CN-370000-HW680-DC013C.pdf

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

DC013C Completion October 31, 2024

Arcadis will complete four quarters of remedial system shutdown preventive maintenance consistent with FDEP guidance. Activities will be performed according to the June 13, 2023, Work Plan submitted by Arcadis.

The payment of utility invoices is the only portion of this Task Assignment that is Cost Plus.

Theresa Pepe 850-245-8966 Contractor Contractor

Contractor Contractor

Contractor Contractor

Contractor

Arcadis U.S. Inc.

Arcadis U.S. Inc.

Gus Suarez 813-205-4703

ERIC_4824

1421 W. Main Street, Leesburg, Lake County

Donna's Cleaners

✔ $ 5,932.03 ✔ $ 240.00

$ 6,172.03

Scope of Work

Gus Suarez

Contract Manager

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

Date: 2023.06.22 10:53:34 -04'00'

Kelly Crain

Kelly Crain Digitally signed by Kelly Crain Date: 2023.06.21 15:04:26 -04'00'

N/A

Task Assignment Notification/Change Order

Deliverables and Invoice Schedule Attachment

Contract Number: HW680

Task Assignment #: DC013C

Deliverables:

Deliverable Deliverable Due Date

One quarter System Shutdown Maintenance & email update 31-Aug-23

3 Months Utility invoices 15-Oct-23

One quarter System Shutdown Maintenance & email update 30-Nov-23

3 Months Utility invoices 19-Jan-24

One quarter System Shutdown Maintenance & email update 29-Feb-24

3 Months Utility invoices 19-Apr-24

One quarter System Shutdown Maintenance & email update/Project Management 31-May-24

3 Months Utility invoices 19-Jul-24

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

FDEP approval of one Qtr. System Shutdown Maintenance & email update $1,286.34

FDEP approval of 3 months utility invoices

Utilities (Cost Plus Fixed Fee) = not to exceed $60.00

Utilities Handling Fee = $60

$120.00

FDEP approval of one Qtr. System Shutdown Maintenance & email update $1,286.34

FDEP approval of 3 months utility invoices

Utilities (Cost Plus Fixed Fee) = not to exceed $60.00

Utilities Handling Fee = $60

$120.00

FDEP approval of one Qtr. System Shutdown Maintenance & email update $1,286.33

FDEP approval of 3 months utility invoices

Utilities (Cost Plus Fixed Fee) = not to exceed $60.00

Utilities Handling Fee = $60

$120.00

FDEP approval of one Qtr. System Shutdown Maintenance & email update/Project Management $1,833.02

FDEP approval of 3 months utility invoices

Utilities (Cost Plus Fixed Fee) = not to exceed $60.00

Utilities Handling Fee = $60

$120.00

TOTAL COST $6,172.03

BWC TAFORM 01/18

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 Donna’s Cleaners

FACID NO. 35-9502053; ERIC_4824

Leesburg, Lake County FROM: Theresa C. Pepe, Project Manager SUBJECT: Task Assignment DC013C (HW680) DATE: June 21, 2023

Arcadis U.S., Inc. will conduct four quarters of System Shutdown Preventative Maintenance (SSPM) for the remedial system on site. This work will be performed in accordance with FDEP guidelines and the June 13, 2023, Work Plan submitted by Chad Hanna of Arcadis.

The final task assignment equals $6,172.03. 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: Four Quarters SSPM/Email updates A signed site access form was obtained from the property owner in December 2021.

There have been no changes in ownership since that date.

Per FDEP’s engineer, the remedial system is presently inactive but may be operated again for vapor control if additional molasses injections are performed. This subtask provides costs for four quarters of System Shutdown Preventative Maintenance. A brief email update regarding site/system conditions will be submitted as the deliverable after each event.

Donna’s Cleaners

(ERIC_4824)

Subtask 3: Utilities Subtask three includes hours for utility invoices as well as the appropriate handling fees. Arcadis will only invoice for actual charges and any remainder will be adjusted via change order.

Hours and costs are comparable to past task assignment of similar work.

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

Date: 6/13/2023

Task #: DC013C SubTask 1 Project Management Site: Donna's Cleaners SubTask 2 System Shutdown Preventative Maintenance

Activity/Phase: O&M SubTask 3 Utilities Project Manager: Gus Suarez SubTask 4

SubTask 5

Totals 1 2 3 4 5

Labor Rate Category

$85.87 Project Manager Suarez, Gus (GS) 2 2.3

$50.00 Senior Engineer Hanna, Chad (CH) 8 8 0 0 0

$34.89 Technician Welch, David (DJW) 32 32 0 0 0

Total Hours 42 2 40 0 0 0

Direct Labor $1,713.62 $197.14 $1,516.48 $0.00 $0.00 $0.00

Overhead 79.00% $1,353.76 $155.74 $1,198.02 $0.00 $0.00 $0.00

Gen & Admin 36.00% $616.90 $70.97 $545.93 $0.00 $0.00 $0.00

Fringe 37.10% $635.75 $73.14 $562.61 $0.00 $0.00 $0.00

Total Labor $4,320.03 $496.99 $3,823.04 $0.00 $0.00 $0.00

Travel

Vehicle Rental $480.00 $480.00 $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 $480.00 $480.00 $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)

Drilling (Conventional) $0.00 $0.00 $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 $0.00 $0.00 $0.00 $0.00 $0.00

City of Leesburg Utilities $240.00 $0.00 $240.00 $0.00 $0.00

$0.00 $0.00 $0.00 $0.00 $0.00

$0.00 $0.00 $0.00 $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 $240.00 $0.00 $240.00 $0.00 $0.00

Handling Fee $240.00 $0.00 $240.00 $0.00 $0.00

Total Subcontractor Cost $480.00 $0.00 $480.00 $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 $160.00 $160.00 $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) $300.00 $300.00 $0.00 $0.00 $0.00

Total Field Expenses $460.00 $460.00 $0.00 $0.00 $0.00

Subtotal $5,740.03 $496.99 $4,763.04 $480.00 $0.00 $0.00

Completion Fee $432.00 $49.70 $382.30 $0.00 $0.00 $0.00

Total Estimated Cost $6,172.03 $546.69 $5,145.34 $480.00 $0.00 $0.00

REV: 02/03 CEF ARCADIS Page 1

SITE : Donna's Cleaners

SUBTASK 2: SSPM

DATE: 6/13/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Field Activities and Email Updates

Senior Eng (CH) Field readiness with field staff, field support, FDEP email updates 8

Technician (DJW) Field prep, mobilization, SSPM and compound maintenance 32

TOTAL LABOR 40

VEHICLE TYPE RATE UNIT USEAGE

Automobile $80.00 Per Day 0 $0.00 $0.00

Van/Truck $120.00 Per Day 4 $480.00 $480.00

TOTAL VEHICLE $480.00

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

$0.00 Per Day 0 $0.00

Total Equip.: $0.00

Services Procurement

Name Purpose Rate Units Usage Totals

Total Services: $0.00

TOTAL $0.00

LABORATORY COSTS

Analytical Costs

Parameter Method Media Rate Turn Around Total Samples Totals

VOC 8260 Aqueous $73.00 1.00 0 $0.00VOC 8260 Soil $73.00 1.00 0 $0.00

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 4 $160.00

Total Expendables: $160.00

Equipment ItemsSurvey Station transit/rod/level/tape 50 Per Day 0 $0.00

Per Day 0 $0.00

Total Equipment Items: $0.00

Equipment KitsSite Reconnaissance Kit $150.00 Day 0 $0.00

Construction/O&M Supplies $75.00 Day 4 $300.00

Total Equipment Kits: $300.00

TOTAL EQUIPMENT $460.00

SITE : Donna's Cleaners

SUBTASK 3: Utilities

DATE: 6/13/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

TOTAL LABOR 0

VEHICLE TYPE RATE UNIT USEAGE

Automobile $80.00 Per Day 0 $0.00 $0.00

Van/Truck $120.00 Per Day 0 $0.00 $0.00

TOTAL VEHICLE $0.00

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

$0.00 Per Day 1 $0.00

Total Equip.: $0.00

Services Procurement

Name Purpose Rate Units Usage Totals

City of Leesburg Utilities -Electric $20.00 Per Month 12 $240.00

City of Leesburg Handling Fee $20.00 Per Month 12 $240.00

Total Services: $480.00

TOTAL $480.00

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

TOTAL EQUIPMENT $0.00

Use or disclosure of information contained on this sheet is subject to the restriction and disclaimer located on the signature page of this document.

Arcadis U.S., Inc.

4300 W. Cypress Street

Suite 450

Tampa

Florida 33607

Tel 813 903 3100

Fax 813 903 9115 www.arcadis.com

Page:

1/2

Theresa Pepe, Contract Manager

Hazardous Waste Cleanup Section

Florida Department of Environmental Protection

Bob Martinez Center, MS 4520

2600 Blair Stone Road

Tallahassee, Florida 32399-2400

Subject:

Proposal for Soil Vapor Extraction System Shutdown Preventative Maintenance

Donna’s Cleaners, Leesburg, Lake County, Florida

Facility ID No. ERIC_4824

Dear Ms. Pepe:

Arcadis U.S., Inc. (Arcadis) is pleased to provide the Florida Department of

Environmental Protection (FDEP) this proposal and cost estimate to perform four quarters of Soil Vapor Extraction (SVE) System Shutdown Preventative

Maintenance (SSPM) events for the subject facility. The SVE system was shut down on September 2, 2014.

This proposal includes completion of four quarterly SSPM events (July 2023, October 2023, January 2024 and April 2024). Per FDEP guidelines, the SVE system will be operated for approximately 2 hours during each SSPM visit to verify operational status. Additionally, the equipment compound will be cleaned and maintained during this period. An e-update notification of maintenance completion will be submitted within 10 days of completion of the field event.

Cost Estimate

A Cost Estimate Form and Level of Effort (CEF-LOE) to complete the proposed work is presented as Attachment 1. The CEF-LOE includes nominal costs to

ENVIRONMENT

Date:

June 13, 2023

Contact:

Brian R. Burke, P.G.

Phone:

813.353.5755

Email:

Brian.Burke@arcadis.com

Our ref:

TBD

This proposal and its contents shall not be duplicated, used or disclosed — in whole or in part — for any purpose other than to evaluate the proposal. This proposal is not intended to be binding or form the terms of a contract. The scope and price of this proposal will be superseded by the contract. If this proposal is accepted and a contract is awarded to Arcadis as a result of — or in connection with — the submission of this proposal, Arcadis and/or the client shall have the right to make appropriate revisions of its terms, including scope and price, for purposes of the contract. Further, client shall have the right to duplicate, use or disclose the data contained in this proposal only to the extent provided in the resulting contract.

arcadis.com

Ms. Theresa Pepe

June 13, 2023

Page:

2/2 maintain the utility account for a period of 12 months (July 2023 through June 2024). The invoices will be submitted on a quarterly basis.

Closing Remarks

Arcadis appreciates the opportunity to assist the FDEP on this project. Please call if you have any questions or wish to discuss this proposal further.

Sincerely, Arcadis U.S., Inc.

Chad M. Hanna Brian R. Burke, P.G.

Senior Environmental Specialist Project Manager