CN-370000-HW684-DC001B.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

DC001B Completion September 30, 2022

This Task Assignment authorizes personnel from GHD Services, Inc. to attend a site review meeting conducted with FDEP as schedules allow. Work will be done according to the attached scope of work dated April 1, 2022.

Kevin Kane (850) 245-8971 Contractor Contractor

Contractor Contractor

Contractor Contractor

Contractor

GHD Services, Inc.

GHD Services, Inc.

Brian Moore (813) 257-0658 Multiple

Multiple

Multiple

✔ $ 5,831.11

$ 5,831.11

Scope of Work

Brian Moore

Contract Manager

Brian Moore Digitally signed by Brian Moore Date: 2022.04.04 16:23:32 -04'00'

William E. Burns, Jr.

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

Date: 2022.04.04 14:10:38 -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 Review Meeting Notes + Project Management 06/30/2022

Subtasks 1 & 2: Upon submittal and FDEP approval of Site Review Meeting Notes + Project Management $ 5,831.11

$ 5,831.11

HW684

DC001B

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: HW684 Contract File

FROM: Kevin Kane, Contract Manager

DATE: April 4, 2022

SUBJECT: Task Assignment Summary Contract HW684 Task Assignment DC001B Other

This Task Assignment authorizes personnel from GHD Services, Inc. to attend a site review meeting conducted with FDEP as schedules allow. Work will be done according to the attached scope of work dated April 1, 2022. Specific subtasks are detailed below:

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

Subtask 2: Site Review Meeting GHD Services, Inc. will send personnel to attend the Annual Site Review Meeting with FDEP. Upon completion of the Annual Site Review meeting, GHD will submit meeting notes for review and approval by FDEP.

Documentation of the costs is included in the attached CEF, Level-of-Effort sheets, and the GHD proposal. The final deliverable due date for this task assignment is June 30, 2022. The task completion date is September 30, 2022.

The final cost total for Task Assignment DC001B is $5,831.11.

FDEP COST ESTIMATEContractor: GHD Services Inc.

Date: 04/01/22

Task #: DC001B SubTask 1 Project Management SubTask 6

Site: NA SubTask 2 Site Review Meeting SubTask 7

Activity/Phase: Site Review Meeting 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

$40.12 Project Manager JM 5.60 5.6 $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

$46.33 Sr Professional Engineer JH 20.00 20.00 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

$43.28 Professional Engineer/Sc GE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $39.82 Project Engineer/Scientis TC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $40.12 Project Manager/ Engine JM 20.00 20.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $33.17 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 $19.76 Senior Technician SA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $19.65 Senior Technician SC 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $23.69 Senior Technician WM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $18.58 Junior Technician WO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $18.75 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 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $22.44 Administrative Assistant DA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

$0.00 Driller 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $0.00 HSEQ&R Manager 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 0 0 0 0 0 0 0 0 0

Total Hours 45.60 5.60 40.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Direct Labor $1,953.77 $224.77 $1,729.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 129.80% $2,535.99 $291.75 $2,244.24 $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% $738.52 $84.96 $653.56 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Labor $5,228.28 $601.48 $4,626.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Travel Vehicle Rental $80.00 $80.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 02/03 Page 1

FDEP COST ESTIMATEContractor: GHD Services Inc.

Date: 04/01/22

Task #: DC001B SubTask 1 Project Management SubTask 6

Site: NA SubTask 2 Site Review Meeting SubTask 7

Activity/Phase: Site Review Meeting 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 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 $80.00 $80.00 $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 $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 $5,308.28 $601.48 $4,706.80 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee $522.83 $60.15 $462.68 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $5,831.11 $661.63 $5,169.48 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 02/03 Page 2

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : NA

SUBTASK 2: Site Review Meeting

DATE: 04/01/22

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Sr. Professional Engineer JH Prepare for Site Review Meeting 6 Sr. Professional Engineer JH mob/demob (to Tallahassee from Tampa) 8 Sr. Professional Engineer JH Site Review Meeting 6

Project Manager JM Prepare for Site Review Meeting 6 Project Manager JM mob/demob (to Tallahassee from Tampa) 8 Project Manager JM Site Review Meeting 6

TOTAL LABOR 40

VEHICLE TYPE RATE UNIT USEAGE

Vehicle $80.00 day 1 $80.00

TOTAL VEHICLE $80.00

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 $0.00 $0.00 $0.00 $0.00 $0.00

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Expendables $0.00 $0.00 $0.00 $0.00

Equipment (Analytical Related) $0.00 $0.00 $0.00

Equipment (Other) $0.00 $0.00

TOTAL EQUIPMENT $0.00

FINAL --7/24/96

COST PROPOSAL FOR TASK DC001B

< Site Review Meeting >

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

Task DC001B includes conducting a site review meeting with DEP personnel. The GHD project management team will prepare summaries for each site and participate in a site review meeting with FDEP staff in Tallahassee. The meeting is anticipated to cover each of the sites with priority for sites that are approaching key milestones and potential decision points with regard to assessment and/or remediaiton.

Deliverables:

Deliverable Deliverable Due Date

Site Review Meeting Notes May 6, 2022