CN-370000-HW684-BIL02B.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.

HW684

BIL02B Completion October 27, 2023

GHD Services, Inc. will prepare a Site-Specific Quality Assurance Project Plan (QAPP) in accordance with the cost proposal and Level of Effort (LOE) submitted on August 16, 2023.

Allison Hankins 850 245 8990 Contractor Contractor

Contractor Contractor

Contractor Contractor

Contractor

GHD Services, Inc.

GHD Services, Inc.

Brian Moore 813 971 3882

ERIC_13343

0 Citrus Ave, Haines City

Former Polk County Fertilizer

✔ $ 5,547.68

$ 5,547.68

Scope of Work

Brian Moore

Vice President

Brian Moore Digitally signed by Brian Moore Date: 2023.08.16 15:35:39 -04'00'

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2023.08.16 13:53:44 -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

Site-Specific QAPP, Project Management 09/27/2023

Upon completion of QAPP preparation and DEP approval of Site Specific QAPP/Project Management (Subtasks 1 & 2) $ 5,547.68

$ 5,547.68

HW684

BIL02B

www.FloridaDEP.gov

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

Memorandum

TO: GHD Services Inc. HW684 Contract File

FROM: Allison Hankins, Contract Manager

DATE: August 16, 2023

SUBJECT: Negotiation Summary – BIL22, Task Assignment (TA) BIL02B

Former Polk County Fertilizer - Site ID # ERIC_13343 Site-Specific Quality Assurance Project Plan

This TA is for the preparation of a Site-Specific Quality Assurance Project Plan for activities at the Former Polk County Fertilizer site, located at 0 Citrus Ave, Haines City, Polk County. The services under this task are being conducted using federal funds from the State & Tribal Response Program Bipartisan Infrastructure Law (BIL) funding cooperative agreement that is administered by the Department on behalf of the U.S. Environmental Protection Agency (EPA).

Subtask 1: Project Management This subtask is a percentage of the overall project and has been negotiated as a contract rate. It includes project management, overhead, general, administrative, and fringe costs. The agreed upon cost of this subtask is $638.23.

Subtask 2: Preparation of a Site-Specific Quality Assurance Project Plan Workplan In accordance with an EPA directive, this subtask includes the completion of a Work Plan/Quality Assurance Project Plan (QAPP). The QAPP Workplan will include details regarding the site background, objectives of the field sampling, a sampling plan detailing locations and rationale for testing, laboratory analytical methods, field methods to be utilized, and the approach to data validation and use. The agreed upon cost of this subtask is $4,909.45.

Summary The Department’s SRP Contract Manager and GHD’s Contract Manager have both agreed to the scope of work and associated costs. The final cost associated with this TA is $5,547.68.

Documentation of these costs is included in the Cost Proposal/Level of Effort (CP/LOE) Form and CP/LOE narrative provided by GHD on August 16, 2023, and the TA Form for BIL02B prepared by the Department. The final deliverable for this TA must be received by the Department no later than September 27, 2023.

http://www.floridadep.gov/

FDEP COST ESTI MATEContractor: GHD Services Inc.

Date: 8/16/2023

Task #: BILA02B SubTask 1 Project Management SubTask 6

Site: former Polk Country Ferti SubTask 2 QAPP SubTask 7

Activity/Phase: Assessment SubTask 3 SubTask 8

Project Manager: Brian Moore, PE SubTask 4 SubTask 9

SubTask 5 SubTask 10

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

$49.53 Project Manager JM 4.38 4.38 $0.00 Principal Engineer/Scientist 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $0.00 Technical Director 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

$56.19 Sr Professional Engineer JH 4.00 4.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $0.00 Senior Project Manager 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

$45.07 Professional Engineer/Sc GE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $40.11 Project Engineer/Scientis TC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $49.53 Project Manager/ Engine JM 26.00 26.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $35.16 Staff Engineer/Scientist DB 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $32.40 Data Analyst JL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $43.35 Field Manager OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $20.53 Senior Technician SA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $20.35 Senior Technician SC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $24.89 Senior Technician WM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $19.25 Junior Technician WO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $19.00 Junior Technician JM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $29.69 Drafting Technician PM 4.00 4.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $18.27 Administrative Assistant DA 2.00 2.00 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 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

Total Hours 40.38 4.38 36.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Direct Labor $1,884.66 $216.82 $1,667.84 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 129.80% $2,446.29 $281.43 $2,164.86 $0.00 $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 37.80% $712.40 $81.96 $630.44 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Labor $5,043.35 $580.21 $4,463.14 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Travel Vehicle Rental $0.00 $0.00 $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 $0.00 $0.00 $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 Utility Location $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

FDEP COST ESTI MATEContractor: GHD Services Inc.

Date: 8/16/2023

Task #: BILA02B SubTask 1 Project Management SubTask 6

Site: former Polk Country Ferti SubTask 2 QAPP SubTask 7

Activity/Phase: Assessment SubTask 3 SubTask 8

Project Manager: Brian Moore, PE SubTask 4 SubTask 9

SubTask 5 SubTask 10

Totals 1 2 3 4 5 6 7 8 9 10 $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 $0.00 $0.00 $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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Laboratory $0.00 $0.00 $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 $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) $0.00 $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 $5,043.35 $580.21 $4,463.14 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee $504.33 $58.02 $446.31 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $5,547.68 $638.23 $4,909.45 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $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: $5,547.68 Auto-Calculated

Final Total Cost: $5,547.68 Auto-Calculated

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : former Polk County Fertilizer

SUBTASK 2: QAPP

DATE: 8/16/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Sr. Professional Engineer JH Finalize QAPP 4

Project Manager JM Prepare QAPP 4 Project Manager JM Overview and Study objectives 4 Project Manager JM Sampling Locations and Rationale 6 Project Manager JM Data Generation and quality/handling 4 Project Manager JM Field Work Methods and Sampling Protocols 4 Project Manager JM Data Validation 4

Drafting Technician PM Prepare figures for QAPP 4

Administrative Assistant DA Finalize QAPP 2

TOTAL LABOR 36

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

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

TOTAL EQUIPMENT $0.00

FINAL --7/24/96

COST PROPOSAL FOR TASK BIL02B

<Former Polk County Fertilizer Site/FDEP ERIC_13343>

< Quality Assurance Project Plan >

1. INTRODUCTION: <DISCUSS SCOPE OF WORK, DATES >

GHD Services Inc. (GHD) is pleased to submit this proposal to prepare a Quality Assurance Project Plan (QAPP) prior to initiating field activities in accordance with our path forward recommendations for the referenced site located in Haines City, Polk County. Our proposed scope of work is included below.

Subtask 1: Project Management Subtask 1 includes all tasks associated with project management of the QAPP preparation for the Former Polk County Fertilizer Site.

Subtask 2: Site-Specific Quality Assurance Project Plan Prior to initiating field work associated with the Targeted Brownfield Assessment process a site-specific quality assurance project plan (QAPP) will be prepared. The QAPP will include details regarding the site background, objectives of the field sampling, a sampling plan detailing locations and rationale for testing, laboratory analytical methods, field methods to be utilized, and the approach to data validation and use. The QAPP will be submitted to the Department for review prior to initiating field activities.

Deliverables:

Deliverable Deliverable Due Date

QAPP 9/22/23

ID Task Mode

Task Name Duration Start Finish

1 LOE Submittal/Approval 2 wks Wed 8/16/23Tue 8/29/23

2 Subtask 1: Project Management

18 days Wed 8/30/23

Fri 9/22/23

3 Subtask 2: QAPP Preparation

18 days Wed 8/30/23

Fri 9/22/23

4 Site Summary 1 wk Wed 8/30/23Tue 9/5/23

5 Sampling Plan 1 wk Wed 9/6/23 Tue 9/12/23

6 Field and Laboratory Methods

1 wk Wed 9/13/23

Tue 9/19/23

7 Reporting and Data Validation

3 days Wed 9/20/23

Fri 9/22/23

8/6 8/13 8/20

Task

Split

Milestone

Summary

Project Summary

Inactive Task

Inactive Milestone

Inactive Summary

Manual Task

Duration-only

Manual Summary Rollup

Manual Summary

Start-only

Finish-only

External Tasks

External Milestone

Deadline

Progress

Manual Progress

Schedule for the Implementation of Task BIL02B at the former Polk County Fertilizer Site located in Haines City, Polk County

Project: TA_002B Date: Wed 8/16/23

Task Name Duration Start Finish

1 LOE Submittal/Approval 2 wks Wed 8/16/23Tue 8/29/23

2 Subtask 1: Project Management

18 days Wed 8/30/23

Fri 9/22/23

3 Subtask 2: QAPP Preparation

18 days Wed 8/30/23

Fri 9/22/23

4 Site Summary 1 wk Wed 8/30/23Tue 9/5/23

5 Sampling Plan 1 wk Wed 9/6/23 Tue 9/12/23

6 Field and Laboratory Methods

1 wk Wed 9/13/23

Tue 9/19/23

7 Reporting and Data Validation

3 days Wed 9/20/23

Fri 9/22/23

Jenna Martin

Jenna Mart

8/27 9/3 9/10 September

Task

Split

Milestone

Summary

Project Summary

Inactive Task

Inactive Milestone

Inactive Summary

Manual Task

Duration-only

Manual Summary Rollup

Manual Summary

Start-only

Finish-only

External Tasks

External Milestone

Deadline

Progress

Manual Progress

Schedule for the Implementation of Task BIL02B at the former Polk County Fertilizer Site located in Haines City, Polk County

Task Name Duration Start Finish

1 LOE Submittal/Approval 2 wks Wed 8/16/23Tue 8/29/23

2 Subtask 1: Project Management

18 days Wed 8/30/23

Fri 9/22/23

3 Subtask 2: QAPP Preparation

18 days Wed 8/30/23

Fri 9/22/23

4 Site Summary 1 wk Wed 8/30/23Tue 9/5/23

5 Sampling Plan 1 wk Wed 9/6/23 Tue 9/12/23

6 Field and Laboratory Methods

1 wk Wed 9/13/23

Tue 9/19/23

7 Reporting and Data Validation

3 days Wed 9/20/23

Fri 9/22/23 tin,Peter McLean

Jenna Martin

Jenna Martin,Jeremy Hess,Peter McLean,Debra

9/17 9/24 10/1 October

Task

Split

Milestone

Summary

Project Summary

Inactive Task

Inactive Milestone

Inactive Summary

Manual Task

Duration-only

Manual Summary Rollup

Manual Summary

Start-only

Finish-only

External Tasks

External Milestone

Deadline

Progress

Manual Progress

Schedule for the Implementation of Task BIL02B at the former Polk County Fertilizer Site located in Haines City, Polk County