CN-370000-HW681-DC040C.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.

HW681

DC040C December 1, 2024

This Task Assignment authorizes CDM Smith Inc. to conduct vapor extraction well

(VEW) abandonment per their proposed scope of work submitted on 13JUN2024.

Benjamin Aoki 850-245-7527 CDM Smith Inc.

Kara Fincham 904-527-6716

ERIC_5242

4034 Little Road, New Port Richey, Pasco County, FL

Golden Touch Cleaners, Inc.

$ 5,794.58

$ 5,794.58

Scope of Work

CDM Smith Inc.

Leslie Samel

CSL

Leslie Samel Digitally signed by Leslie Samel Date: 2024.06.27 20:25:47 -04'00'

Mubeen Darji

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

Date: 2024.06.24 09:40:48 -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

Ron DeSantis Governor

Jeanette Nuñez Lt. Governor

Shawn Hamilton Secretary

TO:

FROM:

DATE:

SUBJECT:

FLORIDA DEPARTMENT OF

Environmental Protection

Bob Martinez Center 2600 Blair Stone Road

Tallahassee, FL 32399-2400

P a g e

P a g e

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Golden Touch Cleaners SUBTASK 2: VEW Abandonment

DATE: 6/12/2024

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Manager Preparation of Abandonment Memo 2

Professional II Field Preparation 1 Site Access with Owner 1 Arrange for Site Accesss with owner 1 Mobilization (1 hour each way) 2 VEW Abandonment Oversight 8 Preparation of VEW Technical Memo 4

Hours:

PM 2

Professional II 17

TOTAL LABOR 19

VEHICLE TYPE RATE UNIT USEAGE

Truck (VEW Abandonment) $120.00 Day 1 $120.00

TOTAL VEHICLE $120.00

PER DIEM STAFF RATE UNIT USEAGE

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

Environmental Drilling Service VEW Abandonment $1,500.00 $1,500.00

TOTAL $1,500.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

$0.00 $0.00 $0.00 $0.00

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Expendables $40.00 per day 1 $40.00 Construction/O&M/Pilot Kit $360.00 each 1 $360.00 Construction/O&M Supplies $75.00 each 1 $75.00

$0.00 $0.00

TOTAL EQUIPMENT $475.00

FINAL --7/24/96

DATE: 3/20/2024

ESTIMATE #: 324039

CDM Smith

ID QTY Unit Rate TOTAL

1 1 each 800.00$ 800.00$

2 night 300.00$ -$

3 2 each 350.00$ 700.00$

4 4 each 250.00$ 1,000.00$

5 Permits: (Not Applicable for VE Wells)

Subtotal 2,500.00$

Todd Hodgson

Todd Hodgson TOTAL 2,500.00$ Partner

"Actual quantities used and days onsite will be invoiced"

PROJECT

Golden Touch Cleaners 7034 Little Road

Kyle Turner, MS, GIT

CUSTOMER

Project Description:

Tampa, Florida 33607

Locations must be accessible with track mounted DPT Rig

Damage to utilities on private property are the responsibility of the client Utility Locates on Private Property are the responsibility of the client

2" x 4.5' Exterior VEW Abandonment w/Removal w/8" BD Completion in Donut Pad w/Concrete Patch

New Port Richey, Florida 4010 W Boy Scout Blvd

(813) 262-8851 2" Well Abandonment w/Removal of Surface Complietion

(4) 2"x 4' Exterior Well Abandonment w/Removal of 8" BD Manhole in Donut Pad, Concrete Patch

(2) 2"x 4.5' Interior Well Abandonment w/Removal of 8" BD Manhole in Donut Pad, Concrete Patch

If you have any questions concerning this proposal contact Todd Hodgson at (407) 426-7885 at Todd@drillprollc.com.

DESCRIPTION

Mobilization

Per Diem - 2 Man Crew Est. (Min. Hotel Cost + $50/per man)

Completion: 1 day

2" x 4.5' Interior VEW Abandonment w/Removal w/8" BD Completion in Donut Pad w/Concrete Patch

THANK YOU FOR YOUR BUSINESS!

2300 Silver Star Road, Orlando, Florida (407) 426-7885 fax (407) 426-7586

Preferred Drilling Solutions, Inc.

8820 66th St, Pinellas Park, FL 33782

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

Date: 3/20/24 FAC ID#: ERIC_5242

*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

1"- 2" Well Abandonment (includes grouting) per foot $20.00 25 $500.00

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 $65.00 6 $390.00

Mobilization roundtrip $700.00 1 $700.00

Per Diem per crew / per night $0.00

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

$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 $1,590.00

Project No.:

Signature and Title of Person Submitting Quote: _________________________________ Austin Bonacum, Estimator Date: 3/20/24

Consultant Name: CDM Smith

Site Name & Location: Golden Touch Cleaners

PROPOSED SCOPE OF WORK:

Abandon (6) 2" VEW's, total depth: 25', remove manhole ring and lid, fill with concrete

Days to Complete Scope of Work: 0.5

7034 Little Road, New Port Richey, Pasco County, FL

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

MISCELLANEOUS

Permits

CDM Smith, Golden Touch Cleaners, New Port Richey, FL (abandonment)