CN-370000-HW681-DC08CCO1.pdf

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Master Agreement FL|HW681|acc15804f9112ed94de3c1f0669600ae
Contract number
HW681
Issued by
Florida

About this file

This document package contains a Task Assignment Change Order (TACO) and associated supporting documentation for environmental remediation services in Florida. The parties involved are the State of Florida Department of Environmental Protection (FDEP) and CDM Smith Inc., the prime contractor. The project involves work at the White Sands Cleaners site (ERIC_5437) located at 3333 North Tamiami Trail, Sarasota, Florida. The underlying contract is HW681, with the specific task assignment identified as DC008C.

The TACO reconciles Work Change Directive 1 and amends the compensation and completion date of the original task assignment. CDM Smith Inc. will conduct Operation & Maintenance and groundwater monitoring services for twelve months in accordance with the May 18, 2023 Scope of Work. The amended total task assignment value is $81,443.38, consisting of $59,843.38 in fixed unit rate labor costs and $21,600.00 in cost reimbursement for utilities. The original prior value was $75,222.79. The completion date has been extended by 45 days from October 15, 2024 to November 29, 2024. The work includes nine subtasks: groundwater monitoring, SVE System operation and maintenance with quarterly and annual reporting, utility charges for the first six and second six-month periods, and a blower silencer repair. Project management is calculated at 13 percent of direct labor costs. The task assignment involves 362.2 total labor hours and includes a $1,350.00 subcontractor cost for the blower silencer replacement performed by Remedial Systems Integrated, LLC.

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Text version

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.

DC008C 1 HW681

Mubeen Darji 850-245-8965 CDM Smith Inc.

Leslie Samel 704-249-6592

ERIC_5437

White Sands Cleaners

$ 59,843.38 $ 53,622.79

$ 21,600.00 $ 21,600.00

$ 81,443.38 $ 75,222.79

10/15/2024 11/29/2024 45

1 1 1

CDM Smith Inc.

Leslie Samel

CDM Smith Inc. Contract Manager

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2024.03.13 16:21:01 -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

Jeanette Nuñez Lt. Governor

Shawn Hamilton Secretary

TO: HW681 Contract File

FROM: Mubeen Darji P.E., Contract Manager

DATE: March 11, 2024

SUBJECT: Negotiation Summary:

White Sands Cleaners

ERIC_4520: DC008C-1

This Task Assignment Change Order reconciles WCD 1 in accordance with the CDM Smith Inc.

scope of work and cost estimate received on December 20, 2023. There is a cost reimbursement of $21,600 (Utilities). The total increase is $6,220.59.

Subtask 1: Project Management Project Management is calculated at 13% of the direct labor.

Subtask 2: Groundwater Monitoring There is a reduction in costs for this subtask due to the removal of labor and expenses for 3 sampling wells.

Subtask 9 This subtask was added to reconcile WCD 1 that was used to repair the silencer in the SVE System.

The final cost for this Task Assignment Change Order is $81,443.38 with 362.2 labor hours.

SITE :

SUBTASK: 2 Groundwater Monitoring

DATE: 12/18/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Sr. Technical Expert S. Cobert Technical Evaluation of Data/trend analysis 4

Professional II K. Turner Travel (1 trip) 4

Annual Groundwater Sampling - 17 wells 11

Field Preparation (Annual Sampling) 1

Sample Kit Coordination 1

IDW Management 1

Professional II J. LeBlanc Travel (1 trip) 4

Annual Groundwater Sampling - 17 wells 11

Professional I L. Weber Data Package, Updated Data Tables (Annual Sampling) 6

Total Hours:

S. Cobert 4

K. Turner 18

J. LeBlanc 15

L. Weber 6

TOTAL LABOR 43

VEHICLE TYPE RATE UNIT USEAGE

Truck $120 each 2 $240.00

TOTAL VEHICLE $240.00

PER DIEM STAFF RATE UNIT USEAGE

Per Diem M. Blanton $36.00 day 2 $72.00

Hotel M. Blanton $120.00 day 1 $120.00

Per Diem J. LeBlanc $36.00 day 2 $72.00

Hotel J. LeBlanc $120.00 day 1 $120.00

TOTAL PER DIEM $384.00

SUBCONTRACTOR COSTS

NAME PURPOSE UNIT COST

Erwin Remediation IDW Removal 1 $125 $125.00

TOTAL $125.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

VOH 8021/8260 $73.00 14 $1,022.00

TRPH FL-PRO $88.00 3 $264.00

Total Organic Carbon 9060 $30.00 1 $30.00

Dissoved Gasses RSK-175 $180.00 1 $180.00

Shipping (Large Cooler) $150.00 2 $300.00

Ice $6.50 4 $26.00

TOTAL LAB $1,822.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Shallow Groundwater Sampling Kit (2 people x 2 days $290 Day 4 $1,160.00

Expendables ( 2 days) $40.00 day 2 $80.00

Drums $100.00 each 1 $100.00

TOTAL EQUIPMENT $1,340.00

White Sands Cleaners

SITE : White Sands Cleaners SUBTASK: 3 SVE System O&M and Optimization

DATE: 12/18/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Sr. Technical Expert S. Cobert System Operation Deliverable 3

Project Manager K. Fincham

Professional I J. LeBlanc Travel to/from site (3 trips) 6

3 O&M Trips 24

Sample Kit Coordination (air sample) 1

IDW Management (moisture separator) 1

Professional II K. Turner O&M Quarterly Report, Updated Data Tables 8

Total Hours:

S. Cobert 3

K. Fincham 0

J. LeBlanc 32

K. Turner 8

TOTAL LABOR 43

VEHICLE TYPE RATE UNIT USEAGE

Truck $120.00 day 3 $360.00

$0.00

TOTAL VEHICLE $360.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00

$0.00

$0.00

$0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE Unit COST

Erwin Remediation IDW Removal 1 $125 $125.00

$0.00

TOTAL $125.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

TO-15 $200.00 1 $200.00

Small Cooler $110.00 1 $110.00

$0.00

TOTAL LAB $310.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00

Construction/O&M/Pilot kit $360.00 day 3 $1,080.00

Construction/O&M Supplies $75.00 day 3 $225.00

Expendables $40.00 day 3 $120.00

Drums $100.00 each 1 $100.00

$0.00

TOTAL EQUIPMEN $1,525.00

SUBTASK: 4 SVE System O&M and Optimization

DATE: 12/18/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Sr. Technical Exper S. Cobert System Operations Deliverable 3

Author Engineering section of RASR/GWMR 2

Project Manager K. Fincham Prepare/Submit RASR/GWMR 4

Professional I J. LeBlanc Travel to/from site (3 trips) 6

Sample Kit Coordination (air sample) 1

3 O&M Trips 24

Assisting with RASR Report 8

Professional II K. Turner Remedial Action Status Report (including GWM), Semi-Annual 32

Figures for RASR 4

Total Hours:

S. Cobert 5

J. LeBlanc 39

K. Fincham 4

K. Turner 36

TOTAL LABOR 84

VEHICLE TYPE RATE UNIT USEAGE

Truck $120.00 day 3 $360.00

TOTAL VEHICLE $360.00

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

TO-15 $200.00 1 $200.00

Small Cooler $110.00 1 $110.00

TOTAL LAB $310.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Construction/O&M/Pilot kit $360.00 day 3 $1,080.00

Construction/O&M Supplies $75.00 day 3 $225.00

Expendables $40.00 day 3 $120.00

TOTAL EQUIPMEN $1,425.00

SUBTASK: 5 SVE System O&M and Optimization

DATE: 12/18/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Sr. Technical ExpS. Cobert System Operation Deliverable 3

Professional I J. LeBlanc Travel to/from site (3 trips) 6

3 O&M Trips 24

Sample Kit Coordination (air sample) 1

IDW Management (moisture separator) 1

Professional II K. Turner O&M Quarterly Report, Updated Data Tables 8

Total Hours:

S. Cobert 3

J. LeBlanc 32

K. Turner 8

TOTAL LABOR 43

VEHICLE TYPE RATE UNIT USEAGE

Truck $120.00 day 3 $360.00

TOTAL VEHICLE $360.00

PER DIEM STAFF RATE UNIT USEAGE

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE Unit COST

Erwin Remediation IDW Removal 1 $125 $125.00

TOTAL $125.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

TO-15 $200.00 1 $200.00

Small Cooler $110.00 1 $110.00

TOTAL LAB $310.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00

Construction/O&M/Pilot kit $360.00 day 3 $1,080.00

Construction/O&M Supplies $75.00 day 3 $225.00

Expendables $40.00 day 3 $120.00

Drums $100.00 each 1 $100.00

TOTAL EQUIPMEN $1,525.00

SUBTASK: 6 SVE System O&M and Optimization

DATE: 12/18/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Sr. Technical ExpS. Cobert System Operations Deliverable 3

Author Engineering section of RASR 2

Project Manager K. Fincham Prepare/Submit RASR 4

Professional I J. LeBlanc Travel to/from site (3 trips) 6

3 O&M Trips 24

Sample Kit Coordination (air sample) 1

Assisting with RASR 8

Professional II K. Turner Remedial Action Status Report , Annual 40

Figures for RASR 4

Total Hours:

S. Cobert 5

J. LeBlanc 39

K. Fincham 4

K. Turner 44

TOTAL LABOR 92

VEHICLE TYPE RATE UNIT USEAGE

Truck $120.00 day 3 $360.00

TOTAL VEHICLE $360.00

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

TO-15 $200.00 5 $1,000.00

Small Cooler $110.00 5 $550.00

TOTAL LAB $1,550.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Construction/O&M/Pilot kit $360.00 day 3 $1,080.00

Construction/O&M Supplies $75.00 day 3 $225.00

Expendables $40.00 day 3 $120.00

TOTAL EQUIPMEN $1,425.00

SUBTASK: 7 Utilities

DATE: 12/18/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

FIELD EXPENSES ITEM RATE COSTING UNIT USEAGE TOTALS

O&M Quarter 9 Utilities Utility Charges (Electric) $1,800.00 month 3 $5,400.00

Quarter 9 Handling Fee Utility Handling Fee $20.00 Month 3 $60.00

O&M Quarter 10 Utiliites Utility Charges (Electric) $1,800.00 month 3 $5,400.00

Quarter 10 Handling Fee Utility Handling Fee $20.00 Month 3 $60.00

TOTAL EQUIPMEN $10,920.00

SUBTASK: 8 Utilities

DATE: 12/18/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

FIELD EXPENSES ITEM RATE COSTING UNIT USEAGE TOTALS

O&M Quarter 11 Utilities Utility Charges (Electric) $1,800.00 month 3 $5,400.00

Quarter 11 Handling Fee Utility Handling Fee $20.00 Month 3 $60.00

O&M Quarter 12 Utiliites Utility Charges (Electric) $1,800.00 month 3 $5,400.00

Quarter 12 Handling Fee Utility Handling Fee $20.00 Month 3 $60.00

TOTAL EQUIPMEN $10,920.00

SUBTASK: 9 Blower Fix

DATE: 12/18/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Sr. Technical Expert S. Cobert 0 0

Project Manager K. Fincham O&M System repair and support 3

Professional II K. Turner Travel (3 RT trips) 9

Field Preparation (3 trips) 3

O&M System Troubleshooting (3 trips) 14

Documentation of repairs and trips 2

Total Hours:

S. Cobert 0

K. Fincham 3

J. LeBlanc 0

K. Turner 28

TOTAL LABOR 31

VEHICLE TYPE RATE UNIT USEAGE

Truck $120.00 day 3 $360.00

$0.00

TOTAL VEHICLE $360.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00

$0.00

$0.00

$0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE Unit COST

RSI Blower silencer replacement 1 $1,350 $1,350.00

TOTAL $1,350.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

$0.00

$0.00

$0.00

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00

Construction/O&M/Pilot kit $360.00 day $0.00

Construction/O&M Supplies $75.00 day 3 $225.00

Expendables $40.00 day 3 $120.00

Drums $100.00 each 0 $0.00

TOTAL EQUIPMEN $345.00

SITE :

SUBTASK: 2 Groundwater Monitoring

DATE: 12/18/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Sr. Technical Expert S. Cobert Technical Evaluation of Data/trend analysis 0

Professional II K. Turner Travel (1 trip) 0

Annual Groundwater Sampling - 17 wells -2

Field Preparation (Annual Sampling) 0

Sample Kit Coordination 0

IDW Management 0

Professional II J. LeBlanc Travel (1 trip) 0

Annual Groundwater Sampling - 17 wells -2

Professional I L. Weber Data Package, Updated Data Tables (Annual Sampling) 0

Total Hours:

S. Cobert 0

K. Turner -2

J. LeBlanc -2

L. Weber 0

-4

TOTAL LABOR -4

VEHICLE TYPE RATE UNIT USEAGE

Truck $120 each 0 $0.00

TOTAL VEHICLE $0.00

PER DIEM STAFF RATE UNIT USEAGE

Per Diem M. Blanton $36.00 day 0 $0.00

Hotel M. Blanton $120.00 day 0 $0.00

Per Diem J. LeBlanc $36.00 day 0 $0.00

Hotel J. LeBlanc $120.00 day 0 $0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE UNIT COST

Erwin Remediation IDW Removal 0 $125 $0.00

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

VOH 8021/8260 $73.00 -3 ($219.00)

TRPH FL-PRO $88.00 0 $0.00

Total Organic Carbon 9060 $30.00 0 $0.00

Dissoved Gasses RSK-175 $180.00 0 $0.00

Shipping (Large Cooler) $150.00 0 $0.00

Ice $6.50 0 $0.00

TOTAL LAB ($219.00)

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Shallow Groundwater Sampling Kit (2 people x 2 days $290 Day 0 $0.00

Expendables ( 2 days) $40.00 day 0 $0.00

Drums $100.00 each 0 $0.00

TOTAL EQUIPMENT $0.00

White Sands Cleaners

SUBTASK: 9 Blower Fix

DATE: 12/18/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Sr. Technical Expert S. Cobert System Operation Deliverable 0

Project Manager K. Fincham O&M System repair and support 3

Professional I J. LeBlanc Travel to/from site (3 trips) 0

3 O&M Trips 0

Sample Kit Coordination (air sample) 0

IDW Management (moisture separator) 0

Professional II K. Turner O&M Quarterly Report, Updated Data Tables 0

Travel (3 RT trips) 9

Field Preparation (3 trips) 3

O&M System Troubleshooting (3 trips) 14

Documentation of repairs and trips 2

Total Hours:

S. Cobert 0

K. Fincham 3

J. LeBlanc 0

K. Turner 28

TOTAL LABOR 31

VEHICLE TYPE RATE UNIT USEAGE

Truck $120.00 day 3 $360.00

$0.00

TOTAL VEHICLE $360.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00

$0.00

$0.00

$0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE Unit COST

RSI Blower silencer replacement 1 $1,350 $1,350.00

TOTAL $1,350.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

TO-15 $200.00 0 $0.00

Small Cooler $110.00 0 $0.00

$0.00

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00

Construction/O&M/Pilot kit $360.00 day 0 $0.00

Construction/O&M Supplies $75.00 day 3 $225.00

Expendables $40.00 day 3 $120.00

Drums $100.00 each 0 $0.00

TOTAL EQUIPMEN $345.00

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:

White Sands ERIC_5437

HW681 CDM Smith

DC008C 1

Neighbors of site are complaining about excessive noise from the SVE system.

Three (3) Additional site visits; to assess and troubleshoot issues with the SVE system, shut off SVE system, and to replace silencer on SVE blower and restart system

Cost estimate form, subcontractor equipment installation quote

$ 6,922.46

Kathy Leggoe, P.G.

Digitally signed by Kathy Leggoe, P.G.

DN: C=US, E=leggoekr@cdmsmith.com, O=CDM Smith, OU=TSU, CN="Kathy Leggoe, P.G."

Date: 2023.11.02 17:00:47-04'00'

Aaron Cohen Digitally signed by Aaron Cohen Date: 2023.11.06 10:57:01 -05'00'

Aaron Cohen Digitally signed by Aaron Cohen Date: 2023.11.06 10:57:13 -05'00'

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

DC008C October 15, 2024

CDM Smith Inc. will conduct 12 months Operation & Maintenance and groundwater monitoring in accordance with the May 18th, 2023 Scope of Work and Cost Proposal.

Kyle McMurray 850-245-8973 CDM Smith Inc.

CDM Smith Inc.

Shayne Wood 904-527-6703

ERIC_4520

3333 North Tamiami Trail, Sarasota, Sarasota County, Florida

White Sands Cleaners

$ 53,622.79

$ 21,600.00

$ 75,222.79

Scope of Work

Shayne Wood

Vice President

6/28/2023

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2023.06.28 10:43:39 -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

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