CN-370000-HW681-DC12CCO1.pdf

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

About this file

This document is a Task Assignment Change Order (TACO No. 1) issued by the State of Florida Department of Environmental Protection (DEP) to CDM Smith Inc., a contractor providing environmental consulting services. The change order amends the original Task Assignment DC012C under Contract HW681, which is associated with the Carriage Trade Dry Cleaners site (ERIC_5232) located at 38225 12th Avenue, Zephyrhills, Pasco County, Florida. The Department's Project Manager is Mubeen Darji (850-245-8965), and the Contractor's Project Manager is Leslie Samel (704-249-6592).

The change order authorizes a cost increase of $171.84 for quarterly groundwater monitoring and site activities. The amended total task value increased from $14,319.17 to $14,491.01, maintaining a fixed unit rate structure. The task completion date was extended by 31 days, moving from August 30, 2024 to September 30, 2024. The cost adjustment reflects additional resources allocated to Subtask 4, which includes a site visit and attempted uncovering of Volatile Emanation Wells (VEW) that were previously covered with grout. Subtask 1 (Project Management) is calculated at 13% of direct labor costs. No changes were made to Subtasks 2, 3, 5, and 6. The final deliverables include quarterly groundwater sampling reports with field notes, laboratory Certificates of Conformance (COCs), and an annual groundwater monitoring report with conclusions and recommendations. The total work scope encompasses 92.5 labor hours across all subtasks.

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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.

DC012C 1 HW681

Mubeen Darji 850-245-8965 CDM Smith Inc.

Leslie Samel 704-249-6592

ERIC_5232

Carriage Trade Dry Cleaners

$ 14,491.01 $ 14,319.17

$ 14,491.01 $ 14,319.17

08/30/2024 09/30/2024 31

1 1 1

CDM Smith Inc.

Leslie Samel

CDM Smith Inc. Contract Manager

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2024.03.18 13:35:46 -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 15, 2024

SUBJECT: Negotiation Summary

DC012C-1

Carriage Trade Dry Cleaners

ERIC_5232

This Task Assignment Change Order authorizes a change in cost in accordance with the CDM Smith Inc. scope of work and cost estimate received on March 15, 2024. The total increase is $171.84.

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

There are no changes to Subtask 2, 3, 5, and 6.

Subtask 4: Costs were added into this subtask so CDM Smith can conduct a site visit and attempt to uncover VEW which were covered with grout.

The TA completion date was extended by 31 days, making September 30th, 2024, the new completion date. The final cost total for Task Assignment DC012C-1 is $14,491.01 with 92.5 labor hours.

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Carriage Trade Drycleaners SUBTASK: 2 - Groundwater Sampling

DATE: 6/29/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Manager K. Leggoe Interpretation of Lab Data Eval 1

Professional II M. Blanton Mobilization/Demobilization 1 Field Preparation 2 Arrange for Site Access with owner 1 Prepare Sample Kit 1 Sample Monitoring Wells 3 Deliverable Documentation Preparation 1

Professional I L. Weber Data Tabulation 2

Total Hours:

K. Leggoe 1 M. Blanton 9 L. Weber 2

TOTAL LABOR 12

VEHICLE TYPE RATE UNIT USEAGE

Truck $120.00 1 $120.00 $0.00

TOTAL VEHICLE $120.00

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

$0.00 $0.00 $0.00

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

VOC - EPA Method 8260 $73.00 2 0 $146.00 $0.00

Cooler (0 to 25 lbs) - Shipping $110.00 1 $110.00 Ice $6.50 2 $13.00

$0.00 $0.00

TOTAL LAB $269.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Groundwater Sampling Kit $290.00 1 $290.00 Expendables $40.00 1 $40.00 HDPE Tubing $0.30 60 $18.00 Silicon Tubing (1/4") $3.00 6 $18.00 Drum $100.00 1 $100.00

TOTAL EQUIPMENT $466.00

FINAL --7/24/96

SUBTASK: 2 - Groundwater Sampling - Q2

DATE: 6/29/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Manager K. Leggoe Interpretation of Lab Data Eval 1

Professional II M. Blanton Mobilization/Demobilization 1

Field Preparation 2

Arrange for Site Access with owner 1

Prepare Sample Kit 1

Sample Monitoring Wells 3

Deliverable Documentation Preparation 1

Professional I L. Weber Data Tabulation 2

Total Hours:

K. Leggoe 1

M. Blanton 9

L. Weber 2

TOTAL LABOR 12

VEHICLE TYPE RATE UNIT USEAGE

Truck $120.00 1 $120.00

$0.00

TOTAL VEHICLE $120.00

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

$0.00

$0.00

$0.00

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

VOC - EPA Method 8260 $73.00 2 0 $146.00

$0.00

Cooler (0 to 25 lbs) - Shipping $110.00 1 $110.00

Ice $6.50 2 $13.00

$0.00

$0.00

TOTAL LAB $269.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Groundwater Sampling Kit $290.00 1 $290.00

Expendables $40.00 1 $40.00

HDPE Tubing $0.30 60 $18.00

Silicon Tubing (1/4") $3.00 6 $18.00

TOTAL EQUIPMENT $366.00

SUBTASK: 2 - Groundwater Sampling - Q3

DATE: 6/29/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Manager K. Leggoe Field Preparation 1

Deliverable Preparation 1

Professional II M. Blanton Mobilization/Demobilization (1hr one way) 2

Field Preparation 2

Arrange for Site Access with owner 1

Perform Site Visit 4

Deliverable Documentation Preparation 4

Total Hours:

K. Leggoe 2

M. Blanton 13

TOTAL LABOR 15

VEHICLE TYPE RATE UNIT USEAGE

Truck $120.00 1 $120.00

$0.00

TOTAL VEHICLE $120.00

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

$0.00

$0.00

$0.00

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

VOC - EPA Method 8260 $73.00 0 $0.00

$0.00

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

Ice $6.50 $0.00

$0.00

$0.00

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Groundwater Sampling Kit $290.00 $0.00

Expendables $40.00 1 $40.00

HDPE Tubing $0.30 $0.00

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

Site Recon Kit $150.00 1 $150.00

TOTAL EQUIPMENT $190.00

SUBTASK: 2 - Groundwater Sampling - Q4

DATE: 6/29/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Manager K. Leggoe Interpretation of Lab Data Eval 1

Professional II M. Blanton Mobilization/Demobilization 1

Field Preparation 2

Arrange for Site Access with owner 1

Prepare Sample Kit 1

Sample Monitoring Wells 3

Deliverable Documentation Preparation 1

Professional I L. Weber Data Tabulation 2

Total Hours:

K. Leggoe 1

M. Blanton 9

L. Weber 2

TOTAL LABOR 12

VEHICLE TYPE RATE UNIT USEAGE

Truck $120.00 1 $120.00

$0.00

TOTAL VEHICLE $120.00

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 1 $125.00 $125.00

$0.00

$0.00

TOTAL $125.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

VOC - EPA Method 8260 $73.00 2 0 $146.00

$0.00

Cooler (0 to 25 lbs) - Shipping $110.00 1 $110.00

Ice $6.50 2 $13.00

$0.00

$0.00

TOTAL LAB $269.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Groundwater Sampling Kit $290.00 1 $290.00

Expendables $40.00 1 $40.00

HDPE Tubing $0.30 60 $18.00

Silicon Tubing (1/4") $3.00 6 $18.00

TOTAL EQUIPMENT $366.00

LEVEL OF EFFORT/EXPENSE WORKSHEET

SUBTASK: 2 - Groundwater Monitoring Report

DATE: 2/9/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Technical Leader D. Anderson PG review/Seal 2

Project Manager K. Leggoe GWMR Conclusions/Recommendations 2

Profesisonal II M. Blanton Preparation of GWMR - body of report 20

Professional I L. Weber Preparation of GWMR Data Tables, Summaries, Figures 10

Total Hours:

D. Anderson 2

K. Leggoe 2

M. Blanton 20

L. Weber 10

TOTAL LABOR 34

VEHICLE TYPE RATE UNIT USEAGE

$0.00

$0.00

TOTAL VEHICLE $0.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00

$0.00

$0.00

$0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

$0.00

$0.00

$0.00

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

$0.00

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00

$0.00

TOTAL EQUIPMENT $0.00

FINAL --7/24/96

SUBTASK: - Groundwater Sampling - Q3

DATE: 6/29/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION original hrs with new description HOURS

Project Manager K. Leggoe Field Preparation 1

Deliverable Preparation 1 original hrs with new description

Professional II M. Blanton Mobilization/Demobilization (1hr one way) 1 1

Field Preparation 2

Arrange for Site Access with owner 1

Perform Site Visit 4

Deliverable Documentation Preparation 1 3

Professional I L. Weber Data Tabulation -2

Total Hours:

K. Leggoe 1

M. Blanton 4

L. Weber -2

TOTAL LABOR 3

VEHICLE TYPE RATE UNIT USEAGE

Truck $120.00 1 leaving $0.00

$0.00

TOTAL VEHICLE $0.00

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

$0.00

$0.00

$0.00

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

VOC - EPA Method 8260 $73.00 -2 0 ($146.00)

$0.00

Cooler (0 to 25 lbs) - Shipping $110.00 -1 ($110.00)

Ice $6.50 -2 ($13.00)

$0.00

$0.00

TOTAL LAB ($269.00)

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Groundwater Sampling Kit $290.00 -1 ($290.00)

Expendables $40.00 0 $0.00

HDPE Tubing $0.30 -60 ($18.00)

Silicon Tubing (1/4") $3.00 -6 ($18.00)

Site Recon Kit $150.00 1 $150.00

TOTAL EQUIPMENT ($176.00)

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

DC012C August 30, 2024

CDM Smith Inc. will conduct Quarterly Groundwater Monitoring in accordance with the June 29th, 2023 Scope of Work and Cost Proposal.

Kyle McMurray 850-245-8973 CDM Smith Inc.

CDM Smith Inc.

Shayne Wood 904-527-6703

ERIC_5232

38225 12th Avenue Zephyrhills, Pasco County, Florida

Carriage Trade Dry Cleaners

$ 14,319.17

$ 14,319.17

Scope of Work

Shayne Wood

Vice President

6/20/2023

Kelly Crain

Kelly Crain Digitally signed by Kelly Crain Date: 2023.06.29 19:51:34 -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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