CN-370000-HW686-DC14BCO1.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.

DC014B 1 HW686

This Change Order extends the Task Completion Date and Deliverable Due Dates.

Nicole Knutson 850-245-8763 Contractor Contractor

Contractor Contractor

Contractor

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

ERIC_4750

Classic Cleaners

$ 0.00 $ 0.00 Completion

Completion✔ 01/20/2024 03/20/2024 60

✔ 1 1 1

Professional Service Industries, Inc. (Intertek-PIS)

Nana Westmark

Senior Geologist / Principal Consultant

Nana G Westmark Digitally signed by Nana G Westmark Date: 2023.07.28 14:00:47 -04'00'

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2023.07.20 11:34:55 -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

DC014B

$ 99,384.15

Subtask 2 GPR Field Notes, Survey Notes & Lab Results of Well Sampling

Subtask 3 Field Logs AND Lab Results

Subtasks 1 & 4 Project Management AND Site Assessment Report which include IDW manifests

Subtask 2 Submittal and FDEP approval of the GPR Field Notes, Survey Notes & Lab Results of Well Sampling

Subtasks 1 & 4 Submittal and FDEP approval of the Site Assessment Report which include IDW manifests AND Project Management

Subtask 3 Submittal and FDEP approval of the Field Logs AND Lab Results

05/15/2023

10/10/2023

11/13/2023

$ 72,284.07

$ 10,446.45

$ 16,653.63

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

Memorandum

TO: ERIC_4750

Classic Cleaners

FROM: Nicole Knutson, Project Manager

SUBJECT: Negotiation Summary

HW686 DC014B

Change Order #1

DATE: July 18, 2023

This Change Order extends the Task Completion Date and Subtask 1, 3, and 4 Deliverable Due Dates. PSI requested a time extension due to subcontractor scheduling conflicts in an email dated July 13, 2023.

There is no change in cost associated with this Change Order. Total task amount remains $99,384.15. 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 extended to November 13, 2023. Task completion date has been extended to March 20, 2024.

From:

To:

Cc:

Subject:

Date:

Attachments:

Nana Westmark Knutson, Nicole Douglas Coleman; Chris Cummins Classic Cleaners ERIC_4750 DC014 B time extension request Thursday, July 13, 2023 10:30:26 AM image001.png

EXTERNAL MESSAGE

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

Good Morning Nikki – PSI respectfully requests a time extension of 60 days for the Classic Cleaners ERIC_4750 DC014 B. We are experiencing some scheduling issues and resource availability including subs.

If you need additional information please let me know!

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

You’ll be amazed where you find Intertek.

Total Quality. Assured.

CONFIDENTIALITY NOTICE

This email may contain confidential or privileged information, if you are not the intended recipient, or the person responsible for delivering the message to the intended recipient then please notify us by return email immediately. Should you have received this email in error then you should not copy this for any purpose nor disclose its contents to any other person.

http://www.intertek.com mailto:nana.westmark@intertek.com mailto:Nicole.Knutson@FloridaDEP.gov mailto:douglas.coleman@intertek.com mailto:chris.cummins@intertek.com mailto:Nana.Westmark@intertek.com https://secure-web.cisco.com/14xGlF-eUqBDF-BY4uFowjgxjft7RUQC8DO0O_qWBHo1XAggHjuhjAye6xktEwKppI_YKSgciH2A5GKe423O8Snh6r4dlP9C2PyyCMpYyYMMecomGbiqjrDRxqc1uXWLQtH_YKn-6sgzpaxknsUle-6vftDobGr2cgWNv_hRNNr0yqiuKNejV__svOK3I9bnaWEqubxb-xmGyBxMnkHByI3np_OLR5zDKSeLWDg8UoaicSjL2vGG48n3rQZU8zuoUIf-eor-eJEiDCP9T-JaU6ZrNdHJKDZasCCQ9XV4tJjaI3YjEGL7YhPFb5_RRu3Ws/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/1ew9RzGGr-UdW86zseFD7XX0ZBDLLIYhB5pf0YdOJK6NkGh74T0IsvaXQX1L2ht_108e2BKWyDL9PbuEFBOIJIcQm06gJ-fG_xgwFj7lK9ZRZU6H8PO6q3uH0ipAYWvOgAzeC4Jb9PGLYchFpWMnXgW9VlQK_nK2p5JEDmw9Ebro54xWLkYNDEKG-eUvf4w8Ux_iuhxF1scQ7c4O3qR8SAbMAG-Dk7GbqKv_Y7MVYT5LX8BrwDlvEVKh_Jn0wEZojhwNtyVWro57wRYafxyJcTIhIGzgIC3JU-r-WuIUr7Qd75xkvI7KZEMQqOxB0ePO4/https%3A%2F%2Fwww.intertek.com%2Famazed%3Futm_source%3Dsignature%26utm_medium%3DOutlook%26utm_content%3Dyba%26utm_campaign%3Dyoullbeamazed http://secure-web.cisco.com/1jRXQc7OVa9JeWPHWDmIoO7zHujUFx0f4xhGAOY8e0zU9ihulPsnLzrFu5_FQKgr9qTCPvmDJAkO1t0ZTsy2nvz8gpj0hC4-Klz-w5jUIKV5UqLwSIFZBAsqIUQUmOavjd2bGRAuZRG032WDuTU6_VDM1DgWr_36ZG_t-mj1qjJ2PVpBfc1HZAAZCPrhABtfVLuvJtnTOV20fwyUdDlldT7bM5VDETgksE-LwcvozCRxsZdLofmzZT-SOHvq35vB4A26abplbGc2FtQ7GgvpZrdQUwmP0WTyq0BMOnMx9HxRlhfH4H1-34wJZDm6eYmgL/http%3A%2F%2Fwww.intertek.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. 8/26/2020

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

DC014B Completion January 20, 2024

This Task Assignment authorizes Professional Service Industries, Inc. (PSI) to conduct Site Assessment activities in accordance with the PSI scope of work, cost estimate, and schedule received on February 13 2023.

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

Contractor Nana G. Westmark Contractor 813-886-1075

ERIC_4750

2291 East Bearss Avenue Tampa, Hillsborough County, Florida

Classic Cleaners

Contractor Contractor

✔ $ 99,384.15

$ 99,384.15

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: 2023.03.21 08:19:59 -04'00'

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2023.03.16 15:50:40 -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

Subtask 2 GPR Field Notes, Survey Notes & Lab Results of Well Sampling 05/15/2023

Subtask 3 Field Logs AND Lab Results 08/08/2023

Subtasks 1 & 4 Project Management AND Site Assessment Report which include IDW manifests 09/10/2023

Subtask 2 Submittal and FDEP approval of the GPR Field Notes, Survey Notes & Lab Results of Well Sampling $ 10,446.45

Subtask 3 Submittal and FDEP approval of the Field Logs AND Lab Results $ 72,284.07

Subtasks 1 & 4 Submittal and FDEP approval of the Site Assessment Report which include IDW manifests AND Project Management $ 16,653.63

$ 99,384.15

HW686

DC014B