CN-370000-HW686-DC09DCO1.pdf
PDF 2 MB Posted
- Contract number
- HW686
- Issued by
- Florida
About this file
This document is a Task Assignment Change Order (TACO) issued by the State of Florida Department of Environmental Protection (FDEP) to Professional Service Industries, Inc. (Intertek-PSI) for environmental remediation services at the former Main Street Cleaners site located at 1679 Main Street, Sarasota, Sarasota County, Florida. The original Task Assignment (TA) DC009D was established under Contract HW686. The TACO, effective June 25, 2025, reconciles Work Change Directive (WCD-1) costs and extends the project timeline to accommodate additional operational and maintenance activities.
The amended task value increased from $76,095.51 to $77,595.12, representing a $1,499.61 increase. The additional costs comprise one month of utilities (FPL Electric at $450 per month and Century Link Phone at $120 per month, plus handling fees totaling $560) and associated labor costs of $254.20 for project management and administrative support. The project completion date was extended from July 25, 2025 to September 26, 2025, providing a 63-day extension. Services under the contract include operation and maintenance of an existing soil vapor extraction system, development of two Remedial Action System Status Reports, groundwater monitoring, and project management. The original cost structure comprised $69,255.51 in fixed unit rates and $6,840.00 in cost reimbursement for utilities, with deliverables due at specified quarterly intervals through June 2025.
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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. 8/17/2020
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.
DC009D 1 HW686
Mary Uribe • Responsibilities o As a Contractor Professional Service Industries, Inc. (Intertek-PSI) Contractor
Contractor Joshua Newell Contractor 863-712-4342
ERIC_5423
Main St Cleaners
✔ $ 77,595.12 $ 76,095.51
$ 77,595.12 $ 76,095.51 Completion
✔ Completion 07/25/2025 09/26/2025 63
1 1
Contractor
Digitally signed by Joshua S Newell Date: 2025.06.25 11:58:37-04'00'
Jennifer Farrell
Digitally signed by Jennifer Farrell Date: 2025.06.25 11:30:42 -04'00'
TACO to Reconcile DC009D - WCD 1, additional month of utilities, and time extension.
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
DC009D
$ 77,595.12
Subtask 2: 1st Quarter O&M
Subtask 3 & 4 : 2nd Quarter O&M and
Subtask 5: 3rd Quarter O&M
Subtask 6: 4th Quarter O&M
Subtask 8: Utilities
Subtask 1, 7, and 9: Project Management, RASSR, and GW Monitoring
Subtask 2: DEP approval of 1st Quarter O&M
Subtask 5: DEP approval of 3rd Quarter O&M
Subtask 6: DEP approval of 4th Quarter O&M
Subtask 1, 7, and 9: DEP approval of Project Management, RASSR, and GW Monitoring
Subtask 8: DEP approval of Utilities
Subtask 3 & 4 : DEP approval of 2nd Quarter O&M and
08/20/2024
12/02/2024
02/20/2025
05/20/2025
06/06/2025
07/30/2025
$ 14,285.02
$ 10,072.34
$ 11,620.34
$ 9,027.49
$ 8,540.00
$ 24,049.93
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
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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 : Main Street Cleaners ERIC_5423 SubTask 2 1st Qtr Monthly O&M
DATE: 2/9/2024
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 Project Scientist, J Daugherty 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
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 6 $1,200.00
Summa cannisters $33.00 6 $198.00 $1,398.00
Shipping, large, overnight $150.00 1 $150.00
TOTAL LAB $1,548.00
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) (Qtr infl and eff, + 4 SVE air samples)
FINAL --7/24/96
Page 4 Main St ERIC_5423 DC009D WCD-1 TACO-1 Final 6-23-2025
SubTask 3 2nd Qtr Monthly O&M
DATE: 2/9/2024
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 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 Project Scientist, J Daugherty 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
TO-15 (VOCs) (infl and eff per Qtr) $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
Page 5 Main St ERIC_5423 DC009D WCD-1 TACO-1 Final 6-23-2025
SubTask 4 RASS
DATE: 2/9/2024
LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON
STAFF-TITLE WORK DESCRIPTION HOURS
Senior Engineer, M Rothenburg Evaluate data 2 Review Final RASS 2 Sign and Seal RASS 1
Total hours: 5
Project Engineer, J Newell Data reduction/evaluation 12 Preparation of remediation report 8 Create figures 4 Report - Prepare final tables and figure 8
Total hours: 32
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 $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
TOTAL EQUIPMENT $0.00
Page 6 Main St ERIC_5423 DC009D WCD-1 TACO-1 Final 6-23-2025
SubTask 5 3rd Qtr Monthly O&M
DATE: 2/9/2024
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 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
Project Scientist, J Daugherty 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
$200.00 12 $2,400.00
Summa cannisters $33.00 12 $396.00 $2,796.00
Shipping, large, overnight $150.00 2 $300.00
TOTAL LAB $3,096.00
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, + 4 SVE air samples)
Page 7 Main St ERIC_5423 DC009D WCD-1 TACO-1 Final 6-23-2025
SubTask 6 4th Qtr Monthly O&M
DATE: 2/9/2024
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 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
Project Scientist, J Daugherty 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
TO-15 (VOCs) (infl and eff per Qtr,) $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
Page 8 Main St ERIC_5423 DC009D WCD-1 TACO-1 Final 6-23-2025
SubTask 7 RASS
DATE: 2/9/2024
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 Sign and Seal RASS 1
Total hours: 8
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 Shutdown Evaluation 3 Discussion of additional run time in RASS for WCD and TACO submittals 1
Total hours: 40
CADD / GIS Specialist, D Grove Prepare figures for RASS 8 Administrative Assistant, BM Backup generation 2
TOTAL LABOR 58
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
TOTAL EQUIPMENT $0.00
Page 9 Main St ERIC_5423 DC009D WCD-1 TACO-1 Final 6-23-2025
SubTask 8 Utilities
DATE: 2/9/2024
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
FPL Electric $450.00 Month 14 $6,300.00
Century Link Phone $120.00 Month 14 $1,680.00 $7,980.00
Handling fee Electric $20.00 Month 14 $280.00 Handling fee phone $20.00 Month 14 $280.00
$560.00
$0.00
TOTAL $8,540.00
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
TOTAL EQUIPMENT $0.00
Page 10 Main St ERIC_5423 DC009D WCD-1 TACO-1 Final 6-23-2025
SubTask 9 Groundwater Monitoring
DATE: 2/9/2024
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
Project Scientist, J Daugherty Field preparation 1 Travel (3 roundtrips for gw sampling) 9 Collect groundwater samples 8 shallow wells @ 1 hour each 8 2 intermediate wells @ 1.5 hrs each 3 2 deep well @ 2 hours each 4 Documentation of groundwater sampling & measurements 1
Total hours: 26
Staff Scientist, M Matar Travel (3 roundtrips for gw sampling) 9 Collect groundwater samples 7 shallow wells @ 1 hour each 7 1 intermediate wells @ 1.5 hr each 1.5 2 deep well @ 2 hours each 4 stage IDW drum 1 pickup, drop off sample kits 2 Documentation of groundwater sampling & measurements 1
Total hours: 25.5
TOTAL LABOR 54.5
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, LLC IDW transport & disposal 6 $100.00 $600.00 $0.00 $0.00
TOTAL $600.00
LABORATORY COSTS
PARAMETER RATE # SAMPLES #QAQC IDW
$0.00
EPA Method 8260 $73.00 22 1 $1,679.00
$1,679.00 $0.00 Sample Shipping, Large, Overnight $150.00 0 $0.00
$0.00 $0.00
TOTAL LAB $1,679.00
EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS
$0.00 Shallow Groundwater Sampling Kit $290.00 day 3 $870.00 Deep Groundwater Sampling Kit $415.00 day 3 $1,245.00 Drum for IDW $100.00 each 6 $2,115.00 $600.00
$2,715.00 Expendables $40.00 day 3 $120.00
TOTAL EQUIPMENT $2,835.00
Page 11 Main St ERIC_5423 DC009D WCD-1 TACO-1 Final 6-23-2025
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$0
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$0 .0
$0
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$0 .0
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$0 .0
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$0 .0
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$0 .0
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d) $0
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$0
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R E V
C E F
P S I I n t e r t e k
P a g
SubTask 7 RASS
DATE: 2/9/2024
LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON
STAFF-TITLE WORK DESCRIPTION HOURS
Senior Engineer, M Rothenburg Evaluate data 0 Review Final RASS/ Groundwater Report 0 Sign and Seal RASS 0
Total hours: 0
Project Engineer, J Newell Data reduction/evaluation 0 Preparation of remediation/ groundwater monitoring report 0 Create Final figures 0 Report - Prepare final tables and figure 0 Shutdown Evaluation 0 Discussion of additional run time in RASS for WCD and TACO submittals 1
Total hours: 1
CADD / GIS Specialist, D Grove Prepare figures for RASS 0 Administrative Assistant, BM Backup generation 2
TOTAL LABOR 3
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
TOTAL EQUIPMENT $0.00
Page 3 Main St ERIC_5423 DC009D WCD-1 TACO-1 Delta 6-23-2025
SubTask 8 Utilities
DATE: 2/9/2024
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
FPL Electric $450.00 Month 2 $900.00
Century Link Phone $120.00 Month 2 $240.00 $1,140.00
Handling fee Electric $20.00 Month 2 $40.00 Handling fee phone $20.00 Month 2 $40.00
$80.00
$0.00
TOTAL $1,220.00
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
TOTAL EQUIPMENT $0.00
Page 4 Main St ERIC_5423 DC009D WCD-1 TACO-1 Delta 6-23-2025
Site Name: Site ID #:
Contract #: Contractor:
• Reason for Work Change Directive :
• Description of Work Change Directive :
• Attachments (if applicable, list documents supporting change):
• Costs (if negotiated unit costs, provide information below):
WCP WCD 07-2018
Authorized Contractor Signature:
Authorized FDEP Signature:
WORK CHANGE DIRECTIVE FORM
FDEP Supervisor Approval:
(if applicable)
Additional work is not authorized without prior FDEP approval as indicated by an approved Work Change Directive Form or Task Assignment Change Order Form. It is the Contractor's responsibility to ensure that additional costs associated with this WCD are resolved by a Task Assignment Change Order (TACO) prior to the completion date of the original Task Assignment or subsequent TACOs completed prior to the execution date of this WCD. Failure to do so will result in a loss of reimbursement for work associated with this WCD.
Task Assignment #: Work Change Directive #:
Maximum Estimated Increase in Task Amount:
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
DC009D Completion July 25, 2025
This Task Assignment authorizes Professional Service Industries, Inc. (PSI) to provide remediation system Operation and Maintenance (O&M), develop two Remedial Action System Status Reports (RASS), and groundwater monitoring at former Main Street Cleaners. There is a cost reimbursement of $6,840.00 (utilities).
Mubeen Darji 850-245-8965 Contractor Professional Service Industries, Inc. (PSI) Contractor
Contractor Nana Westmark Contractor 813-886-1075
ERIC_5423
1679 Main Street, Sarasota, Sarasota County
Former Main Street Cleaners
Contractor Contractor
$ 69,255.51
$ 6,840.00
$ 76,095.51
Scope of Work
Professional Service Industries, Inc. (PSI) Contractor Nana Westmark
Digitally signed by Joshua S Newell Date: 2024.03.25 10:43:00-04'00'
Jennifer Farrell
Digitally signed by Jennifer Farrell Date: 2024.03.19 13:20:48 -04'00'
N/A
Joshua S Newell
2024.04.04 08:20:36-04'00'
File details come from the government source that posted it. Updated .