CN-370000-HW686-DC11BCO1.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 private environmental consulting contractor. The change order amends the original Task Assignment DC011B under Contract HW686, which pertains to groundwater monitoring and remediation services at the Coin-O-Magic Laundromat (ERIC_4690) located at 11605 North 15th Street in Tampa, Hillsborough County, Florida. The Department's Project Manager is Aaron Cohen, and the contractor's Project Manager is Nana G. Westmark.

The original Task Assignment valued at $5,849.13 was for annual groundwater monitoring activities at the site, a former drycleaning facility that was shut down and converted to a laundromat. TACO #1 increases the total contract value to $10,709.39, representing a cost increase of $4,860.27, to add Subtask 3 for the development of a Site Rehabilitation Completion Report (SRCR). The amended scope includes Subtask 1 (Project Management at 13% of direct labor), Subtask 2 (Annual Groundwater Monitoring Report due 11/30/2023 at $5,333.77), and newly added Subtask 3 (Site Rehabilitation Completion Report Development and Project Management due 03/15/2024 at $5,375.62). The Task Assignment completion date was extended from 05/15/2024 to 05/15/2024 for a total of 61 days. Labor costs total $8,481.32 based on 85.40 hours of professional staff time, with additional costs for equipment, laboratory analysis, travel, and field expenses. The change order was executed on February 12, 2024.

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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.

DC011B-1 1 HW686

This TACO #1 reconciles costs associated with a change in Professional Service Industries, Inc.'s August 9th 2023 scope of work and cost proposal. TACO #1 includes cost increases associated with additional hours needed for the development of a Site Rehabilitation Completion Report. An additional Subtask 3 was added, with a final deliverable date of March 15, 2024 and an extension of the Task Assignment due date.

Aaron Cohen 850-245-8974 Contractor Professional Service Industries, Inc. (Inertek-PSI) Contractor

Contractor Nana G. Westmark Contractor 813-886-1075

ERIC_4690

Coin-O-Magic Laundromat (current University Laundromat)

✔ $ 10,709.39 $ 5,849.13

$ 10,709.39 $ 5,849.13 Completion

✔ Completion 03/15/2024 05/15/2024 61

✔ 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: 2024.02.12 11:08:18 -05'00'

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2024.02.07 14:47:09 -05'00'

N/A

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

DC011B-1

$ 10,709.39

Subtask 2 Annual Groundwater Monitoring Report

Subtask 1, 3 Site Rehabilitation Completion Report Development and Project Management

Subtask 2 Annual Groundwater Monitoring Report

Subtask 3 Site Rehabilitation Completion Report Development and Project Management

11/30/2023

03/15/2024

$ 5,375.62

$ 5,333.77

FFLORIDAA DDEPARTMENTT OFF

EEnvironmentall Protection

Bob Martinez Center 2600 Blair Stone Road

Tallahassee, FL 32399-2400

Ronn DeSantis Governor

Jeanette Nuñez Lt. Governor

Shawnn Hamilton Secretary

Memorandum

TO:

FROM:

Site # ERIC File

, Project Manager

SUBJECT: Negotiation Summary

HW68

DATE: January , 202

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LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Coin O Magic ERIC_4690 SubTask 2 Annual Groundwater Monitoring

DATE: 1/9/2024

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Field Activities

Environmental Specialist, C Cummins Field event preparation 2 Travel (1 round trip) 2 Collect groundwater elevations (6 wells) (10 minutes per well) 1 Collect groundwater samples 2 shallow wells @ 1 hour per well 2 1 intermediate wells @ 1.5 hour per well 1.5

Total Hours: 8.5

Environmental Specialist, M Mater Travel (1 round trip) 2 3 intermediate wells @ 1.5 hour per well 4.5 Documentation of groundwater sampling & measurements 1 Pick up / drop off sample kits 2

Total Hours: 9.5 Data Evaluation/ Report Development

Project Scientist, S Barnes Prepare tables and draft maps 4 Data reduction / evaluation, prepare report 8

Total Hours: 12

GIS / CAD Specialist, D Grove Create maps, figures Total Hours: 3

Senior Geologist, N Westmark Tenant notification 1 Technical oversight 1 Provide Evaluation and edits to report 5 Sign and seal GW Monitoring report 1

Total Hours: 8

TOTAL LABOR 41

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Shallow Groundwater Sampling Kit $290.00 day 1 $290.00 55-gallon drum $100.00 each 1 $100.00

$390.00 Expendables $40.00 day 2 $80.00

TOTAL EQUIPMENT $470.00

EQUIPMENT PROCUREMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00

VEHICLE TYPE RATE UNIT USEAGE

Equipment Van / Truck (GW Sampling) $120.00 day 1 $120.00

$420.00 week 0 $0.00

TOTAL VEHICLE $120.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00

TOTAL PER DIEM $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC #IDW

EPA Method 8260 $73.00 6 1 $511.00

TOTAL LAB $511.00

SUBCONTRACTOR COSTS

NAME PURPOSE RATE UNIT

Petrotech $100.00 1 $100.00

TOTAL $100.00

IDW management, treatment, disposal per drum

TOTAL EQUIPMENT PROCUREMENT

Page 3 CO-1 Coin O Magic ERIC_4690 DC011B

SubTask 3 Data Evaluation & SRCR

DATE: 1/9/2024

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Geologist, N Westmark Technical data evaluation for SRCR 8 Evaluate final document for accuracy prior to submittal, sign and seal 4

Total Hours: 12

Project Scientist, S Barnes Prepare Report Text 10 Evaluate data 10

Total Hours: 20

GIS/CADD Specialist, D Grove Create and prepare figures 4

Administrative Assistance, B Meynardie compilation of report, pdf 2

TOTAL LABOR 38

VEHICLE TYPE RATE UNIT USEAGE

$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

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

$0.00

#REF! $0.00

$0.00

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00

TOTAL EQUIPMENT $0.00

FINAL --7/24/96

Page 4 CO-1 Coin O Magic ERIC_4690 DC011B

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$0 .0

S ub co nt ra ct or (E qu ip m en t P ro cu re m en

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$0 .0

S ub co nt ra ct or

S ub to ta l $0

$0 .0

P ro cu re m en t F ee $0

$0 .0

To ta l S ub co nt ra ct or

C os t $0

$0 .0

S ub co nt ra ct or

(S er vi ce s P ro cu re m en t)

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(C on ve nt io na

l) $0

$0 .0

D ril lin g (N on -c on ve nt io na l)

$0 .0

M ob ile L ab or at or y $0

$0 .0

S ur ve yi ng

$0 .0

U til iti es

$0 .0

S ub co nt ra ct or S ub to ta l

$0 .0

H an dl in 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

A na ly tic al C os ts

$0 .0

Fa st

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$0 .0

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$0 .0

To ta l L ab or at or y $0

$0 .0

Fi el d

E xp en se s P er so na l P ro te ct io n $0

$0 .0

E xp en da bl es $0

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d) $0

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$0 .0

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$0 .0

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$0 .0

D el ta C oi n

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SubTask 3 Data Evaluation & SRCR

DATE: 1/9/2024

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Geologist, N Westmark Technical data evaluation for SRCR 8 Evaluate final document for accuracy prior to submittal, sign and seal 4

Total Hours: 12

Project Scientist, S Barnes Prepare Report Text 10 Evaluate data 10

Total Hours: 20

GIS/CADD Specialist, D Grove Create and prepare figures 4

Administrative Assistance, B Meynardie compilation of report, pdf 2

TOTAL LABOR 38

VEHICLE TYPE RATE UNIT USEAGE

$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

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

$0.00

#REF! $0.00

$0.00

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00

TOTAL EQUIPMENT $0.00

FINAL --7/24/96

Page 4 Delta Coin O Magic ERIC_4690 DC011B

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PSI Proposal: 0552-405779 August 9, 2023

Professional Service Industries, Inc.

5801 Benjamin Center Drive, Suite 112, Tampa, FL 33634

Phone: (813) 886-1075 Fax: (813) 249-4916 www.intertek.com/building

Florida Department of Environmental Protection Waste Site Cleanup Section 2600 Blair Stone Road, MS 4520 Tallahassee, Florida 32399-2400

Attention: Ms. Kelly Crain, Environmental Administrator Phone: (850) 245-8705 main, (850) 245-8953 direct Email: Kelly.Crain@FloridaDEP.gov

Re: Proposal for Annual Groundwater Monitoring Coin-O-Magic Laundromat (current University Laundromat), ERIC_4690 11605 North 15th Street Tampa, Hillsborough County, Florida

Dear Ms. Crain:

Professional Service Industries, Inc. (PSI), an Intertek company, is pleased to provide the proposal contained herein to provide annual Groundwater Monitoring for the contaminants of concern (Volatile Organic Halocarbons - VOHs) for the Coil O-Magic Laundromat. Included with this proposal is a brief discussion of project history to date, proposed scope of work, cost estimate and a proposed schedule for completion. Site Access between the property owner and the FDEP (and its contractors) was signed July 31, 2017 and the property owner has not changed since that time.

PROJECT BACKGROUND

Historical records reveal that on-site drycleaning using perchloroethene (a.k.a PCE) was likely conducted from 1986 through 1994 at which time the drycleaning business was converted to a dry-drop-off and coin-operated laundromat. The Coin O Magic Laundromat was accepted into the Drycleaning Solvent Cleanup Program and the state provided funding for assessment and remediation. The Site Assessment commenced in 2018 which revealed low levels of solvent compounds. A Soil Vapor Extraction (SVE) system for soil remediation was designed and installed in 2022 and has recently been shutdown based on low levels of contaminant mass and recommendations by the Department.

FDEP – Coin O Magic ERIC_4690

Groundwater Sampling August 9, 2023 www.intertek.com/building

No large Public Supply Wells as of January 2017 have been identified within ½ mile of the Site, whereas one small potable private well is located within ¼ mile of the Site. The private potable well provides water for the Hackworth Duplex located at 11720 North 15th Street, which is about 1,100 feet northwest of the Site.

PROPOSED SCOPE OF WORK

The proposed groundwater sampling activities will be implemented in general accordance with the FDEP’s Standard Operating Procedures for Field Activities (DEP SOP-001/01) and the site Health and Safety Plan developed for this project with the exception of eliminating the collections and analysis of blanks and duplicate samples.

Specifically, the proposed scope of work consists of the following subtasks:

1. Project Management

This scope is provided for in the template worksheets.

2. Groundwater Sampling

a. Collect the following samples for VOH analyses using a National Environmental Laboratory Accreditation Conference (NELAC) laboratory:

I. Shallow wells MW007, MW008, II. Intermediate wells MW003, MW004, MW005 and MW006.

b. All IDW (purge water and wash water) will be handled and disposed of in accordance with FDEP and USEPA guidelines, and containerized on site in a 55-gallon drum and held pending waste characterization. The drum will be removed and disposed of at an approved facility.

c. Develop an Annual Groundwater Monitoring Report with tables and figures presenting updated contaminant concentrations and groundwater flow directions. Conclusions and recommendations will also be provided.

COST ESTIMATE AND SCHEDULE

The estimated cost to perform the Groundwater Monitoring is shown in the attached Cost Estimate. All PSI services will be conducted in accordance with the terms and conditions contained within DEP Contract No. HW 686, Waste Cleanup Program Services, dated December 21, 2021.

An invoice and deliverable schedule are presented as follows.

FDEP – Coin O Magic ERIC_4690

Groundwater Sampling August 9, 2023 www.intertek.com/building

Coin O Magic ERIC_4690 Deliverables

Deliverables Deliverable Due Date

SubTask 1 Project Management Upon completion of Task Assignment

SubTask 2 Groundwater Monitoring and Report Thursday, November 30, 2023

Invoice Schedule Requirements for Invoice Submittal Amount to be Invoiced

SubTasks 1 & 2 - Submittal & approval of Groundwater Monitoring Report, IDW manifests $5,849.13

PSI appreciates the opportunity to be of service to the FDEP. If you have any questions, please feel free to contact us at (813) 886-1075.

Respectfully submitted, PROFESSIONAL SERVICE INDUSTRIES, INC.

Christopher L. Cummins, PG Nana Westmark, PG, CHMM Senior Geologist / Environmental Specialist Senior Geologist / Contract Manager

Enclosure: Cost Estimate Level of Effort

Z:\552-Env\FDEP HW 686 Drycleaning, Main Contract\0552-3618 Coin O Magic GW, PFAS-HW001A\Proposals\2023 August VOH\Coin O Magic ERIC_4690 0552-405779.docx

From: Nana Westmark To: Cohen, Aaron Cc: Grubbs, Benjamin Subject: Coin O Magic ERIC_4690 Change Order request to add SRCR report Date: Tuesday, January 9, 2024 10:07:13 AM Attachments: image001.png

Coin O Magic ERIC_4690 DC011B.xlsx Delta Coin O Magic ERIC_4690 DC011B.xlsx CO-1 Coin O Magic ERIC_4690 DC011B.xlsx

EXTERNAL MESSAGE

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

Good Morning Aaron – PSI is pleased to submit a Task Assignment Change Order for the Coin O Magic ERIC_4690 to add in an additional subtask to develop a SRCR for the project. Our original TA DC011B was for a groundwater monitoring event. After our data come in and we developed the Groundwater Monitoring Report, we alerted the Drycleaning Folks about our results. They asked that we revise the routine report and add in the information to allow it to qualify for an SRCO.

Therefore, I have put together the Change Order as follows:

Original DC011B - $5849.13 Delta - $4860.27

CO—1 - $10,709.40

Our Period of Service for the Task is March 15, 2024. Please extend the due date 60 days until May 15, 2024.

Please contact me with any questions. (I’m copying Ben on this - is that the right course of action until you get some additional staff?)

Kind Regards, Nana Westmark, PG, CHMM Senior Geologist / Principal Consultant Building & Construction Intertek-PSI

Please Note: My email address has changed to: Nana.Westmark@intertek.com.

Mobile 813 - 267 - 2519 Office 813 – 886 – 1075 Email Nana.Westmark@intertek.com Skype Nana.Westmark.Intertek www.intertek.com/building [gcc02.safelinks.protection.outlook.com] [gcc02.safelinks.protection.outlook.com]

Intertek-PSI 5801 Benjamin Center Drive, Suite 112 Tampa, Florida 33634

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

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

DC011B Completion March 15, 2024

Professional Service Industries, Inc. will conduct Annual Groundwater Monitoring in accordance with the August 9th Scope of Work and Cost Proposal.

Kyle McMurray 850-245-8973 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

✔ $ 5,849.13

$ 5,849.13

Scope of Work

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

Project Manager

Nana G Westmark Digitally signed by Nana G Westmark Date: 2023.08.29 13:04:02 -04'00'

Kelly Crain

Kelly Crain Digitally signed by Kelly Crain Date: 2023.08.24 14:37:46 -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

Subtask 1 - 2 Annual Groundwater Monitoring Report and Project Management 11/30/2023

Subtask 1 - 2 Annual Groundwater Monitoring Report and Project Management $ 5,849.13

$ 5,849.13

HW686

DC011B

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