CN-370000-HW686-DC10DCO1.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

Document Summary

This 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 services at the Haines City Quality Cleaners site (ERIC_5357) in Polk County, Florida. The underlying contract is HW686, with Task Assignment number DC010D. The change order was executed in July 2025, with authorization signatures from Joshua Newell (Intertek-PSI) and Mubeen Darji, P.E. (FDEP Secretary or Designee). Mary Uribe serves as FDEP's project manager.

The TACO modifies the original task scope by removing the system relocation to the Lakeland Storage Yard and adding work to remove carbon from the treatment drum and containerize it in an FDOT-approved drum for transport and disposal. The total task value decreased from $11,419.34 to $7,976.38 as a result of these scope changes. The amended compensation is structured as a fixed unit rate of $7,976.38. Deliverables include three subtasks: Project Management, System Decommission with carbon removal and containerization, and a Summary of Activities Report, all due July 31, 2025. Invoice amounts are allocated as $4,889.67 for Subtask 1 and 3 combined, and $3,086.71 for Subtask 2. The task completion date remains September 26, 2025, and Attachment 1 was replaced with Attachment 1-1 to reflect the revised scope.

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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.

DC010D 1 HW686

Mary Uribe 8502458990 Contractor Professional Service Industries, Inc. (Intertek-PSI) Contractor

Contractor Joshua Newell Contractor 863-712-4342

ERIC_5357

Haines City Quality Cleaners

✔ $ 7,976.38 $ 11,419.34

$ 7,976.38 $ 11,419.34 ✔ Completion

Completion 09/26/2025 09/26/2025 0

✔ 1 1 1

Contractor

Digitally signed by Joshua S Newell Date: 2025.07.21 09:12:06-04'00'

Mubeen Darji

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

Date: 2025.07.16 07:46:46 -04'00'

Removal of the system relocation to the Lakeland Storage Yard. Inclusion of removing the carbon from the treatment drum and containerizing in an FDOT approved drum for transport and disposal.

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

DC010D

$ 7,976.38

Subtask 1 - Project Management Subtask 3- Summary of Activities Report

Subtask 2- Drum carbon in FDOT shippable container

Subtask 1 - Project Management Subtask 3- Summary of Activities Report

Subtask 2- Drum carbon in FDOT shippable container

07/31/2025

$ 3,086.71

$ 4,889.67

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 $ . 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

C on tra ct or

Pr of es si on al

S er vi ce

In du st rie s, In c.

(I nt er te k-

I) at e:

6/ 4/

Ta sk

Su bT as k

Pr oj ec t M an ag em en t Su bT as k

Si te

H ai ne s C ity Q ua lit y C le an er s

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Ac tiv ity /P ha se

Sy st em

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Y O

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Pr oj ec t M an ag er

Jo sh

N ew el l as k

Su bT as k

To ta ls

La bo r R at e

C at eg or y $4

Pr oj ec t M an ag er

$6 2.

Se ni or

E ng in ee r, G

R 2.

Se ni or G eo lo gi st

, N W

$4 8.

Pr oj ec t E ng in ee r, JN

$4 0.

Pr oj ec t S ci en tis t, JD

$3 4.

S pe ci al is t, D G

$0 .0

St af f E ng in ee r

$0 .0

St af f G eo lo gi st

$2 5.

St af f S ci en tis t, M M

$2 0.

Ad m in is tra tiv e

As si st an t, BM

To ta l H ou rs

D ire ct L ab or

$0 .0

O ve rh ea d

$2 ,2

$0 .0

G en

A dm in

$0 .0

Fr in ge 0.

$0 .0

To ta l L

$1 ,5

$0 .0

Tr av el Ve hi cl e R en ta l $2

$0 .0

M ile ag e C os ts

$0 .0

Ai r F ar e

$0 .0

Pe r d ie m

H ot el

$0 .0

To ta l T ra ve l

$0 .0

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

C on tra ct or

Pr of es si on al

S er vi ce

In du st rie s, In c.

(I nt er te k-as k

Pr oj ec t M an ag em en t Su bT as k

Si te

H ai ne s C ity Q ua lit y C le an er as k

M M

O N

Su bT as k

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Sy st em

D ec om m is as k

Y O

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Jo sh

N ew as k

Su bT as k

To ta ls

Su bc on tr ac to r

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

$0 .0

Su bc on tra ct or

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

Pr oc ur em ril lin g (C on ve nt io na l)

$0 .0

D ril lin g

(N on

-c on ve nt io na

l) $0

$0 .0

M ob ile

L ab or at or y

$0 .0

Su rv ey in g $0

$0 .0

W $0

$0 .0

U til iti es $0

$0 .0

Ac tio n

En vi ro nm en ta l $0

$0 $0

$0 .0

Pe tro te ch S

E $1

$0 .0

Su bc on tra ct or S ub to ta l

$0 .0

H an dl in g Fe e $1

$1 6.

$0 .0

To ta l S ub co nt ra ct or

C os t $1

$0 .0

La bo ra to ry

An al yt ic al

C os ts $6

$0 .0

Fa st T ur na ro un d C ha rg es $0

$0 .0

Sa m pl e Sh ip pi ng $0

$0 .0

To ta l L ab or at or y $6

$0 .0

Fi el d

Ex pe ns es

Pe rs on al P ro te ct io n $0

$0 .0

Ex pe nd ab le s $8

$8 0.

$0 .0

Eq ui pm en t (

D ril lin g re la te d)

$0 .0

Eq ui pm en t ( An al yt ic al re la te d)

$0 .0

Eq ui pm en t (

W re la te

d) $1

$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

Su bt ot al

$7 ,3

$3 ,7

$0 .0

C om pl et io n

Fe e

$6 9.

$0 .0

To ta l E st im at ed C os t

$7 ,9

$4 ,1

$0 .0

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 : Haines City Quality Cleaners ERIC_5357 SubTask 2 LOE 2 SYSTEM DECOMMISSION

DATE: 6/4/2025

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Geologist, NW Coordinate field efforts with owner/tenant 1

Total 1

Project Engineer, JN Fill out and submit FDEP equipment transfer forms 1

Total 1.00

Project Scientist, JD Prep for field event 0.00 Travel (4 hr round trip) 0.00 Oversight of SVE system decommission 0.00 Discussed relocation scope with FDEP 2.00 Approved PO for Contractor, Scheduled activities, rescheduled activities, cancelled activities, withdrew PO. 2.00

Total 4.00

Staff Scientist, MM Prep for field event 1.00 Travel (4 hr round trip) 4.00 Disconnect carbon vessel from system 1.00 IDW sample collection 1.00 Pickup and dropoff sample kit at lab 1.00 Prep for field event 1.00 Travel (4 hr round trip) 4.00 Drum carbon in FDOT shipable container as required by Transporter 1.00

Total 14.00

TOTAL LABOR 20.00

VEHICLE TYPE RATE UNIT USEAGE

0.00

Equipment Van / Truck (Sample IDW) 120.00 day 1.00 120.00 Equipment Van / Truck (demo oversight) 120.00 day 0.00 0.00 Equipment Van / Truck (drum carbon) 120.00 day 1.00 120.00

TOTAL VEHICLE 240.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

Action Environmental $0.00 $0.00 Petrotech SE IDW (carbon) Disposal $165.00 $165.00

TOTAL $165.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

TCLP Metals $135.00 1 $135.00 TCLP Volatile Organics by GC/MS $210.00 1 $135.00 $210.00 TCLP Semi-volatile organics by GC/MS $260.00 1 $260.00

TOTAL LAB $605.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Construction/O&M supplies $75.00 day 2 $150.00 Drum $100.00 each 1 $100.00

Expendables $40.00 day 2 $80.00

TOTAL EQUIPMENT $330.00

Contingent Carbon Disposal Analysis

System decommission, trailer transport, and fence handling

FINAL --7/24/96

SubTask 3 LOE 3 SUMMARY OF ACTIVITIES

DATE: 6/4/2025

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Engineer, GR Review letter report 2

Project Engineer, JN Letter report generation 20 Technical oversight 2 Total 22

22.00 Project Scientist, JD Gather report backup (field logs, disposal manifests, photos) 3.00

Develop photo log 2.00 Total 5.00

5.00 GIS/CADD Specialist, DG Generate figures 2.00

Administrative Assistant, BM Compile documents 2.00

TOTAL LABOR 33.00

VEHICLE TYPE RATE UNIT USEAGE

0.00 0.00

TOTAL VEHICLE 0.00

PER DIEM STAFF RATE UNIT USEAGE

0.00 0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

$0.00

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

$0.00 $0.00

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00 $0.00

$0.00TOTAL EQUIPMENT

E P

C O S T

E S T I M A T E

C on tra ct or

Pr of es si on al

S er vi ce

In du st rie s, In c.

(I nt er te k-as k

Pr oj ec t M an ag em en t Su bT as k

Si te

H ai ne s C ity Q ua lit y C le an er as k

M M

O N

Su bT as k

Ac tiv ity /P ha se

Sy st em

D ec om m is as k

Y O

Su bT as k

Pr oj ec t M an ag er

Jo sh

N ew as k

Su bT as k

To ta ls

La bo r R at e

C at eg or y $4

Pr oj ec t M an ag er

-0 .7

-0

$6 2.

Se ni or

E ng in ee r, G

R 0.

Se ni or G eo lo gi st

, N W

$4 8.

Pr oj ec t E ng in ee r, JN

-1 .0

-1

$4 0.

Pr oj ec t S ci en tis t, JD

-9 .0

-9

$3 4.

S pe ci al is t, D G

$0 .0

St af f E ng in ee r

$0 .0

St af f G eo lo gi st

$2 5.

St af f S ci en tis t, M M

$2 0.

Ad m in is tra tiv e

As si st an t, BM

To ta l H ou rs -4

-0 .7

-4

D ire ct L

$0 .0

O ve rh ea d

.6 2)

$0 .0

G en

A dm in 0.

$0 .0

Fr in ge

$0 .0

To ta l L

$0 .0

Tr av el Ve hi cl e R en ta l $0

$0 .0

M ile ag e C os ts

$0 .0

Ai r F ar e

$0 .0

Pe r d ie m

H ot el

$0 .0

To ta l T ra ve l

$0 .0

R E V

C E F

P S I I n t e r t e k

P a g

E P

C O S T

E S T I M A T E

C on tra ct or

Pr of es si on al

S er vi ce

In du st rie s, In c.

(I nt er te k-as k

Pr oj ec t M an ag em en t Su bT as k

Si te

H ai ne s C ity Q ua lit y C le an er as k

M M

O N

Su bT as k

Ac tiv ity /P ha se

Sy st em

D ec om m is as k

Y O

Su bT as k

Pr oj ec t M an ag er

Jo sh

N ew as k

Su bT as k

To ta ls

Su bc on tr ac to r

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

$0 .0

Su bc on tra ct or

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

Pr oc ur em ril lin g (C on ve nt io na l)

$0 .0

D ril lin g

(N on

-c on ve nt io na

l) $0

$0 .0

M ob ile

L ab or at or y

$0 .0

Su rv ey in g $0

$0 .0

W $0

$0 .0

U til iti es $0

$0 .0

Ac tio n

En vi ro nm en ta l

2, 5.

2, $0

$0 .0

Pe tro te ch S

E $0

$0 $0

$0 .0

Su bc on tra ct or S ub to ta l

2, 5.

$0 .0

H an dl in g Fe e

$0 .0

To ta l S ub co nt ra ct or

C os t

2, 2.

$0 .0

La bo ra to ry

An al yt ic al

C os ts $0

$0 .0

Fa st T ur na ro un d C ha rg es $0

$0 .0

Sa m pl e Sh ip pi ng $0

$0 .0

To ta l L ab or at or y $0

$0 .0

Fi el d

Ex pe ns es

Pe rs on al P ro te ct io n $0

$0 .0

Ex pe nd ab le s $0

$0 .0

Eq ui pm en t (

D ril lin g re la te d)

$0 .0

Eq ui pm en t ( An al yt ic al re la te d)

$0 .0

Eq ui pm en t (

W re la te

d) $1

$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

Su bt ot al

3, 8.

.8 0)

3, 2.

$0 .0

C om pl et io n

Fe e

.5 9)

.0 1)

$0 .0

To ta l E st im at ed C os t

3, 2.

.3 8)

3, 8.

$0 .0

R E V

C E F

P S I I n t e r t e k

P a g

SubTask 2 LOE 2 SYSTEM DECOMMISSION

DATE: 6/4/2025

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Geologist, NW Coordinate field efforts with owner/tenant 0

Total 0

Project Engineer, JN Fill out and submit FDEP equipment transfer forms -1

Total -1.00

Project Scientist, JD Prep for field event -1.00 Travel (4 hr round trip) -4.00 Oversight of SVE system decommission -8.00 Discussed relocation scope with FDEP 2.00 Approved PO for Contractor, Scheduled activities, rescheduled activities, cancelled activities, withdrew PO. 2.00

Total -9.00

Staff Scientist, MM Prep for field event 0.00 Travel (4 hr round trip) 0.00 Disconnect carbon vessel from system 0.00 IDW sample collection 0.00 Pickup and dropoff sample kit at lab 0.00 Prep for field event 1.00 Travel (4 hr round trip) 4.00 Drum carbon in FDOT shipable container as required by Transporter 1.00

Total 6.00

TOTAL LABOR -4.00

VEHICLE TYPE RATE UNIT USEAGE

0.00

Equipment Van / Truck (Sample IDW) 120.00 day 0.00 0.00 Equipment Van / Truck (demo oversight) 120.00 day -1.00 -120.00 Equipment Van / Truck (drum carbon) 120.00 day 1.00 120.00

0.00

TOTAL VEHICLE 0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

Action Environmental -$2,475.00 ($2,475.00) Petrotech SE IDW (carbon) Disposal $0.00 $0.00

TOTAL ($2,475.00)

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

TCLP Metals $135.00 0 $0.00 TCLP Volatile Organics by GC/MS $210.00 0 $0.00 $0.00 TCLP Semi-volatile organics by GC/MS $260.00 0 $0.00

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Construction/O&M supplies $75.00 day 0 $0.00 Drum $100.00 each 1 $100.00

Expendables $40.00 day 0 $0.00

TOTAL EQUIPMENT $100.00

Contingent Carbon Disposal Analysis

System decommission, trailer transport, and fence handling

Outlook

TACO #1 for Haines City ERIC_5357, TA DC010D

From Joshua Newell <joshua.newell@intertek.com> Date Wed 6/4/2025 9:10 AM To Uribe, Mary <Mary.Uribe@FloridaDEP.gov> Cc Douglas Coleman <douglas.coleman@intertek.com>; John Daugherty Intertek

<john.daugherty@intertek.com>

3 attachments (314 KB) TACO1 Delta - Haines City ERIC_5357.xlsx; TACO1 Final - Haines City ERIC_5357.xlsx; DC010D Original ERIC_5357.xlsx;

EXTERNAL MESSAGE

This email originated outside of DEP. Please use caution when opening attachments, clicking links, or responding to this email.

Good morning Mary, Please see the attached TACO excel sheets for the removal of the system relocation from the Haines City site to the Lakeland Storage Yard and inclusion of removing the carbon from the treatment drum and containerizing in an FDOT approved drum for transport and disposal.

DC010 Original $11,419.35 TACO1 Delta -$ 3,442.95 TACO1 Final $ 7,976.38

As can be seen above, there is a 2 cent rounding error between the spreadsheets.

Thank you, Josh Newell, P.E.

Senior Engineer / Principal Consultant Building & Construction Intertek-PSI

Direct +1 863 712 4342 Email joshua.newell@intertek.com www.intertek.com/building

Intertek-PSI, 607 South Alexander Street, Ste. 202, Plant City, FL 33563

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