CN-370000-HW682-DC04BCO2.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:

5. ☐ 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.

DC004B 02 HW682

This Task Assignment Change Order reconciles WCD #1 and authorizes vehicle costs in upcoming Subtask 4 that were mistakenly not captured in the original TA.

Ginger Shirah 850-245-8899 Contractor Environmental Consulting and Technology, Inc. (ECT) Contractor

Contractor Mark A. Culbreth Contractor 813-289-9338

ERIC_4775

Victorian Cleaners

✔ $ 77,742.55 $ 71,711.66

$ 77,742.55 $ 71,711.66 ✔ Completion

Completion 0

✔ 1 1 1

Contractor

Mark A. Culbreth

Principal Hydrogeologist

July 13, 2023

Digitally signed by Mark Culbreth Date: 2023.07.13 15:19:56-04'00'Mark Culbreth

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2023.07.12 17:07:51 -04'00'

N/A

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

WCP TAFORM 01_18

Contract Number:

Task Assignment #:

Change Order #:

Deliverables:

Deliverable Deliverable Due Date

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

TOTAL COST

HW682

DC004B

$ 77,742.55

GPR Survey and Field notes (Subtask 2)

DPT Soil and Groundwater Sampling Field Notes (Subtask 3)

Well Installation and Groundwater Sampling Field Notes (Subtask 4)

MAGS Field Notes (Subtask 5)

IDW Manifests and PLS (Subtask 6 and 7)

Site Assessment Report and PM (Subtask 8 and 1)

Approval of GPR Survey and Field notes (Subtask 2)

Approval of Well Installation and Groundwater Sampling Field Notes (Subtask 4)

Approval of MAGS Field Notes (Subtask 5)

Approval of Site Assessment Report and PM (Subtask 8 and 1)

Approval of IDW Manifests and PLS (Subtask 6 and 7)

Approval of DPT Soil and Groundwater Sampling Field Notes (Subtask 3)

12/30/2022

06/30/2023

07/14/2023

07/31/2023

09/29/2023

08/31/2023

$ 33,547.79

$ 3,242.13

$ 20,418.07

$ 4,840.91

$ 6,625.85

$ 9,067.80

Printed on recycled paper.

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

From:

Date:

To: HW682 Contract Negotiation File Victorian Cleaners Tampa, Hillsborough County

ERIC_4775

Ginger Shirah, Project Manager July 7, 2023

Subject: Negotiation Summary

HW682 DC004B-02

This Task Assignment Change Order reconciles WCD #1 which authorized additional laboratory costs which account for switching lab analysis of EPA Method 8260 to the full suite analyses. The WCD also authorized labor hours that were previously not accounted for in Subtask 8. The labor hours were displayed correctly on the Original Cost Estimate Form, however they were not correctly calculated within the Formula Sheet, which produced incorrect Total Labor Costs. This TACO also includes a week of vehicle costs in subtask 4 that were also previously scoped but not actually calculated into the total costs.

The changes above result in an overall increase of $6,030.87 (with a $0.02 delta rounding error). The FDEP project manager agrees to the scope of work and final cost associated with this Task Assignment, which is $77,742.55 with 239 total labor hours.

FDEP COST ESTIMATEContractor: Environmental Consulting & Technology, Inc.

Date: 6/21/2023

Task #: SubTask 1 Project Management SubTask 6 IDW Management

Site: Victorian Cleaners SubTask 2 HASP & Utility Clearance SubTask 7 Professional Land Survey

Activity/Phase: SubTask 3 Soil Sampling with DPT & Groundwater Sampling SubTask 8 SAR Preperation

Project Manager: Mark Culbreth SubTask 4 Well Installation & Groundwater Sampling SubTask 9

SubTask 5 MAGS SubTask 10

Totals 1 2 3 4 5 6 7 8 9 10 Labor Rate Category

$80.12 Project Manager 13 13.3 $80.12 Senior Principal Scientist (MC) 3 0 0 1 0 0 0 2 0 0 $52.89 Senior Engineer / Scientist (GS) 9 2 0 0 5 0 0 2 0 0 $55.00 Senior Engineer / Scientist (DP) 34 11 9 2 0 1 1 10 0 0 $34.02 Sr. Associate Engineer / Scientist (KM) 122 0.0 57.5 34.5 9.5 0 0 20 0 0 $26.54 GIS Analyst / Graphics (JV) 9 0 0 1 0 0 0 8 0 0 $21.54 Associate Engineer / Scientist (JP) 35 0 8.5 11.0 9.5 0 5.5 0 0 0 $31.45 Administrative (BJ) 15 0 4 2 1 0 0 8 0 0

Total Hours 239 13.3 13.0 79.0 51.5 25.0 1 6.5 50 0 0

Direct Labor $9,236.10 $1,062.56 $710.78 $2,760.04 $1,690.19 $823.72 $55.00 $173.47 $1,960.34 $0.00 $0.00

Overhead 125.30% $11,572.85 $1,331.39 $890.61 $3,458.33 $2,117.81 $1,032.12 $68.92 $217.36 $2,456.31 $0.00 $0.00 Gen & Admin 0.00% $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fringe 47.40% $4,377.90 $503.65 $336.91 $1,308.26 $801.15 $390.44 $26.07 $82.22 $929.20 $0.00 $0.00 Total Labor $25,186.85 $2,897.60 $1,938.30 $7,526.63 $4,609.15 $2,246.28 $149.99 $473.05 $5,345.85 $0.00 $0.00

Travel Vehicle Rental $1,600.00 $80.00 $680.00 $600.00 $120.00 $0.00 $120.00 $0.00 $0.00 $0.00 Total Travel $1,600.00 $80.00 $680.00 $600.00 $120.00 $0.00 $120.00 $0.00 $0.00 $0.00

Subcontractor (Equipment Procurement) Subcontractor Subtotal $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Procurement Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor (Services Procurement) Drilling (Conventional) $23,805.00 $0.00 $13,645.00 $10,160.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Surveying $4,265.00 $0.00 $0.00 $0.00 $0.00 $0.00 $4,265.00 $0.00 $0.00 $0.00

IDW $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

GeoView $1,890.00 $900.00 $0.00 $0.00 $0.00 $990.00 $0.00 $0.00 $0.00 $0.00 Subcontractor Subtotal $29,960.00 $900.00 $13,645.00 $10,160.00 $0.00 $990.00 $4,265.00 $0.00 $0.00 $0.00 Handling Fee $2,996.00 $90.00 $1,364.50 $1,016.00 $0.00 $99.00 $426.50 $0.00 $0.00 $0.00 Total Subcontractor Cost $32,956.00 $990.00 $15,009.50 $11,176.00 $0.00 $1,089.00 $4,691.50 $0.00 $0.00 $0.00

Laboratory Analytical Costs $10,738.00 $0.00 $8,060.00 $1,078.00 $1,600.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fast Turnaround Charges $110.00 $0.00 $0.00 $0.00 $110.00 $0.00 $0.00 $0.00 $0.00 $0.00 Sample Shipping $420.00 $0.00 $210.00 $210.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Laboratory $11,268.00 $0.00 $8,270.00 $1,288.00 $1,710.00 $0.00 $0.00 $0.00 $0.00 $0.00

Field Expenses Expendables $560.00 $40.00 $240.00 $240.00 $40.00 $0.00 $0.00 $0.00 $0.00 $0.00 Shallow Groundwater Sampling Kit $620.00 $0.00 $290.00 $290.00 $0.00 $0.00 $40.00 $0.00 $0.00 $0.00 Soil Assessment Kit $700.00 $0.00 $700.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Metal Detector $40.00 $0.00 $40.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Ice $78.00 $0.00 $39.00 $39.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Monitoring well Install Kit $1,300.00 $0.00 $0.00 $1,300.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Deep Groundwater Sampling Kit $415.00 $0.00 $0.00 $415.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 MAGS Kit $0.00 $0.00 $0.00 $500.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Field Expenses $4,213.00 $40.00 $1,309.00 $2,284.00 $540.00 $0.00 $40.00 $0.00 $0.00 $0.00

Subtotal $75,223.85 $2,897.60 $3,048.30 $32,795.13 $19,957.15 $4,616.28 $1,238.99 $5,324.55 $5,345.85 $0.00 $0.00 Completion Fee $2,518.70 $289.76 $193.83 $752.66 $460.92 $224.63 $15.00 $47.31 $534.59 $0.00 $0.00

Total Estimated Cost $77,742.55 $3,187.36 $3,242.13 $33,547.79 $20,418.07 $4,840.91 $1,253.99 $5,371.86 $5,880.44 $0.00 $0.00

Cost from Prior CEF: $71,711.66 Manual Entry Cost from Delta CEF; $6,030.87 Manual Entry

Cost (Prior + Delta): $77,742.53 Auto-Calculated Rounding Error: $0.02 Auto-Calculated

Final Total Cost: $77,742.55 Auto-Calculated

Initial Site Assessment

Final

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Victorian Cleaners SUBTASK 2: HASP & Utility Clearance

DATE: 6/21/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

G Sattler Senior Engineer Prepare Health and Safety Plan 2 Total 2

D Phillips Senior Scientist Mobilize from Orlando to the site in Tampa 1.5 Utility clearance 4 ROW Access, if needed 4 Demobilize from Tampa to Orlando 1.5

Total 11

TOTAL LABOR 13

VEHICLE TYPE RATE UNIT USEAGE

Rental Car $80.00 day 1 $80.00

TOTAL VEHICLE $80.00

PER DIEM STAFF RATE UNIT USEAGE

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

GeoView Private Utility Location 1 $900.00

TOTAL $900.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Expendables $40.00 Event 1 $40.00

TOTAL EQUIPMENT $40.00

$900.00

FINAL --7/24/96

SUBTASK 3: Soil Sampling with DPT & Groundwater Sampling

DATE: 6/21/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

D. Phillips Senior Scientist Verification of property ownership, notify RPO of field activities 1 Mobilize from Orlando to the site in Tampa 1.5 Soil Borings and DPT Sampling (0.5 day) 5 Demobilize from Tampa to Orlando 1.5

Total 9 K. Morrison nior Associate Scie Mobilize from office to the site 3.75

Soil Borings and DPT Groundwater Sampling 50 Demobilize from site to office 3.75

Total 57.5 J. Penia Technician Mobilize from office to the site 0.75

Open Well and collect DTW at 6 wells 1 Groundwater sampling 6 wells 6 Demobilize from site to office 0.75

Total 8.5 B. Jarvis Administrative Create tables and data entry 4

Total 4

TOTAL LABOR 79

VEHICLE TYPE RATE UNIT USEAGE

Rental Truck $480.00 week 1 $480.00 Rental Truck $120.00 week 1 $120.00 Rental Car $80.00 day 1 $80.00

TOTAL VEHICLE $680.00

PER DIEM STAFF RATE UNIT USEAGE

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

Preferred Drilling Solutions DPT Soil & Groundwater Sampling $13,645.00 1 $13,645.00

TOTAL $13,645.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

USEPA Method 8260 for VOHs Soil SBs $73.00 -16 ($1,168.00) USEPA Method 8260 for VOHs Soil Sediment $73.00 -2 ($146.00) SPLP Extractions $45.00 8 $360.00 USEPA Method 8260 for VOHs Groundwater DPT $73.00 -33 ($2,409.00) USEPA Method 8260 for VOHs Sediment Water $73.00 -2 ($146.00) USEPA Method 8260 VOHs Grab samples from 6 MW's $73.00 -6 ($438.00) USEPA Method 8260 for VOHs Groundwater CBs $73.00 -3 ($219.00) USEPA Method 8260 for SPLP $73.00 -8 ($584.00) Shipping Samples $70.00 3 $210.00 USEPA Method 8260 for VOHs Soil SBs $110.00 16 $1,760.00 USEPA Method 8260 for VOHs Soil Sediment $110.00 2 $220.00 USEPA Method 8260 for VOHs Groundwater DPT $110.00 33 $3,630.00 USEPA Method 8260 for VOHs Sediment Water $110.00 2 $220.00 USEPA Method 8260 VOHs Grab samples from 6 MW's $110.00 6 $660.00 USEPA Method 8260 for VOHs Groundwater CBs $110.00 3 $330.00 USEPA Method 8260 for SPLP $110.00 8 $880.00

TOTAL LAB $8,270.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Expendables $40.00 Event 6 $240.00 Shallow Groundwater Sampling Kit $290.00 Day 1 $290.00 Soil Assessment Kit $700.00 Week 1 $700.00 Metal Detector $40.00 Day 1 $40.00 Ice $6.50 each 6 $39.00

TOTAL EQUIPMEN $1,309.00

SUBTASK 4: Well Installation & Groundwater Sampling

DATE: 6/21/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

M Culbreth r. Principal Scienti Develop conclusions and recommendations and prepare final PFAS deliverable 1 Total 1

D Phillips Senior Scientist Prepare draft PFAS delverable 2 Total 2

K. Morrison ior Associate Scie Mobilize from office to the site 2.25 Soil Borings, DPT Sampling, & Well Install 30 Demobilize from site to office. A 0.75 hour each day. 2.25

Total 34.5 J. Von Borstel GIS Analyst Prepare the PFAS Figure 1

Total 1 J. Penia Technician Mobilize from office to the site 0.75

Open Well and collect DTW at 16 wells 1.5 Groundwater Sampling (8 new wells) 8 Demobilize from site to office 0.75

Total 11 B. Jarvis Administrative Update tables and create the PFAS table. 2

Total 2

TOTAL LABOR 51.5

VEHICLE TYPE RATE UNIT USEAGE

Rental Truck KM $480.00 week 1 $480.00 Rental Truck JP $120.00 day 1 $120.00

TOTAL VEHICLE $600.00

PER DIEM STAFF RATE UNIT USEAGE

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

Preferred Drilling Solutions DPT & Well install 1 $10,160.00

TOTAL $10,160.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

IDW USEPA Method 8260 for VOHs Soil $73.00 1 $73.00 IDW USEPA Method 6020 or 6010 for RCRA 4 Metals $52.00 1 $52.00 USEPA 8260 for VOHs Groundwater MWs $73.00 -8 ($584.00) IDW USEPA 8260 for VOHs Groundwater $73.00 1 $73.00 Shipping Samples $70.00 3 $210.00 USEPA 8260 for VOHs Groundwater MWs $110.00 8 $880.00

TOTAL LAB $1,288.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Expendables $40.00 Event 6 $240.00 Monitoring well Install Kit $1,300.00 week 1 $1,300.00 Shallow Groundwater Sampling Kit $290.00 Day 1 $290.00 Deep Groundwater Sampling Kit $415.00 Day 1 $415.00 Ice $6.50 each 6 $39.00

TOTAL EQUIPMENT $2,284.00

$10,160.00

SUBTASK 5: MAGS

DATE: 6/21/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

G. Sattler Senior Engineer P.E. oversite of MGAS events 3 Check MAGS data 2

Total 5 K. Morrison r. Associate Scient Mobilize from office to the site 0.75

MAGS Testing 8 Demobilize from office to site 0.75

Total 9.5 J. Penia Technician Mobilize from office to the site 0.75

Open Well and collect DTW at 12 wells 0 MAGS Testing 8 Demobilize from office to site 0.75

Total 9.5 B. Jarvis Administrative Update tables 1

Total 1

TOTAL LABOR 25

VEHICLE TYPE RATE UNIT USEAGE

Rental Truck $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

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

USEPA Method TO-15 for VOHs $200.00 8 $1,600.00 Sampling Shipping Overnight $110.00 1 $110.00

TOTAL LAB $1,710.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Expendables $40.00 Event 1 $40.00 MAGS Investigation Kit $500.00 Day 1 $500.00

TOTAL EQUIPMENT $540.00

SUBTASK 6: IDW Management

DATE: 6/21/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

D. Phillips Senior Scientist Characterization and waste profile for transportation and disposal of soil & water IDW drums 1 Schedule IDW transport and disposal

Total 1

TOTAL LABOR 1

VEHICLE TYPE RATE UNIT USEAGE

TOTAL VEHICLE $0.00

PER DIEM STAFF RATE UNIT USEAGE

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

Erwin Remediation IDW T&D $110.00 9 $990.00

TOTAL $990.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

TOTAL EQUIPMENT $0.00

SUBTASK 7: Professional Land Survey

DATE: 6/21/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

D. Phillips Senior Scientist Verification of property ownership, notify RPO of field activities 1 Total 1

J. Penia Technician Mobilize from Tampa to the site 0.75 PLS Oversight 4 Demobilize from the site 0.75

Total 5.5

TOTAL LABOR 6.5

VEHICLE TYPE RATE UNIT USEAGE

Rental Truck $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

SurvTech Professional Land Survey $4,265.00 1 $4,265.00

TOTAL $4,265.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Expendables $40.00 Event 1 $40.00

TOTAL EQUIPMENT $40.00

SUBTASK 8: SAR Preperation

DATE: 6/21/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

M. Culbreth r. Principal Scienti Develop conclusions and recommendations and prepare final Assessment Report 2 Total 2

G. Sattler Senior Engineer Develop conclusions and recommendations and prepare for the MAGS section 2 Total 2

D. Phillips Senior Scientist Check of soil & groundwater lab data and prepare draft SAR 10 Total 10

K. Morrison r. Associate Scient Prepare the draft SAR 20 Total 20

J. Von Borstel GIS Analyst Revise and Update Figures 8 Total 8

B. Jarvis Administrative Update tables 4 Document Preparation & Publishing 4

Total 8

TOTAL LABOR 50

VEHICLE TYPE RATE UNIT USEAGE

TOTAL VEHICLE $0.00

PER DIEM STAFF RATE UNIT USEAGE

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

TOTAL LAB $0.00

Task #: SubTask 1 Project Management SubTask 6 IDW Management

Site: Victorian Cleaners SubTask 2 HASP & Utility Clearance SubTask 7 Professional Land Survey

Activity/Phase: SubTask 3 Soil Sampling with DPT & Groundwater Sampling SubTask 8 SAR Preperation

Project Manager: Mark Culbreth SubTask 4 Well Installation & Groundwater Sampling SubTask 9

SubTask 5 MAGS SubTask 10

Totals 1 2 3 4 5 6 7 8 9 10 Labor Rate Category

$80.12 Project Manager 1.3 1.3 $80.12 Senior Principal Scientist (MC) 0 0 0 0 0 0 0 0 0 0 $52.89 Senior Engineer / Scientist (GS) 2 0 0 0 0 0 0 2 0 0 $55.00 Senior Engineer / Scientist (DP) 0 0 0 0 0 0 0 0 0 0 $34.02 Sr. Associate Engineer / Scientist (KM) 20 0.0 0.0 0.0 0.0 0 0 20 0 0 $26.54 GIS Analyst / Graphics (JV) 0 0 0 0 0 0 0 0 0 0 $21.54 Associate Engineer / Scientist (JP) 0 0 0.0 0.0 0.0 0 0 0 0 0 $31.45 Administrative (BJ) 0 0 0 0 0 0 0 0 0 0

Total Hours 23 1.3 0.0 0.0 0.0 0.0 0 0 22 0 0

Direct Labor $888.38 $102.20 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $786.18 $0.00 $0.00

Overhead 125.30% $1,113.14 $128.06 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $985.08 $0.00 $0.00 Gen & Admin 0.00% $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fringe 47.40% $421.09 $48.44 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $372.65 $0.00 $0.00 Total Labor $2,422.61 $278.70 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2,143.91 $0.00 $0.00

Travel Vehicle Rental $480.00 $0.00 $0.00 $480.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Travel $480.00 $0.00 $0.00 $480.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor (Equipment Procurement) Subcontractor Subtotal $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Procurement Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $0.00 $0.00 $0.00 $0.00 $0.00 $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 $0.00 $0.00 $0.00 $0.00 $0.00 Surveying $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

IDW $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

GeoView $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 $0.00 $0.00 $0.00 $0.00 $0.00 Handling Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Laboratory Analytical Costs $2,886.00 $0.00 $2,590.00 $296.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fast Turnaround Charges $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Sample Shipping $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Laboratory $2,886.00 $0.00 $2,590.00 $296.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Field Expenses Expendables $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Shallow Groundwater Sampling Kit $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Soil Assessment Kit $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Metal Detector $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Ice $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Monitoring well Install Kit $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Deep Groundwater Sampling Kit $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 MAGS Kit $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Field Expenses $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal $5,788.61 $278.70 $0.00 $2,590.00 $776.00 $0.00 $0.00 $0.00 $2,143.91 $0.00 $0.00 Completion Fee $242.26 $27.87 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $214.39 $0.00 $0.00

Total Estimated Cost $6,030.87 $306.57 $0.00 $2,590.00 $776.00 $0.00 $0.00 $0.00 $2,358.30 $0.00 $0.00

Cost from Prior CEF: Manual Entry Cost from Delta CEF; Manual Entry

Cost (Prior + Delta): $0.00 Auto-Calculated Rounding Error: $6,030.87 Auto-Calculated

Final Total Cost: $6,030.87 Auto-Calculated

Initial Site Assessment

Delta

SUBTASK 3: Soil Sampling with DPT & Groundwater Sampling

DATE: 6/21/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

D. Phillips Senior Scientist Verification of property ownership, notify RPO of field activities 0 Mobilize from Orlando to the site in Tampa 0 Soil Borings and DPT Sampling (0.5 day) 0 Demobilize from Tampa to Orlando 0

Total 0 K. Morrison nior Associate Scie Mobilize from office to the site 0

Soil Borings and DPT Groundwater Sampling 0 Demobilize from site to office 0

Total 0 J. Penia Technician Mobilize from office to the site 0

Open Well and collect DTW at 6 wells 0 Groundwater sampling 6 wells 0 Demobilize from site to office 0

Total 0 B. Jarvis Administrative Create tables and data entry 0

Total 0

TOTAL LABOR 0

VEHICLE TYPE RATE UNIT USEAGE

Rental Truck $480.00 week 0 $0.00 Rental Truck $120.00 week 0 $0.00 Rental Car $80.00 day 0 $0.00

TOTAL VEHICLE $0.00

PER DIEM STAFF RATE UNIT USEAGE

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

Preferred Drilling Solutions DPT Soil & Groundwater Sampling $13,654.00 0 $0.00

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

USEPA Method 8260 for VOHs Soil SBs $73.00 -16 ($1,168.00) USEPA Method 8260 for VOHs Soil Sediment $73.00 -2 ($146.00) SPLP Extractions $45.00 0 $0.00 USEPA Method 8260 for VOHs Groundwater DPT $73.00 -33 ($2,409.00) USEPA Method 8260 for VOHs Sediment Water $73.00 -2 ($146.00) USEPA Method 8260 VOHs Grab samples from 6 MW's $73.00 -6 ($438.00) USEPA Method 8260 for VOHs Groundwater CBs $73.00 -3 ($219.00) USEPA Method 8260 for SPLP $73.00 -8 ($584.00) Shipping Samples $70.00 0 $0.00 USEPA Method 8260 for VOHs Soil SBs $110.00 16 $1,760.00 USEPA Method 8260 for VOHs Soil Sediment $110.00 2 $220.00 USEPA Method 8260 for VOHs Groundwater DPT $110.00 33 $3,630.00 USEPA Method 8260 for VOHs Sediment Water $110.00 2 $220.00 USEPA Method 8260 VOHs Grab samples from 6 MW's $110.00 6 $660.00 USEPA Method 8260 for VOHs Groundwater CBs $110.00 3 $330.00 USEPA Method 8260 for SPLP $110.00 8 $880.00

TOTAL LAB $2,590.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Expendables $40.00 Event 0 $0.00 Shallow Groundwater Sampling Kit $290.00 Day 0 $0.00 Soil Assessment Kit $700.00 Week 0 $0.00 Metal Detector $40.00 Day 0 $0.00 Ice $6.50 each 0 $0.00

SUBTASK 4: Well Installation & Groundwater Sampling

DATE: 6/21/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

M Culbreth r. Principal Scienti Develop conclusions and recommendations and prepare final PFAS deliverable 0 Total 0

D Phillips Senior Scientist Prepare draft PFAS delverable 0 Total 0

K. Morrison ior Associate Scie Mobilize from office to the site 0 Soil Borings, DPT Sampling, & Well Install 0 Demobilize from site to office. A 0.75 hour each day. 0

Total 0 J. Von Borstel GIS Analyst Prepare the PFAS Figure 0

Total 0 J. Penia Technician Mobilize from office to the site 0

Open Well and collect DTW at 16 wells 0 Groundwater Sampling (8 new wells) 0 Demobilize from site to office 0

Total 0 B. Jarvis Administrative Update tables and create the PFAS table. 0

Total 0

TOTAL LABOR 0

VEHICLE TYPE RATE UNIT USEAGE

Rental Truck KM $480.00 week 1 $480.00 Rental Truck JP $120.00 day 0 $0.00

TOTAL VEHICLE $480.00

PER DIEM STAFF RATE UNIT USEAGE

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

Preferred Drilling Solutions DPT & Well install 0 $0.00

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

IDW USEPA Method 8260 for VOHs Soil $73.00 0 $0.00 IDW USEPA Method 6020 or 6010 for RCRA 4 Metals $52.00 0 $0.00 USEPA Method 8260 for VOHs Groundwater DPT $73.00 0 $0.00 USEPA Method 8260 VOHs Grab samples from 2 MW $73.00 0 $0.00 USEPA Method 8260 for VOHs Groundwater CBs $73.00 0 $0.00 USEPA Method 8260 for SPLP $73.00 0 $0.00 USEPA 8260 for VOHs Groundwater MWs $73.00 -8 ($584.00) IDW USEPA 8260 for VOHs Groundwater $73.00 0 $0.00 Shipping Samples $70.00 0 $0.00 USEPA 8260 for VOHs Groundwater MWs $110.00 8 $880.00

TOTAL LAB $296.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Expendables $40.00 Event 0 $0.00 Monitoring well Install Kit $1,300.00 week 0 $0.00 Shallow Groundwater Sampling Kit $290.00 Day 0 $0.00 Deep Groundwater Sampling Kit $415.00 Day 0 $0.00 Ice $6.50 each 0 $0.00

$10,160.00

SUBTASK 8: SAR Preperation

DATE: 6/21/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

M. Culbreth Sr. Principal Scientist Develop conclusions and recommendations and prepare final Assessment Report 0 Total 0

G. Sattler Senior Engineer Develop conclusions and recommendations and prepare for the MAGS section 2 Total 2

D. Phillips Senior Scientist Check of soil & groundwater lab data and prepare draft SAR 0 Total 0

K. Morrison Sr. Associate ScientistPrepare the draft SAR 20 Total 20

J. Von Borstel GIS Analyst Revise and Update Figures 0 Total 0

B. Jarvis Administrative Update tables 0 Document Preparation & Publishing 0

Total 0

TOTAL LABOR 22

VEHICLE TYPE RATE UNIT USEAGE

TOTAL VEHICLE $0.00

PER DIEM STAFF RATE UNIT USEAGE

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

TOTAL LAB $0.00

TOTAL EQUIPMEN $0.00

Task #: SubTask 1 Project Management SubTask 6 IDW Managemen

Site: Victorian Cleaners SubTask 2 HASP & Utility Clearance SubTask 7 Professional Land

Activity/Phase: SubTask 3 Soil Sampling with DPT & Groundwater Sampling SubTask 8 SAR Preperation

Project Manager: Mark Culbreth SubTask 4 Well Installation & Groundwater Sampling SubTask 9

SubTask 5 MAGS SubTask 10

Totals 1 2 3 4 5 6 7 8 Labor Rate Category

$80.12 Project Manager 12 12.0 $80.12 Senior Principal Scientist (MC) 3 0 0 1 0 0 0 2 $52.89 Senior Engineer / Scientist (GS) 9 2 0 0 5 0 0 2 $55.00 Senior Engineer / Scientist (DP) 34 11 9 2 0 1 1 10 $34.02 Sr. Associate Engineer / Scientist (KM) 122 0.0 57.5 34.5 9.5 0 0 20 $26.54 GIS Analyst / Graphics (JV) 9 0 0 1 0 0 0 8 $21.54 Associate Engineer / Scientist (JP) 35 0 8.5 11.0 9.5 0 5.5 0 $31.45 Administrative (BJ) 15 0 4 2 1 0 0 8

Total Hours 238 12.0 13.0 79.0 51.5 25.0 1 6.5 50

Direct Labor $8,347.72 $960.36 $710.78 $2,760.04 $1,690.19 $823.72 $55.00 $173.47 $1,174.16

Overhead 125.30% $10,459.70 $1,203.33 $890.61 $3,458.33 $2,117.81 $1,032.12 $68.92 $217.36 $1,471.22 Gen & Admin 0.00% $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fringe 47.40% $3,956.81 $455.21 $336.91 $1,308.26 $801.15 $390.44 $26.07 $82.22 $556.55 Total Labor $22,764.23 $2,618.90 $1,938.30 $7,526.63 $4,609.15 $2,246.28 $149.99 $473.05 $3,201.93

Travel Vehicle Rental $1,120.00 $80.00 $680.00 $120.00 $120.00 $0.00 $120.00 $0.00 Total Travel $1,120.00 $80.00 $680.00 $120.00 $120.00 $0.00 $120.00 $0.00

Subcontractor (Equipment Procurement) Subcontractor Subtotal $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Procurement Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor (Services Procurement) Drilling (Conventional) $23,805.00 $0.00 $13,645.00 $10,160.00 $0.00 $0.00 $0.00 $0.00 Surveying $4,265.00 $0.00 $0.00 $0.00 $0.00 $0.00 $4,265.00 $0.00

IDW $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

GeoView $1,890.00 $900.00 $0.00 $0.00 $0.00 $990.00 $0.00 $0.00 Subcontractor Subtotal $29,960.00 $900.00 $13,645.00 $10,160.00 $0.00 $990.00 $4,265.00 $0.00 Handling Fee $2,996.00 $90.00 $1,364.50 $1,016.00 $0.00 $99.00 $426.50 $0.00 Total Subcontractor Cost $32,956.00 $990.00 $15,009.50 $11,176.00 $0.00 $1,089.00 $4,691.50 $0.00

Laboratory Analytical Costs $7,852.00 $0.00 $5,470.00 $782.00 $1,600.00 $0.00 $0.00 $0.00 Fast Turnaround Charges $110.00 $0.00 $0.00 $0.00 $110.00 $0.00 $0.00 $0.00 Sample Shipping $420.00 $0.00 $210.00 $210.00 $0.00 $0.00 $0.00 $0.00 Total Laboratory $8,382.00 $0.00 $5,680.00 $992.00 $1,710.00 $0.00 $0.00 $0.00

Field Expenses Expendables $600.00 $40.00 $240.00 $240.00 $40.00 $0.00 $40.00 $0.00 Shallow Groundwater Sampling Kit $580.00 $0.00 $290.00 $290.00 $0.00 $0.00 $0.00 $0.00 Soil Assessment Kit $700.00 $0.00 $700.00 $0.00 $0.00 $0.00 $0.00 $0.00 Metal Detector $40.00 $0.00 $40.00 $0.00 $0.00 $0.00 $0.00 $0.00 Ice $78.00 $0.00 $39.00 $39.00 $0.00 $0.00 $0.00 $0.00 Monitoring well Install Kit $1,300.00 $0.00 $0.00 $1,300.00 $0.00 $0.00 $0.00 $0.00 Deep Groundwater Sampling Kit $415.00 $0.00 $0.00 $415.00 $0.00 $0.00 $0.00 $0.00 MAGS Kit $0.00 $0.00 $0.00 $500.00 $0.00 $0.00 $0.00 Total Field Expenses $4,213.00 $40.00 $1,309.00 $2,284.00 $540.00 $0.00 $40.00 $0.00

Subtotal $69,435.23 $2,618.90 $3,048.30 $30,205.13 $19,181.15 $4,616.28 $1,238.99 $5,324.55 $3,201.93 Completion Fee $2,276.43 $261.89 $193.83 $752.66 $460.92 $224.63 $15.00 $47.31 $320.19

Total Estimated Cost $71,711.66 $2,880.79 $3,242.13 $30,957.79 $19,642.07 $4,840.91 $1,253.99 $5,371.86 $3,522.12

Cost from Prior CEF: Manual Entry Cost from Delta CEF; Manual Entry

Cost (Prior + Delta): $0.00 Auto-Calculated Rounding Error: $71,711.66 Auto-Calculated

Final Total Cost: $71,711.66 Auto-Calculated

Initial Site Assessment

Original/Prior

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:

Victorian Cleaners ERIC_4775

HW682 Environmental Consulting & Technology, Inc.

DC004B 1

In Subtask 3, since the submitting the original proposal the FDEP has requested the full 8260 list instead of the 8260 VOHs and ECT requests the cost difference to change the 8260 full list analysis in Subtasks 3 and 4. There was an error in the Cost Estimate Formula Sheet that affect the total labor dollars in SubTask 9.

In SubTask 3, 68 soil and groundwater samples are requested to be changed from 8260 VOHs to 8260 full list. SubTask 4, has 8 groundwater samples to be changed from 8260 VOHs to 8260 full list. The Cost Estimate Formula Sheet was not calculating the total hours that were presented on the Cost Estimate sheet which did not account for all of the labor costs for SubTask This error also affected the project management hours.

Attached is the COELOE worksheets.

SubTask 1: Project Management MC 1.9 hours

SubTask 3: 68 Soil and groundwater samples for 8260 were changed from VOHs to full list. The 8260 full list increased the $110.00 per sample. This increases the the analytical cost by $2,370.00

SubTask 4: Groundwater Sampling; 8 samples changing from 8260 VOHs to full list resulted in an increase of $296.00.

SubTask SAR; Hours missing from the Direct Labor total were GS 2-hours, KM 20-hours, JV 8-hours, and BG 8-hours

$ 6,903.42

Digitally signed by Gregory Sattler DN: CN=Gregory Sattler, E=GSattler@ectinc.com Reason: I am the author of this document Location: your signing location here Date: 2023.04.19 19:13:48-04'00' Foxit PhantomPDF Version: 10.1.7

Gregory Sattler

Ginger Shirah Digitally signed by Ginger Shirah Date: 2023.04.20 07:46:34 -04'00'

Kelly Crain Digitally signed by Kelly Crain Date: 2023.04.20 08:41:18 -04'00'

Shirah, Ginger K

From: Gregory Sattler <gsattler@ectinc.com> Sent: Thursday, July 6, 2023 4:46 PM To: Shirah, Ginger K Subject: RE: Victorian Cleaners ERIC_4775 TACO #1

EXTERNAL MESSAGE

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

Hi Ginger, We are adding a week of a truck of Keith Morrison to install the wells.

Best Regards, Gregory Sattler, P.E.

Senior Remediation Engineer| Site Assessment & Remediation

Environmental Consulting & Technology, Inc.

3751 Maguire Boulevard | Suite 234 | Orlando, Florida 32803

C: 321.245.2124 | gsattler@ectinc.com

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From: Shirah, Ginger K <Ginger.K.Shirah@FloridaDEP.gov> Sent: Thursday, July 6, 2023 4:02 PM To: Gregory Sattler <gsattler@ectinc.com> Subject: RE: Victorian Cleaners ERIC_4775 TACO #1

Hey Greg, Quick quesƟon on this TACO, are we adding or removing a vehicle in Subtask 4?

Ginger Shirah Environmental Consultant Waste Site Cleanup Section Division of Waste Management Florida Department of Environmental Protection Ginger.K.Shirah@floridadep.gov 850.245.8899

From: Gregory Sattler <gsattler@ectinc.com> Sent: Wednesday, June 21, 2023 4:18 PM To: Shirah, Ginger K <Ginger.K.Shirah@FloridaDEP.gov> Cc: Mark Culbreth <mculbreth@ectinc.com>; Leif Layton <llayton@ectinc.com> Subject: Victorian Cleaners ERIC_4775 TACO #1

EXTERNAL MESSAGE

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

Good aŌernoon Ginger, AƩached is the Victorian Cleaners TACO #1 for your review. As with Fashion Square Cleaner I found a few errors from the original CEFLOE and WCD that are included in this TACO.

Best Regards, Gregory Sattler, P.E.

Senior Remediation Engineer| Site Assessment & Remediation

Environmental Consulting & Technology, Inc.

3751 Maguire Boulevard | Suite 234 | Orlando, Florida 32803

C: 321.245.2124 | gsattler@ectinc.com

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Dep Customer Survey

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:

5. 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.

DC004B 01 HW682

This Task Assignment Change Order authorizes a date extension due to delays in obtaining site access and the need to conduct additional sampling.

Ginger Shirah 850-245-8899 Contractor Environmental Consulting and Technology, Inc. (ECT) Contractor

Contractor Mark A. Culbreth Contractor 813-289-9338

ERIC_4775

Victorian Cleaners

$ 0.00 $ 0.00 Completion

✔ Completion 06/23/2023 10/23/2023 122

1 1

Contractor Mark A. Culbreth

Vice President

6/20/2023

Digitally signed by Mark Culbreth Date: 2023.06.20 10:51:25-04'00'Mark Culbreth

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2023.06.20 10:29:35 -04'00'

N/A

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

HW685

DC012B

$ 71,711.66

GPR Survey and Field notes (Subtask 2)

DPT Soil and Groundwater Sampling Field Notes (Subtask 3)

Well Installation and Groundwater Sampling Field Notes (Subtask 4)

MAGS Field Notes (Subtask 5)

IDW Manifests and PLS (Subtask 6 and 7)

Site Assessment Report and PM (Subtask 8 and 1)

Approval of GPR Survey and Field notes (Subtask 2)

Approval of Well Installation and Groundwater Sampling Field Notes (Subtask 4)

Approval of MAGS Field Notes (Subtask 5)

Approval of Site Assessment Report and PM (Subtask 8 and 1)

Approval of IDW Manifests and PLS (Subtask 6 and 7)

Approval of DPT Soil and Groundwater Sampling Field Notes (Subtask 3)

12/30/2022

06/30/2023

07/14/2023

07/31/2023

09/29/2023

08/31/2023

$ 30,957.79

$ 3,242.13

$ 19,642.07

$ 4,840.91

$ 6,625.85

$ 6,402.91