CN-370000-HW686-DC14BCO2.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 2 HW686

This Change Order authorizes a time extension to allow for the completion of deliverables.

Patrick McGrane 850-245-8899 Contractor Professional Service Industries, Inc. (Intertek-PSI) Contractor

Contractor Nana G. Westmark Contractor 813-886-1075

ERIC_4750

Classic Cleaners

✔ $ 99,384.15 $ 99,384.15

$ 99,384.15 $ 99,384.15 Completion

✔ Completion 03/20/2024 05/24/2024 65

✔ 1 1 2

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

Senior Geologist / Principal Consultant

Nana G Westmark Digitally signed by Nana G Westmark Date: 2023.12.19 13:38:50 -05'00'

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2023.12.18 13:20:39 -05'00'

N/A

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

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

05/03/2024

$ 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 NNuñez

Lt. Governor

Shawn Hamilton Secretary

Memorandum

TO: Negotiation File

Classic Cleaners Tampa, Hillsborough County

ERIC_4750

FROM: Patrick McGrane, Project Manager

SUBJECT: Negotiation Summary Task Assignment Change Order DC014B-2 (HW686)

DATE: Dec 15, 2023

This Change Order authorizes a no cost 65-day time extension due to issues with drilling subcontractor scheduling. Further information is found in the December 14, 2023, change order email with Nana

Westmark of PSI.

The new Task Assignment completion date is 05/24/2024. The total project cost remains $99,384.15. PSI may invoice according to the included schedule.

McGrane, Patrick

From: Crain, Kelly Sent: Friday, December 15, 2023 8:27 AM To: McGrane, Patrick Subject: FW: Classic Cleaneres DC014B-1 time extension request

Importance: High

Follow Up Flag: Follow up Flag Status: Flagged

One more for you to process if you have me. Its just a zero-cost me extension. This will be TACO 2 for DC014B:

\\ oridadep\data\dwm\wcp\WSCS\STAFF\Kelly\HW686\Sites\Classic Cleaners\TA\DC014B-2

Thanks so much!

From: Nana Westmark <nana.westmark@intertek.com> Sent: Thursday, December 14, 2023 6:38 AM To: Crain, Kelly <Kelly.Crain@dep.state.fl.us> Subject: Classic Cleaneres DC014B-1 time extension request 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 Kelly – Hope you are doing well.

You may recall that we have had issues with drilling schedules for this project, as well as the equipment that was to be moved by the tenant. Once the facility had moved their equipment, we then experienced scheduling con icts with the drillers. We nally have a commitment to start drilling at Classic Cleaners on Jan 4, 2024.

Therefore, we are reques ng another me extension for DC014B. If we could add more months for a report due date of April 30, 2024, that would be very helpful.

Please contact me if you have any ques ons.

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

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

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

Contractor Nana G. Westmark Contractor 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) Contractor 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

Contract Number:

Task Assignment #:

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