CN-370000-HW560-DC027K.pdf

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Master Agreement FL|HW560|10644db8faa9279934cd6b08f1138598
Contract number
HW560
Issued by
Florida

About this file

This document is a Task Assignment Notification Form issued by the Florida Department of Environmental Protection (FDEP) under DEP Contract No. HW560. The task assignment DC027K authorizes Tetra Tech to conduct operation and maintenance services at the Palace Cleaners site located at 733 S. Orange Blossom Trail, Apopka, Orange County, Florida (ERIC Site #5049). The assignment was executed on June 30, 2021, with Dean Cox serving as the FDEP Contract Manager and Shawn Ouellette representing Tetra Tech.

The task assignment authorizes Tetra Tech to conduct Soil Vapor Extraction (SVE) system operation and maintenance from July through December 2021 in accordance with Tetra Tech's scope of work and cost estimate form. The work is divided into three subtasks: Subtask 1 addresses project management costs calculated at 12.5% of direct labor costs for remaining subtasks; Subtask 2 encompasses SVE system operation and maintenance activities including monthly O&M checklists, quarterly air sampling, and semi-annual reporting; and Subtask 3 covers six months of utility services (Duke Energy power costs at approximately $300 per month). The total task assignment value is $16,805.05, comprising $15,005.05 in fixed price costs and $1,800.00 in cost plus fixed fee for utilities, with a handling fee of $120.00. The final deliverable—a Semi-Annual Remedial Action Status Report—is due February 28, 2022. Invoice submission is contingent upon FDEP approval of deliverables, with invoicing scheduled in two phases corresponding to the completion of field work and utility invoice receipt.

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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

HW560

D000 NADC027K

Tetra Tech

Shawn Oullette

850-245-8969Dean Cox

ERIC_5049

Palace Cleaners

733 S. Orange Blossom Trail, Apopka, Orange County

Operation and Maintenance

This Task Assignment authorizes Tetra Tech to conduct operation and maintenance from July through December 2021 in accordance with the Tetra Tech scope of work, schedule, and cost estimate form received on June 30, 2020.

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

Semi-Annual Remedial Action Status Report

02/28/2022

05/31/2022

$ 15,005.05 $ 0.00 $ 1,800.00 $ 0.00

$ 0.00

Dean Cox Digitally signed by Dean Cox Date: 2021.06.30 11:52:41 -04'00'

Dean Cox Digitally signed by Dean Cox Date: 2021.06.30 11:52:57 -04'00'

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

Date: 2021.06.30 12:20:16 -04'00'

Shawn Ouellette Digitally signed by Shawn Ouellette Date: 2021.06.30 12:27:16 -04'00'

$ 16,805.05

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 and laboratory reports (submitted electronically) - Subtask 2 08/31/2021

Semi-Annual Remedial Action Status Report and O&M Tables (submitted electronically) - Subtask 2 02/28/2022

FDEP approval of Semi-Annual Remedial Action Status Report and O&M Tables (submitted electronically) - Subtasks 1 and 2 $ 14,885.05

FDEP receipt of utility invoices for 6 months (July-December 2021); Utilities (Cost Plus Fixed Fee) = not to exceed $1,800; Utilities Handling Fee = $120 - Subtask 3 $ 1,920.00

$ 16,805.05

HW560

DC027K

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: HW560 Contract File FROM: Dean Cox, Contract Manager SUBJECT: Palace Dry Cleaners – Operation and Maintenance July to December 2021

DATE: 6/30/2021

This Task Assignment authorizes Tetra Tech to conduct operation and maintenance from July through December 2021 in accordance with the Tetra Tech task assignment request letter/scope of work/schedule and cost estimate form received on June 30, 2020.

This Task Assignment also authorizes six months of utilities from July through December 2021.

The cost for completion of this Task Assignment is $16,805.05 with 91 hours.

759 South Federal Highway, Suite 314 Stuart, FL 34994 Tel 772.781.3400 Fax 772.781.3411 www.tetratech.com

June 30, 2021

TTST-HW560-21-053 REV1

Mr. Dean Cox Contract Manager Florida Department of Environmental Protection 2600 Blair Stone Road Tallahassee, FL 32399-2400

SUBJECT: TASK ASSIGNMENT REQUEST FOR HW560-HW027K

PALACE DRY CLEANERS

733 S. ORANGE BLOSSOM TRAIL

APOPKA, FL 32703

ERIC_5049

Dear Mr. Dean Cox:

Tetra Tech is requesting a Task Assignment (TA DC027K) to continue SVE system operation.

The current task assignment DC027J electric power is scheduled to terminate in June and authorization of this TA will keep the system running without incident.

Subtask 1 The changes in costs associated with this subtask are calculated automatically at 12.5% of the change in the direct labor costs of the remaining subtasks.

Subtask 2 Based on the recent elevated OVA Measurements, it is recommended to keep the system running until analytical results are processed in the upcoming June 2021 Semi-Annual Sampling event.

SOW – Field Activities The field activities associated with the proposed TA SOW will include travel to the site and completion of the O&M checklist on a monthly basis. Air samples will be collected quarterly from the common influent and analyzed by EPA Method TO-15 for the drycleaning constituents of interest. Air samples will also be collected semi-annually from each individual VEW and the common influent and analyzed by EPA Method TO-15 for the drycleaning constituents of interest.

SOW – Reporting Following completion of field activities and receipt of the analytical data, the data will be incorporated into an Annual Report. An interpretation of the results and recommendations for further courses of action will be provided.

Mr. Dean Cox

Subtask 3 Six months of power costs has been added along with handling fees. The Task Assignment request also includes six months of Utility Invoice Services (Jul – Dec 2021) from Duke Energy to operate the SVE system, estimated at $300/month.

Sincerely, Shawn Ouellette, P.G.

Project Manager c: File

FDEP COST ESTI MATEContractor: Tetra Tech

Date: June 30, 2021

Task #: HW560-DC027K SubTask 1 Project Management SubTask 6

Site: Palace Dry Cleaners, Apopka SubTask 2 SVE System O&M - (Jul - Dec '21) SubTask 7

Activity/Phase: O&M SubTask 3 Utility Services (JUL-DEC 21) SubTask 8

Project Manager: . SubTask 4 SubTask 9

SubTask 5 SubTask 10

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

$48.08 Project Manager (SO) 9 8.5 $32.19 Scientist II (JE) 57 57 0 0 0 0 0 0 0 0 $57.63 Engineer V (MJ) 25 25 0 0 0 0 0 0 0 0

$0.00 0 0 0 0 0 0 0 0 0 0 Total Hours 91 9 82 0 0 0 0 0 0 0 0

Direct Labor $3,685.03 $409.45 $3,275.58 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 143.00% $5,269.59 $585.51 $4,684.08 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Gen & Admin 12.20% $1,092.47 $121.39 $971.08 $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 Total Labor $10,047.09 $1,116.35 $8,930.74 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Other Direct Costs $184.25 $20.47 $163.78 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Travel

Vehicle Rental $582.00 $582.00 $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 $582.00 $582.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 02/03 Page 1

Task #: HW560-DC027K SubTask 1 Project Management SubTask 6

Site: Palace Dry Cleaners, Apopka SubTask 2 SVE System O&M - (Jul - Dec '21) SubTask 7

Activity/Phase: O&M SubTask 3 Utility Services (JUL-DEC 21) SubTask 8

Project Manager: . 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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Utilities $1,800.00 $0.00 $1,800.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $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 $1,800.00 $0.00 $1,800.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Handling Fee $120.00 $0.00 $120.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $1,920.00 $0.00 $1,920.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Laboratory Analytical Costs $1,000.00 $1,000.00 $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 $126.00 $126.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Laboratory $1,126.00 $1,126.00 $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 $195.00 $195.00 $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) $1,746.00 $1,746.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Field Expenses $1,941.00 $1,941.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal $15,800.34 $1,136.82 $12,743.52 $1,920.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee $1,004.71 $111.64 $893.07 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $16,805.05 $1,248.46 $13,636.59 $1,920.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 02/03 Page 2

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Palace Dry Cleaners, Apopka SUBTASK 2: SVE System O&M - (Jul - Dec '21)

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Scientist I (JE) July Monthly system performance (Collect Influent Air Sample analyze for TO-15 DC Shortlist) 9.5 6 hrs round trip travel and 3.5 hr on-site

Scientist I (JE) August Monthly system performance 9.5 6 hrs round trip travel and 3.5 hr on-site

Scientist I (JE) September Monthly system performance 9.5 6 hrs round trip travel and 4 hr on-site

Engineer V (MJ) Submit 3 O&M Checklists and provide reccommendations 1

Scientist I (JE) October Monthly system performance 9.5 6 hrs round trip travel and 3.5 hr on-site

Scientist I (JE) November Monthly system performance 9.5 6 hrs round trip travel and 3.5 hr on-site

Scientist I (JE) December Monthly system performance (Collect Air samples from all Vews and Common Inf and Analyze for TO-15 DC Shortlist) 9.5 6 hrs round trip travel and 3 hr on-site

Engineer V (MJ) Submit Semi Annual O&M Report 20 Submit O&M Tables 4

TOTAL LABOR 82

EQUIPMENT ITEM RATE COSTING UNIT USAGE TOTALS

Equipment O&M Kit $291.00 day 6 $1,746.00 Expendables $32.50 day 6 $195.00

TOTAL EQUIPMENT $1,941.00

VEHICLE TYPE RATE UNIT USAGE

Equipment Van $97.00 day 6 $582.00

TOTAL VEHICLE $582.00

PER DIEM STAFF RATE UNIT USAGE

MEALS

HOTEL

TOTAL PER DIEM $0.00

LABORATORY COSTS

PARAMETER MEDIA METHOD RATE # SAMPLES # QA/QC

Organics Air TO15 $200.00 1 0 (influent - July 2021) $200.00

Organics Air TO15 $200.00 4 0 (All Vews and Common INF - Dec 2021) $800.00

Shipping, FedEx, 5 lb @ 24 hrs $63.00 2 (from SVE) $126.00

TOTAL LAB $1,126.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

TOTAL $0.00

HW560 Palace Dry Cleaners OM July 2021 - December 2021 rev 1 LOE 2

SUBTASK 3: Utility Invoice Services - (Jul- Dec 2021)

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

TOTAL LABOR 0

EQUIPMENT ITEM RATE COSTING UNIT USAGE TOTALS

Equipment

TOTAL EQUIPMENT $0.00

VEHICLE TYPE RATE UNIT USAGE

TOTAL VEHICLE $0.00

PER DIEM STAFF RATE UNIT USAGE

MEALS

HOTEL

TOTAL PER DIEM $0.00

LABORATORY COSTS

PARAMETER MEDIA METHOD RATE # SAMPLES # QA/QC

TOTAL LAB $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

Duke Energy 6 month of power $300 month $1,800.00

TOTAL $1,800.00

HW560 Palace Dry Cleaners OM July 2021 - December 2021 rev 1 LOE 3

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: HW560 Contract File FROM: Dean Cox, Contract Manager SUBJECT: Palace Dry Cleaners – Operation and Maintenance July to December 2021

DATE: 6/30/2021

This Task Assignment authorizes Tetra Tech to conduct operation and maintenance from July through December 2021 in accordance with the Tetra Tech task assignment request letter/scope of work/schedule and cost estimate form received on June 30, 2020.

This Task Assignment also authorizes six months of utilities from July through December 2021.

The cost for completion of this Task Assignment is $16,805.05 with 91 hours.

759 South Federal Highway, Suite 314 Stuart, FL 34994 Tel 772.781.3400 Fax 772.781.3411 www.tetratech.com

TTST-HW560-21-053 REV1

Mr. Dean Cox Contract Manager Florida Department of Environmental Protection 2600 Blair Stone Road Tallahassee, FL 32399-2400

SUBJECT: TASK ASSIGNMENT REQUEST FOR HW560-HW027K

PALACE DRY CLEANERS

733 S. ORANGE BLOSSOM TRAIL

APOPKA, FL 32703

ERIC_5049

Dear Mr. Dean Cox:

Tetra Tech is requesting a Task Assignment (TA DC027K) to continue SVE system operation.

The current task assignment DC027J electric power is scheduled to terminate in June and authorization of this TA will keep the system running without incident.

Subtask 1 The changes in costs associated with this subtask are calculated automatically at 12.5% of the change in the direct labor costs of the remaining subtasks.

Subtask 2 Based on the recent elevated OVA Measurements, it is recommended to keep the system running until analytical results are processed in the upcoming June 2021 Semi-Annual Sampling event.

SOW – Field Activities The field activities associated with the proposed TA SOW will include travel to the site and completion of the O&M checklist on a monthly basis. Air samples will be collected quarterly from the common influent and analyzed by EPA Method TO-15 for the drycleaning constituents of interest. Air samples will also be collected semi-annually from each individual VEW and the common influent and analyzed by EPA Method TO-15 for the drycleaning constituents of interest.

SOW – Reporting Following completion of field activities and receipt of the analytical data, the data will be incorporated into an Annual Report. An interpretation of the results and recommendations for further courses of action will be provided.

Mr. Dean Cox

Subtask 3 Six months of power costs has been added along with handling fees. The Task Assignment request also includes six months of Utility Invoice Services (Jul – Dec 2021) from Duke Energy to operate the SVE system, estimated at $300/month.

Sincerely, Shawn Ouellette, P.G.

Project Manager c: File

Task #: HW560-DC027K SubTask 1 Project Management SubTask 6

Site: Palace Dry Cleaners, Apopka SubTask 2 SVE System O&M - (Jul - Dec '21) SubTask 7

Activity/Phase: O&M SubTask 3 Utility Services (JUL-DEC 21) SubTask 8

Project Manager: . SubTask 4 SubTask 9

SubTask 5 SubTask 10

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

$48.08 Project Manager (SO) 9 8.5 $32.19 Scientist II (JE) 57 57 0 0 0 0 0 0 0 0 $57.63 Engineer V (MJ) 25 25 0 0 0 0 0 0 0 0

$0.00 0 0 0 0 0 0 0 0 0 0 Total Hours 91 9 82 0 0 0 0 0 0 0 0

Direct Labor $3,685.03 $409.45 $3,275.58 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 143.00% $5,269.59 $585.51 $4,684.08 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Gen & Admin 12.20% $1,092.47 $121.39 $971.08 $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 Total Labor $10,047.09 $1,116.35 $8,930.74 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Other Direct Costs $184.25 $20.47 $163.78 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Travel

Vehicle Rental $582.00 $582.00 $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 $582.00 $582.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 02/03 Page 1

Task #: HW560-DC027K SubTask 1 Project Management SubTask 6

Site: Palace Dry Cleaners, Apopka SubTask 2 SVE System O&M - (Jul - Dec '21) SubTask 7

Activity/Phase: O&M SubTask 3 Utility Services (JUL-DEC 21) SubTask 8

Project Manager: . 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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Utilities $1,800.00 $0.00 $1,800.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $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 $1,800.00 $0.00 $1,800.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Handling Fee $120.00 $0.00 $120.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $1,920.00 $0.00 $1,920.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Laboratory Analytical Costs $1,000.00 $1,000.00 $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 $126.00 $126.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Laboratory $1,126.00 $1,126.00 $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 $195.00 $195.00 $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) $1,746.00 $1,746.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Field Expenses $1,941.00 $1,941.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal $15,800.34 $1,136.82 $12,743.52 $1,920.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee $1,004.71 $111.64 $893.07 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $16,805.05 $1,248.46 $13,636.59 $1,920.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 02/03 Page 2

SUBTASK 2: SVE System O&M - (Jul - Dec '21)

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Scientist I (JE) July Monthly system performance (Collect Influent Air Sample analyze for TO-15 DC Shortlist) 9.5 6 hrs round trip travel and 3.5 hr on-site

Scientist I (JE) August Monthly system performance 9.5 6 hrs round trip travel and 3.5 hr on-site

Scientist I (JE) September Monthly system performance 9.5 6 hrs round trip travel and 4 hr on-site

Engineer V (MJ) Submit 3 O&M Checklists and provide reccommendations 1

Scientist I (JE) October Monthly system performance 9.5 6 hrs round trip travel and 3.5 hr on-site

Scientist I (JE) November Monthly system performance 9.5 6 hrs round trip travel and 3.5 hr on-site

Scientist I (JE) December Monthly system performance (Collect Air samples from all Vews and Common Inf and Analyze for TO-15 DC Shortlist) 9.5 6 hrs round trip travel and 3 hr on-site

Engineer V (MJ) Submit Semi Annual O&M Report 20 Submit O&M Tables 4

TOTAL LABOR 82

EQUIPMENT ITEM RATE COSTING UNIT USAGE TOTALS

Equipment O&M Kit $291.00 day 6 $1,746.00 Expendables $32.50 day 6 $195.00

TOTAL EQUIPMENT $1,941.00

VEHICLE TYPE RATE UNIT USAGE

Equipment Van $97.00 day 6 $582.00

TOTAL VEHICLE $582.00

PER DIEM STAFF RATE UNIT USAGE

MEALS

HOTEL

TOTAL PER DIEM $0.00

LABORATORY COSTS

PARAMETER MEDIA METHOD RATE # SAMPLES # QA/QC

Organics Air TO15 $200.00 1 0 (influent - July 2021) $200.00

Organics Air TO15 $200.00 4 0 (All Vews and Common INF - Dec 2021) $800.00

Shipping, FedEx, 5 lb @ 24 hrs $63.00 2 (from SVE) $126.00

TOTAL LAB $1,126.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

TOTAL $0.00

HW560 Palace Dry Cleaners OM July 2021 - December 2021 rev 1 LOE 2

SUBTASK 3: Utility Invoice Services - (Jul- Dec 2021)

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

TOTAL LABOR 0

EQUIPMENT ITEM RATE COSTING UNIT USAGE TOTALS

Equipment

TOTAL EQUIPMENT $0.00

VEHICLE TYPE RATE UNIT USAGE

TOTAL VEHICLE $0.00

PER DIEM STAFF RATE UNIT USAGE

MEALS

HOTEL

TOTAL PER DIEM $0.00

LABORATORY COSTS

PARAMETER MEDIA METHOD RATE # SAMPLES # QA/QC

TOTAL LAB $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

Duke Energy 6 month of power $300 month $1,800.00

TOTAL $1,800.00

HW560 Palace Dry Cleaners OM July 2021 - December 2021 rev 1 LOE 3

HW560_DC027Krev2.pdf
DC027K2.pdf
Task Assignment Notification
BWC Task Assignment Form (Rev 02_17).pdf
BWC Task Assignment Form - Page 2 (Rev 08_10) - Rev 1.pdf
Deliverable & Invoice Schedule
memo2 DC027K.pdf
requestRevised DC027K.pdf
CEF2 DC027K.pdf
CE
LOE 2
LOE 3

Pages from HW560_DC027KrevisedSigned.pdf

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