CN-370000-HW561-DC08NCO4.pdf
PDF 2 MB Posted
- Contract number
- HW561
- Issued by
- Florida
About this file
This document consists of Task Assignment Notification Change Order forms for DEP Contract No. HW561 between the Florida Department of Environmental Protection (DEP) and Golder Associates, a contractor providing environmental services at Jay's Professional Dry Cleaners & Laundry (Site ID ERIC_4521). The contract is managed by Ben Grubbs at DEP and represented by Matt Crews for Golder Associates. Multiple change orders are presented, including Change Orders 3 and 4, with supporting correspondence from December 2020 addressing COVID-19 cost adjustments and permit approval delays.
The task assignments involve environmental remediation and documentation services including soil sampling analysis, helical anchor design, asbestos survey reporting, and building permits with site preparation and demolition field documentation. The original fixed-price task amount was $73,845.63, with the task amount prior to these change orders at $82,889.11, reflecting no net increase in the most recent change order. The completion date was extended from the original 10/02/2020 date through multiple changes to a final completion date of 04/23/2021 in Change Order 4, with a 45-day extension noted. Invoice requirements are structured by subtask approval, with amounts totaling $82,889.11 distributed across soil sampling ($11,830.91), asbestos survey ($1,229.13), and building permits/site preparation ($69,829.07). All change orders have been digitally signed by authorized representatives from both DEP and Golder Associates.
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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
Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment
BWC TAFORM 2/03
Contract Number:
Task Assignment #:
Change Order #:
Deliverables:
Deliverable Deliverable Due Date
Invoice Schedule:
Requirements for Invoice Submittal Amount to be Invoiced
TOTAL COST
HW561
DC008N
$ 82,889.11
Subtask 2: Soil sampling field documentation, laboratory analytical report, and final helical anchor design via e-mail deliverable - Completed
Subtask 3: Asbestos Survey Report - Completed
Subtask 4: Building permits and site preparation/demolition field documentation
Subtask 2: Submittal and FDEP approval of soil sampling field documentation, laboratory analytical report, and final helical anchor design via e-mail deliverable - Previously Invoiced
Subtasks 1 & 4: Submittal and FDEP approval of building permits and site preparation/demolition field documentation
Subtask 3: Submittal and FDEP approval of Asbestos Survey Report - Previously Invoiced
07/17/2020
07/24/2020
02/11/2021
$ 1,229.13
$ 11,830.91
$ 69,829.07
From: Crews, Matt To: Grubbs, Benjamin Cc: Mongillo, Ralph Subject: DC008O (TACO #2) - Jay"s Cleaners ISR COVID-19 Cost Adjustments Date: Tuesday, December 22, 2020 10:06:35 Attachments: DC008O (TACO #2) - Jay"s Cleaners ISR LOECEF.xlsx
DC008O (Delta #2) - Jay"s Cleaners ISR LOECEF.xlsx DC008O (TACO #1) - Jay"s Cleaners Signed TA.pdf DC008O - Jay"s Cleaners Signed TA.pdf Att B - DC008O- Jay"s Cleaners ISR LOECEF.xlsx
NOTE: This email chain appears to contain email from outside Golder
Ben, Golder has attached the files necessary to complete TACO #2 for TA DC008O, per your request below. Since we are still waiting on the permits (TA DC008N), we recommend extending the due dates for this TA by at least 30 days. We also recommend the deliverable due date for the COVID-19 costs to be one week after the Subtask 2 due date. Please let us know if you have any questions or comments.
Thanks, Matt
Matt Crews, PE Senior Engineer
Golder Associates Inc.
9428 Baymeadows Road, Suite 400, Jacksonville, Florida, USA 32256 T: +1 904 363-3430 | D: +1 904 363-3430 x26023 | C: +1 904 327 8420 | golder.com LinkedIn | Facebook | Twitter
Work Safe, Home Safe
This email transmission is confidential and may contain proprietary information for the exclusive use of the intended recipient. Any use, distribution or copying of this transmission, other than by the intended recipient, is strictly prohibited. If you are not the intended recipient, please notify the sender and delete all copies. Electronic media is susceptible to unauthorized modification, deterioration, and incompatibility. Accordingly, the electronic media version of any work product may not be relied upon.
Golder and the G logo are trademarks of Golder Associates Corporation
Please consider the environment before printing this email.
From: Grubbs, Benjamin <Benjamin.Grubbs@FloridaDEP.gov> Sent: Monday, December 21, 2020 2:58 PM To: Crews, Matt <Matt_Crews@golder.com> Cc: Mongillo, Ralph <Ralph_Mongillo@golder.com> Subject: Task Assignments with COVID costs
EXTERNAL EMAIL
Matt, We’ll need to do change orders for the following Task Assignments at some point to separate COVID costs into their own subtask:
Swift-University (DC024K) In Progress
Jet (DC004o) Partially invoiced some COVID costs already but still $94.00 in Subtask 4 remaining
Jays (DC008o) Princeton (DC0015i) Harbour Place (DC016M) Sages (DC028H) Capitol (DC031B) Fairfax (HW002X and HW002Y)
Costs are separated in the LOE, but are invoiced with other subtasks currently (and need an associated deliverable)
Ben
Ben Grubbs, FCCM Florida Department of Environmental Protection Drycleaning Solvent Cleanup Program Environmental Specialist II Benjamin.Grubbs@FloridaDEP.gov mailto:Matt_Crews@golder.com mailto:Benjamin.Grubbs@FloridaDEP.gov mailto:Ralph_Mongillo@golder.com http://www.golder.com/ https://www.linkedin.com/company/golder/ https://facebook.com/golderassociates/ https://twitter.com/GolderAssociate/ mailto:Benjamin.Grubbs@FloridaDEP.gov
Subtask 2 - ISR
SITE : Jay's Professional Dry Cleaners & Laundry
SUBTASK 2: ISR Activities
DATE: 12/22/20
LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON
STAFF-TITLE WORK DESCRIPTION HOURS
ISR Activities estimated to take 45 total days spread across multiple weeks. Daily reports will be prepared for each day of ISR activities.
Senior Consultant (J. Brown) Round trip travel for site visit (1 hour RT x 20 trips = 20 hours). Construction oversight during site visits (2 hours per trip x 20 trips = 40 hours). Senior review of daily reports (10 min/day x 45 days = 450 min [7.5 hours]). 67.5
Senior Sci/Eng (M. Crews) Round trip travel for site visit (1 hour RT x 20 trips = 20 hours). Construction oversight during site visits (2 hours per trip x 20 trips = 40 hours). Daily report of ISR activities (45 hours). Weekly calls with FDEP (1 hour per week x 9 weeks = 9 hours). 114
Senior Proj Sci/Eng (K. Crockett) ISR Oversight: Field event preparation (8 hours). Subcontractor oversight, waste management, site control, health and safety, site restoration (10 hours per day x 45 days = 450 hours). Round trip travel (1 hour RT x 45 trips = 45 hours). 503
Staff Sci/Eng (J. Spengler) Subcontractor oversight, waste management, site control, health and safety, site restoration (10 hours per day x 45 days = 450 hours). Round trip travel (1 hour RT x 45 trips = 45 hours). 495
Senior Proj Sci/Eng (J. Thomas) Update FDEP tables, run data checker, and prepare error reports and tables for submission of 4 samples); FDEP GIS tables and ADaPT deliverables. 0.5
TOTAL LABOR 1,180
EQUIPMENT ITEM RATE COSTING UNIT USAGE TOTALS
Excavation and Site Restoration
Miscellaneous Expendables $32.50 Per Day 45 $1,462.50
Construction/O&M/Pilot Test Kit $1,164.00 Per Week 9 $10,476.00
Respiration Dust Monitor (2 total) $310.40 Per Week 18 $5,587.20
Photoionization Meter (Mini RAE) $349.20 Per Week 9 $3,142.80
Total Survey Station $167.00 Per Week 9 $1,503.00
Noise (Decibal) Meter $128.20 Per Week 9 $1,153.80
Vinyl chloride detector tubes $67.90 Per Pack of 10 3 $203.70
Baseline Groundwater Sampling
Shallow Groundwater Sampling Kit $208.55 Per Day 1 $208.55
Tubing, poly/HDPE $0.25 Per Foot 200 $50.00
Tubing, silicon 3/16 x 3/8 $2.00 Per Foot 4 $8.00
Drum, 55-gallon $58.20 Each 1 $58.20
Portable Compressor $48.50 Per Day 1 $48.50
Generator, 5 kW $66.00 Per Day 1 $66.00
TOTAL EQUIPMENT $23,968.25
VEHICLE TYPE RATE UNIT USAGE
Truck (Field Staff) - Exc and site rest. $420.00 Per Week 9 $3,780.00
Truck (Field Staff) - COVID-19 Grant $420.00 Per Week 9 $3,780.00
Truck (Field Staff) - COVID-19 Grant $420.00 Per Week -9 ($3,780.00)
Truck (PM and Compaction Site Visits) $68.00 Per Day 40 $2,720.00
TOTAL VEHICLE $6,500.00
PER DIEM STAFF RATE UNIT USAGE
TOTAL PER DIEM $0.00
LABORATORY COSTS
PARAMETER RATE # SAMPLES #QAQC
Baseline Groundwater Sampling
TRPH - FL-PRO $84.00 4 0 $336.00
Halocarbons - Method 8260 $66.00 4 0 $264.00
Sample Shipping - small $63.00 1 $63.00
TOTAL LAB $663.00
SUBCONTRACTOR COSTS
NAME PURPOSE RATE COSTING UNIT USAGE
Moran ISR $248,830.43 LS 1 $248,830.43
EOS Enhanced Bio Application $1,161.00 LS 1 $1,161.00
Pace Dissolved Gases (AM20GAX) $110.00 EA 1 $110.00
TOTAL $250,101.43
&"Times New Roman,Regular"&12LEVEL OF EFFORT/EXPENSE WORKSHEET
FINAL --7/24/96
Page &P
Subtask 3 - COVID-19
SITE : Jay's Professional Dry Cleaners & Laundry
SUBTASK 3: COVID-19 Costs
DATE: 12/22/20
LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON
STAFF-TITLE WORK DESCRIPTION HOURS
Senior Eng/Sci (J. Brown) Senior review of ISR Report. 3
Senior Eng/Sci (J. Brown) Senior review of ISR Report. -3
Senior Sci/Eng (M. Crews) Develop ISR Report and as-built drawings. 30
Senior Sci/Eng (M. Crews) Develop ISR Report and as-built drawings. -30
Project Sci/Eng (B. Lucero) CADD - report figures 6
Project Sci/Eng (B. Lucero) CADD - report figures -6
Staff Admin (A.Shportun) Reporting-document production, binding and shipping 2
Staff Admin (A.Shportun) Reporting-document production, binding and shipping -2
TOTAL LABOR 0
EQUIPMENT ITEM RATE COSTING UNIT USAGE TOTALS
TOTAL EQUIPMENT $0.00
VEHICLE TYPE RATE UNIT USAGE
Truck (Field Staff) - COVID-19 Grant $420.00 Per Week 9 $3,780.00
TOTAL VEHICLE $3,780.00
LABORATORY COSTS
PARAMETER RATE # SAMPLES #QAQC
TOTAL LAB $0.00
SUBCONTRACTOR COSTS
NAME PURPOSE RATE COSTING UNIT USAGE TOTALS
TOTAL $0.00
&"Times New Roman,Regular"LEVEL OF EFFORT/EXPENSE WORKSHEET
Page &P
Subtask 4 - Reporting
SITE : Jay's Professional Dry Cleaners & Laundry
SUBTASK 4: Reporting
DATE: 12/22/20
LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON
STAFF-TITLE WORK DESCRIPTION HOURS
Senior Eng/Sci (J. Brown) Senior review of ISR Report. 3
Senior Project Sci/Eng (M. Crews) Develop ISR Report and as-built drawings. 30
Project Sci/Eng (B. Lucero) CADD - report figures 6
Staff Admin (A.Shportun) Reporting-document production, binding and shipping 2
TOTAL LABOR 41
EQUIPMENT ITEM RATE COSTING UNIT USAGE TOTALS
TOTAL EQUIPMENT $0.00
VEHICLE TYPE RATE UNIT USAGE
TOTAL VEHICLE $0.00
LABORATORY COSTS
PARAMETER RATE # SAMPLES #QAQC
TOTAL LAB $0.00
SUBCONTRACTOR COSTS
NAME PURPOSE RATE COSTING UNIT USAGE TOTALS
TOTAL $0.00
&"Times New Roman,Regular"LEVEL OF EFFORT/EXPENSE WORKSHEET
Page &P
Cost Estimate
Contractor: Golder Associates Inc.
Date: 12/22/20
Task #: DC008O SubTask 1 Project Management SubTask 6
Site: Jay's Professional Dry Cleaners & Laundry SubTask 2 ISR Activities SubTask 7
Activity/Phase: ISR SubTask 3 COVID-19 Costs SubTask 8
Project Manager: Ben Grubbs SubTask 4 Reporting SubTask 9
SubTask 5 SubTask 10
Totals 1 2 3 4 5 6 7 8 9 10
Labor Rate Category
$48.45 Project Manager (MCC) 110 109.7
$0.00 Practice Leader - LV7 0 0.0 0 0 0 0 0 0 0 0
$57.70 Senior Consultant - LV6 (JB) 71 67.5 0 3 0 0 0 0 0 0
$48.45 Senior Sci/Eng.- LV5 (MCC) 144 114.0 0 30 0 0 0 0 0 0
$40.33 Senior Project Sci/Eng - LV4 (JT) 1 0.5 0 0 0 0 0 0 0 0
$36.10 Senior Project Sci/Eng - LV4 (KC) 503 503.0 0 0 0 0 0 0 0 0
$26.32 Staff Sci/Eng - LV2 (JS) 495 495.0 0 0 0 0 0 0 0 0
$0.00 Staff Sci/Eng - LV2 0 0.0 0 0 0 0 0 0 0 0
$37.85 Project Sci/Eng - LV3 (BL) 6 0.0 0 6 0 0 0 0 0 0
$0.00 Project Sci/Eng - LV3 0 0.0 0 0 0 0 0 0 0 0
$0.00 Draftsperson - LD1 0 0.0 0 0 0 0 0 0 0 0
$0.00 Senior Technician - LT3 0 0.0 0 0 0 0 0 0 0 0
$0.00 Senior Technician - LT3 0 0.0 0 0 0 0 0 0 0 0
$0.00 Staff Sci/Eng - LV2 0 0.0 0 0 0 0 0 0 0 0
$0.00 Senior Admin. - LA3 0 0.0 0 0 0 0 0 0 0 0
$24.10 Staff Admin - LA2 (AS) 2 0.0 0 2 0 0 0 0 0 0
$0.00 Admin. Support - LA1 0 0.0 0 0 0 0 0 0 0 0
$0.00 0 0.0 0 0 0 0 0 0 0 0
$0.00 0 0.0 0 0 0 0 0 0 0 0
$0.00 0 0.0 0 0 0 0 0 0 0 0
$0.00 0 0.0 0 0 0 0 0 0 0 0
$0.00 0 0.0 0 0 0 0 0 0 0 0
$0.00 0 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 1331 110 1180.0 0.0 41 0 0 0 0 0 0
Direct Labor $47,842.67 $5,315.85 $40,624.92 $0.00 $1,901.90 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Overhead 172.50% $82,528.61 $9,169.84 $70,077.99 $0.00 $3,280.78 $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
Total Labor $130,371.28 $14,485.69 $110,702.91 $0.00 $5,182.68 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Other Direct Costs $2,392.14 $265.79 $2,031.25 $0.00 $95.10 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Travel
Vehicle Rental $10,280.00 $6,500.00 $3,780.00 $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 $10,280.00 $6,500.00 $3,780.00 $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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Moran $248,830.43 $248,830.43 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
EOS $1,161.00 $1,161.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Pace $110.00 $110.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $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 $250,101.43 $250,101.43 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Handling Fee $16,005.07 $16,005.07 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Total Subcontractor Cost $266,106.50 $266,106.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Laboratory
Analytical Costs $600.00 $600.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Fast Turnaround Charges $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Sample Shipping $63.00 $63.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Total Laboratory $663.00 $663.00 $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 $1,462.50 $1,462.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Equipment (Drilling related) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Equipment (Analytical related) $266.55 $266.55 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Equipment (IDW related) $172.70 $172.70 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Equipment (Other) $22,066.50 $22,066.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Total Field Expenses $23,968.25 $23,968.25 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Subtotal $433,781.17 $14,751.48 $409,971.91 $3,780.00 $5,277.78 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Completion Fee $13,037.13 $1,448.57 $11,070.29 $0.00 $518.27 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Total Estimated Cost $446,818.30 $16,200.05 $421,042.20 $3,780.00 $5,796.05 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Original $446,818.30 $16,200.05 $424,822.20 $5,796.05 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Delta #1 $0.00 $0.00 ($3,780.00) ($2,016.05) $5,796.05 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Total $446,818.30 $16,200.05 $421,042.20 $3,780.00 $5,796.05 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
&"CG Times,Bold"&16FDEP COST ESTIMATE
&"Courier New,Bold"&10REV: 02/03 &"Courier New,Bold"&10CEF GOLDER &"Courier New,Bold"&10Page &P
Formula Sheet
Project Management
Subtask 1 Subtask 2 Subtask 3 Subtask 4 Subtask 5 Subtask 6 Subtask 7 Subtask 8 Subtask 9 Subtask 10
Labor Costs $5,314.97 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$3,894.75 $0.00 $173.10 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$5,523.30 $0.00 $1,453.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$20.17 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$18,158.30 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$13,028.40 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $227.10 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $48.20 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $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 dollars $5,314.97 $40,624.92 $0.00 $1,901.90 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Project Management $42,526.82 = sum of Direct Labor Costs from Subtasks 2 through 10
$5,315.85 =12.5% of Direct Labor Costs (Project Management)
109.718 = Hours of Project Management (based on hourly salary of the Contractor Project Manager)
Subcontractor $0.00 $0.00 $0.00 $0.00 $0.00 $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
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Service Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Utilities $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$15,941.52 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$116.10 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$11.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$16,068.62 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Subtask 2 - ISR
SITE : Jay's Professional Dry Cleaners & Laundry
SUBTASK 2: ISR Activities
DATE: 12/22/20
LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON
STAFF-TITLE WORK DESCRIPTION HOURS
TOTAL LABOR 0
EQUIPMENT ITEM RATE COSTING UNIT USAGE TOTALS
TOTAL EQUIPMENT $0.00
VEHICLE TYPE RATE UNIT USAGE
Truck (Field Staff) - COVID-19 Grant $420.00 Per Week -9 ($3,780.00)
TOTAL VEHICLE ($3,780.00)
PER DIEM STAFF RATE UNIT USAGE
TOTAL PER DIEM $0.00
LABORATORY COSTS
PARAMETER RATE # SAMPLES #QAQC
TOTAL LAB $0.00
SUBCONTRACTOR COSTS
NAME PURPOSE RATE COSTING UNIT USAGE
TOTAL $0.00
&"Times New Roman,Regular"&12LEVEL OF EFFORT/EXPENSE WORKSHEET
Page &P
Subtask 3 - COVID-19
SITE : Jay's Professional Dry Cleaners & Laundry
SUBTASK 3: COVID-19 Costs
DATE: 12/22/20
LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON
STAFF-TITLE WORK DESCRIPTION HOURS
Senior Eng/Sci (J. Brown) Senior review of ISR Report. -3
Senior Sci/Eng (M. Crews) Develop ISR Report and as-built drawings. -30
Project Sci/Eng (B. Lucero) CADD - report figures -6
Staff Admin (A.Shportun) Reporting-document production, binding and shipping -2
TOTAL LABOR -41
EQUIPMENT ITEM RATE COSTING UNIT USAGE TOTALS
TOTAL EQUIPMENT $0.00
VEHICLE TYPE RATE UNIT USAGE
Truck (Field Staff) - COVID-19 Grant $420.00 Per Week 9 $3,780.00
TOTAL VEHICLE $3,780.00
LABORATORY COSTS
PARAMETER RATE # SAMPLES #QAQC
TOTAL LAB $0.00
SUBCONTRACTOR COSTS
NAME PURPOSE RATE COSTING UNIT USAGE TOTALS
TOTAL $0.00
&"Times New Roman,Regular"LEVEL OF EFFORT/EXPENSE WORKSHEET
Page &P
Subtask 4 - Reporting
SITE : Jay's Professional Dry Cleaners & Laundry
SUBTASK 4: Reporting
DATE: 12/22/20
LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON
STAFF-TITLE WORK DESCRIPTION HOURS
Senior Eng/Sci (J. Brown) Senior review of ISR Report. 3
Senior Project Sci/Eng (M. Crews) Develop ISR Report and as-built drawings. 30
Project Sci/Eng (B. Lucero) CADD - report figures 6
Staff Admin (A.Shportun) Reporting-document production, binding and shipping 2
TOTAL LABOR 41
EQUIPMENT ITEM RATE COSTING UNIT USAGE TOTALS
TOTAL EQUIPMENT $0.00
VEHICLE TYPE RATE UNIT USAGE
TOTAL VEHICLE $0.00
LABORATORY COSTS
PARAMETER RATE # SAMPLES #QAQC
TOTAL LAB $0.00
SUBCONTRACTOR COSTS
NAME PURPOSE RATE COSTING UNIT USAGE TOTALS
TOTAL $0.00
&"Times New Roman,Regular"LEVEL OF EFFORT/EXPENSE WORKSHEET
Page &P
Contractor: Golder Associates Inc.
Date: 12/22/20
Task #: DC008O SubTask 1 Project Management SubTask 6
Site: Jay's Professional Dry Cleaners & Laundry SubTask 2 ISR Activities SubTask 7
Activity/Phase: ISR SubTask 3 COVID-19 Costs SubTask 8
Project Manager: Ben Grubbs SubTask 4 Reporting SubTask 9
SubTask 5 SubTask 10
Totals 1 2 3 4 5 6 7 8 9 10
Labor Rate Category
$48.45 Project Manager (MCC) 0 0.0
$0.00 Practice Leader - LV7 0 0.0 0 0 0 0 0 0 0 0
$57.70 Senior Consultant - LV6 (JB) 0 0.0 -3 3 0 0 0 0 0 0
$48.45 Senior Sci/Eng.- LV5 (MCC) 0 0.0 -30 30 0 0 0 0 0 0
$40.33 Senior Project Sci/Eng - LV4 (JT) 0 0.0 0 0 0 0 0 0 0 0
$36.10 Senior Project Sci/Eng - LV4 (KC) 0 0.0 0 0 0 0 0 0 0 0
$26.32 Staff Sci/Eng - LV2 (JS) 0 0.0 0 0 0 0 0 0 0 0
$0.00 Staff Sci/Eng - LV2 0 0.0 0 0 0 0 0 0 0 0
$37.85 Project Sci/Eng - LV3 (BL) 0 0.0 -6 6 0 0 0 0 0 0
$0.00 Project Sci/Eng - LV3 0 0.0 0 0 0 0 0 0 0 0
$0.00 Draftsperson - LD1 0 0.0 0 0 0 0 0 0 0 0
$0.00 Senior Technician - LT3 0 0.0 0 0 0 0 0 0 0 0
$0.00 Senior Technician - LT3 0 0.0 0 0 0 0 0 0 0 0
$0.00 Staff Sci/Eng - LV2 0 0.0 0 0 0 0 0 0 0 0
$0.00 Senior Admin. - LA3 0 0.0 0 0 0 0 0 0 0 0
$24.10 Staff Admin - LA2 (AS) 0 0.0 -2 2 0 0 0 0 0 0
$0.00 Admin. Support - LA1 0 0.0 0 0 0 0 0 0 0 0
$0.00 0 0.0 0 0 0 0 0 0 0 0
$0.00 0 0.0 0 0 0 0 0 0 0 0
$0.00 0 0.0 0 0 0 0 0 0 0 0
$0.00 0 0.0 0 0 0 0 0 0 0 0
$0.00 0 0.0 0 0 0 0 0 0 0 0
$0.00 0 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 -41.0 41 0 0 0 0 0 0
Direct Labor $0.00 $0.00 $0.00 ($1,901.90) $1,901.90 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Overhead 172.50% $0.00 $0.00 $0.00 ($3,280.78) $3,280.78 $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
Total Labor $0.00 $0.00 $0.00 ($5,182.68) $5,182.68 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Other Direct Costs $0.00 $0.00 $0.00 ($95.10) $95.10 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Travel
Vehicle Rental $0.00 ($3,780.00) $3,780.00 $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 ($3,780.00) $3,780.00 $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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Moran $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
EOS $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Pace $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $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
Handling 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
Laboratory
Analytical Costs $0.00 $0.00 $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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Total Laboratory $0.00 $0.00 $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 $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 $0.00 $0.00 ($3,780.00) ($1,497.78) $5,277.78 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Completion Fee $0.00 $0.00 $0.00 ($518.27) $518.27 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Total Estimated Cost $0.00 $0.00 ($3,780.00) ($2,016.05) $5,796.05 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
&"CG Times,Bold"&16FDEP COST ESTIMATE
&"Courier New,Bold"&10REV: 02/03 &"Courier New,Bold"&10CEF GOLDER &"Courier New,Bold"&10Page &P
Project Management
Subtask 1 Subtask 2 Subtask 3 Subtask 4 Subtask 5 Subtask 6 Subtask 7 Subtask 8 Subtask 9 Subtask 10
Labor Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 ($173.10) $173.10 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 ($1,453.50) $1,453.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 ($227.10) $227.10 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 ($48.20) $48.20 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $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 dollars $0.00 $0.00 ($1,901.90) $1,901.90 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Project Management $0.00 = sum of Direct Labor Costs from Subtasks 2 through 10
$0.00 =12.5% of Direct Labor Costs (Project Management)
0.000 = Hours of Project Management (based on hourly salary of the Contractor Project Manager)
Subcontractor $0.00 $0.00 $0.00 $0.00 $0.00 $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
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Service Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Utilities $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
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:
CC: Procurement Section (MS 93) Section Representative ________
FIXED PRICE
TASK ASSIGNMENT NOTIFICATION CHANGE ORDER FORM
ITEM
$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:
CHANGE IN TASK TIME
FEE SCHEDULE
COST PLUS FIXED FEE
TOTAL
BWC TAFORM 2/03
Contract Number:
Task Assignment #:
Deliverables:
Deliverable Deliverable Due Date
Invoice Schedule:
Requirements for Invoice Submittal Amount to be Invoiced
TOTAL COST
Task Assignment #: Module #: Grant #:
Contractor Name:
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:
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).
WC TAFORM
Contract Number:
Task Assignment #:
Deliverables:
Deliverable Deliverable Due Date
Invoice Schedule:
Requirements for Invoice Submittal Amount to be Invoiced
TOTAL COST
Subtask 2 - ISR
SITE : Jay's Professional Dry Cleaners & Laundry
SUBTASK 2: ISR Activities
DATE: 7/16/20
LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON
STAFF-TITLE WORK DESCRIPTION HOURS
ISR Activities estimated to take 45 total days spread across multiple weeks. Daily reports will be prepared for each day of ISR activities.
Senior Consultant (J. Brown) Round trip travel for site visit (1 hour RT x 20 trips = 20 hours). Construction oversight during site visits (2 hours per trip x 20 trips = 40 hours). Senior review of daily reports (10 min/day x 45 days = 450 min [7.5 hours]). 67.5
Senior Sci/Eng (M. Crews) Round trip travel for site visit (1 hour RT x 20 trips = 20 hours). Construction oversight during site visits (2 hours per trip x 20 trips = 40 hours). Daily report of ISR activities (45 hours). Weekly calls with FDEP (1 hour per week x 9 weeks = 9 hours). 114
Senior Proj Sci/Eng (K. Crockett) ISR Oversight: Field event preparation (8 hours). Subcontractor oversight, waste management, site control, health and safety, site restoration (10 hours per day x 45 days = 450 hours). Round trip travel (1 hour RT x 45 trips = 45 hours). 503
Staff Sci/Eng (J. Spengler) Subcontractor oversight, waste management, site control, health and safety, site restoration (10 hours per day x 45 days = 450 hours). Round trip travel (1 hour RT x 45 trips = 45 hours). 495
Senior Proj Sci/Eng (J. Thomas) Update FDEP tables, run data checker, and prepare error reports and tables for submission of 4 samples); FDEP GIS tables and ADaPT deliverables. 0.5
TOTAL LABOR 1,180
EQUIPMENT ITEM RATE COSTING UNIT USAGE TOTALS
Excavation and Site Restoration
Miscellaneous Expendables $32.50 Per Day 45 $1,462.50
Construction/O&M/Pilot Test Kit $1,164.00 Per Week 9 $10,476.00
Respiration Dust Monitor (2 total) $310.40 Per Week 18 $5,587.20
Photoionization Meter (Mini RAE) $349.20 Per Week 9 $3,142.80
Total Survey Station $167.00 Per Week 9 $1,503.00
Noise (Decibal) Meter $128.20 Per Week 9 $1,153.80
Vinyl chloride detector tubes $67.90 Per Pack of 10 3 $203.70
Baseline Groundwater Sampling
Shallow Groundwater Sampling Kit $208.55 Per Day 1 $208.55
Tubing, poly/HDPE $0.25 Per Foot 200 $50.00
Tubing, silicon 3/16 x 3/8 $2.00 Per Foot 4 $8.00
Drum, 55-gallon $58.20 Each 1 $58.20
Portable Compressor $48.50 Per Day 1 $48.50
Generator, 5 kW $66.00 Per Day 1 $66.00
TOTAL EQUIPMENT $23,968.25
VEHICLE TYPE RATE UNIT USAGE
Truck (Field Staff) - Exc and site rest. $420.00 Per Week 9 $3,780.00
Truck (Field Staff) - COVID-19 Grant $420.00 Per Week 9 $3,780.00
Truck (PM and Compaction Site Visits) $68.00 Per Day 40 $2,720.00
TOTAL VEHICLE $10,280.00
PER DIEM STAFF RATE UNIT USAGE
TOTAL PER DIEM $0.00
LABORATORY COSTS
PARAMETER RATE # SAMPLES #QAQC
Baseline Groundwater Sampling
TRPH - FL-PRO $84.00 4 0 $336.00
Halocarbons - Method 8260 $66.00 4 0 $264.00
Sample Shipping - small $63.00 1 $63.00
TOTAL LAB $663.00
SUBCONTRACTOR COSTS
NAME PURPOSE RATE COSTING UNIT USAGE
Moran ISR $248,830.43 LS 1 $248,830.43
EOS Enhanced Bio Application $1,161.00 LS 1 $1,161.00
Pace Dissolved Gases (AM20GAX) $110.00 EA 1 $110.00
TOTAL $250,101.43
&"Times New Roman,Regular"&12LEVEL OF EFFORT/EXPENSE WORKSHEET
Page &P
Subtask 3 - Reporting
SITE : Jay's Professional Dry Cleaners & Laundry
SUBTASK 3: Reporting
DATE: 7/16/20
LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON
STAFF-TITLE WORK DESCRIPTION HOURS
Senior Eng/Sci (J. Brown) Senior review of ISR Report. 3
Senior Project Sci/Eng (M. Crews) Develop ISR Report and as-built drawings. 30
Project Sci/Eng (B. Lucero) CADD - report figures 6
Staff Admin (A.Shportun) Reporting-document production, binding and shipping 2
TOTAL LABOR 41
EQUIPMENT ITEM RATE COSTING UNIT USAGE TOTALS
TOTAL EQUIPMENT $0.00
VEHICLE TYPE RATE UNIT USAGE
TOTAL VEHICLE $0.00
LABORATORY COSTS
PARAMETER RATE # SAMPLES #QAQC
TOTAL LAB $0.00
SUBCONTRACTOR COSTS
NAME PURPOSE RATE COSTING UNIT USAGE TOTALS
TOTAL $0.00
&"Times New Roman,Regular"LEVEL OF EFFORT/EXPENSE WORKSHEET
Page &P
Contractor: Golder Associates Inc.
Date: 7/16/20
Task #: DC008O SubTask 1 Project Management SubTask 6
Site: Jay's Professional Dry Cleaners & Laundry SubTask 2 ISR Activities SubTask 7
Activity/Phase: ISR SubTask 3 Reporting SubTask 8
Project Manager: Ben Grubbs SubTask 4 SubTask 9
SubTask 5 SubTask 10
Totals 1 2 3 4 5 6 7 8 9 10
Labor Rate Category
$48.45 Project Manager (MCC) 110 109.7
$0.00 Practice Leader - LV7 0 0.0 0 0 0 0 0 0 0 0
$57.70 Senior Consultant - LV6 (JB) 71 67.5 3 0 0 0 0 0 0 0
$48.45 Senior Sci/Eng.- LV5 (MCC) 144 114.0 30 0 0 0 0 0 0 0
$40.33 Senior Project Sci/Eng - LV4 (JT) 1 0.5 0 0 0 0 0 0 0 0
$36.10 Senior Project Sci/Eng - LV4 (KC) 503 503.0 0 0 0 0 0 0 0 0
$26.32 Staff Sci/Eng - LV2 (JS) 495 495.0 0 0 0 0 0 0 0 0
$0.00 Staff Sci/Eng - LV2 0 0.0 0 0 0 0 0 0 0 0
$37.85 Project Sci/Eng - LV3 (BL) 6 0.0 6 0 0 0 0 0 0 0
$0.00 Project Sci/Eng - LV3 0 0.0 0 0 0 0 0 0 0 0
$0.00 Draftsperson - LD1 0 0.0 0 0 0 0 0 0 0 0
$0.00 Senior Technician - LT3 0 0.0 0 0 0 0 0 0 0 0
$0.00 Senior Technician - LT3 0 0.0 0 0 0 0 0 0 0 0
$0.00 Staff Sci/Eng - LV2 0 0.0 0 0 0 0 0 0 0 0
$0.00 Senior Admin. - LA3 0 0.0 0 0 0 0 0 0 0 0
$24.10 Staff Admin - LA2 (AS) 2 0.0 2 0 0 0 0 0 0 0
$0.00 Admin. Support - LA1 0 0.0 0 0 0 0 0 0 0 0
$0.00 0 0.0 0 0 0 0 0 0 0 0
$0.00 0 0.0 0 0 0 0 0 0 0 0
$0.00 0 0.0 0 0 0 0 0 0 0 0
$0.00 0 0.0 0 0 0 0 0 0 0 0
$0.00 0 0.0 0 0 0 0 0 0 0 0
$0.00 0 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 1331 110 1180.0 41.0 0 0 0 0 0 0 0
Direct Labor $47,842.67 $5,315.85 $40,624.92 $1,901.90 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Overhead 172.50% $82,528.61 $9,169.84 $70,077.99 $3,280.78 $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
Total Labor $130,371.28 $14,485.69 $110,702.91 $5,182.68 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Other Direct Costs $2,392.14 $265.79 $2,031.25 $95.10 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Travel
Vehicle Rental $10,280.00 $10,280.00 $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 $10,280.00 $10,280.00 $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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Moran $248,830.43 $248,830.43 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
EOS $1,161.00 $1,161.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Pace $110.00 $110.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $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 $250,101.43 $250,101.43 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Handling Fee $16,005.07 $16,005.07 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Total Subcontractor Cost $266,106.50 $266,106.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Laboratory
Analytical Costs $600.00 $600.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Fast Turnaround Charges $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Sample Shipping $63.00 $63.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Total Laboratory $663.00 $663.00 $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 $1,462.50 $1,462.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Equipment (Drilling related) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Equipment (Analytical related) $266.55 $266.55 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Equipment (IDW related) $172.70 $172.70 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Equipment (Other) $22,066.50 $22,066.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Total Field Expenses $23,968.25 $23,968.25 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Subtotal $433,781.17 $14,751.48 $413,751.91 $5,277.78 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Completion Fee $13,037.13 $1,448.57 $11,070.29 $518.27 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Total Estimated Cost $446,818.30 $16,200.05 $424,822.20 $5,796.05 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
&"CG Times,Bold"&16FDEP COST ESTIMATE
&"Courier New,Bold"&10REV: 02/03 &"Courier New,Bold"&10CEF GOLDER &"Courier New,Bold"&10Page &P
Project Management
Subtask 1 Subtask 2 Subtask 3 Subtask 4 Subtask 5 Subtask 6 Subtask 7 Subtask 8 Subtask 9 Subtask 10
Labor Costs $5,314.97 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$3,894.75 $173.10 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$5,523.30 $1,453.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$20.17 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$18,158.30 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$13,028.40 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $227.10 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $48.20 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $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 dollars $5,314.97 $40,624.92 $1,901.90 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Project Management $42,526.82 = sum of Direct Labor Costs from Subtasks 2 through 10
$5,315.85 =12.5% of Direct Labor Costs (Project Management)
109.718 = Hours of Project Management (based on hourly salary of the Contractor Project Manager)
Subcontractor $0.00 $0.00 $0.00 $0.00 $0.00 $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
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Service Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Utilities $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$15,941.52 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$116.10 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$11.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
$16,068.62 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
File details come from the government source that posted it. Updated .