CN-370000-HW556-DC018H.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 NADC018H

Cardno, Inc.

Joe Marsh

850-245-8705Walsta Jean-Baptiste

ERIC_4787

McSherry's Dry Cleaner, Inc.

11612 N Dale Mabry Hwy, Tampa, Hillsborough

Monitoring

This Task Assignment authorizes HSW to complete annual groundwater sampling in accordance with the HSW scope of work, cost estimate, and bid documentation received on August 31, 2021.

Groundwater Report including IDW manifest and GIS/ADaPT updates

11/23/2021

12/26/2021

$ 5,387.61 $ 0.00 $ 0.00 $ 0.00

$ 0.00

Walsta Jean-Baptiste Digitally signed by Walsta Jean-Baptiste Date: 2021.09.03 08:29:38 -04'00'

Walsta Jean-Baptiste Digitally signed by Walsta Jean-Baptiste Date: 2021.09.03 08:29:44 -04'00'

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

Date: 2021.09.03 10:17:57 -04'00'

Digitally signed by Joe L. Marsh Date: 2021.09.03 11:15:30 -04'00'

$ 5,387.61

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 Report including IDW manifest and GIS/ADaPT updates - Subtasks 1-3 11/23/2021

FDEP approval of Groundwater Report including IDW manifest and receipt of GIS/ADaPT updates - Subtasks 1-3 $ 5,387.61

$ 5,387.61

HW556

DC018H

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 Secretary

Memorandum

TO: HW556 Contract File

FROM: Walsta Jean-Baptiste, Contract Manager SUBJECT: McSherry’s Dry Cleaner HW556 DC018H; Groundwater Monitoring DATE: September 3, 2021

This Task Assignment authorizes HSW to complete annual groundwater sampling in accordance with the HSW scope of work, cost estimate, and bid documentation received on August 31, 2021.

There were no changes to the proposed costs.

The final cost associated with this Task Assignment is $5,387.61 with 36 hours.

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

Date: 8/31/2021

Task #: DC018H SubTask 1 Project Management SubTask 6

Site: McSherry's Dry 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 2 2.4

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 13 1 12 0 0 0 0 0 0 0 $29.81 Project Scientist FLF 2 0 2 0 0 0 0 0 0 0 $25.97 Staff Engineer/Geologist KMT 13 13 0 0 0 0 0 0 0 0

Senior Field Technician 0 0 0 0 0 0 0 0 0 0 Staff Geologist 0 0 0 0 0 0 0 0 0 0

$45.68 Senior GIS Technician CLW 1 0 1 0 0 0 0 0 0 0 $39.67 CADD Technician BLA 3 0 3 0 0 0 0 0 0 0

Project Assistant 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 36 2 14 20 0 0 0 0 0 0 0

HSW Engineering, Inc.

Direct Labor $1,442.50 $160.28 $382.81 $899.41 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 170.00% $2,452.26 $272.48 $650.78 $1,529.00 $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 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) $3,894.76 $432.76 $1,033.59 $2,428.41 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Labor $3,894.76 $432.76 $1,033.59 $2,428.41 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Other Direct Costs $72.12 $8.01 $19.14 $44.97 $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: 05/2015 CEF: CARDNO HSW Page 1

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

Date: 8/31/2021

Task #: DC018H SubTask 1 Project Management SubTask 6

Site: McSherry's Dry 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 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 $100.00 $100.00 $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 $100.00 $100.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Handling Fee $10.00 $10.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $110.00 $110.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Laboratory Analytical Costs $462.00 $462.00 $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 $63.00 $63.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Laboratory $525.00 $525.00 $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) $208.55 $208.55 $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 $299.25 $299.25 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal $4,998.13 $440.77 $2,083.98 $2,473.38 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee $389.48 $43.28 $103.36 $242.84 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $5,387.61 $484.05 $2,187.34 $2,716.22 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 05/2015 CEF: CARDNO HSW Page 2

SITE : McSherry's Dry Cleaners

FDEP NO: ERIC_4787

SUBTASK: 2 - Groundwater Monitoring

DATE: 9/3/2021

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Engineer NSB Technical Assistance 1

Staff Geologist KMT Mobilization, Demobilization 1 Sample MWs 12

TOTAL LABOR 14

TRAVEL TYPE RATE UNIT USEAGE Miles Free

Truck $97.00 day 1 $97.00

TOTAL VEHICLE $97.00

SUBCONTRACTOR

Equipment Procurement

NAME PURPOSE COST UNIT USEAGE

Services Procurement

NAME PURPOSE COST UNIT USEAGE

Erwin Remediation IDW Disposal (water) $100.00 Drum 1 $100.00

TOTAL SUBS $100.00

LABORATORY

PARAMETER RATE # SAMPLES #QAQC

Halocarbons (aqueous) EPA 8260 $66.00 6 1 $462.00 Sample Shipment/Preparation Small (0 to 25 lbs), Overnight $63.00 1 $63.00

TOTAL LAB $525.00

FIELD EXPENSES ITEM RATE UNIT USEAGE TOTALS

Field Equipment

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

Sub-Total $266.75

Expendables $32.50 day 1 $32.50 Sub-Total $32.50

TOTAL EQUIPMENT $299.25

SITE : McSherry's Dry Cleaners

FDEP NO: ERIC_4787

SUBTASK: 3 - Groundwater Monitoring Report

DATE: 9/3/2021

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 Review 1

Senior Engineer NSB Report Preparation 12

Project Engineer FLF IDW Coordination 2

CADD Technician BLA Figure Preparation 3

TOTAL LABOR 20

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

P:\Tampa\1CB6 Cardno\1CB6019XX McSherry's Dry Cleaner\1CB601903 McSherry's Dry Cleaner SVE\01 Proposals\TA Request 082021.docx

August 31, 2021

Sent via Electronic Mail

Ms. Walsta Jean-Baptiste, P.G.

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

Re: Task Assignment Request – Annual Groundwater Monitoring McSherry’s Dry Cleaners 11612 N. Dale Mabry Highway, Tampa, FL

ERIC_4787

Dear Walsta:

HSW Consulting, LLC (HSW) is pleased to submit this Task Assignment request for completion of Annual Groundwater Monitoring activities at the subject Site as recommended in the recently submitted Remedial Action Status Report (RASR). Attached herein are the proposed Level of Effort/Cost Estimate Forms, and Implementation Schedule. The scope of work, proposed deliverables and deliverable dates are summarized below.

Subtask 1: Project Management;

Subtasks 2 and 3: Completion of September 2021 groundwater monitoring event with submittal of a Groundwater Monitoring Report; submittal of GWMR, IDW manifest, updated GIS database sample tables, and ADaPT deliverables.

Deliverable Date: November 19, 2021

Sincerely, HSW CONSULTING, LLC

Nicholas Barnes, P.E.

Senior Engineer

Attachments: Subcontractor Quotes

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

McSherry’s Dry Cleaners Task Assignment Request

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

ATTACHMENTS

408 Ditmar Street

Pensacola, FL 32503

ErwinRemediation@Gmail.com - P.O. Box 884 Gulf Breeze, FL 32562

(850) 292-6511

To: Mr. Eric Meyers

Cardno

2420 Lakeside Drive, Suite 100

Tallahassee, FL 32312

October 2, 2018

Re: Drum Disposal – Non-Hazardous Soil or Water Impacted with Dry Cleaning Solvents

Mr. Meyers:

The price to dispose of a 55-gallon drum of non-hazardous soil or water impacted with drycleaning solvents located within the State of Florida will be $100.00 per drum.

This price is a flat-rate that includes both the transportation and disposal for non-hazardous material and is valid for 12-months from the date of this letter.

If the soil or water is deemed to be hazardous additional charges will apply.

We appreciate the opportunity to work with you on this. Should you have any questions, please contact me directly at (850) 292-6511.

Respectfully, Jonathan Erwin

Erwin Remediation, Inc.

Email: ErwinRemediation@Gmail.com

Office: (850) 292-6511 mailto:Remediation@Gmail.com

October 25, 2017

Nick Barnes HSW Enginering 15711 Mapledale Blvd Suite B Tampa Fl 33624 813-549-1016

RE: Drum disposal

Dear Nick:

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 sites in Central Fl. Drums must be placed on hard surface, IE concrete or asphalt. Additional loading charge may apply. 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, Solid Drum Disposal with Trans and fuel charge Per Drum $125.00

Non Hazardous Waters W/ T&D Per Drum $115.00 With approved Analytical / profile. Water 8260 Volatiles, Solids 8 RCRA metals & Volatiles.

Estimate is for budgetary purpose only actual Quantities invoiced.

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 good 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

Mike Anderson Mike Anderson Date Signature Date Sales Title nbarnes Text Box Assume 1 water nbarnes Line nbarnes Text Box nbarnes Pencil nbarnes Text Box nbarnes Pencil nbarnes Text Box nbarnes Line nbarnes Text Box nbarnes Line nbarnes Text Box nbarnes Line nbarnes Text Box nbarnes Line nbarnes Line nbarnes Text Box $140 nbarnes Text Box $30+$60= $90/water drum nbarnes Text Box