CN-370000-HW686-DC001E.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.

HW686

DC001E Completion April 25, 2025

Preparation and meeting with FDEP for Annual Site Review.

Mary Uribe 850-245-8990 Contractor Professional Service Industries, Inc. (Intertek-PSI) Contractor

Contractor Joshua Newell Contractor 863-712-4342 N/A

N/A

N/A

Contractor Contractor

✔ $ 10,425.75

$ 10,425.75

Scope of Work

Professional Service Industries, Inc. (Intertek-PSI) Contractor

Digitally signed by Joshua S Newell Date: 2025.03.25 12:59:15-04'00'

Mubeen Darji

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

Date: 2025.03.25 12:25:10 -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

Subtasks 1 and 2: Project Management and Annual Site Reciew 04/11/2025

Subtask 1: Project Management $ 1,117.52

Subtask 2: Annual Site Review $ 9,308.23

$ 10,425.75

HW686

DC001E

FFLORIDA DEPARTMENT OF

EEnvironmental Protection

Bob Martinez Center

2600 Blair Stone Road Tallahassee, FL 32399-2400

Ron DeSantis Governor

Alexis A. Lambert

Secretary

Memorandum

TO: Annual Site Review Meeting - FDEP and PSI

FROM: Mary Uribe, Project Manager

SUBJECT: Negotiation Summary

HW686 DC001E

DATE: March 19th, 2025

PSI will attend an Annual Site Review meeting at the Bob Martinez Center in Tallahassee, as detailed in the March 19th, 2025 proposal. Two employees from PSI will be in attendance.

Total task amount is $10,425.75. PSI’s time and labor costs for these activities have been reviewed and are appropriate. The level-of-effort and cost estimate are reasonable for the scope of services. Final deliverable due date is April 11th, 2025. Task completion date is April 25th, 2025.

FDEP COST ESTIMATEContractor: Professional Service Industries, Inc. (Intertek-PSI)

Date: 3/19/2025

Task #: SubTask 1 Project Management SubTask 6

Site: Various SubTask 2 Site Review Meeting SubTask 7

Activity/Phase: SubTask 3 SubTask 8

Project Manager: Josh Newell SubTask 4 SubTask 9

SubTask 5 SubTask 10

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

$48.00 Project Manager 8 8.4 $64.90 Senior Scientist, DC 28 28 0 0 0 0 0 0 0 0 $48.00 Project Engineer, JN 27 27 0 0 0 0 0 0 0 0

Total Hours 63 8 55 0 0 0 0 0 0 0 0

Direct Labor $3,517.92 $404.72 $3,113.20 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 151.02% $5,312.76 $611.21 $4,701.55 $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 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 $8,830.68 $1,015.93 $7,814.75 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Annual Site Review Meeting

REV: 02/03 CEF Intertek-PSI Page 1

FDEP COST ESTIMATEContractor: Professional Service Industries, Inc. (Intertek-PSI)

Date: 3/19/2025

Task #: SubTask 1 Project Management SubTask 6

Site: Various SubTask 2 Site Review Meeting SubTask 7

Activity/Phase: SubTask 3 SubTask 8

Project Manager: Josh Newell SubTask 4 SubTask 9

SubTask 5 SubTask 10

Totals 1 2 3 4 5 6 7 8 9 10

Annual Site Review Meeting

Travel Vehicle Rental $240.00 $240.00 $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 $472.00 $472.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Travel $712.00 $712.00 $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 $9,542.68 $1,015.93 $8,526.75 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee $883.07 $101.59 $781.48 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $10,425.75 $1,117.52 $9,308.23 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 02/03 CEF Intertek-PSI Page 2

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Various SubTask 2 Site Review Meeting

DATE: 3/19/2025

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Scientist, D Coleman Develop site summaries 6 Round trip to Meeting 9 Site meeting 8 Draft Meeting Minutes 5

Total Hours 28 Project Engineer, J Newell Develop site summaries 6

Round trip to Meeting 9 Site meeting 8 Review Add/Comment to Draft Meeting Minutes 4

Total Hours 27

TOTAL LABOR 55

VEHICLE TYPE RATE UNIT USEAGE

$0.00

Equipment Van / Truck (mobilize from Tampa) $120.00 day 2 $240.00

$0.00

TOTAL VEHICLE $240.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00

Lodging Site Review Meeting, one night $200.00 2 2 people $400.00 Meals Site Review Meeting, one night $36.00 2 2 people $72.00

$0.00

TOTAL PER DIEM $472.00

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

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00

TOTAL EQUIPMENT $0.00

FINAL --7/24/96

PROPOSED SCOPE OF WORK

The proposal consists of preparation and meeting time with the FDEP to review the sites assigned to PSI under the Bureau of Waste Cleanup Program Contract and to collaborate on moving sites towards closure.

1. Project Management

This scope is provided for in the template worksheets.

2. Site Review and Meeting

PER FDEP time allotment, PSI will spend no more than 1 hour developing a summary of site conditions for each of the following sites.

Various maps and tables will be presented electronically in order to review current site conditions. A meeting summary will be prepared and submitted as the Task Assignment deliverable.