CN-370000-HW687-DC02CCO1.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.

DC002C 1 HW687

Gabriel Sostre 850-245-8749 Contractor Terracon Consultants, Inc. Contractor

Contractor Donna Cline Contractor 904-479-7415

ERIC_5205

Village Cleaners

✔ $ 10,542.00 $ 10,542.00

$ 6,000.00 $ 6,000.00

$ 16,542.00 $ 16,542.00 ✔ Completion

Completion 12/31/2024 01/31/2025 31

✔ 1 1 1

Terracon Consultants, Inc.

Contractor Donna Cline

Senior Associate / Remediation Engineer

12/30/24

Digitally signed by Cline, Donna L DN: cn=Cline, Donna L, ou=General Users, email=Donna.Cline@terracon.com Date: 2024.12.30 15:20:39 -05'00'

Cline, Donna L

Mubeen Darji

Mubeen Darji, P.E. Digitally signed by Mubeen Darji, P.E.

Date: 2024.12.30 14:59:04 -05'00'

N/A

This TACO authorizes a due date extension at the Village Cleaners site.

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

Contract Number:

Task Assignment #:

Change Order #:

Deliverables:

Deliverable Deliverable Due Date

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

TOTAL COST

BWC TAFORM 01/18

HW687

DC002C

Subtask 1 & 3: SVE Quarter 3 and Quarter 4 O&M monitoring and SVE system sampling.

Project Management.

Subtask 4: Utilities

Subtask 2: SVE Quarter 1 and Quarter 2 O&M monitoring and SVE system sampling.

03/31/2024

01/31/2025

01/31/2025

Subtask 2: DEP approval of quarter 1 and quarter 2 evaluation email reports with system recommendations, including field notes/forms, system tables updates, and certified laboratory analytical reports.

Subtask 1 & 3: DEP approval of quarter 3 and quarter 4 system evaluation email report with system recommendations, including field notes/forms, system tables updates, and certified lab analytical reports.

Subtask 4: FDEP receipt of utility invoices. Utilities Cost Reimbursement not to exceed $6000; Utilities Handling Fee $240.

$ 4,837.79

$ 5,464.21

$ 6,240.00

$ 16,542.00

FLORIDA DEPARTMENT OF

Environmental Protection

Bob Martinez Center 2600 Blair Stone Road

Tallahassee, FL 32399-2400

Ron DeSantis Governor

Jeanette NNuñez Lt. Governor

Secretary

Memorandum

TO:

FROM:

Negotiation File

ERIC

, Project Manager

SUBJECT: Negotiation Summary Task Assignment (HW687)

DATE: ,

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 bases, 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.

HW687

DC002C Completion December 31, 2024

This TA authorizes costs for Soil Vapor Extraction (SVE) system Operation & Maintenance (O&M). The total cost of this TA is $16,542. This total cost includes $6,000 in cost reimbursement.

Dean Cox 850-245-8969 Contractor Contractor

Contractor Contractor

Contractor Contractor

Contractor

Terracon Consultants, Inc.

Terracon Consultants, Inc.

Donna Cline 813-321-0340

ERIC_5205

2100 45th Street, Unit B8 West Palm Beach

Village Cleaners (former)

✔ $ 10,542.00 ✔ $ 6,000.00

$ 16,542.00

Scope of Work

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2023.08.18 11:04:44 -04'00'

N/A

Donna Cline

Senior Associate

8/18/2023

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

Quarter 1 system evaluation email report, with system recommendations, field notes/forms, data tables updates, and certified laboratory reports. 12/31/2023

Quarter 2 system evaluation email report, with system recommendations, field notes/forms, data tables updates, and certified laboratory reports. 03/31/2024

Quarter 3 system evaluation email report, with system recommendations, field notes/forms, data tables updates, and certified laboratory reports. 06/30/2024

Quarter 4 system evaluation email report, with system recommendations, field notes/forms, data tables updates, and certified laboratory reports. 09/30/2024

DEP approval of quarter 1 and quarter 2 evaluation email reports with system recommendations, including field notes/forms, system tables updates, and certified laboratory analytical reports (Subtask 2 Q1 & Q2 O&M).

$ 4,837.79

DEP approval of quarter 3 and quarter 4 system evaluation email report with system recommendations, including field notes/forms, system tables updates, and certified lab analytical reports (Subtask 1 Project Management and Subtask 3 Q3 & Q4 O&M).

$ 5,464.21

FDEP receipt of utility invoices - Utilities Cost Reimbursement not to exceed $6000;

Utilities Handling Fee $240 (Subtask 4 Utilities). $ 6,240.00

$ 16,542.00

HW687

DC002C