CN-370000-HW686-DC06CCO1.pdf

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Master Agreement FL|HW686|26652fe61cf76d14a6798f2369f5dddb
Contract number
HW686
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Florida

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Task Assignment Change Order Summary

This document is a Task Assignment Change Order (TACO #1) issued by the State of Florida Department of Environmental Protection (FDEP) to Professional Service Industries, Inc. (Intertek-PSI) for environmental remediation and monitoring services at the Custom Commerce site (ERIC_5234) located in Port Richey, Pasco County, Florida. The change order amends the original Task Assignment DC006C under Contract HW686 and was executed on September 25, 2024, with departmental approval from Jennifer Farrell and contractor authorization from Joshua S. Newell.

The change order reduces the total task value by $233.00 through the elimination of one analytical sample from Subtask 3 (2nd Quarter Monthly Operations and Maintenance), resulting in a revised total contract value of $63,009.18, comprised of $54,369.18 in fixed unit rate costs and $8,640.00 in cost reimbursement expenses for utilities. The scope includes twelve months of operations and maintenance activities, two semi-annual Remedial Action System Status (RASS) reports, one groundwater monitoring event, and associated deliverables with a completion date of February 28, 2025. Labor costs, travel, subcontractor services, laboratory analytical testing, field equipment, and utilities are itemized across ten subtasks, with quarterly invoicing requirements tied to FDEP approval of specific deliverables including monthly operations summaries, RASS reports, and analytical results.

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Funding Information:

Org. Code E.O. Object Code Budget Entity Appropriation

Category Grant # Project # Year Amount

Additional Funding Information attached on separate page.

Rev. 8/17/2020

STATE OF FLORIDA

DEPARTMENT OF ENVIRONMENTAL PROTECTION

Task Assignment Change Order This Change Order is entered into between the Parties named below and amends the Task Assignment (TA) and any previous TA Change Orders (TACO) as follows:

1. TA Number: TACO Number: Contract Number:

TACO Description:

2. Parties State of Florida Department of Environmental Protection (Department)

Department’s Project Manager: Department’s 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 Name:

4. There are no changes to the TA compensation.

The compensation of the TA is changed to the amounts indicated below:

Amended Price Price Prior to TACO Fixed Price:

Fixed Unit Rate: (Extended Price)

Cost Reimbursement:

Total TA Value:

There are no changes to the TA Expiration Date.

The TA Completion Date is changed from ______________ to ______________ (a total of ______ days).

6. There are no changes to the Attachments.

Attachment ___ is replaced with Attachment -____.

7. No Additional Changes.

Additional Changes:

8. All other terms and conditions of the TA remain in effect. If and to the extent that any inconsistencies may appear between the TA and this TACO, the provisions of this TACO shall control.

IN WITNESS WHEREOF, this TACO 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.

DC006C 1 HW686

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

Contractor Josh Newell Contractor 863-712-4342

ERIC_5234

Custom Commerce Laundry

✔ $ 54,369.18 $ 54,602.18 ✔ $ 8,640.00 $ 8,640.00

$ 63,009.18 $ 63,242.18 ✔ Completion

Completion 02/28/2025 02/28/2025 0

1 1 1

Contractor

Digitally signed by Joshua S Newell Date: 2024.09.25 12:12:47-04'00'

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2024.09.25 11:56:48 -04'00'

Reduction of 1 analytical sample from Subtask 3

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

Contract Number:

Task Assignment #:

Deliverables:

Deliverable Deliverable Due Date

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

TOTAL COST

HW686

DC006C

$ 63,009.18

Subtask 2 & 3: Email Summary of 1st & 2nd Qtr Monthly O&M (Nov, Dec, Jan & Feb, March, April)

Subtask 4: RASS

Subtask 5 & 6: Email Summary of 3rd & 4th Qtr Monthly O&M (May, June, July & Aug, Sep, Oct)

Subtask 7: RASS

Subtask 1, 9 & 10: Project Management, Field Package & Analytical Results for VOH Groundwater Monitoring & PFAS Groundwater Monitoring, IDW

Subtask 8: Utilities

Subtask 2 & 3: FDEP Approval of Email Summary of 1st & 2nd Qtr Monthly O&M (Nov, Dec, Jan & Feb, March, April)

Subtask 5 & 6: FDEP Approval of Email Summary of 3rd & 4th Qtr Monthly O&M (May, June, July & Aug, Sep, Oct)

Subtask 7: FDEP Approval of RASS

Subtask 8: FDEP Approval of Receipt of Utilities Bill for 12 months (Cost Plus Fixed Fee) Utilities not to exceed $8,640.00, handling fee = $480.00

Subtask 1, 9 & 10: FDEP Approval of Project Management, Field Package & Analytical Results for VOH Groundwater Monitoring & PFAS Groundwater Monitoring, Waste Manifest

Subtask 4: FDEP Approval of RASS

05/20/2024

05/30/2024

11/20/2024

11/30/2024

01/15/2025

05/30/2024

$ 4,793.39

$ 15,608.33

$ 17,581.79

$ 6,332.12

$ 9,573.55

$ 9,120.00

FFLORIDA DEPARTMENT OF

EEnvironmental Protection

Bob Martinez Center

2600 Blair Stone Road Tallahassee, FL 32399-2400

Ron DeSantis Governor

Jeanette NNuñez

Lt. Governor

Shawn Hamilton Secretary

Memorandum

TO: ERIC_5234

Custom Commerce Laundry

FROM: Mary Uribe, Project Manager

SUBJECT: Negotiation Summary

HW686 DC006C

DATE: September 19th, 2024

PSI will perform 12 months of Operations and Maintenance with two semi-annual Remedial Action System Status reports, and one groundwater monitoring event in accordance with the PSI scope of work, cost estimate, and schedule received on November 13th 2023.

Summary of changes includes subtracting the cost of one analytical sample from Subtask 3.

Total task amount is $63,009.18 with a change in cost of - $233.00. PSI’s time, labor, and subcontractor 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 January 15th, 2025. Task completion date is February 28th, 2025.

F D E P

C O S T

E S T I M A T E

R E V

C E F

P S I I n t e r t e k

P a g e

E P

C O S T

E S T I M A T E

R E V

C E F

P S I I n t e r t e k

P a g

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Custom Commerce ERIC_5234 SubTask 2 1st Qtr Monthly O&M

DATE: 11/13/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Engineer, M Rothenburg System evaluation (1 hr/month), 3 Total hours: 3

Project Engineer, J Newell Telemetry check (3 times per week = 2 hours per month) 6 Provide oversight and technical support (2 hr/monthly, 6 hrs/quarterly) 6 O&M checklists (1 hr/month) 3 Quarterly email summary to FDEP 4

Total hours: 19 Staff Scientist, M Mater Monthly

Field preparation 1 Mobilization 3 Conduct O&M, optimize performance 2 Collect vacuum influence / vacuum flow measurements 1 Collect vapor samples for PID screening 1 Monthly preparation, recording of system data to ongoing operational tables 1 O&M checklists (1 hr/month) 1

Monthly Field preparation 1 Mobilization 3 Conduct O&M, optimize performance 2 Collect vacuum influence / vacuum flow measurements 1 Collect vapor samples for PID screening 1 Monthly preparation, recording of system data to ongoing operational tables 1 O&M checklists (1 hr/month) 1

Monthly Field preparation 1 Mobilization 3 Conduct O&M, optimize performance 2 Collect vacuum influence / vacuum flow measurements 1 Collect vapor samples for PID screening 1 Monthly preparation, recording of system data to ongoing operational tables 1 O&M checklists (1 hr/month) 1

Additional hours to collect vapor analytical samples 2

Total hours: 32

TOTAL LABOR 54

VEHICLE TYPE RATE UNIT USEAGE

$0.00

Equipment Van / Truck $120.00 day 3 $360.00

TOTAL VEHICLE $360.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00 $0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

$0.00 $0.00

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

$200.00 2 $400.00

Summa cannisters $33.00 2 $66.00 $466.00

Shipping, large, overnight $150.00 1 $150.00

TOTAL LAB $616.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Construction/O&M/Pilot Test Kit $360.00 day 3 $1,080.00 Construction/O&M supplies $75.00 day 3 $225.00

$1,305.00 Expendables $40.00 day 3 $120.00

TOTAL EQUIPMENT $1,425.00

EQUIPMENT PROCUREMENT RATE COSTING UNIT USEAGE TOTALS

TOTAL EQUIPMENT $0.00

TO-15 (VOCs) (infl and eff)

FINAL --7/24/96

SubTask 3 2nd Qtr Monthly O&M

DATE: 11/13/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Engineer, M Rothenburg System evaluation (1 hr/month), review and submittal 3

Total hours: 3

Project Engineer, J Newell Telemetry check (3 times per week = 2 hours per month) 6 Provide oversight and technical support (2 hr/monthly, 6 hrs/quarterly) 6 O&M checklists (1 hr/month) 3 Quarterly email summary to FDEP 4

Total hours: 19 Staff Scientist, M Mater Monthly

Field preparation 1 Mobilization 3 Conduct O&M, optimize performance 2 Collect vacuum influence / vacuum flow measurements 1 Collect vapor samples for PID screening 1 Monthly preparation, recording of system data to ongoing operational tables 1 O&M checklists (1 hr/month) 1

Monthly Field preparation 1 Mobilization 3 Conduct O&M, optimize performance 2 Collect vacuum influence / vacuum flow measurements 1 Collect vapor samples for PID screening 1 Monthly preparation, recording of system data to ongoing operational tables 1 O&M checklists (1 hr/month) 1

Monthly Field preparation 1 Mobilization 3 Conduct O&M, optimize performance 2 Collect vacuum influence / vacuum flow measurements 1 Collect vapor samples for PID screening 1 Monthly preparation, recording of system data to ongoing operational tables 1 O&M checklists (1 hr/month) 1

Additional hours to collect vapor analytical samples 3

Total hours: 33

TOTAL LABOR 55

VEHICLE TYPE RATE UNIT USEAGE

$0.00

Equipment Van / Truck $120.00 day 3 $360.00

$0.00

TOTAL VEHICLE $360.00

PER DIEM STAFF RATE UNIT USEAGE

$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

TO-15 (VOCs) (4 SVE wells, infl and eff) $200.00 5 $1,000.00

Summa cannisters $33.00 5 $165.00 $1,165.00

Shipping, large, overnight $150.00 1 $150.00

TOTAL LAB $1,315.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Construction/O&M/Pilot Test Kit $360.00 day 3 $1,080.00 Construction/O&M supplies $75.00 day 3 $225.00

$1,305.00 Expendables $40.00 day 3 $120.00

TOTAL EQUIPMENT $1,425.00

SubTask 4 RASS

DATE: 11/13/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Engineer, M Rothenburg Evaluate data 2 Review Final RASS 2

Total hours: 4

Project Engineer, J Newell Data reduction/evaluation 12 Preparation of remediation report 8 Create figures 4 Report - Prepare final tables and figure 8 Sign and Seal RASS 1

Total hours: 33

CADD / GIS Specialist, D Grove Prepare figures for RASS 2

TOTAL LABOR 39

VEHICLE TYPE RATE UNIT USEAGE

$0.00

$0.00

TOTAL VEHICLE $0.00

PER DIEM STAFF RATE UNIT USEAGE

$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

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00 $0.00 $0.00

TOTAL EQUIPMENT $0.00

SubTask 5 3rd Qtr Monthly O&M

DATE: 11/13/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Engineer, M Rothenburg System evaluation (1 hr/month), review and submittal 3

Total hours: 3

Project Engineer, J Newell Telemetry check (3 times per week = 2 hours per month) 6 Provide oversight and technical support (2 hr/monthly, 6 hrs/quarterly) 6 O&M checklists (1 hr/month) 3 Quarterly email summary to FDEP 4

Total hours: 19

Staff Scientist, M Mater Monthly Field preparation 1 Mobilization 3 Conduct O&M, optimize performance 2 Collect vacuum influence / vacuum flow measurements 1 Collect vapor samples for PID screening 1 Monthly preparation, recording of system data to ongoing operational tables 1 O&M checklists (1 hr/month) 1

Monthly Field preparation 1 Mobilization 3 Conduct O&M, optimize performance 2 Collect vacuum influence / vacuum flow measurements 1 Collect vapor samples for PID screening 1 Monthly preparation, recording of system data to ongoing operational tables 1 O&M checklists (1 hr/month) 1

Monthly Field preparation 1 Mobilization 3 Conduct O&M, optimize performance 2 Collect vacuum influence / vacuum flow measurements 1 Collect vapor samples for PID screening 1 Monthly preparation, recording of system data to ongoing operational tables 1 O&M checklists (1 hr/month) 1

Additional hours to collect vapor analytical samples 2

Total hours: 32

TOTAL LABOR 54

VEHICLE TYPE RATE UNIT USEAGE

$0.00

Equipment Van / Truck $120.00 day 3 $360.00

$0.00

TOTAL VEHICLE $360.00

PER DIEM STAFF RATE UNIT USEAGE

$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

$200.00 2 $400.00

Summa cannisters $33.00 2 $66.00 $466.00

Shipping, large, overnight $150.00 1 $150.00

TOTAL LAB $616.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Construction/O&M/Pilot Test Kit $360.00 day 3 $1,080.00 Construction/O&M supplies $75.00 day 3 $225.00

$1,305.00 Expendables $40.00 day 3 $120.00

TOTAL EQUIPMENT $1,425.00

TO-15 (VOCs) (monthly infl and eff, + one event of 4 SVE air samples at beginning of quarter)

SubTask 6 4th Qtr Monthly O&M (& shutdown evaluation)

DATE: 11/13/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Engineer, M Rothenburg System evaluation (1 hr/month), review and submittal 3

Total hours: 3

Project Engineer, J Newell Telemetry check (3 times per week = 2 hours per month) 6 Provide oversight and technical support (2 hr/monthly, 6 hrs/quarterly) 6 O&M checklists (1 hr/month) 3 Quarterly email summary to FDEP 4 Shutdown evaluation 5

Total hours: 24

Staff Scientist, M Mater Month 10 (Shutdown Evaluation) Field preparation 1 Mobilization 3 Conduct O&M, optimize performance 2 Collect vacuum influence / vacuum flow measurements 1 Collect vapor samples for PID screening 1 Monthly preparation, recording of system data to ongoing operational tables 1 O&M checklists (1 hr/month) 1

Monthly (System re-start) Field preparation 1 Mobilization 3 Conduct O&M, optimize performance, allow one pore volume 2 Collect vacuum influence / vacuum flow measurements 1 Collect vapor samples for PID screening 1 Monthly preparation, recording of system data to ongoing operational tables 1 O&M checklists (1 hr/month) 1

Monthly Field preparation 1 Mobilization 3 Conduct O&M, optimize performance 4 Collect vacuum influence / vacuum flow measurements 1 Collect vapor samples for PID screening 1 Monthly preparation, recording of system data to ongoing operational tables 1 O&M checklists (1 hr/month) 1

Additional hours to collect vapor analytical samples 4

Total hours: 36

TOTAL LABOR 63

VEHICLE TYPE RATE UNIT USEAGE

$0.00

Equipment Van / Truck $120.00 day 3 $360.00

$0.00

TOTAL VEHICLE $360.00

PER DIEM STAFF RATE UNIT USEAGE

$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

$200.00 10 $2,000.00

Summa cannisters $33.00 10 $330.00 $2,330.00

Shipping, large , overnight $150.00 1 $150.00

TOTAL LAB $2,480.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Construction/O&M/Pilot Test Kit $360.00 day 3 $1,080.00 Construction/O&M supplies $75.00 day 3 $225.00

$1,305.00 Expendables $40.00 day 3 $120.00

TOTAL EQUIPMENT $1,425.00

TO-15 (VOCs) (infl and eff per Qtr,) + one event to include 4 SVE wells

SubTask 7 RASS

DATE: 11/13/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Engineer, M Rothenburg Evaluate data 2 Review Final RASS/ Groundwater Report 5

Total hours: 7

Project Engineer, J Newell Data reduction/evaluation 12 Preparation of remediation/ groundwater monitoring report 12 Create Final figures 4 Report - Prepare final tables and figure 8 Sign and Seal RASS 1

Total hours: 37

CADD / GIS Specialist, D Grove Prepare figures for RASS 8

TOTAL LABOR 52

VEHICLE TYPE RATE UNIT USEAGE

$0.00 $0.00

TOTAL VEHICLE $0.00

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

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

SubTask 8 Utilities

DATE: 11/13/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

TOTAL LABOR

VEHICLE TYPE RATE UNIT USEAGE

$0.00 $0.00

TOTAL VEHICLE $0.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00 $0.00 $0.00 $0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

Duke Energy Electric $600.00 Month 12 $7,200.00

Century Link Phone $120.00 Month 12 $1,440.00 $8,640.00

Handling fee Electric $20.00 Month 12 $240.00 Handling fee phone $20.00 Month 12 $240.00

$480.00

$0.00

TOTAL $9,120.00

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

$0.00 $0.00 $0.00

SubTask 9 VOH Groundwater Monitoring

DATE: 11/13/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Geologist, N Westmark event lab kit request, equipment selection, tenant notification 3 Total hours: 3

Environmental Specialist, CC Field preparation 1 Travel (1 roundtrips for gw sampling) 3 Collect groundwater samples 6 shallow wells @ 1 hour each 6 1 intermediate wells @ 1.5 hrs each 1.5 Documentation of groundwater sampling & measurements 2 Stage Drum 1 Pick-up, / Drop off sample kits 1

Total hours: 15.5

TOTAL LABOR 18.5

VEHICLE TYPE RATE UNIT USEAGE

$0.00

Equipment Van / Truck $120.00 day 2 $240.00

$0.00

TOTAL VEHICLE $240.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00 $0.00 $0.00 $0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE UNIT COST

$0.00

Petrotech Southeast, Inc. IDW transport & disposal 1 $100.00 $100.00 $0.00 $0.00

TOTAL $100.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC IDW

$0.00

EPA Method 8260 $73.00 7 1 $584.00 PFAS Analyses to be provided by FDEP

$584.00 $0.00 $0.00

$0.00 $0.00

TOTAL LAB $584.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00 Shallow Groundwater Sampling Kit $290.00 day 2 $580.00

Drum for IDW $100.00 each 1 $580.00 $100.00 $680.00

Expendables $40.00 day 2 $80.00

TOTAL EQUIPMENT $760.00

SubTask 10 PFAS Groundwater Monitoring

DATE: 11/13/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Field Activities PFAS Sampling

Environmental Specialist, CC Additional decontamination for PFAS 2 Documentation of PFAS groundwater sampling 1 Inventory cooler, prepare cooler for shipping to FDEP 2.5

Total Hours: 5.5

Project Scientist, S Luth Prepare field deliverable and PFAS analytical results Total Hours: 3

GIS / CAD Specialist, D Grove Create maps, figures Total Hours: 2

Senior Geologist, N Westmark Provide Evaluation and email summary 1 Data review, develop deliverable 2

Total Hours: 3

TOTAL LABOR 13.5

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$834.20 week 0 $0.00 Deep Groundwater Sampling Kit $415.00 day 0 $0.00

$0.00 Expendables $40.00 day 0 $0.00

55--gallon drum $100.00 each 0 $0.00

TOTAL EQUIPMENT $0.00

VEHICLE TYPE RATE UNIT USEAGE

Equipment Van / Truck (GW Sampling) $120.00 day 0 $0.00

$420.00 week 0 $0.00

TOTAL VEHICLE $0.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00 $0.00 $0.00

TOTAL PER DIEM $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC #IDW

EPA Method 8260 $73.00 0 0 0 $0.00 PFAS Analyses to be provided by FDEP $104.00 0 $0.00

$0.00

TOTAL LAB $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE UNIT COST

Petrotech IDW drum pickup 0 $125.00 $0.00

TOTAL $0.00

CO-1 Custom Commerce ERIC_5234 05523856

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SubTask 3 2nd Qtr Monthly O&M

DATE: 9/9/2024

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Engineer, M Rothenburg System evaluation (1 hr/month), review and submittal 0

Total hours: 0

Project Engineer, J Newell Telemetry check (3 times per week = 2 hours per month) 0 Provide oversight and technical support (2 hr/monthly, 6 hrs/quarterly) 0 O&M checklists (1 hr/month) 0 Quarterly email summary to FDEP 0

Total hours: 0 Staff Scientist, M Mater Monthly

Field preparation 0 Mobilization 0 Conduct O&M, optimize performance 0 Collect vacuum influence / vacuum flow measurements 0 Collect vapor samples for PID screening 0 Monthly preparation, recording of system data to ongoing operational tables 0 O&M checklists (1 hr/month) 0

Monthly Field preparation 0 Mobilization 0 Conduct O&M, optimize performance 0 Collect vacuum influence / vacuum flow measurements 0 Collect vapor samples for PID screening 0 Monthly preparation, recording of system data to ongoing operational tables 0 O&M checklists (1 hr/month) 0

Monthly Field preparation 0 Mobilization 0 Conduct O&M, optimize performance 0 Collect vacuum influence / vacuum flow measurements 0 Collect vapor samples for PID screening 0 Monthly preparation, recording of system data to ongoing operational tables 0 O&M checklists (1 hr/month) 0

Additional hours to collect vapor analytical samples 0

Total hours: 0

TOTAL LABOR 0

VEHICLE TYPE RATE UNIT USEAGE

$0.00

Equipment Van / Truck $120.00 day 0 $0.00

$0.00

TOTAL VEHICLE $0.00

PER DIEM STAFF RATE UNIT USEAGE

$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

TO-15 (VOCs) (4 SVE wells, infl and eff) $200.00 -1 ($200.00)

Summa cannisters $33.00 -1 ($33.00) ($233.00)

Shipping, large, overnight $150.00 0 $0.00

TOTAL LAB ($233.00)

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Construction/O&M/Pilot Test Kit $360.00 day 0 $0.00 Construction/O&M supplies $75.00 day 0 $0.00

$0.00 Expendables $40.00 day 0 $0.00

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P S I I n t e r t e k

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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

DC006C February 28, 2025

This Task Assignment authorizes Professional Service Industries, Inc. (PSI) to conduct 12 months of O&M with two semi-annual Remedial Action System Status reports, and a groundwater monitoring event in accordance with the PSI scope of work, cost estimate, and schedule received on November 13, 2023.

Kelly Crain 850-245-8953 Professional Service Industries, Inc. (Intertek-PSI)

Professional Service Industries, Inc. (Intertek-PSI)

Nana G. Westmark

ERIC_5234

6642 Ridge Road Port Richey, Pasco County, Florida

Custom Commerce

$ 54,602.18

$ 8,640.00

$ 63,242.18

Scope of Work

Nana Westmark

Senior Geologist / Principal Consultant

Nana G Westmark Digitally signed by Nana G Westmark Date: 2023.11.30 11:44:56 -05'00'

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2023.11.28 16:15:14 -05'00'

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

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