CN-370000-HW551-DC10OCO1.pdf

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Master Agreement FL|HW551|33edafae2c3893eb7d47fe26a35025da
Contract number
HW551
Issued by
Florida

About this file

This document comprises a Task Assignment Notification and Change Order for Florida Department of Environmental Protection (FDEP) Contract No. HW551, Task Assignment DC010o, executed between the State of Florida Department of Environmental Protection and AECOM Technical Services, Inc. (AECOM). The contract pertains to well abandonment activities at the Aristocrat Cleaners facility located at 3201 Hollywood Boulevard, Hollywood, Broward County, Florida (Site ID ERIC_4204). Billy Hessman serves as the DEP Contract Manager, with Mark Rasberry representing AECOM.

The original task assignment, dated April 21, 2020, established a fixed-price contract valued at $7,272.62 for conducting well abandonment activities and generating a Well Abandonment Report. Change Order No. 1, executed on August 12, 2020, reduced the task amount by $887.48, resulting in a final cost of $6,385.14. The cost reduction was attributed to a decrease in subcontractor fees and oversight labor associated with abandoning four fewer wells than originally planned, as those wells had been previously abandoned during system decommissioning activities. The deliverable—the Well Abandonment Report—was originally due August 14, 2020, but the completion date was extended to October 23, 2020. Invoice requirements stipulate that payment of $6,385.14 is due upon completion of well abandonment activities and FDEP approval of the Well Abandonment Report.

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DEP CONTRACT NO.

Task Assignment #: Change Order No.:

Contractor Name:

Contractor Representative:

DEP Contract Manager: Phone #:

Site Name:

Site ID / Facility ID::

Description of Change [use additional pages if necessary]:

The Deliverable and Invoice Schedule is attached.

Final Deliverable:

TASK ASSIGNMENT TYPE AND NOT TO EXCEED AMOUNTS:

Cost Reimbursement Fixed Fee

Original Task Amount

Task Amount Prior to this Change Order Net Increase/decrease in task amount Task amount with all change orders $0.00 $0.00 $0.00 $0.00

Original Task Completion Date:

Completion Date Prior to this Change:

Net Increase/Decrease in Task Period:

Completion Date with all Change Orders:

DEP Task Manager:

DEP Contract Manager:

Contractual Authority:

Contractor Representative:

CC: Procurement Section (MS 93) Section Representative ________

FIXED PRICE

TASK ASSIGNMENT NOTIFICATION CHANGE ORDER FORM

ITEM

$0.00

$0.00

DEP will review the deliverables to verify that they meet the specifications of this contract and task description. DEP’s Contract Manager shall notify the Contractor of any deficiencies in the deliverable(s) and shall give the Contractor reasonable opportunity to correct noted deficiencies and provide a revised deliverable(s).

Final Deliverable Due Date:

$0.00

$0.00

CHANGE IN TASK TIME

FEE SCHEDULE

COST PLUS FIXED FEE

TOTAL

WCP TAFORM 01_18

Received

HW551

1DC010o

AECOM Technical Services, Inc. (AECOM)

Mark Rasberry

850-245-8972Billy Hessman

Aristocrat Cleaners

ERIC_4204

This Task Assignment Change Order adjusts subcontractor fees and labor associated with well abandonment activities.

Well Abandonment Report

$ 7,272.62 $ 0.00 $ 0.00 $ 0.00

$ 7,272.62 $ 0.00 $ 0.00 $ 0.00 $ 7,272.62

($ 887.48) $ 0.00 $ 0.00 $ 0.00 ($ 887.48)

$ 6,385.14

10/23/2020

10/23/2020

N/A

10/23/2020

Billy Hessman Digitally signed by Billy Hessman Date: 2020.08.12 13:32:03 -04'00'

Billy Hessman Digitally signed by Billy Hessman Date: 2020.08.12 13:32:09 -04'00'

William E. Burns, Jr. Digitally signed by William E. Burns, Jr.

Date: 2020.08.12 16:06:44 -04'00'

Digitally signed by Rasberry, Mark DN: cn=Rasberry, Mark, ou=USORL3 Date: 2020.08.17 14:50:58 -04'00'

Rasberry, Mark

$ 6,385.14 $ 0.00 $ 0.00 $ 0.00

$ 7,272.62

Rasberry, Mark Joyal

Rasberry, Mark Typewriter 8/17/2020

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

WCP TAFORM 01_18

Contract Number:

Task Assignment #:

Change Order #:

Deliverables:

Deliverable Deliverable Due Date

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

TOTAL COST

Received

HW551

DC010o

$ 6,385.14

Well Abandonment Report

Upon completion of well abandonment activities and FDEP approval of the Well Abandonment Report $ 6,385.14

FLORIDA DEPARTMENT OF

Environmental Protection

Bob Martinez Center

2600 Blair Stone Road Tallahassee, FL 32399-2400

Ron DeSantis Governor

Jeanette Nuñez

Lt. Governor

Noah Valenstein Secretary

TO: HW551 Contract File Aristocrat Cleaners Hollywood, Broward County

ERIC_4204

FROM: Billy Hessman, Contract Manager

DATE:

August 12, 2020

SUBJECT:

Task Assignment Summary HW551 DC010o Change Order #1 Well Abandonment

Task Assignment Change Order DC010o-1 adjusts subcontractor fees and labor associated with well abandonment activities. Specific changes are detailed below:

Subtask 1: Project Management Project management is calculated at 12.5 percent of the direct labor.

Subtask 2: Well Abandonment Costs under subtask 2 decreased $862.21 for a reduction in subcontractor fees and oversight labor. Cost reduction is associated with abandoning four less wells than originally planned. These wells were previously abandoned during system decommissioning activities.

Task Assignment Change Order DC010o-1 results in a total cost decrease of $887.48.

The final cost total for Task Assignment DC010o-1 is $6,385.14.

FDEP COST ESTIMATEContractor: AECOM, Inc.

Date: 11-Aug-20

Task #: HW551 DC010o TACO-1 New Total SubTask 1 Project Management SubTask 6

Site: Aristocrat Cleaners SubTask 2 Well Abandonment SubTask 7

Activity/Phase: Closure SubTask 3 SubTask 8

Project Manager: Mark Rasberry SubTask 4 SubTask 9

SubTask 5 SubTask 10

Totals 1 2 3 4 5 6 7 8 9 10 Labor Rate Category

$56.30 Project Manager 2.8 2.8 $0.00 Officer 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 Principal 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

$65.51 Sr. Engineer (Joyal) 1.0 1.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $56.30 Sr. Geologist (Rasberry) 11.0 11.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $34.65 Engineer (Tran) 16.0 16.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $23.96 Administration / Clerical (Pichardo) 1.0 1.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

Total Hours 31.8 2.8 29.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

Direct Labor $1,421.07 $157.90 $1,263.17 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Fringe 38.57% $548.10 $60.90 $487.20 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Overhead 122.13% $1,735.55 $192.84 $1,542.71 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Gen & Admin 0.00% $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Labor $3,704.72 $411.64 $3,293.08 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Other Direct Costs $71.06 $7.90 $63.16 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Travel

Vehicle Rental $97.00 $97.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Mileage Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Air Fare $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Per diem + Hotel $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Travel $97.00 $97.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 04/10 CEF AECOM Page 1

Task #: HW551 DC010o TACO-1 New Total SubTask 1 Project Management SubTask 6

Site: Aristocrat Cleaners SubTask 2 Well Abandonment SubTask 7

Activity/Phase: Closure SubTask 3 SubTask 8

Project Manager: Mark Rasberry SubTask 4 SubTask 9

SubTask 5 SubTask 10

Totals 1 2 3 4 5 6 7 8 9 10 Subcontractor (Equipment Procurement)

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor Subtotal $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Procurement Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor (Services Procurement) Drilling (Conventional) $1,900.00 $1,900.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Drilling (Non-conventional) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Mobile Laboratory $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Surveying $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

IDW $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Utilities $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor Subtotal $1,900.00 $1,900.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Handling Fee $190.00 $190.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $2,090.00 $2,090.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Laboratory Analytical Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fast Turnaround Charges $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Sample Shipping $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Laboratory $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Field Expenses Personal Protection $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Expendables $32.50 $32.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Drilling related) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Analytical related) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (IDW related) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Other) $19.40 $19.40 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Field Expenses $51.90 $51.90 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal $6,014.68 $419.54 $5,595.14 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee $370.47 $41.16 $329.31 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $6,385.14 $460.70 $5,924.44 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 04/10 CEF AECOM Page 2

SITE : Aristocrat Cleaners SUBTASK: 2 Well Abandonment DATE: 11-Aug-20

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Sr. Engineer Review Well Abandonment Report 1 (Joyal) subtotal 1

Sr. Geologist Fieldwork Coordination 3 (Rasberry) Preparation of MW Abandonment Report 8

Seal Report subtotal 11

Engineer MW Abandonment Oversight 10 (Tran) Mobilization 6 subtotal 16

Admin. / Clerical Corres., Mail, Fax, etc. 1 (Pichardo) Subtotal 1

TOTAL LABOR 29

TRAVEL

TYPE RATE UNIT USAGE TOTALS

Vehicle Rental Truck $97.00 day 1 $97.00 Lodging $0.00 night 0 $0.00 Per Diem $0.00 day 0 $0.00 subtotal $97.00

TOTAL TRAVEL $97.00

SUBCONTRACTOR (EQUIP & MATERIAL PROCUREMENT)

NAME PURPOSE RATE UNIT USAGE TOTALS

subtotal $0.00

TOTAL SUBCONTRACTOR (EQUIPMENT) $0.00

SUBCONTRACTOR (SERVICES PROCUREMENT)

NAME PURPOSE RATE UNIT USAGE TOTALS

JAEE Environmental Mobilization $400.00 ls 1 $400.00

1"-2" Well Abandonment $12.50 per ft. 102 $1,275.00 3"-4" Well Abandonment $150.00 ea 0 $0.00 2' x 2' Well Pad Removal inc ea 7 Permits 1-2 inch wells $225.00 ea 1 $225.00 subtotal $1,900.00

TOTAL SUBCONTRACTOR (SERVICES) $1,900.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QA/QC TOTALS

Analytical Costs (Fixed Lab) $0.00

TOTAL LABORATORY $0.00

FIELD EXPENSES

ITEM RATE UNIT USAGE TOTALS

Expendables $32.50 day 1 $32.50 Water level Indicator $19.40 day 1 $19.40 subtotal $51.90

TOTAL FIELD EXPENSES $51.90

Task #: HW551 DC010o TACO-1 Delta SubTask 1 Project Management SubTask 6

Site: Aristocrat Cleaners SubTask 2 Well Abandonment SubTask 7

Activity/Phase: Closure SubTask 3 SubTask 8

Project Manager: Mark Rasberry SubTask 4 SubTask 9

SubTask 5 SubTask 10

Totals 1 2 3 4 5 6 7 8 9 10 Labor Rate Category

$56.30 Project Manager -0.2 -0.2 $0.00 Officer 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 Principal 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

$65.51 Sr. Engineer (Joyal) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $56.30 Sr. Geologist (Rasberry) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $34.65 Engineer (Tran) -2.0 -2.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $23.96 Administration / Clerical (Pichardo) 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

Total Hours -2.2 -0.2 -2.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

Direct Labor ($77.96) ($8.66) ($69.30) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Fringe 38.57% ($30.07) ($3.34) ($26.73) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Overhead 122.13% ($95.22) ($10.58) ($84.64) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Gen & Admin 0.00% $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Labor ($203.25) ($22.58) ($180.67) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Other Direct Costs ($3.90) ($0.43) ($3.47) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Travel

Vehicle Rental $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Mileage Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Air Fare $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Per diem + Hotel $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Travel $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 04/10 CEF AECOM Page 1

Task #: HW551 DC010o TACO-1 Delta SubTask 1 Project Management SubTask 6

Site: Aristocrat Cleaners SubTask 2 Well Abandonment SubTask 7

Activity/Phase: Closure SubTask 3 SubTask 8

Project Manager: Mark Rasberry SubTask 4 SubTask 9

SubTask 5 SubTask 10

Totals 1 2 3 4 5 6 7 8 9 10 Subcontractor (Equipment Procurement)

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor Subtotal $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Procurement Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor (Services Procurement) Drilling (Conventional) ($600.00) ($600.00) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Drilling (Non-conventional) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Mobile Laboratory $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Surveying $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

IDW $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Utilities $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor Subtotal ($600.00) ($600.00) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Handling Fee ($60.00) ($60.00) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost ($660.00) ($660.00) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Laboratory Analytical Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fast Turnaround Charges $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Sample Shipping $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Laboratory $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Field Expenses Personal Protection $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Expendables $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Drilling related) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Analytical related) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (IDW related) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Other) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Field Expenses $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal ($867.15) ($23.01) ($844.14) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee ($20.33) ($2.26) ($18.07) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost ($887.48) ($25.27) ($862.21) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 04/10 CEF AECOM Page 2

SITE : Aristocrat Cleaners SUBTASK: 2 Well Abandonment DATE: 11-Aug-20

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Sr. Engineer Review Well Abandonment Report 0 (Joyal) subtotal 0

Sr. Geologist Fieldwork Coordination 0 (Rasberry) Preparation of MW Abandonment Report 0

Seal Report subtotal 0

Engineer MW Abandonment Oversight (2) (Tran) Mobilization 0 subtotal (2)

Admin. / Clerical Corres., Mail, Fax, etc. 0 (Pichardo) Subtotal 0

TOTAL LABOR (2)

TRAVEL

TYPE RATE UNIT USAGE TOTALS

Vehicle Rental Truck $97.00 day 0 $0.00 Lodging $0.00 night 0 $0.00 Per Diem $0.00 day 0 $0.00 subtotal $0.00

TOTAL TRAVEL $0.00

SUBCONTRACTOR (EQUIP & MATERIAL PROCUREMENT)

NAME PURPOSE RATE UNIT USAGE TOTALS

subtotal $0.00

TOTAL SUBCONTRACTOR (EQUIPMENT) $0.00

SUBCONTRACTOR (SERVICES PROCUREMENT)

NAME PURPOSE RATE UNIT USAGE TOTALS

JAEE Environmental Mobilization $400.00 ls 0 $0.00

1"-2" Well Abandonment $12.50 per ft. 0 $0.00 3"-4" Well Abandonment $150.00 ea -4 ($600.00) 2' x 2' Well Pad Removal inc ea 0 Permits 1-2 inch wells $225.00 ea 0 $0.00 subtotal ($600.00)

TOTAL SUBCONTRACTOR (SERVICES) (600.00)

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QA/QC TOTALS

Analytical Costs (Fixed Lab) $0.00

TOTAL LABORATORY $0.00

FIELD EXPENSES

ITEM RATE UNIT USAGE TOTALS

Expendables $32.50 day 0 $0.00 Water level Indicator $19.40 day 0 $0.00 subtotal $0.00

TOTAL FIELD EXPENSES $0.00

Contractor: AECOM, Inc.

Task #: HW551 DC010o TACO-1 Original SubTask 1 Project Management SubTask 6

Site: Aristocrat Cleaners SubTask 2 Well Abandonment SubTask 7

Activity/Phase: Closure SubTask 3 SubTask 8

Project Manager: Mark Rasberry SubTask 4 SubTask 9

SubTask 5 SubTask 10

Totals 1 2 3 4 5 6 7 8 9 10 Labor Rate Category

$56.30 Project Manager 3.0 3.0 $0.00 Officer 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 Principal 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

$65.51 Sr. Engineer (Joyal) 1.0 1.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $56.30 Sr. Geologist (Rasberry) 11.0 11.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $34.65 Engineer (Tran) 18.0 18.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $23.96 Administration / Clerical (Pichardo) 1.0 1.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 $0.00 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

Total Hours 34.0 3.0 31.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

Direct Labor $1,499.03 $166.56 $1,332.47 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Fringe 38.57% $578.17 $64.24 $513.93 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Overhead 122.13% $1,830.77 $203.42 $1,627.35 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Gen & Admin 0.00% $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Labor $3,907.97 $434.22 $3,473.75 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Other Direct Costs $74.95 $8.33 $66.62 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Travel

Vehicle Rental $97.00 $97.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Mileage Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Air Fare $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Per diem + Hotel $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Travel $97.00 $97.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Contractor: AECOM, Inc.

Task #: HW551 DC010o TACO-1 Original SubTask 1 Project Management SubTask 6

Site: Aristocrat Cleaners SubTask 2 Well Abandonment SubTask 7

Activity/Phase: Closure SubTask 3 SubTask 8

Project Manager: Mark Rasberry SubTask 4 SubTask 9

SubTask 5 SubTask 10

Totals 1 2 3 4 5 6 7 8 9 10 Subcontractor (Equipment Procurement)

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor Subtotal $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Procurement Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor (Services Procurement) Drilling (Conventional) $2,500.00 $2,500.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Drilling (Non-conventional) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Mobile Laboratory $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Surveying $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

IDW $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Utilities $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor Subtotal $2,500.00 $2,500.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Handling Fee $250.00 $250.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $2,750.00 $2,750.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Laboratory Analytical Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fast Turnaround Charges $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Sample Shipping $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Laboratory $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Field Expenses Personal Protection $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Expendables $32.50 $32.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Drilling related) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Analytical related) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (IDW related) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Other) $19.40 $19.40 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Field Expenses $51.90 $51.90 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal $6,881.82 $442.55 $6,439.27 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee $390.80 $43.42 $347.38 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $7,272.62 $485.97 $6,786.65 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

DEP CONTRACT NO.

Task Assignment #: Module #: Grant #:

Contractor Name:

Contractor Representative:

DEP Contract Manager: Phone #:

DEP Site #:

Site Name:

Address(Street, City, County):

Phase:

Task Description [use additional pages if necessary]:

The Deliverable and Invoice Schedule is attached.

Final Deliverables:

Final Deliverable Due Date:

TASK ASSIGNMENT TYPE AND NOT TO EXCEED AMOUNTS:

FIXED FEE

RETAINAGE:

TOTAL TASK ASSIGNMENT VALUE: $0.00

DEP Task Manager:

DEP Contract Manager:

Contractual Authority:

Contractor Representative:

CC: Procurement Section (MS 93) Section Representative ________

TASK ASSIGNMENT NOTIFICATION FORM

COST PLUS FIXED FEE

COST REIMBURSEMENT

FIXED PRICE FEE SCHEDULE

Period of Performance:

Execution of Task Assignment through:

DEP will review the deliverables to verify that they meet the specifications of this contract and task description. DEP’s Contract Manager shall notify the Contractor of any deficiencies in the deliverable(s) and shall give the Contractor reasonable opportunity to correct noted deficiencies and provide a revised deliverable(s).

WCP TAFORM 01_18

4/23/2020

HW551

D000 NADC010o

AECOM Technical Services, Inc. (AECOM)

Mark Rasberry

Billy Hessman

ERIC_4204

Aristocrat Cleaners

3201 Hollywood Blvd, Hollywood, Broward County

Well Abandonment

AECOM will conduct well abandonment activities due to the site reaching closure. A Well Abandonment Report will be generated.

Well Abandonment Report

08/14/2020

10/23/2020

$ 7,272.62 $ 0.00 $ 0.00 $ 0.00

$ 0.00

Billy Hessman Digitally signed by Billy Hessman Date: 2020.04.21 13:46:23 -04'00'

Billy Hessman Digitally signed by Billy Hessman Date: 2020.04.21 13:46:29 -04'00'

Digitally signed by Jennifer Farrell Date: 2020.04.21 16:47:32 -04'00'

Digitally signed by Rasberry, Mark DN: cn=Rasberry, Mark, ou=USORL3 Date: 2020.04.23 09:25:40 -04'00'

Rasberry, Mark

$ 7,272.62

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

Well Abandonment Report 08/14/2020

Upon completion of well abandonment activities and FDEP approval of the Well Abandonment Report $ 7,272.62

$ 7,272.62

HW551

DC010o

Task Assignment CHANGE ORDER
BWC Task Assignment Change Order Form (Rev 02-17).pdf
Task Assignment CHANGE ORDER
BWC Task Assignment Form - Page 2 (Rev 08_10) - Rev 1.pdf
Deliverable & Invoice Schedule

File details come from the government source that posted it. Updated .