CN-370000-HW684-DC030A.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

DC030A Completion December 2, 2022

This Task Assignment authorizes GHD Services, Inc. to train and assist CDM Smith Inc. personnel in the completion of Modified Active Gas Sampling (MAGS) at the former Birkey's Cleaners site located in Bradenton, Florida.

Kevin Kane (850) 245-8971 Contractor Contractor

Contractor Contractor

Contractor Contractor

Contractor

GHD Services, Inc.

GHD Services, Inc.

Brian Moore (813) 257-0658

ERIC_4889

4650 E State Road 64, Bradenton, Manatee County

Birkey's Cleaners

✔ $ 1,042.04

$ 1,042.04

Scope of Work

Brian Moore

Project Manager

Brian Moore Digitally signed by Brian Moore Date: 2022.08.08 15:17:30 -04'00'

William E. Burns, Jr.

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

Date: 2022.08.08 10:54:23 -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

MAGS Field Notes + Project Management 09/02/2022

Subtasks 1 & 2: Upon submittal and FDEP approval of the MAGS Field Notes + Project Management $ 1,042.04

$ 1,042.04

HW684

DC030A

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 Birkey’s Cleaners

ERIC_4889

Bradenton, Manatee County

FROM: Kevin Kane, Contract Manager

DATE: August 5, 2022

SUBJECT: Task Assignment Summary

HW684 DC030A

This Task Assignment authorizes GHD Services, Inc. to train and assist CDM Smith Inc.

personnel in the completion of Modified Active Gas Sampling (MAGS) at the former Birkey's Cleaners site. Specific subtasks are detailed below:

Subtask 1: Project Management Project Management is calculated at 13% of the direct labor.

Subtask 2: MAGS Sampling This subtask includes costs for assisting CDM with the completion of MAGS at the Birkey’s Cleaners site located in Bradenton, Manatee County. Initially, GHD staff will attend a conference call with CDM personnel to discuss the MAGS process and ensure all equipment and materials are available to complete the MAGS event. GHD personnel (a Senior Technician) will mobilize to the site and assist CDM personnel with the completion of MAGS sampling.

GHD and the FDEP confirmed on August 5, 2022, that an Access Agreement with the current real property owner of the aforementioned site has been executed.

This work will be conducted in line with the scope of work included with GHD’s proposal, received August 5, 2022. Documentation of the costs is included in the attached CEF, Level-of-Effort sheets, and the GHD proposal. The final deliverable due date is September 2, 2022, and the completion date for the Task Assignment is December 2, 2022.

The final cost total for Task Assignment DC030A is $1,042.04.

FDEP COST ESTIMATEContractor: GHD Services Inc.

Date: 08/05/22

Task #: DC030A SubTask 1 Project Management SubTask 6

Site: Birkey's Cleaners SubTask 2 MAGS Training 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

$40.12 Project Manager JM 0.90 0.9 $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 0.00 0.00 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 1.00 1.00 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 9.50 9.50 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 11.40 0.90 10.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Direct Labor $299.65 $34.47 $265.18 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 129.80% $388.94 $44.74 $344.20 $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% $113.27 $13.03 $100.24 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Labor $801.86 $92.24 $709.62 $0.00 $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

REV: 02/03 Page 1

FDEP COST ESTIMATEContractor: GHD Services Inc.

Date: 08/05/22

Task #: DC030A SubTask 1 Project Management SubTask 6

Site: Birkey's Cleaners SubTask 2 MAGS Training 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 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 $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 $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) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Field Expenses $40.00 $40.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal $961.86 $92.24 $869.62 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee $80.18 $9.22 $70.96 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $1,042.04 $101.46 $940.58 $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 : Birkey's SUBTASK 2: MAGS Training

DATE: 08/05/22

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Manager JM Conference call with CDM 1

Senior Technician WM Conference call with CDM 1 Senior Technician WM Mob/demob 1.5 Senior Technician WM Complete MAGS 7

9.5

TOTAL LABOR 10.5

VEHICLE TYPE RATE UNIT USEAGE

Company Truck $120.00 day 1 $120.00

TOTAL VEHICLE $120.00

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

Expendables $40.00 day 1 $40.00

Equipment (Analytical Related)

Equipment (Other) $0.00 $0.00

TOTAL EQUIPMENT $40.00

FINAL --7/24/96

COST PROPOSAL FOR TASK DC030A

< MAGS Training >

Birkey’s Cleaners ERIC_4889

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

Task DC030A includes assisting CDM with the completion of MAGS at the Birkey’s Cleaners site located in Bradenton, Manatee County. Initially, GHD staff will attend a conference call with CDM personnel to discuss the MAGS process and ensure all equipment and materials are available to complete the MAGS event. GHD personnel (Sr Technician) will mobilize to the site and assist CDM personnel with the completion of MAGS sampling.

Deliverables:

Deliverable Deliverable Due Date

Field Notes from MAGS sampling event 9/2/22