CN-370000-HW689-DC13BCO3.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:

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.

DC013B 3 HW689

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

Eric Kramer 407-287-3216

ERIC_4106

Imperial Cleaners

$ 103,385.83 $ 103,385.83

$ 103,385.83 $ 103,385.83

05/31/2024 07/30/2024 60

1 1 3

Date: 2024.05.28 10:06:48 -04'00'

Teresa Booeshaghi

Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2024.05.28 09:58:54 -04'00'

5/28/2024

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

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_4106

Imperial Cleaners

FROM: Nicole Knutson, Project Manager

SUBJECT: Negotiation Summary

HW689 DC013B-3

DATE: May 22, 2024

This Change Order extends the TA Completion Date to accommodate for offsite access issues. Total task amount remains $103,385.83. APTIM’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 June 28, 2024. Task completion date has been extended to July 30, 2024.

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.

DC013B 2 HW689

This Change Order reconciles estimated costs with actual costs for work completed at the site and extends the TA Completion Date to allow for completion of the remaining outstanding deliverables.

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

Contractor Eric Kramer Contractor 407-287-3216

ERIC_4106

Imperial Cleaners

$ 103,385.83 $ 108,701.74

$ 103,385.83 $ 108,701.74

Completion Completion 09/30/2023 05/31/2024 244

1 1 2

Contractor

Eric Kramer

Eric Kramer Digitally signed by Eric Kramer Date: 2023.09.26 17:35:05 -04'00'

Teresa Booeshaghi

Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2023.09.26 16:52:48 -04'00'

9/26/23

N/A

Contract Number:

Task Assignment #:

Deliverables:

Deliverable Deliverable Due Date

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

TOTAL COST

HW689

DC013B

$ 103,385.83

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

02/29/2024

03/29/2024

$ 39,880.94

$ 32,199.08

$ 31,305.81

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

DC013B Completion May 31, 2023

This Task Assignment authorizes APTIM to conduct site assessment activities at the Imperial Cleaners site located in Oakland Park, Florida. All work will be conducted in accordance with the scope of work and cost proposal submitted on October 26, 2022.

Kelly Crain 8502458953 Contractor APTIM Contractor

Contractor Eric Kramer Contractor 407-287-3216

ERIC_4106

1500 E COMMERCIAL BLV, FT. LAUDERDALE, Broward County

IMPERIAL CLEANERS

Contractor Contractor

$ 104,545.32

$ 0.00

$ 104,545.32

Scope of Work

APTIM

Contractor

Eric Kramer

APTIM Contract Manager

Eric Kramer Digitally signed by Eric Kramer Date: 2022.11.04 11:08:05 -04'00'

Teresa Booeshaghi

Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2022.11.04 10:31:40 -04'00'

11/4/2022

N/A

WC TAFORM

Contract Number:

Task Assignment #:

Deliverables:

Deliverable Deliverable Due Date

Invoice Schedule:

TOTAL COST

Field work documentation including sampling logs, site photos, calibration and well logs for MAGS event (Subtask 2). 01/27/2023

Field work documentation including sampling logs, site photos, calibration and well logs for soil and groundwater sampling event (Subtask 3). 02/24/2023

Email confirmation of completion of Final Well Installation (Subtask 4), Site Assessment Report (Subtask 5) and Project Management (Subtask 1) 03/31/2023

Approval of Field work documentation including sampling logs, site photos, calibration and well logs for MAGS event (Subtask 2). $ 33,696.99

Approval of Field work documentation including sampling logs, site photos, calibration and well logs for soil and groundwater sampling event (Subtask 3). $ 39,837.19

Approval of Email confirmation of completion of Final Well Installation (Subtask 4), Site Assessment Report (Subtask 5) and Project Management (Subtask 1) $ 31,011.14

$ 104,545.32

HW689

DC013B