CN-370000-HW556-DC027E.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 NADC027E

Cardno, Inc.

Eric Meyers

850-245-8705Walsta Jean-Baptiste

ERIC_5380

Peterson Cleaners

850 N Broadway Avenue, Bartow, Polk County

Operation and Maintenance

This Task Assignment authorizes HSW to conduct six months of operation and maintenance in accordance with the HSW scope of work, schedule, and cost estimate received on January 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

08/26/2021

11/30/2021

$ 18,352.94 $ 0.00 $ 4,200.00 $ 0.00

$ 0.00

Walsta Jean-Baptiste Digitally signed by Walsta Jean-Baptiste Date: 2021.01.08 11:23:57 -05'00'

Walsta Jean-Baptiste Digitally signed by Walsta Jean-Baptiste Date: 2021.01.08 11:24:04 -05'00'

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

Date: 2021.01.08 12:37:19 -05'00'

Eric Meyers Digitally signed by Eric Meyers Date: 2021.01.08 15:02:02 -05'00'

$ 22,552.94

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 O&M submittal including field documentation, laboratory reports and tables (submitted electronically) - Subtask 2 05/20/2021

Semi-Annual Remedial Action Status Report (submitted electronically) - Subtask 3 08/26/2021

FDEP approval of quarterly O&M submittal including field documentation, laboratory reports and tables (submitted electronically) - Subtask 2; AND FDEP approval of Semi-Annual Remedial Action Status Report (submitted electronically) - Subtask 3

$ 18,212.94

FDEP receipt of utility invoices for 7 months (January to July 2021); Utilities (Cost Plus Fixed Fee) = not to exceed $4,200; Utilities Handling Fee = $140 - Subtask 4 $ 4,340.00

$ 22,552.94

HW556

DC027E

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: Peterson Cleaners; Operation and Maintenance; DC027E DATE: January 8, 2021

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

This Task Assignment also includes 7 months of utilities from January through July 2021. The utilities also include startup and month 1.

The final cost associated with this Task Assignment is $22,552.94 with 116 hours.

(813) 968-7722 ■ 15711 Mapledale Blvd., Suite B ■ Tampa, FL 33624 ■ www.hsweng.com Engineering and Scientific solutions within your reach…

P:\1CB6 Cardno\1CB6022XX Peterson Cleaners\1CB602203 Peterson Cleaners - SVE\01 Proposals\TA Request_O&M 01-2021.docx

January 5, 2021

Sent via Electronic Mail

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 – SVE Operation & Maintenance (Six Months) Peterson Cleaners 850 N. Broadway Avenue, Bartow, FL

ERIC_5380

Dear Walsta:

HSW Engineering, Inc. (HSW) is pleased to submit this Task Assignment request for Soil Vapor Extraction System Operation and Maintenance (SVE O&M) activities at the former Peterson Cleaners site (Site) in accordance with the Interim Source Removal Plan (ISR Plan, February 2020 and revised June 2020), approved by FDEP in a memorandum dated June 9, 2020. The following presents a proposed schedule and associated cost estimate for implementation of the activities described above.

Subtask 1: Project Management;

Subtask 2: SVE O&M Quarter One; submittal of Quarterly O&M Documentation.

Deliverable Date: May 20, 2021

Subtask 3: SVE O&M Quarter Two; Submittal of Semiannual Remedial Action Status Report, including updated tables, figures and laboratory data.

Deliverable Date: August 26, 2021

Sincerely, HSW ENGINEERING, INC.

Nicholas Barnes, P.E.

Senior Engineer

Attachments: Subcontractor Quotes

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: Peterson Cleaners SubTask 2 O&M - 1 Quarter SubTask 7

Activity/Phase: O&M SubTask 3 O&M - 2 Quarter , 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 12 4 8 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 Senior Engineer NSB 32 10 22 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

$33.66 Staff Engineer JAB 60 30 30 0 0 0 0 0 0 0 Field Technician 0 0 0 0 0 0 0 0 0 0

$45.68 Senior Scientist CLW 0 0 0 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 BNK 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 116 8 44 64 0 0 0 0 0 0 0

HSW Engineering, Inc.

Direct Labor $4,973.49 $552.61 $1,727.20 $2,693.68 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 170.00% $8,454.94 $939.44 $2,936.24 $4,579.26 $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) $13,428.43 $1,492.05 $4,663.44 $7,272.94 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Labor $13,428.43 $1,492.05 $4,663.44 $7,272.94 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Other Direct Costs $248.67 $27.63 $86.36 $134.68 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 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

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: Peterson Cleaners SubTask 2 O&M - 1 Quarter SubTask 7

Activity/Phase: O&M SubTask 3 O&M - 2 Quarter , 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 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 $4,200.00 $0.00 $0.00 $4,200.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $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 $4,200.00 $0.00 $0.00 $4,200.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Handling Fee $140.00 $0.00 $0.00 $140.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $4,340.00 $0.00 $0.00 $4,340.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Laboratory Analytical Costs $1,000.00 $800.00 $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 $252.00 $189.00 $63.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Laboratory $1,252.00 $989.00 $263.00 $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) $1,164.00 $873.00 $291.00 $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 $1,359.00 $970.50 $388.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal $21,210.10 $1,519.68 $7,000.30 $8,350.12 $4,340.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee $1,342.84 $149.21 $466.34 $727.29 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $22,552.94 $1,668.89 $7,466.64 $9,077.41 $4,340.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 05/2015 CEF: CARDNO HSW Page 2

SITE : Peterson Cleaners

FDEP NO: ERIC_5380

SUBTASK: O&M - 1 Quarter

DATE: 1/8/2021

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Manager SDF System Operation Review 4

Senior Engieer NSB Field Correspondence 4 Documentation of O&M Preparation 6

Staff Engineer JAB 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 4 $800.00

Sample Shipment/Preparation Small (0 to 25 lbs), Overnight $63.00 3 $189.00

TOTAL LAB $989.00

FIELD EXPENSES

ITEM RATE UNIT USEAGE TOTALS

Field Equipment

Construction/O&M/Pilot Test Kit $291.00 day 3 $873.00 Construction/O&M Supplies $63.05 day 0 $0.00

Sub-Total $873.00

Expendables $32.50 day 3 $97.50

Sub-Total $97.50

Total Equipment $970.50

SUBTASK: O&M - 2 Quarter

DATE: 1/8/2021

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Manager SDF System Operation Review 2 Senior Review 6

Senior Engineer NSB Field Correspondence 4 Semi-Annual Status Report 18

CAD Technician BLA Figures 4

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

TOTAL LABOR 64

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

$0.00

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

Construction/O&M/Pilot Test Kit $291.00 day 1 $291.00 Construction/O&M Supplies $63.05 day 3 $189.15

Sub-Total $480.15

Expendables $32.50 day 3 $97.50

Sub-Total $97.50

Total Equipment $577.65

SUBTASK: O&M - Utilities

DATE: 1/8/2021

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

FIELD EXPENSES

ITEM RATE UNIT USEAGE TOTALS

O&M Quarter 1 Utilities January to April 2021

Utility Charges (Electric) $600.00 month 4 $2,400.00 Utility Handling Fee $20.00 month 4 $80.00

Sub-Total $2,480.00 O&M Quarter 2 Utilities May to July 2021

Utility Charges (Electric) $600.00 month 3 $1,800.00 Utility Handling Fee $20.00 month 3 $60.00

Sub-Total $1,860.00

Total Equipment $4,340.00