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.

DC011C 1 HW689

This Task Assignment Change Order authorizes a time extension to complete the partial Soil Vapor Extraction (SVE) system infrastructure piping installation and deliverable invoicing.

Aaron Cohen 850-245-8974 Contractor Aptim Environmental & Infrastructure, LLC (APTIM) Contractor

Contractor Eric Kramer Contractor 407-287-3216

ERIC_4244

Spot Busters

$ 0.00 $ 0.00

$ 0.00 $ 0.00 Completion

✔ Completion 10/20/2023 02/29/2024 132

✔ 1 1 2

Contractor Eric Kramer

Eric Kramer Digitally signed by Eric Kramer Date: 2023.10.20 12:09:45 -04'00'

Kelly Crain

Kelly Crain Digitally signed by Kelly Crain Date: 2023.10.20 11:52:50 -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

HW689

DC011C

$ 10,680.53

ISR Report & Project Management- Subtasks 2 & 1

FDEP Approval of ISR Report & Project Management- Subtasks 2 & 1

08/23/2023

$ 10,680.53

FFLORIDA DEPARTMENT OF

EEnvironmental 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 Spot Busters Facility ID: ERIC_4244 Coconut Creek, Broward County FROM: Aaron Cohen, Project Manager SUBJECT: Task Assignment Change Order DC011C-1 (HW689) DATE: October 20, 2023

This Change Order provides a 132-day time extension for Aptim to complete the SVE infrastructure piping installation due to delays caused by the limited site access schedule. Additional time is also included to complete all deliverable invoicing.

There is no change in cost associated with this change order. The final cost for this Task Assignment is $10,680.53. Aptim may invoice according to the attached Deliverables and Invoice Schedule.

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.

HW689

DC011C Completion October 20, 2023

APTIM will create a Soil Vapor Extraction System (SVE) Interim Source Removal Plan (ISRP) as detailed in the June 7, 2023 proposal

Nicole Knutson 850-245-8763 Contractor Aptim Environmental & Infrastructure, LLC (APTIM) Contractor

Contractor Eric Kramer Contractor 407-287-3216

ERIC_4244

6750 North State Road 7, Coconut Creek, Broward County

Spot Busters Cleaners

Contractor Contractor

✔ $ 10,680.53

$ 10,680.53

Scope of Work

Aptim Environmental & Infrastructure, LLC (APTIM Contractor

Eric Kramer Digitally signed by Eric Kramer Date: 2023.06.28 10:50:55 -04'00' Kelly Crain Digitally signed by Kelly Crain

Date: 2023.06.28 10:10:22 -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

ISR Report & Project Management- Subtasks 2 & 1 08/25/2023

FDEP Approval of ISR Report & Project Management- Subtasks 2 & 1 $ 10,680.53

$ 10,680.53

HW689

DC011C