CN-370000-HW556-DC007G.pdf

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Master Agreement FL|HW556|86bbd2b3f214cef39efd393b3d5af1f9
Contract number
HW556
Issued by
Florida

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Task Assignment Summary

This is a Task Assignment Notification Form (WCP TAFORM 01_18) issued by the Florida Department of Environmental Protection (FDEP) under Contract No. HW556 to Cardno, Inc. (HSW Engineering, Inc.). The task assignment was executed on March 31, 2020, by DEP Contract Manager Walsta Jean-Baptiste and approved by Contractual Authority Jennifer Farrell on April 1, 2020, and Contractor Representative Eric Meyers on April 6, 2020. The work is located at Nelsons Cleaners, 1203 W Highway 50 #G, Clermont, Lake County, Florida (FDEP Site No. ERIC_4822).

The task assignment authorizes the contractor to prepare an Interim Source Removal Plan, prepare bid specifications, and complete an equipment evaluation visit to the Lakeland Storage facility for existing remedial equipment. The work is divided into four subtasks: Project Management (12.5% of direct labor costs), Interim Source Remediation Plan preparation (70 hours), Construction Bid Specification development including pre-bid site visit (20 hours), and FDEP Equipment Evaluation for soil vapor extraction systems (14 hours). The contract is structured as a fixed price with a total not-to-exceed value of $16,596.60, comprised of direct labor of $5,431.32, overhead at 170% ($9,233.25), other direct costs of $271.57, and a completion fee of $1,466.46. Deliverables include submission of the Interim Source Removal Work Plan by June 30, 2020 ($9,683.45), and the Interim Source Removal subcontractor bid comparison table with FDEP equipment evaluation and recommendation by August 31, 2020 ($6,913.15), with a final deliverable due date of November 30, 2020. No retainage applies to this fixed price task assignment.

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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

HW556

D000 NADC007G

Cardno, Inc.

W. Bruce Moore

850-245-8973Walsta Jean-Baptiste

ERIC_4822

Nelsons Cleaners

1203 W Highway 50 #G, Clermont, Lake County

Interim Source Removal

This Task Assignment authorizes HSW to prepare an Interim Source Removal Plan, prepare bid specifications, and complete a visit to the Lakeland Storage facility to evaluate existing remedial equipment in accordance with the HSW scope of work, cost estimate form, and schedule received on March 27, 2020.

FDEP remediation equipment evaluation and recommendation (submitted electronically)

08/31/2020

11/30/2020

$ 16,596.60 $ 0.00 $ 0.00 $ 0.00

$ 0.00

Walsta Jean-Baptiste Digitally signed by Walsta Jean-Baptiste Date: 2020.03.31 15:23:48 -04'00'

Walsta Jean-Baptiste Digitally signed by Walsta Jean-Baptiste Date: 2020.03.31 15:23:55 -04'00'

Digitally signed by Jennifer Farrell Date: 2020.04.01 16:02:26 -04'00'

Eric Meyers Digitally signed by Eric Meyers Date: 2020.04.06 08:30:41 -04'00'

$ 16,596.60

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

WCP TAFORM 01-2018

Contract Number:

Task Assignment #:

Deliverables:

Deliverable Deliverable Due Date

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

TOTAL COST

Interim Source Removal Work Plan (submitted electronically) 06/30/2020

Interim Source Removal subcontractor bid comparison table and recommendation AND FDEP equipment evaluation and recommendation (submitted electronically) 08/31/2020

FDEP approval of Interim Source Removal Work Plan (submitted electronically) $ 9,683.45

FDEP approval of Interim Source Removal subcontractor bid comparison table and recommendation AND FDEP equipment evaluation and recommendation (submitted electronically)

$ 6,913.15

$ 16,596.60

HW556

DC007G

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

Memorandum

TO: HW556 Contract File FROM: Walsta Jean-Baptiste, Contract Manager SUBJECT: Nelsons; Interim Source Removal Plan; DC007G DATE: March 31, 2020

This Task Assignment authorizes HSW to prepare an Interim Source Remediation Plan (ISRP), prepare bid specifications, and complete a visit to the Lakeland Storage facility to evaluate existing remedial equipment in accordance with the scope of work, schedule, and cost estimate form.

Subtask 1: Project Management Project management costs are calculated at 12.5 % of the direct labor cost.

Subtask 2: Interim Source Remediation Plan This subtask includes costs related to preparing an Interim Source Remediation Plan.

Subtask 3: Construction Bid Specification This subtask includes costs for review of available remediation equipment, preparation of bid specifications and a pre-bid site visit with tenant and subcontractors.

Subtask 4: FDEP Equipment Evaluation HSW personnel will visit the Lakeland storage facility to locate a soil vapor extraction system for use at the subject site. HSW will then prepare bid specifications for SVE modification or purchase if no suitable system is located.

The final cost associated with this Task Assignment is $16,596.60 with 113 hours.

FDEP COST ESTI MATEContractor: CARDNO, Inc. / HSW Eng., Inc

Date: TBD

Task #: TBD SubTask 1 Project Management SubTask 6

Site: Nelson's Cleaners SubTask 2 ISRP SubTask 7

Activity/Phase: ISRP SubTask 3 Construction Bid Specifications SubTask 8

Project Manager: Steven Folsom SubTask 4 FDEP Equipment Evaluation SubTask 9

SubTask 5 SubTask 10

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

HSW Engineering, Inc.

$66.35 Project Manager SDF 9 9.1

Principal 0 0 0 0 0 0 0 0 0 0 $66.35 Project Manager SDF 12 8 2 2 0 0 0 0 0 0

Senior Geologist 0 0 0 0 0 0 0 0 0 0 Senior Engineer 0 0 0 0 0 0 0 0 0 0 Project Geologist 0 0 0 0 0 0 0 0 0 0

$45.20 Senior Engineer NSB 78 48 18 12 0 0 0 0 0 0 Project Scientist 0 0 0 0 0 0 0 0 0 0 Staff Engineer/Geologist 0 0 0 0 0 0 0 0 0 0 Senior Field Technician 0 0 0 0 0 0 0 0 0 0 Field Technician 0 0 0 0 0 0 0 0 0 0 Senior GIS Technician 0 0 0 0 0 0 0 0 0 0

$39.67 CADD Technician BLA 12 12 0 0 0 0 0 0 0 0 $15.00 Project Assistant BNK 2 2 0 0 0 0 0 0 0 0

$0.00 CADD Technician 0 0 0 0 0 0 0 0 0 0 $0.00 Surveyor (PLS) 0 0 0 0 0 0 0 0 0 0 $0.00 Survey Party chief 0 0 0 0 0 0 0 0 0 0 $0.00 Survey Crew 0 0 0 0 0 0 0 0 0 0 $0.00 Subsurface Utility Location (SUE) Tech 0 0 0 0 0 0 0 0 0 0 $0.00 0 0 0 0 0 0 0 0 0 0 $0.00 0 0 0 0 0 0 0 0 0 0 $0.00 0 0 0 0 0 0 0 0 0 0

Total Hours 113 9 70 20 14 0 0 0 0 0 0

HSW Engineering, Inc.

Direct Labor $5,431.32 $603.48 $3,206.44 $946.30 $675.10 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 170.00% $9,233.25 $1,025.92 $5,450.95 $1,608.71 $1,147.67 $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 Fringe 0.00% $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Sub-Total Labor (HSW) $14,664.57 $1,629.40 $8,657.39 $2,555.01 $1,822.77 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Labor $14,664.57 $1,629.40 $8,657.39 $2,555.01 $1,822.77 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Other Direct Costs $271.57 $30.17 $160.32 $47.32 $33.76 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 05/2015 CEF: CARDNO HSW Page 1

FDEP COST ESTI MATEContractor: CARDNO, Inc. / HSW Eng., Inc

Date: TBD

Task #: TBD SubTask 1 Project Management SubTask 6

Site: Nelson's Cleaners SubTask 2 ISRP SubTask 7

Activity/Phase: ISRP SubTask 3 Construction Bid Specifications SubTask 8

Project Manager: Steven Folsom SubTask 4 FDEP Equipment Evaluation SubTask 9

SubTask 5 SubTask 10

Totals 1 2 3 4 5 6 7 8 9 10 Travel

Vehicle Rental $194.00 $0.00 $97.00 $97.00 $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 $194.00 $0.00 $97.00 $97.00 $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

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $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 Handling 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

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 $15,130.14 $1,659.57 $8,817.71 $2,699.33 $1,953.53 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee $1,466.46 $162.94 $865.74 $255.50 $182.28 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $16,596.60 $1,822.51 $9,683.45 $2,954.83 $2,135.81 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 05/2015 CEF: CARDNO HSW Page 2

SITE : Nelson's Cleaners

FDEP NO: ERIC_4822

SUBTASK: ISRP

DATE: 3/31/2020

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Manager SDF ISRP Preparation/Senior Review 8

Project Engineer NSB ISRP Preparation 48

CADD Technician BLA ISRP Figures 12

Project Assistant KMR Project Support 2

TOTAL LABOR 70

SUBTASK: Construction Bid Specifications

DATE: 3/31/2020

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Manager SDF Review bid specifications 2

Project Engineer NSB Prepare bid specifications and documents 12 Pre-bid site visit with contractors and property rep. 6

TOTAL LABOR 20

TRAVEL TYPE RATE UNIT USEAGE Miles Free

Truck $97.00 day 1 $97.00

TOTAL VEHICLE $97.00

SUBTASK: ISRP

DATE: 3/31/2020

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Manager SDF Equipment Summary Review 2

Project Engineer NSB Mobilization/Demobilization 2 Lakeland Storage Yard Inspection 4 Equipment Bid Solicitation and Review 6

TOTAL LABOR 14

TRAVEL TYPE RATE UNIT USEAGE Miles Free

Truck $97.00 day 1 $97.00

TOTAL VEHICLE $97.00

Task Assignment Notification
BWC Task Assignment Form (Rev 02_17).pdf
Task Assignment Notification
BWC Task Assignment Form - Page 2 (Rev 08_10) - Rev 1.pdf
Deliverable & Invoice Schedule
LOE_CEF-0320.pdf
Cost Estimate
sub 2
sub 3
sub 4

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