Funding Information:

Org. Code E.O.

Object Code

Budget Entity Appropriation

Category Grant # Project # Year Amount

Additional Funding Information attached on separate page.

Rev. 8/26/2020

STATE OF FLORIDA

DEPARTMENT OF ENVIRONMENTAL PROTECTION

Task Assignment This Task Assignment (TA) is entered into between the Parties named below, pursuant to Contract Number: .

1. TA Number: TA Completion Date:

TA Description:

2. Parties State of Florida Department of Environmental Protection (Department)

Department Project Manager: Department Project Manager Phone:

Contractor Name: (Contractor ) ntractor’st ’s Project Manager: ontractor’s t’s Project Manager Phone:

3. Project Number:

(If different from TA Number)

Project Location(s):

Project Name:

4. As consideration for the services rendered by Contractor under the terms of this TA, the Department shall pay the Contractor on the following bases, up to the Total TA Value as indicated below:

Fixed Price:

Fixed Unit Rate: (Extended Price)

Cost Reimbursement:

Total TA Value:

5. The Parties agree to comply with the terms and conditions of the underlying the Contract, and the following attachments which are hereby incorporated by reference:

Attachment 1:

Additional Attachments (if necessary):

IN WITNESS WHEREOF, this TA shall be effective on the last date signed below.

State of Florida Department of Environmental Protection

CONTRACTOR Department

Name:

Title: Secretary or Designee

(Authorized Signature) (Authorized Signature)

Date:

Additional signatures attached on separate page.

HW680

DC003D December 6, 2024

FDEP has prepared a Site Rehabilitation Completion Order for No Further Actions without Institutional Controls. Therefore, Arcadis will properly abandon all monitor wells at the site.

All activities will be performed according to the June 12, 2024, Work Plan submitted by Arcadis.

Theresa Pepe 850-245-8966 Arcadis U.S. Inc.

Gus Suarez 813-205-4703

ERIC_4265

305-E Blanding Blvd, Orange Park, Clay County

Silver Hanger Cleaners

$ 7,477.74

$ 7,477.74

Scope of Work

Arcadis U.S. Inc.

Gus Suarez

Contract Manager

Gus Suarez, P.E. Digitally signed by Gus Suarez, P.E.

Date: 2024.06.27 10:29:22 -04'00'

Mubeen Darji

Mubeen Darji, P.E. Digitally signed by Mubeen Darji, P.E.

Date: 2024.06.26 17:04:07 -04'00'

N/A

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

WC TAFORM

Contract Number:

Task Assignment #:

Deliverables:

Deliverable Deliverable Due Date

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

TOTAL COST

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 Secretary

Memorandum

TO: Negotiation File Silver Hanger Cleaners Facility ID No. 10-9501908; ERIC_4265 Orange Park, Clay County FROM: Theresa C. Pepe, Project Manager SUBJECT: Task Assignment DC003D (HW680) DATE: June 26, 2024

The site qualified for No Further Action without Engineering or Institutional Controls according to Chapter 62-780.680(1) F.A.C. FDEP prepared a Site Rehabilitation Completion Order (SRCO) in June 2024. Therefore, Arcadis U.S., Inc. will properly abandon all groundwater monitor wells to close out the site. Work will be performed as described in the June 12, 2024, Work Plan from Gus Suarez of Arcadis.

The final task assignment total is $7,477.74. Arcadis may invoice according to the attached schedule.

Specific negotiated subtasks are as follows:

Subtask 1: Project Management Project Management is automatically calculated based on a percentage of total labor.

Subtask 2: Site Closure/Well Abandonment The property owner signed a site access form in May 2023. Property ownership has not changed since this date.

This subtask provides costs for abandoning ten monitor wells installed during the site assessment. Asphalt patching and other site restoration activities will be conducted as needed. Preferred Drilling Solutions was chosen as the drilling subcontractor based on their low bid of three bids solicited.

Subtask 3: Reporting Arcadis will submit a brief report and site photos to document the above activities.

FDEP COST ESTIMATEContractor: Arcadis, U.S., Inc.

Date: 6/12/24

Task #: SubTask 1 Project Management Site: Silver Hanger Cleaners SubTask 2 Well Abandonment

Activity/Phase: Well Abandonment SubTask 3 Reporting Project Manager: Gus Suarez SubTask 4

SubTask 5

Totals 1 2 3 4 5

Labor Rate Category $87.59 Project Manager Suarez, Gus (GS) 2 1.5

$50.00 Senior Engineer Romero Cotrino, Camilo (CR) 11 5 6 0 0 $50.00 Senior Engineer Hanna, Chad (CH) 0 0 0 0 0 $30.30 Technician Rhodes, John (JAR) 10 10 0 0 0

$39.67 Drafter/Designer Oliva, Brian (BO) 2 0 2 0 0

$35.26 Drafter/Designer Berndgen, Wendy (WDB) 0 0 0 0 0

$38.28 Project Assistant Cruz, Michele (MC) 2 0 2 0 0

$35.00 Document Technician Ballheim, Debra (DJB) 0 0 0 0 0

$31.20 Document Technician Embras, Susan (SRE) 0 0 0 0 0

Total Hours 27 2 15 10 0 0

Direct Labor $1,140.06 $131.16 $553.00 $455.90 $0.00 $0.00

Overhead 79.00% $900.65 $103.62 $436.87 $360.16 $0.00 $0.00

Gen & Admin 36.00% $410.42 $47.22 $199.08 $164.12 $0.00 $0.00

Fringe 37.10% $422.96 $48.66 $205.16 $169.14 $0.00 $0.00

Total Labor $2,874.09 $330.66 $1,394.11 $1,149.32 $0.00 $0.00

Travel

Vehicle Rental $120.00 $120.00 $0.00 $0.00 $0.00

Mileage Costs $0.00 $0.00 $0.00 $0.00 $0.00

Air Fare $0.00 $0.00 $0.00 $0.00 $0.00

Per diem + Hotel $0.00 $0.00 $0.00 $0.00 $0.00

Total Travel $120.00 $120.00 $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

Subcontractor Subtotal $0.00 $0.00 $0.00 $0.00 $0.00

Procurement Fee $0.00 $0.00 $0.00 $0.00 $0.00

Total Subcontractor Cost $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor (Services Procurement)

PDS Drilling (Conventional) $3,778.40 $3,778.40 $0.00 $0.00 $0.00

Drilling (Non-conventional) $0.00 $0.00 $0.00 $0.00 $0.00

Mobile Laboratory $0.00 $0.00 $0.00 $0.00 $0.00

Surveying $0.00 $0.00 $0.00 $0.00 $0.00

IDW EnviroServe $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

Subcontractor Subtotal $3,778.40 $3,778.40 $0.00 $0.00 $0.00

Handling Fee $377.84 $377.84 $0.00 $0.00 $0.00

Total Subcontractor Cost $4,156.24 $4,156.24 $0.00 $0.00 $0.00

Laboratory

Analytical Costs $0.00 $0.00 $0.00 $0.00 $0.00

Fast Turnaround Charges $0.00 $0.00 $0.00 $0.00 $0.00

Sample Shipping $0.00 $0.00 $0.00 $0.00 $0.00

Total Laboratory $0.00 $0.00 $0.00 $0.00 $0.00

Field Expenses

Personal Protection $0.00 $0.00 $0.00 $0.00 $0.00

Expendables $40.00 $40.00 $0.00 $0.00 $0.00

Equipment (Drilling related) $0.00 $0.00 $0.00 $0.00 $0.00

Equipment (Analytical related) $0.00 $0.00 $0.00 $0.00 $0.00

Equipment (IDW related) $0.00 $0.00 $0.00 $0.00 $0.00

Equipment (Other) $0.00 $0.00 $0.00 $0.00 $0.00

Total Field Expenses $40.00 $40.00 $0.00 $0.00 $0.00

Subtotal $7,190.33 $330.66 $5,710.35 $1,149.32 $0.00 $0.00

Completion Fee $287.41 $33.07 $139.41 $114.93 $0.00 $0.00

Total Estimated Cost $7,477.74 $363.73 $5,849.76 $1,264.25 $0.00 $0.00

REV: 02/03 CEF ARCADIS Page 1

SITE : Silver Hanger Cleaners

SUBTASK 2: Well Abandonment

DATE: 6/12/24

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

(Subtask Title)

Principal

Sr. Engineer Romero Cotrino, Camilo (CR) Site access with owner and tenant, Fieldwork prep and oversight 5

Technician Rhodes, John (JAR) Mob/Demob, oversee and document abandonment activities of 10 monitor wells, site restoration 10

Project Asst

Drafter/Designer(BO)

TOTAL LABOR 15

VEHICLE TYPE RATE UNIT USEAGE

Automobile $80.00 Per Day 0 $0.00 $0.00

Van/Truck $120.00 Per Day 1 $120.00 $120.00

TOTAL VEHICLE $120.00

PER DIEM STAFF RATE UNIT USEAGE

Meals

Category/Staff Rate Unit Usage Totals

$36.00 Per Day 0 $0.00

$36.00 Per Day 0 $0.00

Hotel

Category/Staff Rate Unit Usage Totals

$150.00 Per Day 0 $0.00

$150.00 Per Day 0 $0.00

Total Meal/Hotel: $0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

Equipment Procurement

Name Equipment Rate Units Usage Totals

$2,000.00 Per Day 0 $0.00

Total Equip.: $0.00

Services Procurement

Name Purpose Rate Units Usage Totals

NAME OF COMPANY Direct-push services $0.00 Lump Sum 0 $0.00

PDS Well abandonment $3,778.40 Lump Sum 1 $3,778.40

Handling Fee $0.00 Per Month 0 $0.00

Total Services: $3,778.40

TOTAL $3,778.40

LABORATORY COSTS

Analytical Costs

Parameter Method Media Rate Turn Around Total Samples Totals

TAT 24-hr=110% (2.1) 3-day=65% (1.65) 1-week=20% (1.20) Total Lab: $0.00

Rate Units Usage

Shipping - Large (25 to 50 lbs.) --- --- $150.00 Per Cooler 0 $0.00

Shipping - Small (0 to 25 lbs.) --- --- $110.00 Per cooler 0 $0.00

Total Shipping: $0.00

TOTAL LAB $0.00

EQUIPMENT

Personal Protection

Item Rate Unit Usage Totals

Total PPE: $0.00

Expendables

Miscellaneous Expendables $40.00 Per Day 1 $40.00

Total Expendables: $40.00

Equipment Items

Total Equipment Items: $0.00

Equipment Kits

Total Equipment Kits: $0.00

Total Equipment Kits: $40.00

SITE : Silver Hanger Cleaners

SUBTASK 3: Reporting

DATE: 6/12/24

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

(Subtask Title)

Principal

Sr Engineer (CR) Prepare well abandonment report 6

Drafter/Designer(BO) Prepare figures for report 2

Project Asst (MC) Report Preparation and submittal 2

TOTAL LABOR 10

VEHICLE TYPE RATE UNIT USEAGE

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

Equipment Procurement

Name Equipment Rate Units Usage Totals

$0.00 Per Day 1 $0.00

Total Equip.: $0.00

Services Procurement

Name Purpose Rate Units Usage Totals

Handling Fee $0.00 Per Month 0 $0.00

Total Services: $0.00

TOTAL $0.00

LABORATORY COSTS

Analytical Costs

Parameter Method Media Rate Turn Around Total Samples Totals

TAT 24-hr=110% (2.1) 3-day=65% (1.65) 1-week=20% (1.20) Total Lab: $0.00

Rate Units Usage

Shipping - Large (25 to 50 lbs.) --- --- $150.00 Per Cooler 0 $0.00

Shipping - Small (0 to 25 lbs.) --- --- $110.00 Per cooler 0 $0.00

Total Shipping: $0.00

TOTAL LAB $0.00

EQUIPMENT

Personal Protection

Item Rate Unit Usage Totals

Total PPE: $0.00

Expendables

Miscellaneous Expendables $40.00 Per Day 0 $0.00

Total Expendables: $0.00

Equipment Items

Total Equipment Items: $0.00 Equipment Kits

Arcadis U.S., Inc.

4300 W Cypress Street Suite 450 Tampa Florida 33607 Phone: 813 903 3100 Fax: 813 350 9046 www.arcadis.com

FL Engineering License #7917 FL Geology License #GB564 FL Surveying License #LB7062

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Ms. Theresa Pepe Florida Department of Environmental Protection Waste Site Cleanup Section 2600 Blairstone Road, MS 4520 Tallahassee, FL 32399-2400

Date: June 12, 2024 Our Ref: 30019405 Subject: Well Abandonment Activities Proposal Former Silver Hanger Cleaners 305 Blanding Boulevard Orange Park, Florida FDEP Facility ID: 10/9501908 ERIC_4265 Contract No.: HW680

Dear Ms. Pepe, Arcadis U.S., Inc. (Arcadis) is pleased to submit to the Florida Department of Environmental Protection (FDEP) the following proposal for monitor well abandonment activities at the Former Silver Hanger Cleaners (Site), located in Orange Park, Florida. This proposal includes background information, a description of the proposed scope of work (SOW), and an estimated cost and schedule for their completion.

Site Background

The Site is located within the Tuesday Morning Shopping Plaza on Blanding Boulevard just north of Cleveland Avenue in Clay County. The current owner of the Site is Khazaal Investment Group LLC. The Site consists of one unit within the shopping plaza and is currently operating as a Liquor Store.

Following the completion of active remediation efforts in 2020, the site entered into a semi-annual NAM program that continued throughout 2024. A comprehensive review of soil and groundwater analytical results indicated unsaturated soil and groundwater at the Former Silver Hanger Cleaners (FAC ID No 10/9501908 ERIC_4265) site meets the No Further Action Criteria without Institutional or Engineering Controls as described in Chapter 62- 780.680(1), Florida Administrative Code (F.A.C.). A Site Rehabilitation Completion Report (SRCO) was submitted to FDEP on April 2, 2024 and is currently under review.

Scope Of Work

This proposal includes Arcadis’ efforts to complete well abandonment and site restoration activities as described below.

Ms. Theresa Pepe Florida Department of Environmental Protection June 12, 2024 www.arcadis.com 20240612.Silver Hanger Cleaners Well Abandonment Proposal

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Task 1: Project Management

This task consists of project management activities and health and safety efforts in relation to the completion of Task 2.

Task 2: Well Abandonment and Site Restoration

Arcadis will oversee the proper abandonment of the following monitor wells.

Monitor Well ID Well Diameter (inches) Well Depth (feet)

MW001 1.0 13.00

MW002 1.0 13.75

MW003 1.0 14.50

MW004 1.0 15.00

MW005 1.0 13.60

MW006 1.0 12.90

MW007 1.0 13.70

MW008 1.0 30.00

MW009 1.0 14.00

MW010 1.0 14.00

Well abandonment activities will include the following:

Permitting

Abandonment by grouting in place Ten (10) 1" monitoring wells

Remove all pads and patch to existing

All debris hauled offsite for disposal as construction debris.

Photographing and documenting activities and providing brief letter report to FDEP.

Ms. Theresa Pepe Florida Department of Environmental Protection June 12, 2024 www.arcadis.com 20240612.Silver Hanger Cleaners Well Abandonment Proposal

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Arcadis solicited bids from three qualified drillers, with Preferred Drilling Solutions, Inc. selected as the winning bid. Bids are included as Attachment 1.

Schedule

Arrangements will be conducted immediately upon receipt of a Task Assignment (TA) from the FDEP. We currently anticipate that the work can be completed/reported within 60 days of receipt of the TA or the SCRO.

Cost Estimate

A CEF and a LOE Form are attached for the above scope of work. The total cost to complete this scope of work is $7,477.74 (Attachment 2). Arcadis proposes the following invoicing schedule:

Invoice Amount Milestone

$7,477.74 Submittal of well abandonment report (includes PM)

Closing Remarks

Arcadis appreciates the opportunity to continue to assist the FDEP on this site. If you have any questions or wish to discuss this proposal further, please do not hesitate to contact us.

Sincerely, Arcadis U.S., Inc.

Gus Suarez, P.E.

Project Manager

Email: Gus.suarez@aracdis.com Direct Line: 813-353-5778 Mobile: 813-205-4703

Enclosures:

Attachment 1: Well Abandonment Bids Attachment 2: CEF/LOE Form

Preferred Drilling Solutions, Inc.

8820 66th St, Pinellas Park, FL 33782

Ph: 727-561-7477 Fax: 727-561-9028 www.pdsflorida.com

Date: 5/16/24 FAC ID#: ERIC_4265

*Note: It is against PDS policy to drill in Pea Gravel. Borings in Pea Gravel will be terminated or can proceed solely at the risk of the consultant, DEP or Property Owner

Unit Unit Rate Number of Units

Extended Price

Rig Type: Auger/Mud Rotary_____

HSA Drilling & Split Spoon Collection (continuous or 5' intervals) (can be used in conjunction with well installation)

<50 foot boring depth per foot $0.00 50 foot to 100 foot boring depth per foot $0.00 >100 foot boring depth per foot $0.00

Borehole Grouting

4 - inch borehole diameter per foot $0.00 6 - inch borehole diameter per foot $0.00 8 - inch borehole diameter per foot $0.00

1" - 2" Well Installation (includes screen, riser, sand pack, seal and grout)

<50 foot boring depth per foot $0.00 50 foot to 100 foot boring depth per foot $0.00 >100 foot boring depth per foot $0.00

4" Well Installation (includes screen, riser, sand pack, seal and grout)

<50 foot boring depth per foot $0.00 50 foot to 100 foot boring depth per foot $0.00 >100 foot boring depth per foot $0.00

Double Cased Well $0.00

6" Surface Casing per foot $0.00 per well $0.00

3/4"- 2" Well Abandonment (includes grouting) per foot $12.00 154.45 $1,853.40

3"- 4" Well Abandonment (includes grouting) per foot $0.00

5"- 6" Well Abandonment (includes grouting) per foot $0.00

2' x 2' Well Pad Removal and Patch each $125.00 10 $1,250.00

Mobilization roundtrip $650.00 1 $650.00

Per Diem per crew / per night $0.00

DOT Approved 55-gal Drum each $0.00 each $25.00 1 $25.00

$0.00

$0.00

$0.00

Standby/Delay/Difficult Access Time per hour $0.00

Additional Development Time per hour $0.00

Additional Decontamination Time per hour $0.00

TOTAL QUOTE PRICE $3,778.40

Project No.:

Signature and Title of Person Submitting Quote: _________________________________ Austin Bonacum, Estimator Date: 5/16/24

Days to Complete Scope of Work: 1

305-E Blanding Blvd, Orange Park, Clay County, FL

Well Completion (includes MH w/ cover, concrete pad, locking well cap, DRILLING

MISCELLANEOUS

Most locations in asphalt, restore grade with black dyed concrete

Permits

Consultant Name: Arcadis US Inc.

Site Name & Location: Silver Hanger Cleaners

PROPOSED SCOPE OF WORK:

Abandon (10) 1" MW's, total depth: 154.45', remove pads and manholes

(1) well located indoors, PDS to remove manhole and restore grade with tile, client to provide all necessary equipment and materials needed to restore flooring inside cleaners

Arcadis, Silver Hanger Cleaners, Orange Park, FL (abandonment)