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.

DC012B 2 HW689

This Change Order authorizes a time extension of 90 days to allow for DEP review/comments/approval of deliverables and Aptim to complete invoicing.

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

Contractor Eric Kramer Contractor 407-287-3216

ERIC_4134

60-Minute Cleaners

$ 0.00 $ 0.00

$ 0.00 $ 0.00 Completion

✔ Completion 09/30/2023 12/29/2023 90

✔ 1 1 2

Contractor Eric Kramer

Eric Kramer Digitally signed by Eric Kramer Date: 2023.09.28 13:21:57 -04'00'

Teresa Booeshaghi

Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2023.09.28 10:13:41 -04'00'

9/28/2023

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

DC012B

$ 100,465.41

Field work documentation including sampling logs, site photos, calibration and well logs for MAGS event (Subtask 2)

Field work documentation including sampling logs, site photos, calibration and well logs for soil and groundwater sampling event (Subtask 3)

Email confirmation of completion of Final Well Installation (Subtask 4), Site Assessment Report (Subtask 5) and Project Management (Subtask 1)

Approval of Field work documentation including sampling logs, site photos, calibration and well logs for MAGS event (Subtask 2)

Approval of Email confirmation of completion of Final Well Installation (Subtask 4), Site Assessment Report (Subtask 5) and Project Management (Subtask 1)

Approval of Field work documentation including sampling logs, site photos, calibration and well logs for soil and groundwater sampling event (Subtask 3)

01/27/2023

05/31/2023

07/07/2023

$ 43,743.26

$ 25,713.28

$ 31,008.87

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 60-Minute Cleaners Facility ID: ERIC_4134 Deerfield Beach, Broward County FROM: Aaron Cohen, Project Manager SUBJECT: Task Assignment Change Order DC012B-2 (HW689) DATE: September 28, 2023

This Change Order also extends the TA Completion Date to allow for DEP technical staff time to review/comment/approval previously submitted deliverables and Aptim to complete invoicing. Further information is found in the September 20, 2023, change order memo submitted by Eric Kramer of Aptim.

This change order adds ninety days to the completion date. There is no cost change to the Task Assignment. Aptim may invoice according to the attached 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. 8/17/2020

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.

DC012B 1 HW689

This Task Assignment Change Order authorizes a reduction in costs of $664.00 to remove costs associated with the laboratory analysis of four (4) soil samples and the associated encore samplers. This also authorizes a 122 day time extension.

Skylar Schwed (850)245-8795 Aptim Environmental & Infrastructure, LLC (APTIM)

Eric Kramer 407-287-3216

ERIC_4134

60-Minute Cleaners

$ 100,465.41 $ 101,129.41

$ 100,465.41 $ 101,129.41

05/31/2023 09/30/2023 122

1 1 1

Eric Kramer Digitally signed by Eric Kramer Date: 2023.04.05 07:56:22 -04'00'

Teresa Booeshaghi

Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2023.04.04 11:56:42 -04'00'

4/4/2023

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