CN-370000-HW686-DC11ACO1.pdf

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

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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 and operation and maintenance services at the Coin-O-Magic Laundromat site located at 11605 North 15th Street, Tampa, Florida. The underlying contract is HW686, with Task Assignment Number DC011A and Change Order Number 1. The project manager for FDEP is Kelly Crain, and the contractor's project manager is Nana G. Westmark, a Senior Geologist/Principal Consultant.

The change order authorizes a cost reduction of $3,889.68 by removing Subtask 7 (Remedial Action Status Study/RASS) from the task assignment, as the system was shut down during Q4 operations and final documentation was provided as part of the Q4 deliverable. The task assignment completion date is extended from October 30, 2023 to November 30, 2023, providing 31 additional days for final deliverable approvals. The amended total task assignment value is $47,360.33, reduced from the prior amount of $51,250.02. The compensation structure includes fixed unit rates for operation and maintenance services totaling $36,260.33 and cost reimbursement for utilities (including handling fees) not to exceed $11,100.00. Deliverables include quarterly operation and maintenance reports, a Remedial Action Status Report with groundwater monitoring, and utility invoicing documentation. The change order was executed on October 30, 2023.

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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:

5. 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.

DC011A 1 HW686

This Task Assignment Change Order authorizes a reduction in cost to remove Subtask 7 (RASS), as the system was shutdown and the final report was provided as the Q4 deliverable.

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

Contractor Nana G. Westmark Contractor 813-886-1075

ERIC_4690

Coin-O-Magic Laundromat

✔ $ 36,260.33 $ 40,150.02 ✔ $ 11,100.00 $ 11,100.00

$ 47,360.33 $ 51,250.02 Completion

✔ Completion 10/30/2023 11/30/2023 31

✔ 1 1 1

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

Senior Geologist / Principal Consultant

Nana G Westmark Digitally signed by Nana G Westmark Date: 2023.10.30 09:38:55 -04'00'

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2023.10.27 18:26:17 -04'00'

N/A

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

WC TAFORM

Contract Number:

Task Assignment #:

Change Order #:

Deliverables:

Deliverable Deliverable Due Date

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

TOTAL COST

Q1 - Quarterly operation and maintenance (O&M) email submittal including field documentation, laboratory reports, and tables - Subtask 2 10/20/2022

Q2 - Quarterly O&M email submittal including field documentation, laboratory reports, and tables - Subtask 3 01/23/2023

Submittal and FDEP approval of Remedial Action Status Report - Subtasks 4,and 9 01/30/2023

Q3 - Quarterly O&M email submittal including field documentation, laboratory reports, and tables - Subtask 5 04/24/2023

Q4 - Quarterly O&M email submittal including field documentation, laboratory reports, and tables - Subtask 6 07/24/2023

Project Management - Subtasks 1 07/28/2023

Q1 and Q2 - Quarterly O&M email submittals including field documentation, laboratory reports, and tables - Subtasks 2 and 3; AND Submittal and FDEP approval of Remedial Action Status Report with Groundwater Monitoring - Subtasks 4 and 9

$ 20,408.15

Q3 and Q4 - Quarterly O&M email submittal including field documentation, laboratory reports, and tables - Subtasks 5 and 6; and Project Management - subtask 1 $ 15,372.18

FDEP receipt of utility invoices for 12 months; Utilities (Cost Plus Fixed Fee) = not to exceed $11,100.00 Utilities Handling Fee = $480.00 Subtask 8 $ 11,580.00

$ 47,360.33

HW686

DC011A

Crain_K Line

Printed on recycled paper.

FFLORIDAA DEPARTMENTT OF

EEnvironmentall Protection

Bob Martinez Center 2600 Blair Stone Road

Tallahassee, FL 32399-2400

Ronn DDeSantiss Governor

Jeanette Nuñez Lt. Governor

SShawnn Hamiltonn Secretary

To:

From:

Date:

Subject:

HW686 Contract Negotiation File Coin- O-Magic Laundromat Tampa, Orange County

ERIC_4690

, Project Manager

Negotiation Summary

HW686 DC011A

This Task Assignment authorizes

The FDEP Project Manager agrees to the scope of work and final cost associated with this Task Assignment . The final cost for this Task Assignment is $

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

Date: 10/26/2023

Task #: DC011A-CO-1 SubTask 1 Project Management SubTask 6 4th Qtr Monthly O&M

Site: Coin O Magic ERIC_4690 SubTask 2 1st Qtr Monthly O&M SubTask 7 RASS

Activity/Phase: O&M, RASS, GW SubTask 3 2nd Qtr Monthly O&M SubTask 8 Utilities

Project Manager: Nana Westmark SubTask 4 RASS, with groundwater evaluation SubTask 9 Groundwater Monitoring

SubTask 5 3rd Qtr Monthly O&M SubTask 10

TTotals 1 2 3 4 5 6 7 8 9 10 SSubcontractor (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 TTotal 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 $11,100.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11,100.00 $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 $11,100.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11,100.00 $0.00 $0.00 Handling Fee $480.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $480.00 $0.00 $0.00 Total Subcontractor Cost $11,580.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11,580.00 $0.00 $0.00

Laboratory Analytical Costs $3,919.00 $1,165.00 $466.00 $0.00 $1,165.00 $466.00 $0.00 $0.00 $657.00 $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 $670.00 $150.00 $110.00 $0.00 $150.00 $110.00 $0.00 $0.00 $150.00 $0.00 Total Laboratory $4,589.00 $1,315.00 $576.00 $0.00 $1,315.00 $576.00 $0.00 $0.00 $807.00 $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 $520.00 $120.00 $120.00 $0.00 $120.00 $120.00 $0.00 $0.00 $40.00 $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) $5,925.00 $1,305.00 $1,305.00 $0.00 $1,305.00 $1,305.00 $0.00 $0.00 $705.00 $0.00 Total Field Expenses $6,445.00 $1,425.00 $1,425.00 $0.00 $1,425.00 $1,425.00 $0.00 $0.00 $745.00 $0.00

Subtotal $45,252.48 $2,424.95 $6,469.39 $5,576.82 $4,291.14 $6,469.39 $5,576.82 $0.00 $11,580.00 $2,863.97 $0.00 Completion Fee $2,107.85 $242.50 $336.94 $321.58 $429.11 $336.94 $321.58 $0.00 $0.00 $119.20 $0.00

Total Estimated Cost CO1 $47,360.33 $2,667.45 $6,806.33 $5,898.40 $4,720.25 $6,806.33 $5,898.40 $0.00 $11,580.00 $2,983.17 $0.00

Total Estimated Cost Original TA $51,250.02 $3,114.94 $6,806.33 $5,898.40 $4,720.25 $6,806.33 $5,898.40 $3,442.20 $11,580.00 $2,983.17 $0.00

Total Estimated Cost Delta ($3,889.68) ($447.48) $0.00 $0.00 $0.00 $0.00 $0.00 ($3,442.20) $0.00 $0.00 $0.00

Total Estimated Cost Difference ($0.01) ($0.01) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 02/03 CEF PSI-Intertek Page 2

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Coin O Magic ERIC_4690 SubTask 2 1st Qtr Monthly O&M

DATE: 10/26/2023

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

Project Engineer, I King Telemetry check (3 times per week = 2 hours per month) 6 Provide oversight and technical support 3 Quarterly email summary to FDEP 2

Remediation Specialist, R Hanson Monthly

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

Monthly

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

Monthly

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

Additional hours to collect vapor analytical samples 3

TOTAL LABOR 38

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

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 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

TO-15 (VOCs) (Qtr infl and eff, and 3 SVE wells)

FINAL --7/24/96

SubTask 3 2nd Qtr Monthly O&M

DATE: 10/26/2023

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

Project Engineer, I King Telemetry check (3 times per week = 2 hours per month) 6 Provide oversight and technical support (1 hr/monthly, 3 hrs/quarterly) 3 Quarterly email summary to FDEP 2

Remediation Specialist, R Hanson Monthly

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

Monthly

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

Monthly

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

Additional hours to collect vapor analytical samples 1

TOTAL LABOR 36

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, small, overnight $110.00 1 $110.00

TOTAL LAB $576.00

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, with groundwater evaluation

DATE: 10/26/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Engineer, MR Evaluate data 2 Review and Evaluate Final RASS/ Groundwater Report 2 Sign and Seal RASS 1

Project Engineer, I King Data reduction/evaluation 16 Preparation of remediation/ groundwater monitoring report 8 Report - Prepare final tables and figure 8

GIS/CADD Specialist, C Fugate Create Final figures 7

TOTAL LABOR 44

SubTask 5 3rd Qtr Monthly O&M

DATE: 10/26/2023

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

Project Engineer, I King Telemetry check (3 times per week = 2 hours per month) 6 Provide oversight and technical support 3 Quarterly email summary to FDEP 2

Remediation Specialist, R Hanson Monthly

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

Monthly

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

Monthly

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

Additional hours to collect vapor analytical samples 3

TOTAL LABOR 38

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

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

$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

TO-15 (VOCs) (infl and eff, 3 SVE wells)

SubTask 6 4th Qtr Monthly O&M

DATE: 10/26/2023

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

Project Engineer, I King Telemetry check (3 times per week = 2 hours per month) 6 Provide oversight and technical support 3 Quarterly email summary to FDEP 2

Remediation Specialist, R Hanson Monthly

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

Monthly

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

Monthly

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

Additional hours to collect vapor analytical samples 1

TOTAL LABOR 36

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

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

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, small, overnight $110.00 1 $110.00

TOTAL LAB $576.00

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 7 RASS

10/26/2023 DATE: 10/26/2023

LABOR CATE DC011A-CO-1 *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Engineer, MR Evaluate data 0 Review and provide recommendations for Final RASS 0 Sign and Seal RASS 0

Project Engineer, I King Data reduction/evaluation of SVE system and annual groundwater 0 Preparation of remediation report 0 Report - Prepare final tables and figure 0

GIS/CADD Specialist, C Fugate Create Final figures 0

TOTAL LABOR 0

SubTask 8 Utilities

DATE: 10/26/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

SUBCONTRACTOR COSTS

NAME PURPOSE COST

Duke Energy Electric $800.00 Month 12 $9,600.00

AT&T Phone $125.00 Month 12 $1,500.00 $11,100.00

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

$480.00

TOTAL $11,580.00

SubTask 9 Groundwater Monitoring

DATE: 10/26/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Geologist, N Westmark Technical Evaluation 3 ADaPT package development and submittal 1

Environ Specialist, C Cummins 4 Travel (1 roundtrip for gw sampling) 1 Collect groundwater samples 2 shallow wells @ 1 hour each 2 1 intermediate wells @ 1.5 hr each 1.5 Store IDW 1

5.5 Environ Specialist, M Zilske

Travel (1 roundtrip for gw sampling) 1 Collect groundwater samples 3 inter well @ 1.5 hours each 3

TOTAL LABOR 13.5

VEHICLE TYPE RATE UNIT USEAGE

$0.00

Equipment Van / Truck C Cummins $120.00 day 1 $120.00

$0.00

TOTAL VEHICLE $120.00

PER DIEM STAFF RATE UNIT USEAGE

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

$0.00

EPA Method 8260 $73.00 9 0 $657.00 $657.00 $0.00

Sample Shipping, Large, Overnight $150.00 1 $150.00

TOTAL LAB $807.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Shallow Groundwater Sampling Kit $290.00 day 1 $290.00 Deep Groundwater Sampling Kit $415.00 day 1 $415.00

$705.00 Expendables $40.00 day 1 $40.00

TOTAL EQUIPMENT $745.00

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

Date: 10/24/2023

Task #: DC 011 A CO-1 SubTask 1 Project Management SubTask 6 4th Qtr Monthly O&M

Site: Coin O Magic ERIC_4690 SubTask 2 1st Qtr Monthly O&M SubTask 7 RASS REMOVED (TACO 1)

Activity/Phase: O&M, RASS, GW SubTask 3 2nd Qtr Monthly O&M SubTask 8 Utilities

Project Manager: Nana Westmark SubTask 4 RASS, with groundwater evaluation SubTask 9 Groundwater Monitoring

SubTask 5 3rd Qtr Monthly O&M SubTask 10

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

$55.85 PProject Manager -2.9 -2.9 $62.64 Senior Engineer, MR -5 0 0 0 0 0 -5 0 0.0 0 $55.84 Senior Geologist, NW 0 0 0 0 0 0 0 0 0.0 0 $36.06 Project Engineer, MM 0 0 0 0 0 0 0 0 0.0 0 $38.20 Project Engineer, IK -26 0 0 0 0 0 -26 0 0.0 0

$0.00 QA Officer 0 0 0 0 0 0 0 0 0.0 0 $30.59 Remediation Specialist, RH 0 0 0 0 0 0 0 0 0.0 0 $24.84 GIS / CAD Specialist, CF -2 0 0 0 0 0 -2 0 0.0 0 $24.27 Staff Scientist, BW 0 0 0 0 0 0 0 0 0.0 0 $30.30 Environmental Specialist, CC 0 0 0 0 0 0 0 0 0.0 0 $21.21 Environmental Specialist, MZ 0.0 0 0 0 0 0 0 0 0.0 0

Total Hours -36 -2.9 0 0 0 0 0 -33 0 0.0 0

Direct Labor ($1,408.68) ($162.06) $0.00 $0.00 $0.00 $0.00 $0.00 ($1,246.62) $0.00 $0.00 $0.00

Overhead 151.02% ($2,127.39) ($244.74) $0.00 $0.00 $0.00 $0.00 $0.00 ($1,882.65) $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 ($3,536.07) ($406.80) $0.00 $0.00 $0.00 $0.00 $0.00 ($3,129.27) $0.00 $0.00 $0.00

Travel Vehicle Rental $0.00 $0.00 $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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Travel $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 02/03 CEF PSI-Intertek Page 1

Date: 10/24/2023

Task #: DC 011 A CO-1 SubTask 1 Project Management SubTask 6 4th Qtr Monthly O&M

Site: Coin O Magic ERIC_4690 SubTask 2 1st Qtr Monthly O&M SubTask 7 RASS REMOVED (TACO 1)

Activity/Phase: O&M, RASS, GW SubTask 3 2nd Qtr Monthly O&M SubTask 8 Utilities

Project Manager: Nana Westmark SubTask 4 RASS, with groundwater evaluation SubTask 9 Groundwater Monitoring

SubTask 5 3rd Qtr Monthly O&M SubTask 10

TTotals 1 2 3 4 5 6 7 8 9 10 SSubcontractor (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 TTotal 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 ($3,536.07) ($406.80) $0.00 $0.00 $0.00 $0.00 $0.00 ($3,129.27) $0.00 $0.00 $0.00 Completion Fee ($353.61) ($40.68) $0.00 $0.00 $0.00 $0.00 $0.00 ($312.93) $0.00 $0.00 $0.00

Total Estimated Cost ($3,889.68) ($447.48) $0.00 $0.00 $0.00 $0.00 $0.00 ($3,442.20) $0.00 $0.00 $0.00

SubTask 7 RASS

DATE: 10/24/2023

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Engineer, MR Evaluate data -2 Review and provide recommendations for Final RASS -2 Sign and Seal RASS -1

-5

Project Engineer, I King Data reduction/evaluation of SVE system and annual groundwater -12 Preparation of remediation report -8 Report - Prepare final tables and figure -6

-26 GIS/CADD Specialist, C Fugate Create Final figures -2

TOTAL LABOR -33

Date: 6/14/2022

Task #: TA DC011A SubTask 1 Project Management SubTask 6 4th Qtr Monthly O&M

Site: Coin O Magic ERIC_4690 SubTask 2 1st Qtr Monthly O&M SubTask 7 RASS

Activity/Phase: O&M, RASS, GW SubTask 3 2nd Qtr Monthly O&M SubTask 8 Utilities

Project Manager: Nana Westmark SubTask 4 RASS, with groundwater evaluation SubTask 9 Groundwater Monitoring

SubTask 5 3rd Qtr Monthly O&M SubTask 10

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

$55.85 PProject Manager 20.2 20.2 $62.64 Senior Engineer, MR 22 3 3 5 3 3 5 0 0.0 0 $55.84 Senior Geologist, NW 4 0 0 0 0 0 0 0 4.0 0 $36.06 Project Engineer, MM 0 0 0 0 0 0 0 0 0.0 0 $38.20 Project Engineer, IK 102 11 11 32 11 11 26 0 0.0 0

$0.00 QA Officer 0 0 0 0 0 0 0 0 0.0 0 $30.59 Remediation Specialist, RH 92 24 22 0 24 22 0 0 0.0 0 $24.84 GIS / CAD Specialist, CF 9 0 0 7 0 0 2 0 0.0 0 $24.27 Staff Scientist, BW 0 0 0 0 0 0 0 0 0.0 0 $30.30 Environmental Specialist, CC 6 0 0 0 0 0 0 0 5.5 0 $21.21 Environmental Specialist, MZ 4.0 0 0 0 0 0 0 0 4.0 0

Total Hours 259 20.2 38 36 44 38 36 33 0 13.5 0

Direct Labor $9,805.81 $1,128.10 $1,342.28 $1,281.10 $1,709.48 $1,342.28 $1,281.10 $1,246.62 $0.00 $474.85 $0.00

Overhead 151.02% $14,808.75 $1,703.66 $2,027.11 $1,934.72 $2,581.66 $2,027.11 $1,934.72 $1,882.65 $0.00 $717.12 $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 $24,614.56 $2,831.76 $3,369.39 $3,215.82 $4,291.14 $3,369.39 $3,215.82 $3,129.27 $0.00 $1,191.97 $0.00

Travel Vehicle Rental $1,560.00 $360.00 $360.00 $0.00 $360.00 $360.00 $0.00 $0.00 $120.00 $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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Travel $1,560.00 $360.00 $360.00 $0.00 $360.00 $360.00 $0.00 $0.00 $120.00 $0.00

REV: 02/03 CEF PSI-Intertek Page 1

Date: 6/14/2022

Task #: TA DC011A SubTask 1 Project Management SubTask 6 4th Qtr Monthly O&M

Site: Coin O Magic ERIC_4690 SubTask 2 1st Qtr Monthly O&M SubTask 7 RASS

Activity/Phase: O&M, RASS, GW SubTask 3 2nd Qtr Monthly O&M SubTask 8 Utilities

Project Manager: Nana Westmark SubTask 4 RASS, with groundwater evaluation SubTask 9 Groundwater Monitoring

SubTask 5 3rd Qtr Monthly O&M SubTask 10

TTotals 1 2 3 4 5 6 7 8 9 10 SSubcontractor (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 TTotal 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 $11,100.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11,100.00 $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 $11,100.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11,100.00 $0.00 $0.00 Handling Fee $480.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $480.00 $0.00 $0.00 Total Subcontractor Cost $11,580.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11,580.00 $0.00 $0.00

Laboratory Analytical Costs $3,919.00 $1,165.00 $466.00 $0.00 $1,165.00 $466.00 $0.00 $0.00 $657.00 $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 $670.00 $150.00 $110.00 $0.00 $150.00 $110.00 $0.00 $0.00 $150.00 $0.00 Total Laboratory $4,589.00 $1,315.00 $576.00 $0.00 $1,315.00 $576.00 $0.00 $0.00 $807.00 $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 $520.00 $120.00 $120.00 $0.00 $120.00 $120.00 $0.00 $0.00 $40.00 $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) $5,925.00 $1,305.00 $1,305.00 $0.00 $1,305.00 $1,305.00 $0.00 $0.00 $705.00 $0.00 Total Field Expenses $6,445.00 $1,425.00 $1,425.00 $0.00 $1,425.00 $1,425.00 $0.00 $0.00 $745.00 $0.00

Subtotal $48,788.56 $2,831.76 $6,469.39 $5,576.82 $4,291.14 $6,469.39 $5,576.82 $3,129.27 $11,580.00 $2,863.97 $0.00 Completion Fee $2,461.46 $283.18 $336.94 $321.58 $429.11 $336.94 $321.58 $312.93 $0.00 $119.20 $0.00

Total Estimated Cost $51,250.02 $3,114.94 $6,806.33 $5,898.40 $4,720.25 $6,806.33 $5,898.40 $3,442.20 $11,580.00 $2,983.17 $0.00

From: Nana Westmark To: Crain, Kelly Cc: Joshua Newell Subject: RE: Invoice Approval Status Date: Thursday, October 26, 2023 10:35:13 AM Attachments: image001.png

TA DC011A ERIC_4690 Coin O Magic.xlsx Delta DC011A ERIC_4690 Coin O Magic.xlsx TA DC011A-CO-1 ERIC_4690 Coin O Magic.xlsx

EXTERNAL MESSAGE

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

Good Morning Kelly – Hope you are doing well!

PSI has prepared a TACO for Coin O Magic ERIC_4690 to remove the RASS in Subtask 7, per our discussions.

Please see attached:

Original TA DC011A Delta

TA DC011A-CO-1

Thank you for your assistance!

Please contact us with any questions.

Nana

From: Joshua Newell <joshua.newell@intertek.com> Sent: Friday, October 20, 2023 10:24 AM To: Crain, Kelly <Kelly.Crain@dep.state.fl.us> Cc: Nana Westmark <nana.westmark@intertek.com> Subject: RE: Invoice Approval Status

Thank you for all of your help this morning Kelly. We’ll work on the below list and get these back over to you likely early next week.

Have a great weekend and again, thank you for your help.

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. 210, Plant City, FL 33563

From: Crain, Kelly <Kelly.Crain@dep.state.fl.us> Sent: Friday, October 20, 2023 10:19 AM To: Joshua Newell <joshua.newell@intertek.com> Cc: Nana Westmark <nana.westmark@intertek.com> Subject: [External] RE: Invoice Approval Status

Josh- I think I’ve gotten all that I could on your list. I’ve attached my notes.

Pughs- we need to correct the utilities invoices to reflect 12 months.

Coin o magic- we need a TACO to remove ST 7.

Westwood- the deliverable is still under review.

Everything else has been approved. Let me know if you have any questions.

Thanks, Kelly

From: Joshua Newell <joshua.newell@intertek.com> Sent: Friday, October 13, 2023 12:46 PM To: Grubbs, Benjamin <Benjamin.Grubbs@FloridaDEP.gov> Cc: Bobette Meynardie <bobette.meynardie@intertek.com>; Nana Westmark <nana.westmark@intertek.com>;

Crain, Kelly <Kelly.Crain@dep.state.fl.us>; Douglas Coleman <douglas.coleman@intertek.com> Subject: Invoice Approval Status

EXTERNAL MESSAGE

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

Good afternoon Benjamin, My name is Josh and I’m a project manager and engineer with PSI working on several of the Waste Cleanup sites.

I’m reaching out this morning to see if you can provide me with a status update on approval to invoice Task Assignments/Subtasks as summarized in the attached Spreadsheet.

For the Coin-O-Magic site, we probably should have provided a WCD and obtained a TACO to remove the Subtask 7 deliverable (RASS) to make this a little cleaner but based on the TA backup, will you approve of the requested amount based on the work performed or how would you like us to proceed on this?

If you have any questions or require additional information, please do not hesitate to let us know. The Completion date for many of these TAs is approaching within about a week so if we need to get anything further to you, we need to do so ASAP.

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 [secure-web.cisco.com]

Intertek-PSI, 607 South Alexander Street, Ste. 210, Plant City, FL 33563

You’ll be amazed where you find Intertek.

[secure-web.cisco.com]

Total Quality. Assured.

CONFIDENTIALITY NOTICE

This email may contain confidential or privileged information, if you are not the intended recipient, or the person responsible for delivering the message to the intended recipient then please notify us by return email immediately. Should you have received this email in error then you should not copy this for any purpose nor disclose its contents to any other person.

http://www.intertek.com [secure-web.cisco.com] Dep Customer Survey

[survey.dep.state.fl.us]

This message is from an EXTERNAL SENDER - please be CAUTIOUS, particularly with links and attachments.

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 bas s, 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.

gOrg. Code

HW686

DC011A Completion October 30, 2023

This Task Assignment authorizes Professional Service Industries, Inc. (PSI) to conduct 12 months of operation and maintenance in accordance with the PSI scope of work, cost estimate, and schedule received on June 15, 2022. The payment of utilities is the only part of this Task Assignment that is Cost Plus Fixed Fee.

Skylar Murphy 850-245-8795 Contractor Professional Service Industries, Inc. (Inertek-PSI) Contractor

Contractor Nana G. Westmark Contractor 813-886-1075

ERIC_4690

11605 North 15th Street Tampa, Florida

Coin-O-Magic Laundromat (current University Laundromat)

Contractor Contractor

✔ $ 40,150.02 ✔ $ 11,100.00

$ 51,250.02

Scope of Work

Professional Service Industries, Inc. (Inertek-PSI) Contractor Nana Westmark

Senior Geologist /Principal Consultant

Nana Westmark Digitally signed by Nana Westmark Date: 2022.06.21 11:57:27 -04'00'

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2022.06.21 10:54:52 -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

Q1 - Quarterly operation and maintenance (O&M) email submittal including field documentation, laboratory reports, and tables - Subtask 2 10/20/2022

Q2 - Quarterly O&M email submittal including field documentation, laboratory reports, and tables - Subtask 3 01/23/2023

Submittal and FDEP approval of Remedial Action Status Report - Subtasks 4,and 9 01/30/2023

Q3 - Quarterly O&M email submittal including field documentation, laboratory reports, and tables - Subtask 5 04/24/2023

Q4 - Quarterly O&M email submittal including field documentation, laboratory reports, and tables - Subtask 6 07/24/2023

Annual Remedial Action Status Report, ADaPT updates, and Project Management - Subtasks 1, and 7 07/28/2023

Q1 and Q2 - Quarterly O&M email submittals including field documentation, laboratory reports, and tables - Subtasks 2 and 3; AND Submittal and FDEP approval of Remedial Action Status Report with Groundwater Monitoring - Subtasks 4 and 9

$ 20,408.15

Q3 and Q4 - Quarterly O&M email submittal including field documentation, laboratory reports, and tables - Subtasks 5 and 6; AND submittal & FDEP approval of Annual Remedial Action Status Report, ADaPT, and Project Management - subtasks 1& 7

$ 19,261.87

FDEP receipt of utility invoices for 12 months; Utilities (Cost Plus Fixed Fee) = not to exceed $11,100.00 Utilities Handling Fee = $480.00 Subtask 8 $ 11,580.00

$ 51,250.02

HW686

DC011A

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