CN-370000-HW556-DC010G.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 NADC010G

Cardno, Inc.

Eric Meyers

850-245-8705Walsta Jean-Baptiste

ERIC_5345

Merlin's Custom Cleaners

26936 US Highway 19 N, Clearwater, Pinellas County

Operation and Maintenance

This Task Assignment authorizes HSW to conduct operation and maintenance in accordance with the HSW scope of work, cost estimate, and schedule received on March 5, 2021.

The payment of utilities is the only part of this Task Assignment that is Cost Plus Fixed Fee.

Semi-Annual Remedial Action Status Report

09/16/2021

12/31/2021

$ 18,422.62 $ 0.00 $ 3,000.00 $ 0.00

$ 0.00

Walsta Jean-Baptiste Digitally signed by Walsta Jean-Baptiste Date: 2021.03.08 08:36:29 -05'00'

Walsta Jean-Baptiste Digitally signed by Walsta Jean-Baptiste Date: 2021.03.08 08:36:35 -05'00'

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

Date: 2021.03.08 08:56:35 -05'00'

Eric Meyers Digitally signed by Eric Meyers Date: 2021.03.15 16:31:44 -04'00'

$ 21,422.62

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

Quarterly operation and maintenance submittal including field documentation, laboratory reports, photo documentation, and tables - Subtask 2 06/14/2021

Semi-Annual Remedial Action Status Report - Subtask 3 09/16/2021

FDEP approval of quarterly operation and maintenance submittal including field documentation, laboratory reports, photo documentation, and tables - Subtask 2 AND FDEP approval of Semi-Annual Remedial Action Status Report - Subtask 3

$ 18,302.62

FDEP receipt of utility invoices for 6 months (April to September 2021); Utilities (Cost Plus Fixed Fee) = not to exceed $3,000; Utilities Handling Fee = $120 - Subtask 4 $ 3,120.00

$ 21,422.62

HW556

DC010G

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: Former Merlin’s Custom Cleaners DC010G;

Operation and Maintenance DATE: March 8, 2021

This Task Assignment authorizes HSW to conduct operation and maintenance in accordance with the HSW scope of work, cost estimate, and schedule received on March 5, 2021.

There were no changes to the proposed cost. Operation and maintenances cost for six months from April to September 2021 are included in this Task Assignment.

The total cost related to this Task Assignment is $21,422.62 with 122 hours.

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

P:\1CB6 Cardno\1CB6013XX Former Merlin's Custom Cleaners\1CB601303 Former Merlin's Custom Cleaners\01 Proposals\ISR Implementation\O&M\TA Request_O&M 03-2021.docx

March 5, 2021

Sent via Electronic Mail

Ms. Walsta Jean-Baptiste, P.G.

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

Re: Task Assignment Request – SVE Operation and Maintenance Merlin’s Custom Cleaners 26936 US Highway 19 N., Clearwater, FL

ERIC_5345

Dear Walsta:

HSW Consulting, LLC. (HSW) is pleased to submit this Task Assignment request for continued Soil Vapor Extraction (SVE) system operation and maintenance at the former Merlin’s Custom Cleaners site (Site).

The attached Level of Effort/Cost Estimating Forms include costs for six months of operation. Costs provided for Operation and Maintenance include:

• Monthly site visits for system operational measurement collection, system operation and optimization, routine maintenance and sample collection;

• Sample analysis;

• Electrical service (estimated at $500 per month);

• Submittal of Quarterly field documentation and a Semi-Annual Remedial Action Status Report.

The following presents a proposed schedule and associated cost estimate for implementation of the activities described above.

Subtask 1: Project Management;

Subtask 2: Quarter Five System Operation and Maintenance; submittal of field logs/notes, photo documentation and laboratory reports.

Deliverable Date: June 14, 2021 Subtask 3: Quarter Six System Operation and Maintenance;

Submittal of Semi-Annual Remedial Action Status Report, including updated tables, figures and laboratory data.

Deliverable Date: September 16, 2021

Merlin’s Custom Cleaners Task Assignment Request

HSW Consulting ■ www.hsweng.com 2 Innovative Solutions Within Your Reach… P:\1CB6 Cardno\1CB6013XX Former Merlin's Custom Cleaners\1CB601303 Former Merlin's Custom Cleaners\01 Proposals\ISR Implementation\O&M\TA Request_O&M 03-2021.docx

Sincerely, HSW CONSULTING, LLC

Nicholas S. Barnes, P.E.

Senior Engineer

Attachments: Level of Effort/Cost Estimate Forms (native file attached)

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

Date: TBD

Task #: TBD SubTask 1 Project Management SubTask 6

Site: Merlin's Custom Cleaner SubTask 2 O&M - Quarter 1 SubTask 7

Activity/Phase: O&M SubTask 3 O&M - Quarter 2, Semi-Annual Status Report SubTask 8

Project Manager: Steven Folsom SubTask 4 Utilities (quarterly) 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 8 8.3

Principal 0 0 0 0 0 0 0 0 0 0 $66.35 Project Manager SDF 14 4 10 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 38 10 28 0 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

$28.43 Staff Scientist WJT 60 30 30 0 0 0 0 0 0 0 Field Technician 0 0 0 0 0 0 0 0 0 0

$42.07 Senior GIS Technician CLW 0 0 0 0 0 0 0 0 0 0 $39.67 CADD Technician BLA 2 0 2 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 122 8 44 70 0 0 0 0 0 0 0

HSW Engineering, Inc.

Direct Labor $4,985.60 $553.96 $1,570.30 $2,861.34 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 170.00% $8,475.52 $941.73 $2,669.51 $4,864.28 $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) $13,461.12 $1,495.69 $4,239.81 $7,725.62 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Labor $13,461.12 $1,495.69 $4,239.81 $7,725.62 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Other Direct Costs $249.29 $27.70 $78.52 $143.07 $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: Merlin's Custom Cleaner SubTask 2 O&M - Quarter 1 SubTask 7

Activity/Phase: O&M SubTask 3 O&M - Quarter 2, Semi-Annual Status Report SubTask 8

Project Manager: Steven Folsom SubTask 4 Utilities (quarterly) SubTask 9

SubTask 5 SubTask 10

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

Vehicle Rental $582.00 $291.00 $291.00 $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 $582.00 $291.00 $291.00 $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 $3,000.00 $0.00 $0.00 $3,000.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $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 $3,000.00 $0.00 $0.00 $3,000.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Handling Fee $120.00 $0.00 $0.00 $120.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $3,120.00 $0.00 $0.00 $3,120.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Laboratory Analytical Costs $1,400.00 $200.00 $1,200.00 $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 $167.00 $63.00 $104.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Laboratory $1,567.00 $263.00 $1,304.00 $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 $195.00 $97.50 $97.50 $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) $902.10 $451.05 $451.05 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Field Expenses $1,097.10 $548.55 $548.55 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal $20,076.51 $1,523.39 $5,420.88 $10,012.24 $3,120.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee $1,346.11 $149.57 $423.98 $772.56 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $21,422.62 $1,672.96 $5,844.86 $10,784.80 $3,120.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 05/2015 CEF: CARDNO HSW Page 2

SITE : Merlin's Custom Cleaners

FDEP NO: ERIC_5345

SUBTASK: O&M - Quarter 5

DATE: 3/8/2021

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Manager SDF System Operation Review 4

Project Engineer NSB Field Correspondence 4 Documentation of O&M Preparation 6

Staff Scientist WJT Mobilization/Demobilization - Month 1, Month 2, Month 3 6 System O&M, Field Measurements, Sample Collection 24

TOTAL LABOR 44

TRAVEL

TYPE RATE UNIT USEAGE Miles Free Truck $97.00 day 3 $291.00

TOTAL VEHICLE $291.00

SUBCONTRACTOR

Equipment Procurement

NAME PURPOSE COST UNIT USEAGE

Services Procurement

NAME PURPOSE COST UNIT USEAGE

TOTAL SUBS $0.00

LABORATORY

PARAMETER RATE # SAMPLES #QAQC

TO-15 $200.00 1 $200.00

Sample Shipment/Preparation Small (0 to 25 lbs), Overnight $63.00 1 $63.00

TOTAL LAB $263.00

FIELD EXPENSES

ITEM RATE UNIT USEAGE TOTALS

Field Equipment

Photoionization Meter $87.30 day 3 $261.90 Construction/O&M Supplies $63.05 day 3 $189.15

Sub-Total $451.05

Expendables $32.50 day 3 $97.50

Sub-Total $97.50

Total Equipment $548.55

SUBTASK: O&M - Quarter 6

DATE: 3/8/2021

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Manager SDF System Operation Review 2 Senior Review 8

Project Engineer NSB Field Correspondence 4 Semi-Annual Status Report 24

CAD Technician BLA Figures 2

Staff Scientist WJT Mobilization/Demobilization - Month 4, Month 5, Month 6 6 System O&M, Field Measurements, Sample Collection 24

TOTAL LABOR 70

TRAVEL

TYPE RATE UNIT USEAGE Miles Free Truck $97.00 day 3 $291.00

TOTAL VEHICLE $291.00

SUBCONTRACTOR

Equipment Procurement

NAME PURPOSE COST UNIT USEAGE

Services Procurement

NAME PURPOSE COST UNIT USEAGE

TOTAL SUBS $0.00

LABORATORY

PARAMETER RATE # SAMPLES #QAQC

TO-15 $200.00 6 $1,200.00

Sample Shipment/Preparation Large (25 to 50 lbs) $104.00 1 $104.00

TOTAL LAB $1,304.00

FIELD EXPENSES

ITEM RATE UNIT USEAGE TOTALS

Field Equipment

Photoionization Meter $87.30 day 3 $261.90 Construction/O&M Supplies $63.05 day 3 $189.15

Sub-Total $451.05

Expendables $32.50 day 3 $97.50

Sub-Total $97.50

Total Equipment $548.55

SUBTASK: O&M - Utilities

DATE: 3/8/2021

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

FIELD EXPENSES

ITEM RATE UNIT USEAGE TOTALS

O&M Startup & Quarter 1 Utilities April 2021 to June 2021

Utility Charges (Electric) $500.00 LS 3 $1,500.00 Utility Handling Fee $20.00 month 3 $60.00

Sub-Total $1,560.00 O&M Quarter 2 Utilities July 2021 to September 2021

Utility Charges (Electric) $500.00 month 3 $1,500.00 Utility Handling Fee $20.00 month 3 $60.00

Sub-Total $1,560.00

Total Equipment $3,120.00