,400.00

Century Link Phone $120.00 Month 12 $1,440.00 $6,840.00

Handling fee Electric $20.00 Month 12 $240.00 Handling fee phone $20.00 Month 12 $240.00

$480.00

$0.00

TOTAL $7,320.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00 $0.00 $0.00

TOTAL EQUIPMENT $0.00

Page 3 TACO2 Delta DC009D Main St ERIC_5423

E P

C O S T

E S T I M A T E

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R E V

C E F

P S I I n t e r t e k

P a g

E P

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R E V

C E F

P S I I n t e r t e k

P a g

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.

DC009D 1 HW686

Mary Uribe • Responsibilities o As a Professional Service Industries, Inc. (Intertek-PSI)

Joshua Newell 863-712-4342

ERIC_5423

Main St Cleaners

$ 77,595.12 $ 76,095.51

$ 77,595.12 $ 76,095.51

07/25/2025 09/26/2025 63

1 1

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2025.06.25 11:30:42 -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

File details come from the government source that posted it. Updated .