CN-370000-HW554-DC09KCO1.pdf
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- Contract number
- HW554
- Issued by
- Florida
About this file
Task Assignment Change Order Summary
This document package comprises a Task Assignment Change Order (Change Order No. 1) and supporting materials for Florida Department of Environmental Protection (FDEP) Contract No. HW554, an indefinite delivery vehicle with APTIM Environmental & Infrastructure, Inc. The work is being performed at the House of Lorraine Valet Services Inc. facility (ERIC_4075) located at 500 E. Hallandale Beach Boulevard, Hallandale Beach, Broward County, Florida. The primary stakeholders include APTIM as the contractor, FDEP as the procuring agency, the disposal company Erwin Remediation, and regulatory oversight from the Florida Department of Health. Eric Kramer serves as the contractor representative, while Melissa Walsh and Miranda McClure act as DEP contract managers.
The change order reconciles Work Change Directive One, which authorized additional analytical costs of $270.00 for EPA Method 8260 (VOC) analysis of two investigative derived waste (IDW) samples—one soil sample and one development/purge water sample. The task involves well installation, groundwater sampling, and reporting work, with deliverables including a Groundwater Monitoring Report with DEP EDDs and GIS Tables due September 10, 2021. The original task amount was $14,928.79, reduced by $1,574.11 due to lower-than-estimated well construction material costs and removal of contingency SRCR reporting expenses, resulting in a final task amount with all change orders of $13,354.68 on a fixed-price basis. The work period extends through October 11, 2021, representing a 31-day extension from the original completion date to allow for processing, review, and invoicing.
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Text version
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
HW554
1DC009K
APTIM
Eric Kramer, P.E.
850.245.8960Melissa Walsh
House of Lorraine
ERIC_4075
This Task Assignment Change Order reconciles the Work Change Directive One for additional analytical costs Requested by Disposal Company (Erwin Remediation) for IDW Characterization. Includes one (1) soil and one (1) development/purge water IDW sample for EPA Method 8260 (VOC) analysis. Work will be done per the attached Scope of Work and Cost Proposal dated July 28,2021.
Groundwater Monitoring Report w/DEP EDDs and GIS Tables 09/10/2021
$ 14,928.79 $ 0.00 $ 0.00 $ 0.00
$ 14,928.79 $ 0.00 $ 0.00 $ 0.00 $ 14,928.79
($ 1,574.11) $ 0.00 $ 0.00 $ 0.00 ($ 1,574.11)
$ 13,354.68
09/10/2021
09/10/2021
31 days
10/11/2021
Melissa Walsh Digitally signed by Melissa Walsh Date: 2021.08.17 11:47:37 -04'00'
Melissa Walsh Digitally signed by Melissa Walsh Date: 2021.08.17 11:48:13 -04'00'
William E. Burns, Jr. Digitally signed by William E. Burns, Jr.
Date: 2021.08.17 12:54:36 -04'00'
Kramer, Eric K Digitally signed by Kramer, Eric K Date: 2021.08.17 16:28:59 -04'00'
$ 13,354.68 $ 0.00 $ 0.00 $ 0.00
$ 14,928.79
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
HW554
DC009K
$ 13,354.68
Groundwater Monitoring Report w/DEP EDDs --ST 2
GIS Tables--ST 2
Submittal and DEP approval of the Groundwater Monitoring Report w/DEP EDDs and GIS tables--st 1&2
09/10/2021
09/10/2021
$ 13,354.68
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 Interim Secretary
Memorandum
TO: APTIM Contract File Contract No. HW554
FROM: Melisa Walsh, Project Manager
SUBJECT: Oasis Cleaners, Inc.
FAC # ERIC_4075
Task Assignment #DC009K, Change Order #1 Site Assessment
DATE: August 12, 2021
This Task Assignment Change Order reconciles the Work Change Directive One, APTIM will install three shallow monitoring wells and conduct a groundwater sampling event for the House of Lorraine Valet Cleaners DSCP site. After the groundwater monitoring event was conducted, the cleanup target levels were above the CTLs, so costs have been reduced for subtask three.
This Task Assignment Change Order also adds additional analytical costs of $270.00 for IDW Characterization. Which includes one (1) soil and one (1) development/purge water IDW sample for EPA Method 8260 (VOC) analysis.
Subtask 1: Project Management This subtask is a percentage of the overall project and has been negotiated as a contract rate.
Subtask 2: Well install and groundwater monitoring DEP and APTIM have agreed to the proposed scope and level of effort. APTIM will hand install three shallow monitoring wells and conduct groundwater monitoring. The work change directive added additional costs for removal of groundwater samples. The ground water monitoring report with the well logs will be the deliverable.
Subtask 3: SRCR DEP and APTIM have agreed to the proposed scope of work and level of effort. Costs under subtask 3 were removed.
The Task Assignment is for the fixed price of $13,354.68. Cost details are included in the attached Cost Estimate Forms, supporting Level-of-Effort subtasks, and the Proposed Scope of Work submitted by APTIM.
FDEP COST ESTI MATE
Contractor: APTIM Environmental & Infrastructure, Inc.
Date: 7/28/2021
Task #: HW554-DC009K TACO #1 ERIC_4075 SubTask 1 Project Management SubTask 6
Site: House of Lorraine Valet Services SubTask 2 2-Well Install/Sampling & Reporting SubTask 7
Activity/Phase: Annual Sampling SubTask 3 3-SRCR Reporting (if necessary) SubTask 8
Project Manager: Eric Kramer SubTask 4 SubTask 9
SubTask 5 SubTask 10
Totals 1 2 3 4 5 6 7 8 9 10 Labor Rate Category
$61.78 Client Program Manager 1 E. Kramer 6 6.4 $61.78 Engineer/Scientist 5 E. Kramer 2 2 0 0 0 0 0 0 0 0 $59.42 Engineer/Scientist 5 G. Roberts 28 28 0 0 0 0 0 0 0 0 $22.57 Engineer/Scientist 2 G. Roney 21 21 0 0 0 0 0 0 0 0 $25.03 Engineering Technician 2 J. Bell 30 30 0 0 0 0 0 0 0 0 $31.07 Designer 2 S. Ferianc 2 2 0 0 0 0 0 0 0 0 $24.55 Tech Publications Specialist 3 H. Vining 3 3 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 92 6 86 0 0 0 0 0 0 0 0
Direct Labor $3,541.48 $393.50 $3,147.98 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Fringe 119.00% $4,214.37 $468.27 $3,746.10 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Overhead 20.90% $740.17 $82.24 $657.93 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Gen & Admin 32.60% $1,154.52 $128.28 $1,026.24 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Total Labor $9,650.54 $1,072.29 $8,578.25 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Other Direct Costs $177.08 $19.68 $157.40 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Travel
Vehicle Rental $291.00 $291.00 $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 $215.00 $215.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Travel $506.00 $506.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
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) $0.00 $0.00 $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 $200.00 $200.00 $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 Permits (FDOH) $175.00 $175.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Drilling Supplies $387.77 $387.77 $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 $762.77 $762.77 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Handling Fee $76.28 $76.28 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $839.05 $839.05 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Laboratory Analytical Costs $600.00 $600.00 $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 $600.00 $600.00 $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 $97.50 $97.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Drilling related) $194.50 $194.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Analytical related) $208.55 $208.55 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (IDW related) $116.40 $116.40 $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 $616.95 $616.95 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Total Page 2 of 12 cefloe
Date: 7/28/2021
Task #: HW554-DC009K TACO #1 ERIC_4075 SubTask 1 Project Management SubTask 6
Site: House of Lorraine Valet Services SubTask 2 2-Well Install/Sampling & Reporting SubTask 7
Activity/Phase: Annual Sampling SubTask 3 3-SRCR Reporting (if necessary) SubTask 8
Project Manager: Eric Kramer SubTask 4 SubTask 9
SubTask 5 SubTask 10
Totals 1 2 3 4 5 6 7 8 9 10
Subtotal $12,389.62 $1,091.97 $11,297.65 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee $965.06 $107.23 $857.83 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Total Estimated Cost $13,354.68 $1,199.20 $12,155.48 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Total Page 3 of 12 cefloe
LEVEL OF EFFORT / EXPENSE WORKSHEET
SITE : House of Lorraine Valet Services
SUBTASK:
DATE: July 28, 2021
LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON
TITLE STAFF WORK DESCRIPTION HOURS
Engineer/Scientist 5 E. Kramer 2
Engineer/Scientist 5 G. Roberts
Engineer/Scientist 2 G. Roney
Engineering Technician 2 J. Bell
Designer 2 S. Ferianc 2 Tech Publications Specialist 3 H. Vining 3
TOTAL LABOR 86
EQUIPMENT ITEM RATE UNIT USAGE
Expendables $32.50 Day 3 $97.50 Monitoring Well Installation Kit $184.30 day 1 $184.30 Shallow GW Sampling Kit $208.55 day 1 $208.55 Well Locks $3.40 each 3 $10.20 HDPE Tubing $0.25 foot 0 $0.00 55-gallon Drum $58.20 each 2 $116.40
TOTAL EQUIPMENT: $616.95
VEHICLE TYPE RATE UNIT USAGE
Automobile $68.00 Day 0 $0.00 Van or Truck $97.00 Day 3 $291.00
TOTAL VEHICLE: $291.00
PER DIEM STAFF RATE UNIT USAGE
Hotel $99.00 Day 1 $99.00 Day One leave before 06:00 AM $36.00 Day 1 $36.00 Day One Leave Between 6:00 - Noon $30.00 Day 0 $0.00 Day One leave before 6:00 PM $19.00 Day 0 $0.00 Day $36.00 Day 0 $0.00 Return Day $80.00 Day 1 $80.00
TOTAL PER DIEM: $215.00
LABORATORY COSTS
PARAMETER RATE # SAMPLES #QAQC
EPA Method 8260 (Halos Only) $66.00 4 1 $330.00 EPA Method 8260 (Full List) IDW $135.00 2 0 $270.00 Sample Shipping (Small cooler) $63.00 0 $0.00 Sample Shipping (large cooler) $104.00 0 $0.00
TOTAL LAB: $600.00
SUBCONTRACTOR COSTS
NAME PURPOSE Rate UNIT USAGE ACTUAL TOTALS
FDOH Broward Permits Well Installation Permits $175.00 Lump 1 $175.00 $175.00 Atlantic Supply Well Supplies $387.77 Lump 1 $387.77 $387.77 Erwin Remediation IDW Drum Disposal $100.00 Drum 2 $200.00 $200.00
TOTAL SUB: $762.77
Notes: Conventionally sample RW001 and three proposed shallow monitoring wells.
Site Visit to White-Line Well Installation Areas, including travel (3 hrs), Preparation and Mobilization (2 hrs). Travel and Installation of three shallow monitoring wells (10 hrs), Well installation site cleanup (1 hr). Open Wells and Collect Depth to Groundwater Measurements from All Wells, including interior wells (3 hrs), Collection of Groundwater Samples (conventional) from three installed Monitoring Wells and RW001 for VOHs by EPA Method 8260 (6 hrs), Sample preparation, Chain of custody preparation, Sample Packaging (1 hr). Site Restoration and Cleanup (1 hr), Collection of IDW Samples (2 hrs), Sample Delivery (1 hr).
Drafting GW Flow and Analytical Results Maps Report Document Production
Preparation and Mobilization (2 hrs). Travel (8 hrs), Installation of three shallow monitoring wells (10 hrs). Site Restoration and Cleanup (1 hr)
2-Well Install/Sampling & Reporting
Technical Review of Groundwater Sampling Report, and Recommendations (2 hrs) Preparation and Submittal of FDOH Broward County Permit Applications for Well Installations (3 hrs), Submittal of Well Completion Reports Following Installation (1 hr), Notification of Owners and Tenants (2 hrs), Sunshine One Markout Request (1 hr), Review data, well installation, development and purge logs and update Analytical Summary Tables (3 hrs), Preparation of GW Gradient and Analytical Results Maps (2 hrs), Prepration of Letter Report Text, Conclusions and Recommendations (12 hrs). Preparation of IDW manifest and Profile (1 hr), CD/Database Tables Update, ADaPT Laboratory Data Check, Build Deliverables Submittal for Invoicing (3 hrs).
2-Total Page 4 of 12 cefloe
SUBTASK:
DATE: July 28, 2021
LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON
TITLE STAFF WORK DESCRIPTION HOURS
Engineer/Scientist 5 E. Kramer Engineer/Scientist 5 G. Roberts Engineer/Scientist 2 G. Roney Engineering Technician 2 J. Bell Designer 2 S. Ferianc Tech Publications Specialist 3 H. Vining
TOTAL LABOR 0
EQUIPMENT ITEM RATE UNIT USAGE
Expendables $32.50 Day 0 $0.00 Shallow GW Sampling Kit $208.55 day 0 $0.00 Deep Groundwater Sampling Kit $349.20 Day 0 $0.00 Water Level Indicator $19.40 Day 0 $0.00 Diffusion Sampler (2" well) $22.35 each 0 $0.00 Diffusion Sampler Kit $28.15 each 0 $0.00 Diffusion Sampler Well Cap $12.65 each 0 $0.00 Well Cap, 2" $10.20 each 0 $0.00 Well Locks $3.40 each 0 $0.00 HDPE Tubing $0.25 foot 0 $0.00 55-gallon Drum $58.20 each 0 $0.00
TOTAL EQUIPMENT: $0.00
VEHICLE TYPE RATE UNIT USAGE
Automobile $68.00 Day 0 $0.00 Van or Truck $97.00 Day 0 $0.00
TOTAL VEHICLE: $0.00
PER DIEM STAFF RATE UNIT USAGE
Hotel $99.00 Day 0 $0.00 Day One leave before 06:00 AM $36.00 Day 0 $0.00 Day One Leave Between 6:00 - Noon $30.00 Day 0 $0.00 Day One leave before 6:00 PM $19.00 Day 0 $0.00 Day $36.00 Day 0 $0.00 Return Day $80.00 Day 0 $0.00
TOTAL PER DIEM: $0.00
LABORATORY COSTS
PARAMETER RATE # SAMPLES #QAQC
EPA Method 8260 (Halos Only) $66.00 0 0 $0.00 EPA Method 8260 (Volatiles) $135.00 0 0 $0.00 Sample Shipping (Small cooler) $63.00 0 $0.00 Sample Shipping (large cooler) $104.00 0 $0.00
TOTAL LAB: $0.00
SUBCONTRACTOR COSTS
NAME PURPOSE Rate UNIT USAGE TOTALS
Misc. Supplies Home Depot/Lowes/Equivilent $50.00 Lump 0 $0.00 Erwin Remediation IDW Transportation and Disposal $100.00 each 0 $0.00
TOTAL SUB: $0.00
3-SRCR Reporting (if necessary)
3-Total Page 5 of 12 cefloe
Date: 7/28/2021
Task #: HW554-DC009K TACO #1 ERIC_4075 SubTask 1 Project Management SubTask 6
Site: House of Lorraine Valet Services SubTask 2 2-Well Install/Sampling & Reporting SubTask 7
Activity/Phase: Annual Sampling SubTask 3 3-SRCR Reporting (if necessary) SubTask 8
Project Manager: Eric Kramer SubTask 4 SubTask 9
SubTask 5 SubTask 10
Totals 1 2 3 4 5 6 7 8 9 10 Labor Rate Category
$61.78 Client Program Manager 1 E. Kramer -1 -1.1 $61.78 Engineer/Scientist 5 E. Kramer 0 0 0 0 0 0 0 0 0 0 $59.42 Engineer/Scientist 5 G. Roberts -8 0 -8 0 0 0 0 0 0 0 $22.57 Engineer/Scientist 2 G. Roney 0 0 0 0 0 0 0 0 0 0 $25.03 Engineering Technician 2 J. Bell 0 0 0 0 0 0 0 0 0 0 $31.07 Designer 2 S. Ferianc -2 0 -2 0 0 0 0 0 0 0 $24.55 Tech Publications Specialist 3 H. Vining 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 -11 -1 0 -10 0 0 0 0 0 0 0
Direct Labor ($604.69) ($67.19) $0.00 ($537.50) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Fringe 119.00% ($719.59) ($79.96) $0.00 ($639.63) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Overhead 20.90% ($126.38) ($14.04) $0.00 ($112.34) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Gen & Admin 32.60% ($197.13) ($21.90) $0.00 ($175.23) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Total Labor ($1,647.79) ($183.09) $0.00 ($1,464.70) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Other Direct Costs ($30.23) ($3.35) $0.00 ($26.88) $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
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) $0.00 $0.00 $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 Permits (FDOH) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Drilling Supplies ($1.20) ($1.20) $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 ($1.20) ($1.20) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Handling Fee ($0.12) ($0.12) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost ($1.32) ($1.32) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Laboratory Analytical Costs $270.00 $270.00 $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 $270.00 $270.00 $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
Delta Page 6 of 12 cefloe
Date: 7/28/2021
Task #: HW554-DC009K TACO #1 ERIC_4075 SubTask 1 Project Management SubTask 6
Site: House of Lorraine Valet Services SubTask 2 2-Well Install/Sampling & Reporting SubTask 7
Activity/Phase: Annual Sampling SubTask 3 3-SRCR Reporting (if necessary) SubTask 8
Project Manager: Eric Kramer SubTask 4 SubTask 9
SubTask 5 SubTask 10
Totals 1 2 3 4 5 6 7 8 9 10 Subtotal ($1,409.34) ($186.44) $268.68 ($1,491.58) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee ($164.77) ($18.30) $0.00 ($146.47) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Total Estimated Cost ($1,574.11) ($204.74) $268.68 ($1,638.05) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Delta Page 7 of 12 cefloe
SUBTASK:
DATE: July 28, 2021
LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON
TITLE STAFF WORK DESCRIPTION HOURS
Engineer/Scientist 5 E. Kramer Engineer/Scientist 5 G. Roberts Engineer/Scientist 2 G. Roney Engineering Technician 2 J. Bell Designer 2 S. Ferianc Tech Publications Specialist 3 H. Vining
TOTAL LABOR 0
EQUIPMENT ITEM RATE UNIT USAGE
Expendables $32.50 Day 0 $0.00 Monitoring Well Installation Kit $184.30 day 0 $0.00 Shallow GW Sampling Kit $208.55 day 0 $0.00 Well Locks $3.40 each 0 $0.00 HDPE Tubing $0.25 foot 0 $0.00 55-gallon Drum $58.20 each 0 $0.00
TOTAL EQUIPMENT: $0.00
VEHICLE TYPE RATE UNIT USAGE
Automobile $68.00 Day 0 $0.00 Van or Truck $97.00 Day 0 $0.00
TOTAL VEHICLE: $0.00
PER DIEM STAFF RATE UNIT USAGE
Hotel $99.00 Day 0 $0.00 Day One leave before 06:00 AM $36.00 Day 0 $0.00 Day One Leave Between 6:00 - Noon $30.00 Day 0 $0.00 Day One leave before 6:00 PM $19.00 Day 0 $0.00 Day $36.00 Day 0 $0.00 Return Day $80.00 Day 0 $0.00
TOTAL PER DIEM: $0.00
LABORATORY COSTS
PARAMETER RATE # SAMPLES #QAQC
EPA Method 8260 (Halos Only) $66.00 0 0 $0.00 EPA Method 8260 (Full List) IDW $135.00 2 0 $270.00 Sample Shipping (Small cooler) $63.00 0 $0.00 Sample Shipping (large cooler) $104.00 0 $0.00
TOTAL LAB: $270.00
SUBCONTRACTOR COSTS
NAME PURPOSE Rate UNIT USAGE ACTUAL TOTALS
FDOH Broward Permits Well Installation Permits $175.00 Lump 0 $175.00 $0.00 Atlantic Supply Well Supplies $388.97 Lump 1 $387.77 -$1.20 Erwin Remediation IDW Drum Disposal $100.00 Drum 0 $200.00 $0.00
TOTAL SUB: ($1.20)
2-Well Install/Sampling & Reporting
2-Delta Page 1 of 1 DC009K TACO #1.xlsx
SUBTASK:
DATE: July 28, 2021
LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON
TITLE STAFF WORK DESCRIPTION HOURS
Engineer/Scientist 5 E. Kramer
Engineer/Scientist 5 G. Roberts -8
Engineer/Scientist 2 G. Roney Engineering Technician 2 J. Bell Designer 2 S. Ferianc -2 Tech Publications Specialist 3 H. Vining
TOTAL LABOR -10
EQUIPMENT ITEM RATE UNIT USAGE
Expendables $32.50 Day 0 $0.00 Shallow GW Sampling Kit $208.55 day 0 $0.00 Deep Groundwater Sampling Kit $349.20 Day 0 $0.00 Water Level Indicator $19.40 Day 0 $0.00 Diffusion Sampler (2" well) $22.35 each 0 $0.00 Diffusion Sampler Kit $28.15 each 0 $0.00 Diffusion Sampler Well Cap $12.65 each 0 $0.00 Well Cap, 2" $10.20 each 0 $0.00 Well Locks $3.40 each 0 $0.00 HDPE Tubing $0.25 foot 0 $0.00 55-gallon Drum $58.20 each 0 $0.00
TOTAL EQUIPMENT: $0.00
VEHICLE TYPE RATE UNIT USAGE
Automobile $68.00 Day 0 $0.00 Van or Truck $97.00 Day 0 $0.00
TOTAL VEHICLE: $0.00
PER DIEM STAFF RATE UNIT USAGE
Hotel $99.00 Day 0 $0.00 Day One leave before 06:00 AM $36.00 Day 0 $0.00 Day One Leave Between 6:00 - Noon $30.00 Day 0 $0.00 Day One leave before 6:00 PM $19.00 Day 0 $0.00 Day $36.00 Day 0 $0.00 Return Day $80.00 Day 0 $0.00
TOTAL PER DIEM: $0.00
LABORATORY COSTS
PARAMETER RATE # SAMPLES #QAQC
EPA Method 8260 (Halos Only) $66.00 0 0 $0.00 EPA Method 8260 (Volatiles) $135.00 0 0 $0.00 Sample Shipping (Small cooler) $63.00 0 $0.00 Sample Shipping (large cooler) $104.00 0 $0.00
TOTAL LAB: $0.00
SUBCONTRACTOR COSTS
NAME PURPOSE Rate UNIT USAGE TOTALS
Misc. Supplies Home Depot/Lowes/Equivilent $50.00 Lump 0 $0.00 Erwin Remediation IDW Transportation and Disposal $100.00 each 0 $0.00
TOTAL SUB: $0.00
3-SRCR Reporting (if necessary)
Remvove: Additional Reporting for SRCO, Incorporation of historic Soil Tables and Figures, including SPLP data, NFA Proposal including Rule References, Professional Certification Statement, Monitoring Well Abandonment Recommendations, SRCR Conculusions and Recommendations.
Remove: Updating Soil and Boundary Figures
3-Delta Page 1 of 12 cefloe
Contractor: APTIM Environmental & Infrastructure, In
Date: 2/16/2021
Task #: HW554-DC009K ERIC_4075 SubTask 1 Project Management SubTask 6
Site: House of Lorraine Valet Services SubTask 2 2-Well Install/Sampling & Reporting SubTask 7
Activity/Phase: Annual Sampling SubTask 3 3-SRCR Reporting (if necessary) SubTask 8
Project Manager: Eric Kramer SubTask 4 SubTask 9
SubTask 5 SubTask 10
Totals 1 2 3 4 5 6 7 8 9 10 Labor Rate Category
$61.78 Client Program Manager E. Kramer 8 7.5 $61.78 Engineer/Scientist 5 E. Kramer 2 2 0 0 0 0 0 0 0 0 $59.42 Engineer/Scientist 5 G. Roberts 36 28 8 0 0 0 0 0 0 0 $22.57 Engineer/Scientist 2 G. Roney 21 21 0 0 0 0 0 0 0 0 $25.03 Engineering Technician 2 J. Bell 30 30 0 0 0 0 0 0 0 0 $31.07 Designer 2 S. Ferianc 4 2 2 0 0 0 0 0 0 0 $24.55 Tech Publications Speciali H. Vining 3 3 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 104 8 86 10 0 0 0 0 0 0 0
Direct Labor $4,146.17 $460.69 $3,147.98 $537.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Fringe 119.00% $4,933.95 $548.22 $3,746.10 $639.63 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Overhead 20.90% $866.55 $96.28 $657.93 $112.34 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Gen & Admin 32.60% $1,351.65 $150.18 $1,026.24 $175.23 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Total Labor $11,298.32 $1,255.37 $8,578.25 $1,464.70 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Other Direct Costs $207.31 $23.03 $157.40 $26.88 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Travel Vehicle Rental $291.00 $291.00 $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 $215.00 $215.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Travel $506.00 $506.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (Equipment Procurement)
Subcontractor $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 (Services Procurement)
Subcontractor Drilling (Conventional) $0.00 $0.00 $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 $200.00 $200.00 $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 Permits (FDOH) $175.00 $175.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Drilling Supplies $388.97 $388.97 $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 $763.97 $763.97 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Handling Fee $76.40 $76.40 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $840.37 $840.37 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Laboratory Analytical Costs $330.00 $330.00 $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 $330.00 $330.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Cost Estimate Page 9 of 12 cefloe
Contractor: APTIM Environmental & Infrastructure, In
Date: 2/16/2021
Task #: HW554-DC009K ERIC_4075 SubTask 1 Project Management SubTask 6
Site: House of Lorraine Valet Services SubTask 2 2-Well Install/Sampling & Reporting SubTask 7
Activity/Phase: Annual Sampling SubTask 3 3-SRCR Reporting (if necessary) SubTask 8
Project Manager: Eric Kramer SubTask 4 SubTask 9
SubTask 5 SubTask 10
Totals 1 2 3 4 5 6 7 8 9 10
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 $97.50 $97.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Drilling related) $194.50 $194.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Analytical related) $208.55 $208.55 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (IDW related) $116.40 $116.40 $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 $616.95 $616.95 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$13,798.95 $1,278.40 $11,028.97 $1,491.58 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Subtotal $1,129.84 $125.54 $857.83 $146.47 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee
Total Estimated Cost $14,928.79 $1,403.94 $11,886.80 $1,638.05 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Cost Estimate Page 10 of 12 cefloe
Proposed Scope of Work Well Installations and Sampling House of Lorraine Valet Services Inc.
Task Assignment DC009K TACO #1 ERIC_4075 (Former Facility ID #069500422) APTIM Environmental & Infrastructure, Inc.
7/28/21
The following proposed scope of work for Task Assignment DC009K resolves Work Change Directive (WCD) Number 1 for IDW analytical costs and removes the SRCR preparation contingency that was included in the original Task Assignment (TA). This TACO also reconciles the TA for invoicing.
Subtask 2 – Well Installation /Sampling & Reporting:
Resolves WCD #1 for the analysis of two VOC (EPA Method 8260) IDW samples. WCD #1 was approved for $270.00 and is being resolved for that amount. A WCD #1 Estimate spreadsheet has been attached to itemize the actual costs included in the WCD.
Subtask 2 also adjusts the costs associated with the purchase of well construction materials to the actual costs, which were slightly lower than estimated.
Subtask 3 – SRCR Reporting:
Subtask 3 was included in the original TA as a contingency to incorporate additional information required for conversion of the report to a SRCR, if the groundwater analytical results are favorable and below the GCTLs for the target analytes. Since the results were above the GCTLs, the costs in Subtask 3 have been removed in their entirety
APTIM proposes to perform this scope of work in accordance with the terms and conditions of the Contract between the Florida Department of Environmental Protection and APTIM dated February 16, 2011 (DEP Contract No. HW554).
Task completion is currently September 10, 2021. A 30-day extension is requested to allow for processing of the TACO, review and approval of the report and invoicing. This places the revised Task Completion date to October 10, 2021.
If you have any questions, please do not hesitate to call.
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
HW554
D000 N/ADC009K
APTIM
Eric Kramer, P.E.
850.245.8941Miranda McClure (acting)
ERIC_4075
House of Lorraine Valet Services Inc.
500 E. Hallandale Beach Blvd., Hallandale Beach, Broward County Monitoring
APTIM will install three monitoring wells and conduct groundwater monitoring per the attached Scope of Work and Cost Proposal dated February 16, 2021.
Site Rehabilitation Completion Report w/GIS tables
07/09/2021
09/10/2021
$ 14,928.79 $ 0.00 $ 0.00 $ 0.00
$ 0.00
Miranda McClure Digitally signed by Miranda McClure Date: 2021.04.01 16:47:33 -04'00'
Miranda McClure Digitally signed by Miranda McClure Date: 2021.04.01 16:47:50 -04'00'
Aaron Cohen Digitally signed by Aaron Cohen Date: 2021.04.01 18:03:00 -04'00'
Kramer, Eric K Digitally signed by Kramer, Eric K Date: 2021.04.05 10:02:07 -04'00'
$ 14,928.79
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
Groundwater Monitoring Report w/DEP EDDs--ST 2 07/02/2021
GIS Tables--ST 2 07/09/2021
Site Rehabilitation Completion Report --ST 3 07/09/2021
Submittal and DEP approval of the Groundwater Monitoring Report w/DEP EDDs and GIS tables--st 2 $ 11,886.80
Submittal and DEP approval of SRCR--sts 1 & 3 $ 3,041.99
$ 14,928.79
HW554
DC009K
Site Name: Site ID #:
Contract #: Contractor:
• Reason for Work Change Directive :
• Description of Work Change Directive :
• Attachments (if applicable, list documents supporting change):
• Costs (if negotiated unit costs, provide information below):
WCP WCD 07-2018
Authorized Contractor Signature:
Authorized FDEP Signature:
WORK CHANGE DIRECTIVE FORM
FDEP Supervisor Approval:
(if applicable)
Additional work is not authorized without prior FDEP approval as indicated by an approved Work Change Directive Form or Task Assignment Change Order Form. It is the Contractor's responsibility to ensure that additional costs associated with this WCD are resolved by a Task Assignment Change Order (TACO) prior to the completion date of the original Task Assignment or subsequent TACOs completed prior to the execution date of this WCD. Failure to do so will result in a loss of reimbursement for work associated with this WCD.
Task Assignment #: Work Change Directive #:
Maximum Estimated Increase in Task Amount:
House of Lorraine Valet Services ERIC_4075
HW554 Aptim Environmental & Infrastructure, LLC
DC009K WCD #1
Additional Analytical Costs Requested by Disposal Company (Erwin Remediation) for IDW Characterization. Includes one (1) soil and one (1) development/purge water IDW sample for EPA Method 8260 (VOC) analysis.
Analytical for IDW Volatiles analysis, Two (2) Total Samples.
Analytical costs for VOCs analysis ($135 per sample) by EPA Method 8260 for 2 samples: Total Estimated Costs $270.00.
$ 270.00
Kramer, Eric K Digitally signed by Kramer, Eric K Date: 2021.05.19 11:38:23 -04'00'
Melissa Walsh Digitally signed by Melissa Walsh Date: 2021.05.19 11:59:11 -04'00'
William Burns Digitally signed by William Burns Date: 2021.05.19 12:20:55 -04'00'
| Delta |
| Total |
| 2-Total |
| 3-Total |
| 2-Delta |
| 3-Delta |
| Cost Estimate |
| 2-GWSampling |
| 3-SRCR Rpt |
File details come from the government source that posted it. Updated .