CN-370000-HW556-DC10FCO4.pdf

PDF 766 KB Posted

Attached to
Master Agreement FL|HW556|86bbd2b3f214cef39efd393b3d5af1f9
Contract number
HW556
Issued by
Florida

About this file

This document comprises Task Assignment Change Orders for contract HW556 between the Florida Department of Environmental Protection (FDEP) and Cardno, Inc. (with HSW Engineering, Inc. as the engineering partner). The contract involves operation and maintenance services at the Merlin's Custom Cleaners facility (Site ID: ERIC_5345) located in Florida. The change orders are managed by Walsta Jean-Baptiste, FDEP Contract Manager, with Eric Meyers serving as the contractor representative.

The contract tasks involve quarterly operation and maintenance activities, semi-annual and annual remedial action status reporting, and utility cost management. Change Order No. 3 reconciles work directive WCD #2 and modifies utility cost estimates, while Change Order No. 4 reconciles analytical costs and additional utility invoices. The fixed price component for work tasks totals $45,873.62, while the cost-plus fixed fee component for utilities is estimated at $3,843.44, resulting in a cumulative task amount of $49,717.06 across 289 labor hours. Key deliverables include quarterly operation and maintenance submittals due July 1, 2020; semi-annual status reports due October 29, 2020; and annual remedial action status reports due April 27, 2021. Utility costs covering February 2020 through March 2021 are the only elements structured as cost-plus fixed fee arrangements, with quarterly handling fees of $60 to $100 applied to actual utility invoices not to exceed specified caps.

View the file

Other files

File Type Posted
CN-370000-HW556-A4.pdf PDF
CN-370000-HW556-A7.pdf PDF
CN-370000-HW556-A8.pdf PDF
CN-370000-HW556-BF04CCO1.pdf PDF
CN-370000-HW556-BF04D.pdf PDF
CN-370000-HW556-BF06ACO1.pdf PDF
CN-370000-HW556-BF06B.pdf PDF
CN-370000-HW556-BF09B.pdf PDF
CN-370000-HW556-BF561A.pdf PDF
CN-370000-HW556-BF563B.pdf PDF
CN-370000-HW556-CM.pdf PDF
CN-370000-HW556-CO1.pdf PDF
CN-370000-HW556-CO3.pdf PDF
CN-370000-HW556-CO5.pdf PDF
CN-370000-HW556-DC001H.pdf PDF
CN-370000-HW556-DC001J.pdf PDF
CN-370000-HW556-DC004F.pdf PDF
CN-370000-HW556-DC007H.pdf PDF
CN-370000-HW556-DC010G.pdf PDF
CN-370000-HW556-DC012E.pdf PDF
CN-370000-HW556-DC015B.pdf PDF
CN-370000-HW556-DC018A.pdf PDF
CN-370000-HW556-DC018C.pdf PDF
CN-370000-HW556-DC018D.pdf PDF
CN-370000-HW556-DC01ACO2.pdf PDF
CN-370000-HW556-DC026D.pdf PDF
CN-370000-HW556-DC028A.pdf PDF
CN-370000-HW556-DC029D.pdf PDF
CN-370000-HW556-DC02ACO1.pdf PDF
CN-370000-HW556-DC02BCO2.pdf PDF
CN-370000-HW556-DC02CC02.pdf PDF
CN-370000-HW556-DC02D.pdf PDF
CN-370000-HW556-DC02DCO1.pdf PDF
CN-370000-HW556-DC02FCO1.pdf PDF
CN-370000-HW556-DC034B.pdf PDF
CN-370000-HW556-DC036A.pdf PDF
CN-370000-HW556-DC038A.pdf PDF
CN-370000-HW556-DC05GCO1.pdf PDF
CN-370000-HW556-DC05iCO1.pdf PDF
CN-370000-HW556-DC06BCO2.pdf PDF
CN-370000-HW556-DC06CCO2.pdf PDF
CN-370000-HW556-DC06ECO1.pdf PDF
CN-370000-HW556-DC07B.pdf PDF
CN-370000-HW556-DC07BCO2.pdf PDF
CN-370000-HW556-DC07CCO1.pdf PDF
CN-370000-HW556-DC07FCO1.pdf PDF
CN-370000-HW556-DC09ACO1.pdf PDF
CN-370000-HW556-DC10BCO3.pdf PDF
CN-370000-HW556-DC10CCO2.pdf PDF
CN-370000-HW556-DC10D.pdf PDF
Show 40 more

50 files listed here. See the rest on GovTribe.

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

DEP CONTRACT NO.

Task Assignment #: Change Order No.:

Contractor Name:

Contractor Representative:

DEP Contract Manager: Phone #:

Site Name:

Site ID / Facility ID::

Description of Change [use additional pages if necessary]:

The Deliverable and Invoice Schedule is attached.

Final Deliverable:

TASK ASSIGNMENT TYPE AND NOT TO EXCEED AMOUNTS:

Cost Reimbursement Fixed Fee

Original Task Amount

Task Amount Prior to this Change Order Net Increase/decrease in task amount Task amount with all change orders $0.00 $0.00 $0.00 $0.00

Original Task Completion Date:

Completion Date Prior to this Change:

Net Increase/Decrease in Task Period:

Completion Date with all Change Orders:

DEP Task Manager:

DEP Contract Manager:

Contractual Authority:

Contractor Representative:

CC: Procurement Section (MS 93) Section Representative ________

FIXED PRICE

TASK ASSIGNMENT NOTIFICATION CHANGE ORDER FORM

ITEM

$0.00

$0.00

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).

Final Deliverable Due Date:

$0.00

$0.00

CHANGE IN TASK TIME

FEE SCHEDULE

COST PLUS FIXED FEE

TOTAL

WCP TAFORM 01_18

HW556

4DC010F

Cardno, Inc.

Eric Meyers

850-245-8705Walsta Jean-Baptiste

Merlin's Custom Cleaners

ERIC_5345

This Task Assignment Change Order reconciles analytical costs in accordance with the HSW Change Order Request and cost estimate forms received on May 17, 2021. This Change Order also reconciles utility costs.

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

Annual Remedial Action Status Report 04/27/2021

$ 43,503.82 $ 0.00 $ 7,000.00 $ 0.00

$ 46,005.62 $ 0.00 $ 5,491.03 $ 0.00 $ 51,496.65

($ 132.00) $ 0.00 ($ 1,647.59) $ 0.00 ($ 1,779.59)

$ 49,717.06

12/09/2020

06/30/2021

NA

06/30/2021

Walsta Jean-Baptiste Digitally signed by Walsta Jean-Baptiste Date: 2021.05.24 13:42:18 -04'00'

Walsta Jean-Baptiste Digitally signed by Walsta Jean-Baptiste Date: 2021.05.24 13:42:24 -04'00'

Digitally signed by Jennifer Farrell Date: 2021.05.24 15:53:03 -04'00'

Eric Meyers Digitally signed by Eric Meyers Date: 2021.05.24 17:20:50 -04'00'

$ 45,873.62 $ 0.00 $ 3,843.44 $ 0.00

$ 50,503.82

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

WCP TAFORM 01_18

Contract Number:

Task Assignment #:

Change Order #:

Deliverables:

Deliverable Deliverable Due Date

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

TOTAL COST

HW556

DC010F

$ 49,717.06

Quarterly operation and maintenance submittal including field documentation, laboratory reports and tables (submitted electronically) - Subtask 2

Semi-Annual Remedial Action Status Report (submitted electronically) - Subtask 3

Quarterly operation and maintenance submittal including field documentation, laboratory reports and tables (submitted electronically) - Subtask 4

Annual Remedial Action Status Report (submitted electronically) - Subtasks 1 and 5

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

FDEP receipt of utility invoices for 5 months (February to June 2020); Utilities (Cost Plus Fixed Fee) = not to exceed $1,551.63; Utilities Handling Fee = $100 - Subtask 6

- Previously Invoiced

FDEP receipt of utility invoices for 3 months (July to September 2020); Utilities (Cost Plus Fixed Fee) = not to exceed $939.40; Utilities Handling Fee = $60 subtask 6 - Previously Invoiced

FDEP receipt of utility invoices for 3 months (January to March 2021); Utilities (Cost Plus Fixed Fee) = not to exceed $867.94; Utilities Handling Fee = $60 subtask 6 - Previously Invoiced

FDEP receipt of utility invoices for 3 months (October to December 2020); Utilities (Cost Plus Fixed Fee) = not to exceed $484.47 Utilities Handling Fee = $60 subtask 6

- Previously Invoiced

FDEP approval of quarterly O&M submittal including field documentation, laboratory reports and tables (submitted electronically) - Subtask 4; AND Annual Remedial Action Status Report (submitted electronically) - Subtasks 1 and 5

07/01/2020

10/29/2020

01/27/2021

04/27/2021

$ 26,324.97

$ 19,268.65

$ 1,651.63

$ 999.40

$ 544.47

$ 927.94

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 DC010F-4;

Operation and Maintenance DATE: May 24, 2021

This Task Assignment Change Order reconciles analytical costs in accordance with the HSW Change Order Request and cost estimate forms received on May 17, 2021. This Change Order also reconciles utility costs.

Analytical costs are reduced by $132 based on a reduction in samples.

This change order also reconciles utility costs. Based on invoices received in February and May 2021, utility costs are reduced by $1,647.59.

The overall cost decrease related to this Task Assignment Change Order is $1,779.59.

The total cost related to this Task Assignment is $49,717.06 with 289 hours.

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

Date: TBD

Task #: TBD SubTask 1 Project Management SubTask 6 Utilities (quarterly)

Site: Merlin's Custom Cleaners 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 O&M - Quarter 3 SubTask 9

SubTask 5 O&M - Quarter 4 - Annual Status Report SubTask 10

Totals 1 2 3 4 5 6 7 8 9 10 Labor Rate Category

HSW Engineering, Inc.

$60.10 Project Manager SDF 21 20.9

Principal 0 0 0 0 0 0 0 0 0 0 $60.10 Project Manager SDF 24 4 8 2 10 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

$38.46 Project Engineer NSB 76 10 28 10 28 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 Senior Field Technician RGC 160 40 38 28 54 0 0 0 0 0 Field Technician 0 0 0 0 0 0 0 0 0 0

$42.07 Senior GIS Technician CLW 4 0 0 0 4 0 0 0 0 0 $34.62 CADD Technician BLA 4 0 2 0 2 0 0 0 0 0 $21.20 Project Assistant KMR 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 289 21 54 76 40 98 0 0 0 0 0

HSW Engineering, Inc.

Direct Labor $11,314.94 $1,257.22 $1,971.40 $2,906.00 $1,447.28 $3,733.04 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 170.00% $19,235.40 $2,137.27 $3,351.38 $4,940.20 $2,460.38 $6,346.17 $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) $30,550.34 $3,394.49 $5,322.78 $7,846.20 $3,907.66 $10,079.21 $0.00 $0.00 $0.00 $0.00 $0.00

Total Labor $30,550.34 $3,394.49 $5,322.78 $7,846.20 $3,907.66 $10,079.21 $0.00 $0.00 $0.00 $0.00 $0.00

Other Direct Costs $565.74 $62.86 $98.57 $145.30 $72.36 $186.65 $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

Task #: TBD SubTask 1 Project Management SubTask 6 Utilities (quarterly)

Site: Merlin's Custom Cleaners 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 O&M - Quarter 3 SubTask 9

SubTask 5 O&M - Quarter 4 - Annual Status Report SubTask 10

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

Vehicle Rental $1,358.00 $388.00 $291.00 $291.00 $388.00 $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 $1,358.00 $388.00 $291.00 $291.00 $388.00 $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 $190.00 $0.00 $95.00 $0.00 $95.00 $0.00 $0.00 $0.00 $0.00 $0.00

Utilities $3,843.44 $0.00 $0.00 $0.00 $0.00 $3,843.44 $0.00 $0.00 $0.00 $0.00

RSI $980.00 $0.00 $0.00 $980.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $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 $5,013.44 $0.00 $95.00 $980.00 $95.00 $3,843.44 $0.00 $0.00 $0.00 $0.00 Handling Fee $397.00 $0.00 $9.50 $98.00 $9.50 $280.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $5,410.44 $0.00 $104.50 $1,078.00 $104.50 $4,123.44 $0.00 $0.00 $0.00 $0.00

Laboratory Analytical Costs $4,785.00 $1,063.00 $530.00 $1,200.00 $1,992.00 $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 $482.00 $252.00 $63.00 $104.00 $63.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Laboratory $5,267.00 $1,315.00 $593.00 $1,304.00 $2,055.00 $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 $455.00 $130.00 $97.50 $97.50 $130.00 $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) $1,746.00 $873.00 $291.00 $291.00 $291.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (IDW related) $116.40 $0.00 $58.20 $0.00 $58.20 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Other) $1,193.10 $0.00 $397.70 $189.15 $606.25 $0.00 $0.00 $0.00 $0.00 $0.00 Total Field Expenses $3,510.50 $1,003.00 $844.40 $577.65 $1,085.45 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal $46,662.02 $3,457.35 $8,127.35 $9,824.40 $7,230.67 $13,898.81 $4,123.44 $0.00 $0.00 $0.00 $0.00 Completion Fee $3,055.04 $339.45 $532.28 $784.62 $390.77 $1,007.92 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $49,717.06 $3,796.80 $8,659.63 $10,609.02 $7,621.44 $14,906.73 $4,123.44 $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 4

DATE: 5/24/2021

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 Annual Status Report 24

CAD Technician BLA Figures 2

Senior GIS Technician CLW GIS Updates 4

Senior Field Technician RGC Mobilization/Demobilization - Month 10, Month 11, Month 12 4 System O&M, Field Measurements, Sample Collection 24 Annual Groundwater Monitoirng 26

TOTAL LABOR 98

TRAVEL

TYPE RATE UNIT USEAGE Miles Free Truck $97.00 day 4 $388.00

TOTAL VEHICLE $388.00

SUBCONTRACTOR

Equipment Procurement

NAME PURPOSE COST UNIT USEAGE

Services Procurement

NAME PURPOSE COST UNIT USEAGE

Petrotech SE IDW Disposal $95.00 drum 1 $95.00

TOTAL SUBS $95.00

LABORATORY

PARAMETER RATE # SAMPLES #QAQC

TO-15 $200.00 6 $1,200.00

VOHs (aqueous) EPA 8260 $66.00 12 0 $792.00 Sample Shipment/Preparation Small (0 to 25 lbs), Overnight $63.00 1 $63.00

TOTAL LAB $2,055.00

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 Drum $58.20 each 1 $58.20

Sub-Total $897.25

Expendables $32.50 day 4 $130.00

Sub-Total $130.00 Total Equipment $1,027.25

FDEP NO: ERIC_4787

SUBTASK: O&M - Utilities

DATE: 5/24/2021

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

FIELD EXPENSES

ITEM RATE UNIT USEAGE TOTALS

O&M Startup & Quarter 1 Utilities February 2020 to June 2020

Utility Charges (Electric) $1,551.63 Lump Sum 1 $1,551.63 Utility Handling Fee $20.00 month 5 $100.00

Sub-Total $1,651.63 O&M Quarter 2 Utilities July 2020 to September 2020

Utility Charges (Electric) $939.40 Lump Sum 1 $939.40 Utility Handling Fee $20.00 month 3 $60.00

Sub-Total $999.40 O&M Quarter 3 Utilities October 2020 to December 2020

Utility Charges (Electric) $484.47 Lump Sum 1 $484.47 Utility Handling Fee $20.00 month 3 $60.00

Sub-Total $544.47 O&M Quarter 4 Utilities January 2021 to March 2021

Utility Charges (Electric) $867.94 Lump Sum 1 $867.94 Utility Handling Fee $20.00 month 3 $60.00

Sub-Total $927.94

Total Equipment $4,123.44

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

Task #: TBD SubTask 1 Project Management SubTask 6 Utilities (quarterly)

Site: Merlin's Custom Cleaners 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 O&M - Quarter 3 SubTask 9

SubTask 5 O&M - Quarter 4 - Annual Status Report SubTask 10

Totals 1 2 3 4 5 6 7 8 9 10 Labor Rate Category

HSW Engineering, Inc.

$60.10 Project Manager SDF 0 0.0

Principal 0 0 0 0 0 0 0 0 0 0 $60.10 Project Manager SDF 0 0 0 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

$38.46 Project Engineer NSB 0 0 0 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 Senior Field Technician RGC 0 0 0 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 $34.62 CADD Technician BLA 0 0 0 0 0 0 0 0 0 0 $21.20 Project Assistant KMR 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 0 0 0 0 0 0 0 0 0 0 0

HSW Engineering, Inc.

Direct Labor $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 170.00% $0.00 $0.00 $0.00 $0.00 $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) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Labor $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Other Direct Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 05/2015 CEF: CARDNO HSW Page 5

Task #: TBD SubTask 1 Project Management SubTask 6 Utilities (quarterly)

Site: Merlin's Custom Cleaners 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 O&M - Quarter 3 SubTask 9

SubTask 5 O&M - Quarter 4 - Annual Status Report SubTask 10

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

Vehicle Rental $0.00 $0.00 $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 $0.00 $0.00 $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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Utilities ($1,647.59) $0.00 $0.00 $0.00 $0.00 ($1,647.59) $0.00 $0.00 $0.00 $0.00

RSI $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $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 ($1,647.59) $0.00 $0.00 $0.00 $0.00 ($1,647.59) $0.00 $0.00 $0.00 $0.00 Handling Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost ($1,647.59) $0.00 $0.00 $0.00 $0.00 ($1,647.59) $0.00 $0.00 $0.00 $0.00

Laboratory Analytical Costs ($132.00) $0.00 $0.00 $0.00 ($132.00) $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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Laboratory ($132.00) $0.00 $0.00 $0.00 ($132.00) $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 $0.00 $0.00 $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) $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) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Field Expenses $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal ($1,779.59) $0.00 $0.00 $0.00 $0.00 ($132.00) ($1,647.59) $0.00 $0.00 $0.00 $0.00 Completion Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost ($1,779.59) $0.00 $0.00 $0.00 $0.00 ($132.00) ($1,647.59) $0.00 $0.00 $0.00 $0.00

REV: 05/2015 CEF: CARDNO HSW Page 6

SUBTASK: O&M - Quarter 4

DATE: 5/24/2021

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Manager SDF System Operation Review Senior Review

Project Engineer NSB Field Correspondence Annual Status Report

CAD Technician BLA Figures

Senior GIS Technician CLW GIS Updates

Senior Field Technician RGC Mobilization/Demobilization - Month 10, Month 11, Month 12 System O&M, Field Measurements, Sample Collection Annual Groundwater Monitoirng

TOTAL LABOR 0

TRAVEL

TYPE RATE UNIT USEAGE Miles Free Truck $97.00 day $0.00

TOTAL VEHICLE $0.00

SUBCONTRACTOR

Equipment Procurement

NAME PURPOSE COST UNIT USEAGE

Services Procurement

NAME PURPOSE COST UNIT USEAGE

Petrotech SE IDW Disposal $95.00 drum $0.00

TOTAL SUBS $0.00

LABORATORY

PARAMETER RATE # SAMPLES #QAQC

TO-15 $200.00 $0.00

VOHs (aqueous) EPA 8260 $66.00 -1 -1 -$132.00 Sample Shipment/Preparation Small (0 to 25 lbs), Overnight $63.00 $0.00

TOTAL LAB -$132.00

FIELD EXPENSES

ITEM RATE UNIT USEAGE TOTALS

Field Equipment

Construction/O&M/Pilot Test Kit $291.00 day $0.00 Construction/O&M Supplies $63.05 day $0.00 Shallow Groundwater Sampling Kit $208.55 day $0.00 Drum $58.20 each $0.00

Sub-Total $0.00

Expendables $32.50 day $0.00

Sub-Total $0.00 Total Equipment $0.00

SUBTASK: O&M - Utilities

DATE: 5/24/2021

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

FIELD EXPENSES

ITEM RATE UNIT USEAGE TOTALS

O&M Startup & Quarter 1 Utilities February 2020 to June 2020

Utility Charges (Electric) $500.00 LS $0.00 Utility Handling Fee $20.00 month $0.00

Sub-Total $0.00 O&M Quarter 2 Utilities July 2020 to September 2020

Utility Charges (Electric) $500.00 month $0.00 Utility Handling Fee $20.00 month $0.00

Sub-Total $0.00 O&M Quarter 3 Utilities October 2020 to December 2020

Utility Charges (Electric) ($1,015.53) lump sum 1 ($1,015.53) Utility Handling Fee $20.00 month $0.00

Sub-Total ($1,015.53) O&M Quarter 4 Utilities January 2021 to March 2021

Utility Charges (Electric) ($632.06) lump sum 1 ($632.06) Utility Handling Fee $20.00 month $0.00

Sub-Total ($632.06)

Total Equipment ($1,647.59)

Task #: TBD SubTask 1 Project Management SubTask 6 Utilities (quarterly)

Site: Merlin's Custom Cleaners 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 O&M - Quarter 3 SubTask 9

SubTask 5 O&M - Quarter 4 - Annual Status Report SubTask 10

Totals 1 2 3 4 5 6 7 8 9 10 Labor Rate Category

HSW Engineering, Inc.

$60.10 Project Manager SDF 21 20.9

Principal 0 0 0 0 0 0 0 0 0 0 $60.10 Project Manager SDF 24 4 8 2 10 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

$38.46 Project Engineer NSB 76 10 28 10 28 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 Senior Field Technician RGC 160 40 38 28 54 0 0 0 0 0 Field Technician 0 0 0 0 0 0 0 0 0 0

$42.07 Senior GIS Technician CLW 4 0 0 0 4 0 0 0 0 0 $34.62 CADD Technician BLA 4 0 2 0 2 0 0 0 0 0 $21.20 Project Assistant KMR 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 289 21 54 76 40 98 0 0 0 0 0

HSW Engineering, Inc.

Direct Labor $11,314.94 $1,257.22 $1,971.40 $2,906.00 $1,447.28 $3,733.04 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 170.00% $19,235.40 $2,137.27 $3,351.38 $4,940.20 $2,460.38 $6,346.17 $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) $30,550.34 $3,394.49 $5,322.78 $7,846.20 $3,907.66 $10,079.21 $0.00 $0.00 $0.00 $0.00 $0.00

Total Labor $30,550.34 $3,394.49 $5,322.78 $7,846.20 $3,907.66 $10,079.21 $0.00 $0.00 $0.00 $0.00 $0.00

Other Direct Costs $565.74 $62.86 $98.57 $145.30 $72.36 $186.65 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 05/2015 CEF: CARDNO HSW Page 9

Task #: TBD SubTask 1 Project Management SubTask 6 Utilities (quarterly)

Site: Merlin's Custom Cleaners 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 O&M - Quarter 3 SubTask 9

SubTask 5 O&M - Quarter 4 - Annual Status Report SubTask 10

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

Vehicle Rental $1,358.00 $388.00 $291.00 $291.00 $388.00 $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 $1,358.00 $388.00 $291.00 $291.00 $388.00 $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 $190.00 $0.00 $95.00 $0.00 $95.00 $0.00 $0.00 $0.00 $0.00 $0.00

Utilities $5,491.03 $0.00 $0.00 $0.00 $0.00 $5,491.03 $0.00 $0.00 $0.00 $0.00

RSI $980.00 $0.00 $0.00 $980.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $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 $6,661.03 $0.00 $95.00 $980.00 $95.00 $5,491.03 $0.00 $0.00 $0.00 $0.00 Handling Fee $397.00 $0.00 $9.50 $98.00 $9.50 $280.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $7,058.03 $0.00 $104.50 $1,078.00 $104.50 $5,771.03 $0.00 $0.00 $0.00 $0.00

Laboratory Analytical Costs $4,917.00 $1,063.00 $530.00 $1,200.00 $2,124.00 $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 $482.00 $252.00 $63.00 $104.00 $63.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Laboratory $5,399.00 $1,315.00 $593.00 $1,304.00 $2,187.00 $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 $455.00 $130.00 $97.50 $97.50 $130.00 $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) $1,746.00 $873.00 $291.00 $291.00 $291.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (IDW related) $116.40 $0.00 $58.20 $0.00 $58.20 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Other) $1,193.10 $0.00 $397.70 $189.15 $606.25 $0.00 $0.00 $0.00 $0.00 $0.00 Total Field Expenses $3,510.50 $1,003.00 $844.40 $577.65 $1,085.45 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal $48,441.61 $3,457.35 $8,127.35 $9,824.40 $7,230.67 $14,030.81 $5,771.03 $0.00 $0.00 $0.00 $0.00 Completion Fee $3,055.04 $339.45 $532.28 $784.62 $390.77 $1,007.92 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $51,496.65 $3,796.80 $8,659.63 $10,609.02 $7,621.44 $15,038.73 $5,771.03 $0.00 $0.00 $0.00 $0.00

REV: 05/2015 CEF: CARDNO HSW Page 10

SUBTASK: O&M - Quarter 4

DATE: 5/24/2021

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 Annual Status Report 24

CAD Technician BLA Figures 2

Senior GIS Technician CLW GIS Updates 4

Senior Field Technician RGC Mobilization/Demobilization - Month 10, Month 11, Month 12 4 System O&M, Field Measurements, Sample Collection 24 Annual Groundwater Monitoirng 26

TOTAL LABOR 94

TRAVEL

TYPE RATE UNIT USEAGE Miles Free Truck $97.00 day 4 $388.00

TOTAL VEHICLE $388.00

SUBCONTRACTOR

Equipment Procurement

NAME PURPOSE COST UNIT USEAGE

Services Procurement

NAME PURPOSE COST UNIT USEAGE

Petrotech SE IDW Disposal $95.00 drum 1 $95.00

TOTAL SUBS $95.00

LABORATORY

PARAMETER RATE # SAMPLES #QAQC

TO-15 $200.00 6 $1,200.00

VOHs (aqueous) EPA 8260 $66.00 13 1 $924.00 Sample Shipment/Preparation Small (0 to 25 lbs), Overnight $63.00 1 $63.00

TOTAL LAB $2,187.00

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 Drum $58.20 each 1 $58.20

Sub-Total $897.25

Expendables $32.50 day 4 $130.00

Sub-Total $130.00 Total Equipment $1,027.25

SUBTASK: O&M - Utilities

DATE: 5/24/2021

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

FIELD EXPENSES

ITEM RATE UNIT USEAGE TOTALS

O&M Startup & Quarter 1 Utilities February 2020 to June 2020

Utility Charges (Electric) $1,551.63 LS 1 $1,551.63 Utility Handling Fee $20.00 month 5 $100.00

Sub-Total $1,651.63 O&M Quarter 2 Utilities July 2020 to September 2020

Utility Charges (Electric) $939.40 month 1 $939.40 Utility Handling Fee $20.00 month 3 $60.00

Sub-Total $999.40 O&M Quarter 3 Utilities October 2020 to December 2020

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

Sub-Total $1,560.00 O&M Quarter 4 Utilities January 2021 to March 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 $5,771.03

DEP CONTRACT NO.

Task Assignment #: Change Order No.:

Contractor Name:

Contractor Representative:

DEP Contract Manager: Phone #:

Site Name:

Site ID / Facility ID::

Description of Change [use additional pages if necessary]:

The Deliverable and Invoice Schedule is attached.

Final Deliverable:

TASK ASSIGNMENT TYPE AND NOT TO EXCEED AMOUNTS:

Cost Reimbursement Fixed Fee

Original Task Amount

Task Amount Prior to this Change Order Net Increase/decrease in task amount Task amount with all change orders $0.00 $0.00 $0.00 $0.00

Original Task Completion Date:

Completion Date Prior to this Change:

Net Increase/Decrease in Task Period:

Completion Date with all Change Orders:

DEP Task Manager:

DEP Contract Manager:

Contractual Authority:

Contractor Representative:

CC: Procurement Section (MS 93) Section Representative ________

FIXED PRICE

TASK ASSIGNMENT NOTIFICATION CHANGE ORDER FORM

ITEM

$0.00

$0.00

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).

Final Deliverable Due Date:

$0.00

$0.00

CHANGE IN TASK TIME

FEE SCHEDULE

COST PLUS FIXED FEE

TOTAL

WCP TAFORM 01_18

HW556

3DC010F

Cardno, Inc.

W. Bruce Moore

850-245-8705Walsta Jean-Baptiste Merlin's Custom Cleaners

ERIC_5345

This Task Assignment Change Order reconciles work change directive WCD #2 in accordance with the HSW Change Order Request and cost estimate forms received on January 13, 2021. This Change Order also reconciles utility costs.

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

Annual Remedial Action Status Report 04/27/2021

$ 43,503.82 $ 0.00 $ 7,000.00 $ 0.00

$ 44,927.62 $ 0.00 $ 7,000.00 $ 0.00 $ 51,927.62

$ 1,078.00 $ 0.00 ($ 1,508.97) $ 0.00 ($ 430.97)

$ 51,496.65

12/09/2020

06/30/2021

NA

06/30/2021

Walsta Jean-Baptiste Digitally signed by Walsta Jean-Baptiste Date: 2021.01.26 12:30:15 -05'00'

Walsta Jean-Baptiste Digitally signed by Walsta Jean-Baptiste Date: 2021.01.26 12:30:23 -05'00'

Digitally signed by Jennifer Farrell Date: 2021.01.27 09:56:34 -05'00'

Eric Meyers Digitally signed by Eric Meyers Date: 2021.01.27 12:14:00 -05'00'

$ 46,005.62 $ 0.00 $ 5,491.03 $ 0.00

$ 50,503.82

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

Contract Number:

Task Assignment #:

Deliverables:

Deliverable Deliverable Due Date

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

TOTAL COST

HW556

DC010F

$ 51,496.65

Quarterly operation and maintenance submittal including field documentation, laboratory reports and tables (submitted electronically) - Subtask 2

Semi-Annual Remedial Action Status Report (submitted electronically) - Subtask 3

Quarterly operation and maintenance submittal including field documentation, laboratory reports and tables (submitted electronically) - Subtask 4

Annual Remedial Action Status Report (submitted electronically) - Subtask 5

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

FDEP receipt of utility invoices for 5 months (February to June 2020); Utilities (Cost Plus Fixed Fee) = not to exceed $1,551.63; Utilities Handling Fee = $100 - Subtask 6

- Previously Invoiced

FDEP receipt of utility invoices for 3 months (July to September 2020); Utilities (Cost Plus Fixed Fee) = not to exceed $939.40; Utilities Handling Fee = $60 subtask 6 - Previously Invoiced

FDEP receipt of utility invoices for 3 months (January to March 2021); Utilities (Cost Plus Fixed Fee) = not to exceed $1,500; Utilities Handling Fee = $60 subtask 6

FDEP receipt of utility invoices for 3 months (October to December 2020); Utilities (Cost Plus Fixed Fee) = not to exceed $1,500; Utilities Handling Fee = $60 subtask 6

FDEP approval of quarterly O&M submittal including field documentation, laboratory reports and tables (submitted electronically) - Subtask 4; AND Annual Remedial Action Status Report (submitted electronically) - Subtasks 1 and 5

07/01/2020

10/29/2020

01/27/2021

04/27/2021

$ 26,456.97

$ 19,268.65

$ 1,651.63

$ 999.40

$ 1,560.00

$ 1,560.00

Task Assignment CHANGE ORDER
BWC Task Assignment Change Order Form (Rev 02-17).pdf
Task Assignment CHANGE ORDER
BWC Task Assignment Form - Page 2 (Rev 08_10) - Rev 1.pdf
Deliverable & Invoice Schedule
DC010E_TACO-3.pdf
Cost Estimate-CO
sub 3-CO
Cost Estimate-Delta
sub 3-Delta
Cost Estimate-Original
sub 3-Original
DC010F_TACO#1.pdf
Cost Estimate-CO
sub 2-CO
sub 3-CO
sub 4-CO
sub 5-CO
Cost Estimate-Delta
sub 2-Delta
sub 3-Delta
sub 4-Delta
sub 5-Delta
Cost Estimate-Original
sub 2-Original
sub 3-Original
sub 4-Original
sub 5-Original
DC010F_TACO#2.pdf
Cost Estimate-CO
sub 4-CO
sub 5-CO
Cost Estimate-Delta
sub 4-Delta
sub 5-Delta
Cost Estimate-Original
sub 4-Original
sub 5-Original
revision.pdf
Cost Estimate-Delta
DC010F_TACO#3.pdf
Cost Estimate-CO
sub 4-CO
sub 6-CO
Cost Estimate-Delta
sub 4-Delta
sub 6-Delta
Cost Estimate-Original
sub 4-Original
sub 6-Original
DC010F_TACO#4.pdf
Cost Estimate-CO
sub 5-CO
sub 6-CO
Cost Estimate-Delta
sub 5-Delta
sub 6-Delta
Cost Estimate-Original
sub 5-Original
sub 6-Original

File details come from the government source that posted it. Updated .