CN-370000-HW683-DC015A.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.

HW683

DC015A Completion October 29, 2022

This Task Assignment authorizes Geosyntec to conduct annual groundwater monitoring at the Former Penthouse Cleaners in accordance with the Geosyntec scope of work, cost estimate, and schedule received on 06 May 2022.

Evan Miller 850-245-8928 Contractor Contractor

Contractor Contractor

Contractor Contractor

Contractor

Geosyntec

Geosyntec

Fabio Fortes 813-379-4421

ERIC_5539

2442 South Volusia Avenue Orange City, Volusia County, Florida

Former Penthouse Cleaners

✔ $ 7,395.80

$ 7,395.80

Scope of Work

Todd Kafka

Contract Manager

Todd Kafka, P.G. Digitally signed by Todd Kafka, P.G.

Date: 2022.05.22 09:45:04 -04'00'

William E. Burns, Jr.

William E. Burns, Jr. Digitally signed by William E. Burns, Jr.

Date: 2022.05.19 11:21:22 -04'00'

N/A

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

WCP TAFORM 04-2017

Contract Number:

Task Assignment #:

Deliverables:

Deliverable Deliverable Due Date

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

TOTAL COST

Subtask 1, 2, 3- Submittal of groundwater monitoring report, ADaPT and GIS data tables, project management 07/29/2022

Subtask 1, 2, 3- FDEP receipt and approval of groundwater monitoring report, ADaPT and GIS data tables, project management $ 7,395.80

$ 7,395.80

HW683

DC015A

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

To: HW683 Contract Negotiation File Former Penthouse Cleaners Orange City, Volusia County

ERIC_5539

From: Evan Miller, Project Manager Date: May 16, 2022 Subject: Negotiation

Summary HW683

DC015A

This Task Assignment authorizes Geosyntec to conduct annual groundwater monitoring at the Former Penthouse Cleaners.

Subtask 1: Project Management An automatic calculation based upon total direct labor hours determines the labor hours within this subtask.

Subtask 2 – Groundwater Sampling Geosyntec will mobilize to the Site in May or June 2022. As recommended in the 2021 Report, Geosyntec will collect a synoptic round of groundwater levels from 15 existing monitoring wells at the Site, collect groundwater samples from the seven PDBs (already deployed within the monitoring wells from the last groundwater sampling event), and redeploy new PDBs at MW001, MW004, MW005, MW006, MW008, MW013, and MW014 for analysis of volatile organic halocarbons (VOHs).

Subtask 3 – Annual Groundwater Monitoring Report Preparation Geosyntec will prepare a report summarizing sampling activities and results, and provide conclusions and recommendations based on data evaluation. The report will contain field forms, tables summarizing field and laboratory data, figures showing groundwater flow directions, and a textual summary of the groundwater monitoring event. The PCE groundwater isocontour map will be updated with new analytical results. The report will be signed and sealed by a Florida-licensed geologist and one electronic copy of the final report will be submitted to the FDEP via email and uploaded to FDEP’s file transfer protocol website.

This task also includes preparation of ADaPT and GIS data tables.

The FDEP Project Manager agrees to the scope of work and final cost associated with this Task Assignment. The final cost for this Task Assignment is $7,395.80 with 54 labor hours.

Geosyntec may invoice following the schedule established in the Deliverables and Invoice Schedule Attachment, which accompanies the Task Assignment Notification Form.

FDEP COST ESTIMATEContractor: Geosyntec Consultants

Date: 5/6/2022

Task #: SubTask 1 Project Management SubTask 6

Site: Former Penthouse Clean SubTask 2 Groundwater Sampling SubTask 7

Activity/Phase: GW Monitoring SubTask 3 Report Preparation SubTask 8

Project Manager: Fabio Fortes SubTask 4 SubTask 9

SubTask 5 SubTask 10

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

$39.42 Project Manager F. Fortes 6 6.2 $68.75 Principal T. Kafka 2 0 2 0 0 0 0 0 0 0 $46.15 Project Professional M. Hensley 4 0 4 0 0 0 0 0 0 0 $39.42 Professional F. Fortes 18 3 15 0 0 0 0 0 0 0 $32.21 Senior Staff Professional A. Langteau 6 0 6 0 0 0 0 0 0 0 $36.54 Senior Staff Professional R. Joslyn 16 16 0 0 0 0 0 0 0 0 $27.88 Administrative Assistant A. Acosta 2 0 2 0 0 0 0 0 0 0

Total Hours 54 6 19 29 0 0 0 0 0 0 0

Direct Labor $2,107.81 $242.49 $702.90 $1,162.42 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 172.70% $3,640.19 $418.78 $1,213.91 $2,007.50 $0.00 $0.00 $0.00 $0.00 $0.00 $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 0.00% $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Labor $5,748.00 $661.27 $1,916.81 $3,169.92 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Travel Vehicle Rental $120.00 $120.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Mileage Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Air Fare $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Per diem + Hotel $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Travel $120.00 $120.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor (Equipment Procurement) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $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 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 Drilling (Non-conventional) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Mobile Laboratory $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

Utilities $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $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 $511.00 $511.00 $0.00 $0.00 $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 $150.00 $150.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Laboratory $661.00 $661.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Field Expenses Personal Protection $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Expendables $40.00 $40.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Drilling related) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Analytical related) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (IDW related) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Other) $252.00 $252.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Field Expenses $292.00 $292.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal $6,821.00 $661.27 $2,989.81 $3,169.92 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee $574.80 $66.13 $191.68 $316.99 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $7,395.80 $727.40 $3,181.49 $3,486.91 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Cost Estimate Page 1 of 1 Cost Estimate

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Former Penthouse Cleaners SUBTASK: Groundwater Sampling

DATE: 5/6/2022

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Professional F. Fortes 3

Senior Staff Professional

R. Joslyn 16

TOTAL LABOR 19

VEHICLE TYPE RATE UNIT USEAGE

Van $120.00 Day 1 $120.00 Subtotal $120.00

TOTAL VEHICLE $120.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

VOHs $73.00 7 $511.00

Subtotal $511.00 Shipping

Large Cooler (25 to 50 lbs) $150.00 1 $150.00 Subtotal $150.00

TOTAL LAB $661.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Expendables

One mobilization $40.00 Day 1 $40.00 Subtotal $40.00

Other Diffusion Sampler (2" well) Redeployment $36.00 Day 7 $252.00

Subtotal $252.00

TOTAL EQUIPMENT $292.00

Evaluate and interpret field data (1 hr); team field preparation and EHS planning (2 hr)

Field prep (2 hr); Mobilization/demobilization (3 hr); collect 15 water levels (2 hr), collect PDBs samples and redeploy (1 hr/well x 7 wells = 7 hr); sample shipping and paperwork (2 hr)

5/16/2022 Page 1 of 2 Subtask 2

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Former Penthouse Cleaners SUBTASK: Report Preparation

DATE: 5/6/2022

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Principal T. Kafka 2

Project Professional M. Hensley 4

Professional F. Fortes 15

Senior Staff Professional A. Langteau 6

Administrative Assistant A. Acosta 2

TOTAL LABOR 29

Report formatting, PDF compilation

Data evaluation, prepare conclusions/recommendations, sign/seal report

Prepare 6 report figures

Prepare report text, tables, and figures

ADaPT and GIS Table Update (15 water levels, 7 GW samples = 23 data pts* 8 min/pt = 184 min = 3 hr)

5/16/2022 Page 2 of 2 Subtask 3

12802 Tampa Oaks Blvd.

Suite 151

Tampa, FL 33637

PH 813-558-0990

FAX 813-558-9726

www.geosyntec.com

FR0857F/PENTHOUSE CLEANERS SOW-NAM_MAY 2022

6 May 2022 Mr. Evan Miller Florida Department of Environmental Protection Waste Cleanup Program Twin Towers Office Building 2600 Blair Stone Road, MS 4520 Tallahassee, Florida 32399-2400

Subject: Scope of Work and Level of Effort Annual Groundwater Monitoring

Former Penthouse Cleaners 2442 South Volusia Avenue Orange City, Volusia County, Florida FDEP Facility ID ERIC_5539

Dear Mr. Talley:

Geosyntec Consultants, Inc. (Geosyntec) has prepared this scope of work (SOW) and level of effort (LOE) for annual groundwater monitoring at the Former Penthouse Cleaners (the “Site”;

Facility ID ERIC_5539) located at 2442 South Volusia Avenue in Volusia County, Orange City, FL. This SOW/LOE incorporates comments provided by the Florida Department of Environmental Protection (FDEP) in review of the Annual Groundwater Monitoring Report - 2021 dated 30 June 2021 (Report). The SOW consists of three subtasks and is summarized below.

Subtask 1 – Project Management

Subtask 2 – Groundwater Sampling

Geosyntec will mobilize to the Site in May or June 2022. As recommended in the 2021 Report, Geosyntec will collect a synoptic round of groundwater levels from 15 existing monitoring wells at the Site, collect groundwater samples from the seven PDBs (already deployed within the monitoring wells from the last groundwater sampling event), and redeploy new PDBs at MW001, MW004, MW005, MW006, MW008, MW013, and MW014 for analysis of volatile organic halocarbons (VOHs). The 2022 sampling event will require one mobilization to the Site. The monitoring wells include four Upper Floridan aquifer wells (MW001, MW004, MW008, and MW014) and three lower surficial wells (MW005 MW006, and MW013). Water quality parameters will not be collected as part of PBD sampling. Groundwater samples will be submitted for laboratory analysis of VOHs by Environmental Protection Agency Method 8260B. IDW will not be collected or containerized during sampling activities. Water remaining in the PDBs after sampling will be returned to the monitoring well from which is was pulled.

http://www.geosyntec.com/

Mr. Evan Miller 6 May 2022

FR0857F/PENTHOUSE CLEANERS SOW-NAM_MAY 2022

Subtask 3 – Annual Groundwater Monitoring Report Preparation

Geosyntec will prepare a report summarizing sampling activities and results, and provide conclusions and recommendations based on data evaluation. The report will contain field forms, tables summarizing field and laboratory data, figures showing groundwater flow directions, and a textual summary of the groundwater monitoring event. The PCE groundwater isocontour map will be updated with new analytical results. The report will be signed and sealed by a Florida-licensed geologist and one electronic copy of the final report will be submitted to the FDEP via email and uploaded to FDEP’s file transfer protocol website.

This task also includes preparation of ADaPT and GIS data tables.

Invoice and Deliverable Schedule:

Note that this schedule reflects two weeks FDEP review of the LOE. Geosyntec requests the following schedule of deliverables and invoices:

Subtask Deliverable Deliverable Date Invoice Amount

1, 2 & 3 Submittal of report, ADaPT and GIS data tables, project management 29 July 2022 $7,395.80

TOTAL COST $7,395.80

We appreciate this opportunity to work with FDEP on this project. Feel free to contact us if you have any questions or require any additional information.

Sincerely, Fabio Fortes, P.E.

Professional Engineer

Todd K. Kafka, P.G.

Sr. Principal Attachment: