CN-370000-HW683-DC034A.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

DC034A Completion August 31, 2023

This Task Assignment authorizes Geosyntec to conduct annual groundwater monitoring in accordance with the Geosyntec scope of work, cost estimate, and schedule received on April 28, 2023.

Brittany Plyler 850-245-8851 Contractor Contractor

Contractor Contractor

Contractor Contractor

Contractor

Geosyntec

Geosyntec

Fabio Fortes 703-606-8538

ERIC_5539

2442 South Volusia Avenue Orange City, Volusia County, Florida

Former Penthouse Cleaners

✔ $ 7,004.66 ✔ $ 40.00

$ 7,044.66

Scope of Work

Todd Kafka

Contract Manager

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

Date: 2023.05.16 10:09:57 -04'00'

Kelly Crain

Kelly Crain Digitally signed by Kelly Crain Date: 2023.05.16 09:00:05 -04'00'

N/A

Murphy_SL Highlight

Murphy_SL Highlight

Murphy_SL Highlight

Murphy_SL Highlight

Murphy_SL Highlight

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 Annual Groundwater Monitoring Report; PM 07/31/2023

Subtask 1, 2, & 3: Submittal and FDEP approval of the Annual Groundwater Monitoring Report; PM, and Cost Reimbursement not to exceed $40.00 for equipment shipping

$ 7,044.66

$ 7,044.66

HW683

DC034A

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 Volusia, Florida

ERIC_5539

From: Brittany Plyler, Project Manager Date: May 3, 2023 Subject: Negotiation Summary

HW683_DC034A

This Task Assignment authorizes Geosyntec to conduct annual groundwater monitoring in accordance with the Geosyntec scope of work, cost estimate, and schedule received on April 28, 2023.

Geosyntec confirmed on April 28, 2023, that Subtask 1 consists of the calculated project management labor, based upon 13% of the direct labor costs in this proposal, and includes fringe, overhead, other direct costs (ODCs) and completion fees.

Subtask 2: Geosyntec will collect depth-to-groundwater measurements from 15 existing monitoring wells at the site and redeploy new PDBs at MW001, MW004, MW005, MW006, MW008. IDW will not be collected or containerized during sampling activities. Cost reimbursement will be used for equipment shipping of PDBs.

Subtask 3: 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.

Geosyntec confirmed Site Access on May 3, 2023.

The FDEP Project Manager agrees to the scope of work and final cost associated with this Task Assignment. The final cost is $7,044.66 with 51 labor hours.

Printed on recycled paper.

FDEP COST ESTI MATEContractor: Geosyntec Consultants

Date: 4/25/2023

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

$40.38 Project Manager F. Fortes 6 5.7 $76.92 Principal T. Kafka 1 0 1 0 0 0 0 0 0 0 $46.15 Project Professional M. Hensley 5 0 5 0 0 0 0 0 0 0 $40.38 Professional F. Fortes 19 3 16 0 0 0 0 0 0 0 $36.06 Senior Staff Professional K. Pierce 18 15 3 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 51 6 18 27 0 0 0 0 0 0 0

Direct Labor $2,011.09 $231.36 $662.04 $1,117.69 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 172.70% $3,473.15 $399.56 $1,143.34 $1,930.25 $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 $5,484.24 $630.92 $1,805.38 $3,047.94 $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 $132.00 $132.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Travel $252.00 $252.00 $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

Cost Estimate Page 1 of 2 Cost Estimate

FDEP COST ESTI MATEContractor: Geosyntec Consultants

Date: 4/25/2023

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 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 Equipment shipping $40.00 $40.00 $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 $40.00 $40.00 $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 Total Subcontractor Cost $40.00 $40.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Laboratory Analytical Costs $365.00 $365.00 $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 $110.00 $110.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Laboratory $475.00 $475.00 $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 $0.00 $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) $25.00 $25.00 $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) $220.00 $220.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Field Expenses $245.00 $245.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal $6,496.24 $630.92 $2,817.38 $3,047.94 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee $548.42 $63.09 $180.54 $304.79 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $7,044.66 $694.01 $2,997.92 $3,352.73 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Cost Estimate Page 2 of 2 Cost Estimate

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Former Penthouse Cleaners SUBTASK: Groundwater Sampling

DATE: 4/25/2023

LABOR CATEGORY

STAFF-TITLE HOURS

Professional F. Fortes 3

Senior Staff Professional

K. Pierce 15

TOTAL LABOR 18

VEHICLE TYPE RATE UNIT USEAGE

Van $120.00 Day 1 $120.00 Subtotal $120.00

TOTAL VEHICLE $120.00

PER DIEM STAFF RATE UNIT USEAGE

K. Pierce Hotel $96.00 Day 1 $96.00 K. Pierce Meals $36.00 Day 1 $36.00

TOTAL PER DIEM $132.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

VOHs $73.00 5 $365.00

Subtotal $365.00 Shipping

Small Cooler (0 to 25 lbs) $110.00 1 $110.00 Subtotal $110.00

TOTAL LAB $475.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Analytical Related

Water Level Meter $25.00 Day 1 $25.00 Subtotal $25.00

Expendables One mobilization $40.00 Day 1 $40.00

Subtotal $40.00 Other Diffusion Sampler (2" well) Redeployment $36.00 Unit 5 $180.00 PDS Shipping $40.00 Unit 1 $40.00

Subtotal $220.00

TOTAL EQUIPMENT $285.00

*PROVIDE TIME REQUIRED FOR EACH PERSON

WORK DESCRIPTION

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

Field prep (1 hr); Mobilization/demobilization - Tampa to Orange City (5 hr); collect 15 water levels (2 hr), collect PDBs samples and redeploy (1 hr/well x 5 wells = 5 hr); sample shipping and paperwork (2 hr)

5/3/2023 Page 1 of 1 Subtask 2

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Former Penthouse Cleaners SUBTASK: Report Preparation

DATE: 4/25/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Principal T. Kafka 1

Project Professional M. Hensley 5

Professional F. Fortes 16

Senior Staff Professional K. Pierce 3

Administrative Assistant A. Acosta 2

TOTAL LABOR 27

Report formatting, PDF compilation

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

Prepare 6 report figures

Prepare report text, appendices and tables

Prepare report tables and figures

5/3/2023 Page 1 of 1 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 2023

28 April 2023 Mrs. Brittany Plyler Florida Department of Environmental Protection 2600 Blair Stone Road, MS 4520 Tallahassee, Florida 32399-2400

Subject: Scope of Work and Level of Effort Annual Groundwater Monitoring - 2023

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

Dear Mrs. Plyler:

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 - 2022 dated 29 June 2022 (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 2023. As recommended in the 2022 Report, Geosyntec will collect depth-to-groundwater measurements from 15 existing monitoring wells at the Site, collect groundwater samples from five Passive Diffusion Bags (PDBs) (already deployed within the monitoring wells from the last groundwater sampling event), and redeploy new PDBs at MW001, MW004, MW005, MW006, MW008. The monitoring wells include three Upper Floridan aquifer wells (MW001, MW004, and MW008) and two lower surficial wells (MW005 and MW006). Water quality parameters will not be collected as part of PBD sampling. Groundwater samples will be submitted for laboratory analysis of Volatile Organic Hydrocarbon (VOH) by Environmental Protection Agency (EPA) Method 8260B. Water remaining in the PDBs after sampling will be returned to the monitoring well from which it was pulled. IDW will not be collected or containerized during sampling activities. The 2023 sampling event will require one mobilization to the Site.

http://www.geosyntec.com/

Mr. Evan Miller 6 May 2022

FR0857I/PENTHOUSE CLEANERS SOW-NAM 20233

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.

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 Annual Groundwater

Monitoring Report 28 July 2023 $7,044.66

TOTAL COST $7,044.66

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 Hydrogeologist