CN-370000-HW684-DC039C.pdf

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Attached to
Master Agreement FL|HW684|68b160b8827755ddf560142dd2a41e53
Contract number
HW684
Issued by
Florida

About this file

Task Assignment Summary

This is a Task Assignment (DC039C) issued by the State of Florida Department of Environmental Protection under Contract HW684, authorizing GHD Services, Inc. to perform well abandonment activities at the China Boy Cleaners site located at 1602 Missouri Ave N, Pinellas County, Largo, Florida 33770. The Task Assignment was signed on April 29, 2026, with a completion date of September 10, 2026. The Department's Project Manager is Mackenzie Childs, and the Contractor's Project Manager is Brian Moore. The work is associated with ERIC_5271, a site remediation project where closure criteria have been met and a Site Rehabilitation Completion Order has been issued.

The Task Assignment authorizes two subtasks with a total contract value of $6,059.02 on a fixed unit rate basis. Subtask 1 comprises project management calculated at 13% of direct labor costs ($645.77). Subtask 2 involves well abandonment activities including obtaining permits from Pinellas County Health Department, mobilizing to the site, abandoning seven monitoring wells (MW001-MW007) and six piezometers (PZ001-PZ006) using the tremie grouting method, filling concrete pads and manholes, off-site disposal of waste materials, and preparation of a summary report with permits, site plans, and photographic documentation ($5,413.25). The deliverable, a Well Abandonment Report plus Project Management, is due July 10, 2026. Labor costs total $5,102.87 with overhead, general and administrative, and fringe benefits applied. Direct expenses include $120 for vehicle travel, $155.86 for equipment procurement through Atlantic Supply (Portland cement and delivery), and $170 in field equipment rental costs (expendables, construction supplies, water level indicator, and peristaltic pump). A completion fee of $510.29 is included in the final cost estimate.

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Text version

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

DC039C September 10, 2026

This Task Assignment authorizes GHD Services, Inc to conduct well abandonment activities at China Boy Cleaners.

Mackenzie Childs 850-245-8929 GHD Services, Inc.

Brian Moore 813-971-3882

ERIC_5271

1602 Missouri Ave N, Pinellas County, Largo, FL 33770

China Boy Cleaners

$ 6,059.02

$ 6,059.02

Scope of Work

GHD Services, Inc.

Brian Moore Digitally signed by Brian Moore Date: 2026.04.29 13:48:00 -04'00'

Mubeen Darji

Mubeen Darji, P.E. Digitally signed by Mubeen Darji, P.E.

Date: 2026.04.29 10:46:44 -04'00'

N/A

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

WC TAFORM

Contract Number:

Task Assignment #:

Deliverables:

Deliverable Deliverable Due Date

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

TOTAL COST

TO: HW684 Contract File

Mackenzie Childs, Project Manager

Task Assignment DC

ERIC_

FROM:

DATE:

SUBJECT:

This Task Assignment authorizes GHD Services, Inc., hereby referred to as GHD, to Florida (FL). Specific subtasks are detailed below:

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

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R E V

C E F

G H D

P a g e

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : China Boy Cleaners SUBTASK 2: Well Abandonment

DATE: 4/22/2026

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Manager SC Field Work Preparation 1

Project Manager SC Well Abandonment Permitting and Completions 2 Project Manager SC Prepare Well Abandonment Summary 6

Principal Engineer MC Well abandonment permitting 4

Senior Technician WM Mob/Demob from Tampa (1 day) 2 Senior Technician WM Abandon Wells (1 hr/well) - 7 wells 7 Senior Technician WM Abandon piezometers (0.5 hr/piezometers) - 6 wells 6

Senior Technician SA Mob/Demob from Tampa (1 day) 2 Senior Technician SA Abandon Wells (1 hr/well) - 7 wells 7 Senior Technician SA Abandon piezometers (0.5 hr/piezometers) - 6 wells 6

Drafting Technician KJ Prepare site plan with wells abandoned 1

Staff Assistants JJ Revise tables/upload pictures 1 Staff Assistants JJ Document Preparation/Publishing/pdf 2

TOTAL LABOR 47

VEHICLE TYPE RATE UNIT USEAGE

Company Truck $120.00 day 1 $120.00

TOTAL VEHICLE $120.00

PER DIEM STAFF RATE UNIT USEAGE

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

Atlantic Supply Portland Grout $14.20 per 47lb ba 4 $56.80 Atlantic Supply Delivery $75.00 each 1 $75.00 Atlantic Supply Taxes $9.89 each 1 $9.89

TOTAL $141.69

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Expendables $40.00 day 1 $40.00

Construction Supplies $75.00 day 1 $75.00 water level indicator $25.00 day 1 $25.00 Peristaltic Pump $30.00 day 1 $30.00

TOTAL EQUIPMENT $170.00

FINAL --7/24/96

COST PROPOSAL FOR TASK DC039C

<China Boy Cleaners/FDEP ERIC_5271>

< Well Abandonment >

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

GHD completed assessment at the China Boy Cleaners site located in Largo, Pinellas County.

Based on the most recent results, site closure criteria were met and a Site Rehabilitation Completion Order (SRCO) was issued by the Department. Task DC039C includes well abandonment activities.

Subtask 1: Project Management Subtask 1 includes all tasks associated with project management of well abandonment and reporting for the China Boy Cleaners site.

Subtask 2: Well Abandonment GHD personnel will obtain well abandonment permits from the local Health Department (Pinellas County). The permitting will be conducted by GHDs licensed water well driller.

Following permit receipt, GHD personnel will mobilize to the subject site and abandon monitoring wells MW001 through MW007 and piezometers PZ001 through PZ006. The well abandonment will be conducted in accordance with applicable Water Management District guidelines. The wells will be grouted from bottom up using the tremie method. Following well abandonment, the concrete pad and manhole will be filled with concrete to match the existing land surface. All waste well material and any concrete will be disposed off-site.

Following completion of the field activities, a brief well abandonment summary report will be prepared. The summary report will include copies of well permits, a site plan showing the location of the abandoned well and detailed photo documentation of the well abandonment activities.

Deliverables:

Deliverable Deliverable Due Date

Well Abandonment Report 7/10/26

Quantity Product Description Unit Price Ext Price

PROVIDED TO: SHIP TO:

GHD SERVICES, INC.

*DELIVER TO REAR OF BUILDING*

5904 HAMPTON OAKS PKWY STE F

TAMPA, FL 33610

HILLSBOROUGH

BRIAN MOOREATTN:

HILLSBOROUGH

TAMPA, FL 33610

5904 HAMPTON OAKS PKWY STE F

*DELIVER TO REAR OF BUILDING*

GHD SERVICES, INC.

ATLANTIC SUPPLY

800-752-9416

PO BOX 17620

CLEARWATER, FL 33762

Number: 30346

04/20/26Date:

Page: 1 of 1

Q-

SalespersonTerms

NET 30 12

Your Reference

BECKY'S & CHINA

Ship Via

ADS TRUCK

Description

Product Code

QUOTATION

4.00 PORTLAND CEMENT TYPE 1, 47LB 56.80 14.2000PCI47

1.00 DELIVERY FEE 75.00 75.0000DELIVERY FEE

TOTAL: $141.69

Subtotal: $131.80

QUOTATION

TAMPA BAY 727-530-9581

RIVIERA BEACH 561-844-3130

ORLANDO 407-246-6516

JACKSONVILLE 904-260-4288

ALABAMA 334-280-2712

Sales Tax: $9.89

THIS QUOTE IS GOOD FOR 30 DAYS

PLEASE CALL THE ORIGINATING

STORE TO PLACE YOUR ORDER,

OR IF YOU HAVE ANY QUESTIONS

REGARDING THIS QUOTE.

File details come from the government source that posted it. Updated .