CN-370000-HW556-DC007H.pdf

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 NADC007H

Cardno, Inc.

Eric Meyers

850-245-8705Walsta Jean-Baptiste

ERIC_4822

Nelsons Cleaners

1203 W Highway 50, Clermont, Lake County

Monitoring

This Task Assignment authorizes HSW to conduct annual groundwater sampling in accordance with the HSW scope of work, cost estimate, and bid documentation received on March 8, 2021.

Groundwater Monitoring Report

06/18/2021

09/30/2021

$ 11,128.95 $ 0.00 $ 0.00 $ 0.00

$ 0.00

Walsta Jean-Baptiste Digitally signed by Walsta Jean-Baptiste Date: 2021.03.08 16:51:26 -05'00'

Walsta Jean-Baptiste Digitally signed by Walsta Jean-Baptiste Date: 2021.03.08 16:51:33 -05'00'

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

Date: 2021.03.09 13:22:19 -05'00'

Eric Meyers Digitally signed by Eric Meyers Date: 2021.03.09 13:54:20 -05'00'

$ 11,128.95

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

Groundwater Monitoring Report and ADaPT/GIS deliverable - Subtasks 1-3 06/18/2021

FDEP approval of Groundwater Monitoring Report and ADaPT/GIS deliverable - Subtasks 1-3 $ 11,128.95

$ 11,128.95

HW556

DC007H

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, Project Manager SUBJECT: Annual Groundwater Sampling DC007H; Nelson’s Cleaners ERIC_4822 DATE: March 8, 2021

This Task Assignment authorizes HSW to conduct annual groundwater sampling in accordance with the HSW scope of work, cost estimate, and bid documentation received on March 8, 2021.

There were no changes to the proposed scope of work.

The cost related to this Task Assignment is $11,128.95 with 79 hours.

(813) 968-7722 ■ 15711 Mapledale Blvd., Suite B ■ Tampa, FL 33624 ■ www.hsweng.com Innovative Solutions Within Your Reach….

P:\1CB6 Cardno\1CB600701 Nelson's Cleaners\01 Proposals\TA Request.Docx

March 8, 2021

Ms. Walsta Jean-Baptiste, P.G.

Florida Department of Environmental Protection Hazardous Waste Cleanup Section 2600 Blair Stone Road, MS 4520 Tallahassee, FL 32399-2400

Re: Task Assignment Request –Annual Groundwater Monitoring Nelson’s Cleaners 1203 W. Highway 50, Suite G Clermont, Florida

ERIC_4822

Dear Walsta:

HSW Consulting, LLC. (HSW) is pleased to submit this Task Assignment Request for Annual Groundwater Monitoring Activities at the Nelson’s Cleaners Site. Attached herein are the proposed Level of Effort/Cost Estimate Forms, and Implementation Schedule. The scope of work, proposed deliverables, and deliverable schedule are summarized below.

The proposed scope of work associated with this Task Assignment Request includes the following elements:

In April 2021, HSW will sample all existing site wells;

HSW will arrange for disposal of any investigation-derived waste (IDW) generated during the sampling event;

HSW will prepare and submit a Groundwater Monitoring Report to summarize the sampling results and provide recommendations for further courses of action;

Subtask 1: Project Management

Subtask 2 & 3: Completion of April 2021 groundwater monitoring event with submittal of Groundwater Monitoring Report; submittal of GWMR, IDW manifest, updated GIS database sample tables, and all ADaPT deliverables

Deliverable Date: June 18, 2021

Annual Groundwater Monitoring Nelson’s Cleaners

HSW Consulting ■ www.hsweng.com 2 Innovative Solutions Within Your Reach….

Sincerely, HSW CONSULTING, LLC.

Nicholas S. Barnes, P.E.

Senior Engineer

Attachments: Level of Effort/Cost Estimate Forms

Subcontractor Quotations

October 30, 2019

Nick Barnes HSW Enginering 15711 Mapledale Blvd Suite B Tampa Fl 33624 727-560-8053 nbarnes@hsweng.com

RE: Drum disposal - Nelson’s Cleaners in Clermont, FL

Dear Mr. Barnes:

Petrotech Southeast, Inc. would like to take this opportunity to thank you for your interest in our services. Per your request, please find our proposal for the services you require.

Description of work: Petrotech Southeast, Inc. proposes to provide the equipment and personnel to remove IDW drums from the Nelson’s Cleaners in Clermont, FL. Drums must be placed on asphalt or concrete prior to the pick up. All non-hazardous waste material will be recycled and/or disposed of according to Florida’s Department of Environmental Protection’s regulations. All rates are based upon standard working hours 8 AM to 5 PM Monday through Friday.

Product / Service Unit Type Unit Price Non Haz, IDW Solid Drum Disposal Per Drum $125.00 Non Haz, IDW water disposal Per Drum $105.00 Stop Fee - Lake County Per Stop $0.00

Generator waste profile and analytical required for each wast stream: . Water: 8260 Volatiles, Solids: TCLP 8 RCRA Metals & TCLP Volatiles.

Payment Terms: Net 30 days. All other Petrotech Southeast, Inc. standard terms and conditions shall apply. Any applicable taxes and fuel surcharges shall be invoiced accordingly.

Quoted pricing is valid for 90 days.

If you have any questions regarding this service agreement, please do not hesitate to call me 407-656-8114. Otherwise, please return a signed copy.

Best regards, PETROTECH SOUTHEAST, INC. HSW ENGINEERING

Jason W. Yates Vice President ___________________________________ Signature Date mailto:kturner@hsweng.com nbarnes Text Box

Water Drum $30 + $60 = $90 per drum Low volume Stop fee = $50 nbarnes Text Box

One drum water = $140 per drum

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 Annual Monitoring SubTask 7

Activity/Phase: Monitoring SubTask 3 Groundwater Monitoring Report SubTask 8

Project Manager: Steven Folsom SubTask 4 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 5 4.8

Principal 0 0 0 0 0 0 0 0 0 0 $66.35 Project Manager SDF 2 0 2 0 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 Project Engineer NSB 20 2 18 0 0 0 0 0 0 0 $29.81 Project Scientist FLF 4 0 4 0 0 0 0 0 0 0 $28.43 Staff Engineer/Geologist WJT 21 21 0 0 0 0 0 0 0 0

Senior Field Technician 0 0 0 0 0 0 0 0 0 0 $25.97 Staff Geologist KMT 21 21 0 0 0 0 0 0 0 0 $45.68 Senior GIS Technician CLW 2 0 2 0 0 0 0 0 0 0 $39.67 CADD Technician BLA 4 0 4 0 0 0 0 0 0 0 $15.00 Project Assistant EB 0 0 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 79 5 44 30 0 0 0 0 0 0 0

HSW Engineering, Inc.

Direct Labor $2,866.93 $318.55 $1,232.80 $1,315.58 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 170.00% $4,873.79 $541.54 $2,095.76 $2,236.49 $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 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) $7,740.72 $860.09 $3,328.56 $3,552.07 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Labor $7,740.72 $860.09 $3,328.56 $3,552.07 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Other Direct Costs $143.35 $15.93 $61.64 $65.78 $0.00 $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 Annual Monitoring SubTask 7

Activity/Phase: Monitoring SubTask 3 Groundwater Monitoring Report SubTask 8

Project Manager: Steven Folsom SubTask 4 SubTask 9

SubTask 5 SubTask 10

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

Vehicle Rental $194.00 $194.00 $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 $242.00 $242.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Travel $436.00 $436.00 $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 $105.00 $105.00 $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 $105.00 $105.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Handling Fee $10.50 $10.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $115.50 $115.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Laboratory Analytical Costs $1,188.00 $1,188.00 $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 $126.00 $63.00 $63.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Laboratory $1,314.00 $1,251.00 $63.00 $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 $130.00 $130.00 $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) $417.10 $417.10 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (IDW related) $58.20 $58.20 $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 $605.30 $605.30 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal $10,354.87 $876.02 $5,798.00 $3,680.85 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee $774.08 $86.01 $332.86 $355.21 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $11,128.95 $962.03 $6,130.86 $4,036.06 $0.00 $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: 2 - Groundwater Monitoring

DATE: 3/8/2021

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Engineer NSB Technical Assistance 2

Staff Geologist KMT Mobilization, Demobilization 4 Sample MWs (17 total) 17

Staff Scientist WJT Mobilization, Demobilization 4 Sample MWs (17 total) 17

TOTAL LABOR 44

TRAVEL TYPE RATE UNIT USEAGE Miles Free

Truck $97.00 day 2 $194.00 Hotel $85.00 day 2 $170.00

Per Diem $36.00 day 2 $72.00

TOTAL VEHICLE $436.00

SUBCONTRACTOR

Equipment Procurement

NAME PURPOSE COST UNIT USEAGE

Services Procurement

NAME PURPOSE COST UNIT USEAGE

PetroTech SE IDW Disposal (water) $105.00 Drum 1 $105.00

TOTAL SUBS $105.00

LABORATORY

PARAMETER RATE # SAMPLES #QAQC

Halocarbons (aqueous) EPA 8260 $66.00 17 1 $1,188.00 Sample Shipment/Preparation Small (0 to 25 lbs), Overnight $63.00 1 $63.00

TOTAL LAB $1,251.00

FIELD EXPENSES ITEM RATE UNIT USEAGE TOTALS

Field Equipment

Shallow Groundwater Sampling Kit $208.55 day 2 $417.10 Drum $58.20 each 1 $58.20

Sub-Total $475.30

Expendables $32.50 day 4 $130.00 Sub-Total $130.00

TOTAL EQUIPMENT $605.30

SITE : Nelson's Cleaners

FDEP NO: ERIC_4822

SUBTASK: 3 - Annual Groundwater Monitoring Report

DATE: 3/8/2021

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Manager SDF Senior Review/Certification 2

Senior GIS Specialist CLW Data Management and GIS Table Development 2

Project Engineer NSB Report Preparation 18

Project Engineer FLF Arrange IDW Pickup/Disposal 2 Well/Receptor Survey 2

CADD Technician BLA Figure Preparation 4

TOTAL LABOR 30