CN-370000-HW686-DC06DCO1.pdf

PDF 1 MB Posted Dec 21, 2021

Attached to: Master Agreement FL|HW686|26652fe61cf76d14a6798f2369f5dddb
Contract number: HW686
Issued by: Florida

About this file

Written by GovTribe AI · May 1, 2026

This document is a Task Assignment Change Order (TACO-1) between the State of Florida Department of Environmental Protection (FDEP) and Professional Service Industries, Inc. (Intertek-PSI), a contractor providing environmental consulting services. The underlying contract is HW686, and the task assignment number is DC006D. The project is located at 6642 Ridge Road, Port Richey, Pasco County, and involves work for Custom Commerce Laundry. Mary Uribe serves as the FDEP project manager, while Joshua Newell represents Intertek-PSI.

The TACO adds soil analytical costs to the original task assignment for confirmatory soil and groundwater sampling with volatile organic hydrocarbon (VOH) and PFAS (per- and polyfluoroalkyl substances) analysis. The amended task value increased from $13,586.02 to $13,982.02, representing a $396.00 addition to cover additional laboratory analytical costs for PFAS analyses. The work is structured in three subtasks: Project Management ($1,286.59), Soil & Groundwater VOH Confirmatory Sampling and Reporting ($10,481.65), and Soil & Groundwater PFAS Monitoring and Reporting ($2,213.78). All deliverables are due July 31, 2025, with the overall task completion date of August 29, 2025. Invoicing requires submission and FDEP approval of each subtask's deliverables before payment authorization.

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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.

DC006D 1 HW686

Mary Uribe • Responsibilities o As a Contractor Professional Service Industries, Inc. (Intertek-PSI) Contractor

Contractor Joshua Newell Contractor 863-712-4342

ERIC_5234

Custom Commerce Laundry

✔ $ 13,982.02 $ 13,586.02

$ 13,982.02 $ 13,586.02 ✔ Completion

Completion 08/29/2025 08/29/2025 0

1 1

Contractor

Digitally signed by Joshua S Newell Date: 2025.06.24 09:32:39-04'00'

Mubeen Darji

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

Date: 2025.06.24 08:07:51 -04'00'

Addition of soil analytical costs

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

DC006D

$ 13,982.02

Subtask 1 Project Management

Subtask 2 Soil & Groundwater VOH Confirmatory Sampling and Reporting

Subtask 3 Soil & Groundwater PFAS Monitoring and Reporting

Subtask 1: Submission and DEP approval of Project Management

Subtask 3: Submission and DEP approval of Soil & Groundwater PFAS Monitoring and Reporting

Subtask 2: Submission and DEP approval of Soil & Groundwater VOH Confirmatory Sampling and Reporting

07/31/2025

$ 10,481.65

$ 1,286.59

$ 2,213.78

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:

FROM:

SUBJECT:

DATE:

ERIC_

Cleaners

Mary Uribe, Project Manager

Negotiation Summary

HW686 DC0

Total task amount is $ . 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 . Task completion date is .

F D E P

C O S T

E S T I M A T E

Co nt ra ct or

Pr of es sio na l S er vi ce In du st rie s, In c.

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R E V

C E F

P S I I n t e r t e k

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LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Custom Commerce ERIC_5234 SubTask 2 Soil & Groundwater VOH Confirmatory Sampling & Reporting

DATE: 4/15/2025

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Engineer, G Robinson Tenant / owner notification 1 Technical oversight 3 Review GW portion of final deliverable before submittal 1

Total hours: 5

Project Scientist, S Luth Field preparation 1 Travel (3) 2-hr roundtrips for soil & gw sampling 6 Core through existing surface advance hand auger to 3 ft bls for soil collection 1 Advance soil boring to 3 ft bls for soil collection 2 Backfill soil, patch surface, and cleanup site 1 Collect groundwater elevations at 7 wells 1 Collect groundwater samples 6 shallow wells @ 1.5 hour each 9 1 intermediate wells @ 1.5 hrs each 1.5 Documentation of soil & groundwater sampling & measurements 2 Label and stage IDW drum 1 Pick-up, / Drop off sample kits 1 Collect IDW sample for waste characterization 0.5

Total hours: 27

Project Engineer, J Newell Waste profiling, IDW manifest execution, T&D oversight 2 Data reduction/evaluation 5 Preparation of groundwater monitoring report 8 Report - Prepare final tables and figure 5 Review historic information for SRCO requirements 2 Make Recommendations for PARM/SRCO 4 Sign and seal document 1

Total Hours: 27

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

Administrative Assistant, B Meynardie Finalize report, process invoices 2 Total Hours 2

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 $0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE UNIT COST

$0.00

Petrotech Southeast, Inc. IDW transport & disposal 1 $115.00 $115.00 $0.00 $0.00

TOTAL $115.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC IDW

$0.00

EPA Method 8260 (Groundwater) $73.00 7 $511.00 EPA Method 8260 (2 Soil and 2 contingent SPLP) $73.00 4 $292.00

SPLP $45.00 2 $90.00

Soil Preparation $7.00 2 $14.00 IDW Sampling Halocarbons by EPA Method 8260 $73.00 1 $73.00 Non-Halocarbons by EPA Method 8260 $70.00 1 $70.00 PAH's by EPA Method 8270 $110.00 1 $110.00 Metals (As, Ba, Cd, Cr, Pb, Sg, Ag) by EPA Method 6010 $91.00 1 $91.00 Mercury by EPA Method 7470/7471 $26.00 1 $26.00

TOTAL LAB $1,277.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00 Shallow Groundwater Sampling Kit $290.00 day 2 $580.00 Soil Sampling Kit (through concrete) $235.00 day 1 $235.00 Drum for IDW $100.00 each 1 $815.00 $100.00

$915.00 Expendables $40.00 day 3 $120.00

TOTAL EQUIPMENT $1,035.00

FINAL --7/24/96

Page 3 New Custom Commerce ERIC_5234 CO#1 - TACO

SITE : Custom Commerce ERIC_5234 SubTask 3 Soil & Groundwater PFAS Monitoring & Reporting

DATE: 4/15/2025

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Field Activities PFAS Sampling

Project Engineer, J Newell Request PFAS sample kit via FDEP Lab Form 1 Data reduction/evaluation 1

Provide evaluation within RASS Report 6

Report - Prepare final tables and figures 4

Total Hours: 12

Project Scientist, S Luth Additional decontamination for PFAS 1 Documentation of PFAS groundwater sampling 1 Documentation of PFAS soil sampling 1 Inventory cooler, prepare cooler for shipping to FDEP 1

Total Hours: 4

GIS/CADD Specialist, D Grove Create and prepare figures 2 Total Hours: 2

TOTAL LABOR 18

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

New Custom Commerce ERIC_5234 CO#1 - TACO Page 4 New Custom Commerce ERIC_5234 CO#1 - TACO

E P

C O S T

E S T I M A T E

Co nt ra ct or

Pr of es sio na l S er vi ce In du st rie s, In c.

(I nt er te k-

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$6 2.

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$6 0.

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$5 8.

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$4 8.

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$0 .0

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P a g

E P

C O S T

E S T I M A T E

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To ta ls

Tr av el Ve hi cle

R en ta l

$0 .0

M ile ag e

Co st s $0

$0 .0

Ai r F ar e $0

$0 .0

Pe r d ie m

H ot el $0

$0 .0

To ta l T ra ve l $0

$0 .0

Su bc on tr ac to r

(E qu ip m en t P ro cu re m

W l M at er ia ls

$0 .0

Su bc on tr ac to r S ub to ta l $0

$0 .0

Pr oc ur em en t F ee

$0 .0

To ta l S ub co nt ra ct or C os t

$0 .0

Su bc on tr ac to r (S er vi ce s P ro cu re m

Dr ill in g (C on ve nt io na l)

$0 .0

Dr ill in g

(N on

-c on ve nt io na

l) $0

$0 .0

M ob ile

La bo ra to ry $0

$0 .0

Su rv ey in g

$0 .0

Ut ili tie s

$0 .0

Su bc on tr ac to r S ub to ta l $0

$0 .0

Ha nd lin g Fe e $0

$0 .0

To ta l S ub co nt ra ct or

C os t $0

$0 .0

La bo ra to ry

An al yt ica l C os ts

$0 .0

Fa st

T ur na ro un d

Ch ar ge s

$0 .0

Sa m pl e

Sh ip pi ng

$0 .0

To ta l L ab or at or y

$0 .0

Fi el d Ex pe ns es

Pe rs on al

P ro te ct io n

$0 .0

Ex pe nd ab le s

$0 .0

Eq ui pm en t ( Dr ill in g re la te

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$0 .0

Eq ui pm en t (

An al yt ica l r el at ed

$0 .0

Eq ui pm en t (

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$0 .0

Eq ui pm en t ( O th er

$0 .0

To ta l F ie ld

E xp en se s $0

$0 .0

Su bt ot al

$0 .0

Co m pl et io n Fe e $0

$0 .0

To ta l E st im at ed C os t

$0 .0

R E V

C E F

P S I I n t e r t e k

P a g

SITE : Custom Commerce ERIC_5234 - CO #1 SubTask 2 Soil & Groundwater VOH Confirmatory Sampling & Reporting

DATE: 4/15/2025

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Engineer, G Robinson Tenant / owner notification 0 Technical oversight 0 Review GW portion of final deliverable before submittal 0

Total hours: 0

Project Scientist, S Luth Field preparation 0 Travel (3) 2-hr roundtrips for soil & gw sampling 0 Core through existing surface advance hand auger to 3 ft bls for soil collection 0 Advance soil boring to 3 ft bls for soil collection 0 Backfill soil, patch surface, and cleanup site 0 Collect groundwater elevations at 7 wells 0 Collect groundwater samples 6 shallow wells @ 1.5 hour each 0 1 intermediate wells @ 1.5 hrs each 0 Documentation of soil & groundwater sampling & measurements 0 Label and stage IDW drum 0 Pick-up, / Drop off sample kits 0 Collect IDW sample for waste characterization 0

Total hours: 0

Project Engineer, J Newell Waste profiling, IDW manifest execution, T&D oversight 0 Data reduction/evaluation 0 Preparation of groundwater monitoring report 0 Report - Prepare final tables and figure 0 Review historic information for SRCO requirements 0 Make Recommendations for PARM/SRCO 0 Sign and seal document 0

Total Hours: 0

CADD / GIS Specialist, D Grove Prepare figures for RASS 0 Total hours: 0

Administrative Assistant, B Meynardie Finalize report, process invoices 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 $0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE UNIT COST

$0.00

Petrotech Southeast, Inc. IDW transport & disposal 0 $115.00 $0.00 $0.00 $0.00

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC IDW

$0.00

EPA Method 8260 (Groundwater) $73.00 0 $0.00 EPA Method 8260 (2 Soil and 2 contingent SPLP) $73.00 4 $292.00

SPLP $45.00 2 $90.00

Soil Preparation $7.00 2 $14.00 PFAS Analyses to be provided by FDEP

$396.00 $0.00 IDW Sampling Halocarbons by EPA Method 8260 $73.00 0 $0.00 Non-Halocarbons by EPA Method 8260 $70.00 0 $0.00 PAH's by EPA Method 8270 $110.00 0 $0.00 Metals (As, Ba, Cd, Cr, Pb, Sg, Ag) by EPA Method 6010 $91.00 0 $0.00 Mercury by EPA Method 7470/7471 $26.00 0 $0.00

TOTAL LAB $396.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00 Shallow Groundwater Sampling Kit $290.00 day 0 $0.00 Soil Sampling Kit (through concrete) $235.00 day 0 $0.00 Drum for IDW $100.00 each 0 $0.00 $0.00

$0.00 Expendables $40.00 day 0 $0.00

TOTAL EQUIPMENT $0.00

FINAL --7/24/96

Page 5 Delta Custom Commerce ERIC_5234 CO#1 - Delta

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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

DC006D August 29, 2025

Soil and Groundwater Confirmatory Sampling with VOH and PFAS analysis

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

Joshua Newell 863-712-4342

ERIC_5234

6642 Ridge Road Port Richey, Pasco County

Custom Commerce Laundry

$ 13,586.02

Scope of Work

Professional Service Industries, Inc. (Intertek-PSI)

John Travis

John Travis Digitally signed by John Travis Date: 2025.04.16 13:11:49 -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

File details come from the government source that posted it. Updated May 1, 2026.