CN-370000-HW681-DC05DCO1.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. 8/17/2020

STATE OF FLORIDA

DEPARTMENT OF ENVIRONMENTAL PROTECTION

Task Assignment Change Order This Change Order is entered into between the Parties named below and amends the Task Assignment (TA) and any previous TA Change Orders (TACO) as follows:

1. TA Number: TACO Number: Contract Number:

TACO Description:

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

Department’s Project Manager: Department’s 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 Name:

4. There are no changes to the TA compensation.

The compensation of the TA is changed to the amounts indicated below:

Amended Price Price Prior to TACO

Fixed Price:

Fixed Unit Rate: (Extended Price)

Cost Reimbursement:

Total TA Value:

There are no changes to the TA Expiration Date.

The TA Completion Date is changed from ______________ to ______________ (a total of ______ days).

6. There are no changes to the Attachments.

Attachment ___ is replaced with Attachment -____.

7. No Additional Changes.

Additional Changes:

8. All other terms and conditions of the TA remain in effect. If and to the extent that any inconsistencies may appear between the TA and this TACO, the provisions of this TACO shall control.

IN WITNESS WHEREOF, this TACO 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.

DC005D 1 HW681

Benjamin Aoki 850-245-7527 CDM Smith Inc.

Kathy Leggoe 904-527-6727

ERIC_4918

Former Bay's Cleaners

$ 37,922.20 $ 35,971.51

$ 37,922.20 $ 35,971.51

06/27/2025 06/27/2025 0

1 1 1

CDM Smith Inc.

Joshua Hirten

CDM Contract Manager

Joshua Hirten Digitally signed by Joshua Hirten Date: 2025.05.12 09:36:46 -04'00'

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2025.05.09 16:03:54 -04'00'

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

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

Alexis A. Lambert Secretary

Memorandum

TO:

FROM:

SUBJECT:

DATE:

P a g e g

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Bays Cleaners SUBTASK 2: Annual Groundwater Sampling

DATE: 4/28/2025

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Technical Leader Technical Support for GW event 2

Project Manager Prepare Field Scope of Work 1

Editorial Review of Data Summary 1

Professional II Mobilization/Demobilization (2 hr one way) 4

Field Preparation 1

Arrange for Site Access with owner 1

Prepare Sample Kit 1

Inspect and gauge Depth to Water in 37 monitoring wells (~10 minutes each well) in one day 6

Sample Monitoring Wells (38) 28.75

Data and Sample Management 2

Preparation of Data Summary 3

Professional I Mobilization/Demobilization (2 hr one way) 4

Field Preparation 1

Arrange for Site Access with owner 1

Prepare Sample Kit 1

Inspect and gauge Depth to Water in 37 monitoring wells (~10 minutes each well) in one day 6

Sample Monitoring Wells (35) 28.75

Data and Sample Management 2

Total Hours

PTL 2

PM 2

Prof II 46.75

Prof I 43.75 Total 94.5

TOTAL LABOR 94.5

VEHICLE TYPE RATE UNIT USEAGE

Truck - person 1 $120.00 day 4 $480.00

Truck - person 2 $120.00 day 4 $480.00

TOTAL VEHICLE $960.00

PER DIEM STAFF RATE UNIT USEAGE

Prof II $150.00 Hotel 4 $600.00

Prof II $36.00 Food 4 $144.00

Prof I $150.00 Hotel 4 $600.00

Prof I $36.00 Food 4 $144.00

TOTAL PER DIEM $1,488.00

SUBCONTRACTOR COSTS

NAME PURPOSE Unit COST

Cascade drum delivery 1 No Chg $0.00 tax on purchase 1 $49.00 $49.00 credit card chg 1 $26.21 $26.21

TOTAL $75.21

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

VOH - EPA Method 8260 - Monitoring Wells $73.00 38 $2,774.00

VOH - EPA Method 8260 - IDW drum $73.00 1 $73.00

Cooler (0 to 25 lbs) - Shipping $110.00 4 $440.00

Ice $6.50 12 $78.00

TOTAL LAB $3,365.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Deep (Bladdar) Groundwater Sampling Kit $311.00 8 days $2,488.00

Expendables $40.00 8 days $320.00

HDPE Tubing (37 wells multiple depths+4ft ext/well) $0.30 3300 foot $990.00

Silicon Tubing (1/4") $3.00 37 foot $111.00

Drum $100.00 7 each $700.00

TOTAL EQUIPMENT $4,609.00

FINAL --7/24/96

SUBTASK 3: PFAS Sampling + IDW

DATE: 4/28/2025

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Technical Leader Technical Guidance on PFAS field support & evaluation of data 1.5 Project Manager Editorial Review of PFAS Data 1.5

Profesisonal II Sample Drum for PFAS & shipping 2

IDW Management 2

PFAS Data Management/Data Deliverable prep 2

Total Hours

PTL 1.5

PM 1.5

Prof II 6

Total 9

TOTAL LABOR 9

VEHICLE TYPE RATE UNIT USEAGE

TOTAL VEHICLE $0.00

PER DIEM STAFF RATE UNIT USEAGE

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE Unit COST

Erwin Remediation IDW 7 $195.00 $1,365.00 Erwin Remediation PFAS Waste Profile 1 $350.00 $350.00

TOTAL $1,715.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

PFAS Groundwater FDEP laboratory $0.00 6 $0.00 PFAS IDW sample FDEP Laboratory $0.00 1 $0.00

Ice $6.50 4 $26.00 Shipping $150.00 1 $150.00

TOTAL LAB $176.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

TOTAL EQUIPMENT $0.00

SUBTASK 4: Annual Groundwater Monitoring Report

DATE: 4/28/2025

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Technical Leader Mann-Kendall review,Technical Evaluation of data/ PE review/Seal 5 Project Manager Report Conclusions/Recommendations 3

Profesisonal II Preparation of GWMR - body of report, Figures/Maps 28 Professional I Preparation of GWMR Data Tables, Summaries 16

Total Hours

PTL 5

PM 3

Prof II 28 Prof I 16 Total 52

TOTAL LABOR 52

VEHICLE TYPE RATE UNIT USEAGE

TOTAL VEHICLE $0.00

PER DIEM STAFF RATE UNIT USEAGE

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE Unit COST

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

TOTAL LAB $0.00

g g

LEVEL OF EFFORT/EXPENSE WORKSHEET

SUBTASK 2: Annual Groundwater Sampling

DATE: 4/28/2025

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Technical Leader Technical Support for GW event

Project Manager Prepare Field Scope of Work

Editorial Review of Data Summary

Professional II Mobilization/Demobilization (2 hr one way)

Field Preparation

Arrange for Site Access with owner

Prepare Sample Kit

Inspect and gauge Depth to Water in 37 monitoring wells (~10 minutes each well) in one day

Sample Monitoring Wells (37), WCD+1 0.75

Data and Sample Management

Preparation of Data Summary

Professional I Mobilization/Demobilization (2 hr one way)

Field Preparation

Arrange for Site Access with owner

Prepare Sample Kit

Inspect and gauge Depth to Water in 37 monitoring wells (~10 minutes each well) in one day

Sample Monitoring Wells (37), WCD+1 0.75

Data and Sample Management

Total Hours

PTL 0

PM 0

Prof II 0.75

Prof I 0.75 Total 1.5

TOTAL LABOR 1.5

VEHICLE TYPE RATE UNIT USEAGE

Truck - person 1 $120.00 day $0.00

Truck - person 2 $120.00 day $0.00

TOTAL VEHICLE $0.00

PER DIEM STAFF RATE UNIT USEAGE

Prof II $150.00 Hotel $0.00

Prof II $36.00 Food $0.00

Prof I $150.00 Hotel $0.00

Prof I $36.00 Food $0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE Unit COST

Cascade drum delivery 0 $375.00 $0.00 tax on purchase 1 $49.00 $49.00 credit card chg 1 $26.21 $26.21

TOTAL $75.21

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

VOH - EPA Method 8260 - Monitoring Wells $73.00 1 $73.00

VOH - EPA Method 8260 - IDW drum $73.00 $0.00

Cooler (0 to 25 lbs) - Shipping $110.00 $0.00

Ice $6.50 $0.00

TOTAL LAB $73.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Deep (Bladdar) Groundwater Sampling Kit $311.00 days $0.00

Expendables $40.00 days $0.00

HDPE Tubing (37 wells multiple depths+4ft ext/well) $0.30 foot $0.00

Silicon Tubing (1/4") $3.00 foot $0.00

Drum $100.00 5 each $500.00

(OG 2, WCD1+3, WCD2+2)

TOTAL EQUIPMENT $500.00

FINAL --7/24/96

SUBTASK 3: PFAS Sampling + IDW

DATE: 4/28/2025

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Technical Leader Technical Guidance on PFAS field support & evaluation of data Project Manager Editorial Review of PFAS Data

Profesisonal II Sample Drum for PFAS & shipping

IDW Management PFAS Data Management/Data Deliverable prep

Total Hours

PTL 0

PM 0

Prof II 0

Total 0

TOTAL LABOR 0

VEHICLE TYPE RATE UNIT USEAGE

TOTAL VEHICLE $0.00

PER DIEM STAFF RATE UNIT USEAGE

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE Unit COST

Erwin Remediation IDW

OG2,WCD1

+3, WCD2 +2 5 $195.00 $975.00

Erwin Remediation PFAS Waste Profile $350.00 $0.00

TOTAL $975.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

PFAS Groundwater FDEP laboratory $0.00 $0.00 PFAS IDW sample FDEP Laboratory $0.00 $0.00

Ice $6.50 $0.00 Shipping $150.00 $0.00

TOTAL LAB $0.00

g g

Site Name: Site ID #:

Contract #: Contractor:

� Reason for Work Change Directive :

� Description of Work Change Directive :

� Attachments (if applicable, list documents supporting change):

� Costs (if negotiated unit costs, provide information below):

WCP WCD 07-2018

Authorized Contractor Signature:

Authorized FDEP Signature:

WORK CHANGE DIRECTIVE FORM

FDEP Supervisor Approval:

(if applicable)

Additional work is not authorized without prior FDEP approval as indicated by an approved Work Change Directive Form or Task Assignment Change Order Form. It is the Contractor's responsibility to ensure that additional costs associated with this WCD are resolved by a Task Assignment Change Order (TACO) prior to the completion date of the original Task Assignment or subsequent TACOs completed prior to the execution date of this WCD. Failure to do so will result in a loss of reimbursement for work associated with this WCD.

Task Assignment #: Work Change Directive #:

Maximum Estimated Increase in Task Amount:

Former Bays Cleaners ERIC_4918

ERIC_4918 CDM Smith

DC005D 1

CDM Smith observed insufficient drums included for purchase and disposal for the site based on previous sampling addition requested for both. Also, drum purchase is limited in the vicinity of the site. A local driller can deliver the up to 5 drums to the site for a nominal fee.

Costs to purchase and dispose of up to 5 drums (2 in original TA, 3 additional requested). Costs to deliver 5 drums to the site as part of purchase.

quote and Delta CEF for pending TACO to reconcile

TACO will be reconciled after the drilling event next week as there will likely be minor field adjustments. Current estimated increase amount = $1,356.00, assume 25% contingency factor = $1,627.20

$ 1,627.20

Joshua Hirten Digitally signed by Joshua Hirten Date: 2025.03.17 08:25:55 -04'00'

Benjamin S. Aoki Digitally signed by Benjamin S.

Aoki Date: 2025.03.17 12:07:10 -04'00'

Mubeen Darji, P.E.

Digitally signed by Mubeen Darji, P.E.

Date: 2025.03.17 15:43:55 -04'00'

Site Name: Site ID #:

Contract #: Contractor:

� Reason for Work Change Directive :

� Description of Work Change Directive :

� Attachments (if applicable, list documents supporting change):

� Costs (if negotiated unit costs, provide information below):

WCP WCD 07-2018

Authorized Contractor Signature:

Authorized FDEP Signature:

WORK CHANGE DIRECTIVE FORM

FDEP Supervisor Approval:

(if applicable)

Additional work is not authorized without prior FDEP approval as indicated by an approved Work Change Directive Form or Task Assignment Change Order Form. It is the Contractor's responsibility to ensure that additional costs associated with this WCD are resolved by a Task Assignment Change Order (TACO) prior to the completion date of the original Task Assignment or subsequent TACOs completed prior to the execution date of this WCD. Failure to do so will result in a loss of reimbursement for work associated with this WCD.

Task Assignment #: Work Change Directive #:

Maximum Estimated Increase in Task Amount:

Former Bays Cleaners ERIC_4918

ERIC_4918 CDM Smith

DC005D 2

CDM Smith is requesting 2 additional drums for purchase and disposal for the site for ongoing groundwater sampling. 5 have been used, 2 additional are needed. Also, only 37 MWs were included in the sampling TA, but the goal was to sample all existing MWs and the site has 40 total. Two wells are dry and costs to sample one additional well for VOHs is requested.

Costs to purchase and dispose of up to 2 additional drums and costs to sample one additional wells for VOHs.

Delta CEF for pending TACO to reconcile

TACO will be reconciled after the drilling event next week as there will likely be minor field adjustments. Current estimated increase amount = $924.47, assume 25% contingency factor = $1155.59

$ 1,155.59

Joshua Hirten Digitally signed by Joshua Hirten Date: 2025.03.26 14:15:46 -04'00'

Benjamin S. Aoki Digitally signed by Benjamin S.

Aoki Date: 2025.03.26 14:33:55 -04'00'

Mubeen Darji, P.E.

Digitally signed by Mubeen Darji, P.E.

Date: 2025.03.27 07:53:26 -04'00'

From: Leggoe, Kathy R.

To: Aoki, Benjamin Subject: Bays DC005D TACO to reconcile WCD"s Date: Monday, April 28, 2025 12:03:56 PM Attachments: DC005D Original HW681 CEFLOE_Bays Cleaners ERIC_4918.xlsx

DC005D Delta.f HW681 CEFLOE_Bays Cleaners ERIC_4918.xlsx DC005D Final HW681 CEFLOE_Bays Cleaners ERIC_4918.xlsx Cascade Invoice - materials (002).pdf Erwin CDM Smith Invoice - CDM109.pdf Lab coc.pdf (signed)WCD 2 Bays Cleaners.pdf (signed) WCD 1 Bays Cleaners.pdf

EXTERNAL MESSAGE

This email originated outside of DEP. Please use caution when opening attachments, clicking links, or responding to this email.

Good morning Benjamin. Attached is all needed to reconcile the WCDs for Bays when we added drums and sampling of one well.

If you need anything else, please let me know.

Very Respectfully, Kathy R. Leggoe, PG, PMP Geologist Project Manager CDM Smith 4651 Salisbury Road, Suite 420 Jacksonville, Florida 32256 (office) 904.527.6727, (cell) 904.651.0740 cdmsmith.com