CN-370000-HW556-DC027F.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 NADC027F

Cardno, Inc.

Joe Marsh

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 July 23, 2021.

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

Annual Remedial Action Status Report

02/22/2022

05/31/2022

$ 23,158.53 $ 0.00 $ 3,600.00 $ 0.00

$ 0.00

Walsta Jean-Baptiste Digitally signed by Walsta Jean-Baptiste Date: 2021.07.27 18:26:06 -04'00'

Walsta Jean-Baptiste Digitally signed by Walsta Jean-Baptiste Date: 2021.07.27 18:26:15 -04'00'

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

Date: 2021.07.28 11:20:55 -04'00'

Digitally signed by Joe L. Marsh Date: 2021.08.02 10:29:17 -04'00'

$ 26,758.53

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

- Subtask 2 11/24/2021

Annual Remedial Action Status Report - Subtask 3 02/22/2022

FDEP approval of quarterly O&M submittal including field documentation, laboratory reports and tables - Subtask 2; AND FDEP approval of Annual Remedial Action Status Report - Subtasks 1 and 3

$ 23,038.53

FDEP receipt of utility invoices for 6 months (August 2021 to January 2022); Utilities (Cost Plus Fixed Fee) = not to exceed $3,600; Utilities Handling Fee = $120 - Subtask 4

$ 3,720.00

$ 26,758.53

HW556

DC027F

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 Interim Secretary

Memorandum

TO: HW556 Contract File FROM: Walsta Jean-Baptiste, Contract Manager SUBJECT: Peterson Cleaners; Operation and Maintenance; DC027F DATE: July 27, 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 July 23, 2021.

This Task Assignment also includes 6 months of utilities from August 2021 to January 2022.

There were no changes to the proposed costs.

The final cost associated with this Task Assignment is $26,758.53 with 146 hours.

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

P:\Tampa\1CB6 Cardno\1CB6022XX Peterson Cleaners\1CB602203 Peterson Cleaners - SVE\01 Proposals\TA Request_O&M 07-2021.docx

July 23, 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 – SVE Operation & Maintenance (Six Months) Peterson Cleaners 850 N. Broadway Avenue, Bartow, FL

ERIC_5380

Dear Walsta:

HSW Consulting, LLC. (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 approved by FDEP on June 9, 2020. The following presents a proposed schedule and associated cost estimate for implementation of these activities.

Subtask 1: Project Management;

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

Deliverable Date: November 24, 2021

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

Deliverable Date: February 22, 2022

Sincerely, HSW ENGINEERING, INC.

Nicholas Barnes, P.E.

Senior Engineer

Attachments: Subcontractor Quotes

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

FDEP COST ESTIMATEContractor: CARDNO, Inc. / HSW Eng., Inc

Date: TBD

Task #: TBD SubTask 1 Project Management SubTask 6

Site: Peterson Cleaners SubTask 2 O&M - Quarter 3 SubTask 7

Activity/Phase: O&M SubTask 3 O&M - Quarter 4, Annual Status Report SubTask 8

Project Manager: Steven Folsom SubTask 4 Utilities 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 10 10.3

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 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

$33.66 Staff Engineer JAB 80 30 50 0 0 0 0 0 0 0 Field Technician 0 0 0 0 0 0 0 0 0 0

$45.68 Senior Scientist 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

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 146 10 44 92 0 0 0 0 0 0 0

HSW Engineering, Inc.

Direct Labor $6,138.72 $682.08 $1,727.20 $3,729.44 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 170.00% $10,435.83 $1,159.54 $2,936.24 $6,340.05 $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) $16,574.55 $1,841.62 $4,663.44 $10,069.49 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Labor $16,574.55 $1,841.62 $4,663.44 $10,069.49 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Other Direct Costs $306.93 $34.10 $86.36 $186.47 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 05/2015 CEF: CARDNO HSW Page 1

FDEP COST ESTIMATEContractor: CARDNO, Inc. / HSW Eng., Inc

Date: TBD

Task #: TBD SubTask 1 Project Management SubTask 6

Site: Peterson Cleaners SubTask 2 O&M - Quarter 3 SubTask 7

Activity/Phase: O&M SubTask 3 O&M - Quarter 4, Annual Status Report SubTask 8

Project Manager: Steven Folsom SubTask 4 Utilities SubTask 9

SubTask 5 SubTask 10

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

Vehicle Rental $776.00 $291.00 $485.00 $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 $776.00 $291.00 $485.00 $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 $100.00 $0.00 $100.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Utilities $3,600.00 $0.00 $0.00 $3,600.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $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 $3,700.00 $0.00 $100.00 $3,600.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Handling Fee $130.00 $0.00 $10.00 $120.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $3,830.00 $0.00 $110.00 $3,720.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Laboratory Analytical Costs $1,794.00 $200.00 $1,594.00 $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 $189.00 $63.00 $126.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Laboratory $1,983.00 $263.00 $1,720.00 $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) $1,435.60 $480.15 $955.45 $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 $1,630.60 $577.65 $1,052.95 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal $25,101.08 $1,875.72 $5,881.45 $13,623.91 $3,720.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee $1,657.45 $184.16 $466.34 $1,006.95 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $26,758.53 $2,059.88 $6,347.79 $14,630.86 $3,720.00 $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 - Quarter Three

DATE: 7/27/2021

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 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 - Quarter 4

DATE: 7/27/2021

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 Annual Status Report 24

CAD Technician BLA Figures 4

Senior Scientist CLW Data Review, ADaPT/GIS Update 2

Staff Engineer JAB Mobilization/Demobilization - Month 4, Month 5, Month 6 10 System O&M, Field Measurements, Sample Collection 24 Groundwater Sampling Collection 16

TOTAL LABOR 92

TRAVEL

TYPE RATE UNIT USEAGE Miles Free Truck $97.00 day 5 $485.00

TOTAL VEHICLE $485.00

SUBCONTRACTOR

Equipment Procurement

NAME PURPOSE COST UNIT USEAGE

Services Procurement

NAME PURPOSE COST UNIT USEAGE

Erwin Remediation IDW Disposal $100.00 drum 1 $100.00

TOTAL SUBS $100.00

LABORATORY

PARAMETER RATE # SAMPLES #QAQC

TO-15 $200.00 5 $1,000.00

VOHs (aqueous) EPA 8260 $66.00 8 1 $594.00 Sample Shipment/Preparation Small (0 to 25 lbs), Overnight $63.00 2 $126.00

TOTAL LAB $1,720.00

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 Shallow Groundwater Sampling Kit $208.55 day 2 $417.10

Sub-Total $897.25

Expendables $32.50 day 3 $97.50 Drum $58.20 each 1 $58.20

Sub-Total $155.70

Total Equipment $1,052.95

SUBTASK: O&M - Utilities

DATE: 7/27/2021

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

FIELD EXPENSES

ITEM RATE UNIT USEAGE TOTALS

O&M Quarter 1 Utilities August to October 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 O&M Quarter 2 Utilities November 2021 to January 2022

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 $3,720.00

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 NBarnes Text Box Confirmed applicable to HSW and pricing valid.

NSB

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 Confirmed valid.

NSB