CN-370000-HW686-DC21BCO1.pdf

PDF 3 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 (TA) Change Order entered into between the State of Florida Department of Environmental Protection (FDEP) and Professional Service Industries, Inc. (Intertek-PSI) under Contract Number HW686, with Task Assignment Number DC021B. The change order amends the original task assignment for operations and maintenance activities at the Coastal Cleaners site (ERIC_5272) located at 2166 Main Street, Dunedin, Pinellas County, Florida. The project manager for FDEP is Kelly Crain (850-245-8753), and the contractor's project manager is Nana G. Westmark (813-886-1075). The change order was executed on September 17, 2024, and is effective through February 28, 2025.

The contractor will perform four quarters of operations and maintenance (O&M) activities, two semi-annual Remedial Action Status Summary (RASS) reports including annual groundwater monitoring for volatile organic hydrocarbons (VOHs) and per- and polyfluoroalkyl substances (PFAS), project management, and utilities cost reimbursement. The amended task value increased from $77,423.97 to $82,830.46, representing a cost increase of $5,406.51. This increase reflects the subtraction of four laboratory samples from Subtask 2 and the addition of labor and materials for repairs to the soil vapor extraction (SVE) system under Subtask 6. Payment is structured as fixed unit rate work totaling $70,590.46 and cost reimbursement for utilities not to exceed $12,240.00 with a $480.00 handling fee. Deliverables are invoiced upon FDEP approval, with final deliverable due January 15, 2025, and task completion by February 28, 2025.

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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.

DC021B 1 HW686

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

Contractor Nana G. Westmark Contractor 813-866-1075

ERIC_5272

Coastal Cleaners

✔ $ 70,590.46 $ 65,183.97

$ 12,240.00 $ 12,240.00

$ 82,830.46 $ 77,423.97 Completion

Completion 02/28/2025 02/28/2025 0

✔ 1 1 1

Contractor

Digitally signed by Joshua S Newell Date: 2024.09.17 11:28:29-04'00'

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2024.09.17 08:42:31 -04'00'

This TACO authorizes a cost increase in accordance with the 2024/09/09 scope of work and cost estimate.

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

DC021B

$ 82,830.46

Subtask 2, 3 & 4: Email Summary of 1st & 2nd Qtr Monthly O&M (Nov, Dec, Jan & Feb, March, April); Semi-annual RASS

Subtask 5, 6, 7, 9 and 1: Email Summary of 3rd & 4th Qtr Monthly O&M (May, June, July & Aug, Sep, Oct), Semi-annual RASS, Annual VOH GW monitoring, and PM

Subtask 10: PFAS Monitoring

Subtask 8: Utilities

FDEP Approval of Email Summary of 1st & 2nd Qtr Monthly O&M (Nov, Dec, Jan & Feb, March, April) (Subtask 2 & 3), Semi-annual RASS (Subtask 4)

FDEP Approval of PFAS Monitoring (Subtask 10)

FDEP Approval of Receipt of Utilities Bill for 12 months (Cost Plus Fixed Fee) Utilities not to exceed $12,240.00, handling fee = $480.00 (Subtask 8)

FDEP Approval of Email Summary of 3rd & 4th Qtr Monthly O&M (May, June, July & Aug, Sep, Oct) (Subtask 5 & 6), Semi-annual RASS (Subtask 7), Annual VOH GW monitoring (Subtask 9), and PM (Subtask 1)

05/30/2024

11/30/2024

01/15/2025

$ 47,667.70

$ 20,705.07

$ 1,737.69

$ 12,720.00

FLORIDA DEPARTMENT OF

Environmental Protection

Bob Martinez Center

2600 Blair Stone Road Tallahassee, FL 32399-2400

Ron DeSantis Governor

Jeanette NNuñez

Lt. Governor

Shawn Hamilton Secretary

Memorandum

TO: ERIC_5272

Coastal Cleaners

FROM: Mary Uribe, Project Manager

SUBJECT: Negotiation Summary

HW686 DC021B

DATE: September 11th, 2024

PSI will perform 4 quarters of O&M activities and two semi-annual RASS reports.

The second RASS report will include results of the annual groundwater monitoring for both VOHs and PFAS.

Summary of changes includes subtracting the cost of four samples from Subtask 2 as well as adding the cost for labor and materials to complete repairs on the SVE system under Subtask 6.

Total task amount is $82,830.46 with a change in cost of + $5,406.51 from the initial TA. 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 January 15, 2025. Task completion date is February 28, 2025.

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I- In te rt ek Pa ge

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Coastal Cleaners ERIC_5272 SubTask 2 1st Qtr Monthly O&M

DATE: 9/9/2024

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 Staff Scientist, M Mater 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 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

EQUIPMENT PROCUREMENT RATE COSTING UNIT USEAGE TOTALS

TOTAL EQUIPMENT $0.00

TO-15 (VOCs) (monthly infl and eff)

FINAL --7/24/96

Page 3 CO-1 Coastal Cleaners ERIC_5272 0552-411863

SubTask 3 2nd Qtr Monthly O&M

DATE: 9/9/2024

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

Total hours: 19 Staff Scientist, M Mater Monthly

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

TO-15 (VOCs) (monthly infl and eff) $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

Page 4 CO-1 Coastal Cleaners ERIC_5272 0552-411863

SubTask 4 RASS

DATE: 9/9/2024

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Engineer, M Rothenburg Evaluate data 2 Review Final RASS 2

Total hours: 4

Project Engineer, J Newell Data reduction/evaluation 12 Preparation of remediation report 8 Create figures 4 Report - Prepare final tables and figure 8 Sign and Seal RASS 1

Total hours: 33

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

TOTAL LABOR 39

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 $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 5 CO-1 Coastal Cleaners ERIC_5272 0552-411863

SubTask 5 3rd Qtr Monthly O&M

DATE: 9/9/2024

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

Total hours: 19

Staff Scientist, M Mater 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 10 $2,000.00

Summa cannisters $33.00 10 $330.00 $2,330.00

Shipping, large, overnight $150.00 1 $150.00

TOTAL LAB $2,480.00

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) (monthly infl and eff, + one event of 4 SVE air samples at beginning of quarter)

Page 6 CO-1 Coastal Cleaners ERIC_5272 0552-411863

SubTask 6 4th Qtr Monthly O&M

DATE: 9/9/2024

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

Total hours: 27

Additional hours to collect vapor analytical samples 3

Total hours: 33

Project Scientist, S Luth Unbox telemetry equipment and verify connections 1 Field preparation 1 Mobilization 3

Remove old hardware 2

Total hours: 10

Project Scientist, S Barnes Unbox silencer and verify connections 1 Mobilization 3

Replumb new hardware 2

Collect and upload field notes to project file 1

Total hours: 11

TOTAL LABOR 63

VEHICLE TYPE RATE UNIT USEAGE

$0.00

Equipment Van / Truck $120.00 day 3 $360.00 Equipment Van / Truck $120.00 day 1 $120.00

$0.00

TOTAL VEHICLE $480.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00

$0.00 $0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

$0.00

$1,637.14 each 1 $1,637.14 Silencer $758.70 each 1 $758.70

$0.00 $0.00

TOTAL $2,395.84

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

$200.00 10 $2,000.00

Summa cannisters $33.00 10 $330.00 $2,330.00

Shipping, large , overnight $150.00 1 $150.00

TOTAL LAB $2,480.00

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 Construction/O&M supplies $75.00 day 1 $75.00

$1,380.00 Expendables $40.00 day 3 $120.00 Expendables $40.00 day 1 $40.00

TOTAL EQUIPMENT $1,540.00

TO-15 (VOCs) (infl and eff per Qtr,) + one event to include 4 SVE wells

Setup new telemetry accounts and operation

Shutdown system and disconnect telemetry line inputs

Install new hardware

Shutdown system and disconnect effluent piping string blower to Union or PVC pipe

Install new hardware

Sensaphone Sentinel

Page 7 CO-1 Coastal Cleaners ERIC_5272 0552-411863

SubTask 7 Annual RASS

DATE: 9/9/2024

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

Total hours: 7

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 Sign and Seal RASS 1

Total hours: 37

CADD / GIS Specialist, D Grove Prepare figures for RASS 8

TOTAL LABOR 52

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 8 CO-1 Coastal Cleaners ERIC_5272 0552-411863

SubTask 8 Utilities

DATE: 9/9/2024

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

Duke Energy Electric $900.00 Month 12 $10,800.00

Century Link Phone $120.00 Month 12 $1,440.00 $12,240.00

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

$480.00

$0.00

TOTAL $12,720.00

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 9 CO-1 Coastal Cleaners ERIC_5272 0552-411863

SubTask 9 VOH Groundwater Monitoring

DATE: 9/9/2024

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, SL Field preparation 1 Travel (3 roundtrips for gw sampling) 12 Collect groundwater samples 3 shallow wells @ 1 hour each 8 6 intermediate wells @ 1.5 hrs each 9 Documentation of groundwater sampling & measurements 2

Total hours: 32

Staff Scientist, M Mater Travel (3 roundtrips for gw sampling) 12 Collect groundwater samples 8 deep well @ 2 hours each 16 stage IDW drum 1 pickup, drop off sample kits 2.5

Total hours: 31.5

TOTAL LABOR 66.5

VEHICLE TYPE RATE UNIT USEAGE

$0.00

Equipment Van / Truck $120.00 day 4 $480.00

$0.00

TOTAL VEHICLE $480.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00 $0.00 $0.00 $0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE UNIT COST

$0.00

Petrotech Southeast, Inc. IDW transport & disposal 1 $100.00 $100.00 $0.00 $0.00

TOTAL $100.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC IDW

$0.00

EPA Method 8260 $73.00 17 1 $1,314.00 PFAS Analyses to be provided by FDEP

$1,314.00 $0.00 Sample Shipping, Large, Overnight $150.00 0 $0.00

$0.00 $0.00

TOTAL LAB $1,314.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00 Shallow Groundwater Sampling Kit $290.00 day 4 $1,160.00 Deep Groundwater Sampling Kit $415.00 day 4 $1,660.00 Drum for IDW $100.00 each 1 $2,820.00 $100.00

$2,920.00 Expendables $40.00 day 4 $160.00

TOTAL EQUIPMENT $3,080.00

Page 10 CO-1 Coastal Cleaners ERIC_5272 0552-411863

SubTask 10 PFAS Groundwater Monitoring

DATE: 9/9/2024

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Field Activities PFAS Sampling

Staff Scientist, M Mater Additional decontamination for PFAS 1 Documentation of PFAS groundwater sampling 1

Total Hours: 2

Project Scientist, S Luth Additional decontamination for PFAS 1 Inventory cooler, prepare cooler for shipping to FDEP 2.5 Documentation of PFAS groundwater sampling 2

Project Scientist, S Luth Prepare field deliverable and PFAS analytical results 3

Total Hours: 8.5

GIS / CAD Specialist, D Grove Create maps, figures Total Hours: 2

Senior Geologist, N Westmark Provide Evaluation and email summary 1 Data review, develop deliverable 2

Total Hours: 3

TOTAL LABOR 15.5

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$834.20 week 0 $0.00 Deep Groundwater Sampling Kit $415.00 day 0 $0.00

$0.00 Expendables $40.00 day 0 $0.00

55--gallon drum $100.00 each 0 $0.00

TOTAL EQUIPMENT $0.00

VEHICLE TYPE RATE UNIT USEAGE

Equipment Van / Truck (GW Sampling) $120.00 day 0 $0.00

$420.00 week 0 $0.00

TOTAL VEHICLE $0.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00 $0.00 $0.00

TOTAL PER DIEM $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC #IDW

EPA Method 8260 $73.00 0 0 0 $0.00 PFAS Analyses to be provided by FDEP $104.00 0 $0.00

$0.00

TOTAL LAB $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE UNIT COST

Petrotech IDW drum pickup 0 $125.00 $0.00

TOTAL $0.00

CO-1 Coastal Cleaners ERIC_5272 0552-411863 Page 11 CO-1 Coastal Cleaners ERIC_5272 0552-411863

C O

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I- In te rt ek Pa

SubTask 2 1st Qtr Monthly O&M

DATE: 9/9/2024

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

TOTAL LABOR 0

VEHICLE TYPE RATE UNIT USEAGE

TOTAL VEHICLE $0.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

$0.00

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

$200.00 -4 ($800.00) Summa cannisters $33.00 -4 ($132.00)

TOTAL LAB ($932.00)

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

TOTAL EQUIPMENT $0.00

EQUIPMENT PROCUREMENT RATE COSTING UNIT USEAGE TOTALS

TOTAL EQUIPMENT $0.00

TO-15 (VOCs) (monthly infl and eff)

Page 3 Delta CO-1 Coastal Cleaners ERIC_5272 0552-411863

SubTask 6 4th Qtr Monthly O&M

DATE: 9/9/2024

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Engineer, J Newell Telemetry check (3 times per week = 2 hours per month) 0 Provide oversight and technical support (2 hr/monthly, 6 hrs/quarterly) 0 O&M checklists (1 hr/month) 0 Quarterly email summary to FDEP 0 Technical oversight 6

Total hours: 8

Total hours: 0

Project Scientist, S Luth Unbox telemetry equipment and verify connections 1 Field preparation 1 Mobilization 3

Remove old hardware 2

Total hours: 10

Project Scientist, S Barnes Unbox silencer and verify connections 1 Mobilization 3

Replumb new hardware 2

Collect and upload field notes to project file 1

Total hours: 11

TOTAL LABOR 8

VEHICLE TYPE RATE UNIT USEAGE

$0.00

Equipment Van / Truck $120.00 day 0 $0.00 Equipment Van / Truck $120.00 day 1 $120.00

$0.00

TOTAL VEHICLE $120.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00

$0.00 $0.00

TOTAL PER DIEM $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

$0.00

$1,637.14 each 1 $1,637.14 Silencer $758.70 each 1 $758.70

$0.00 $0.00

TOTAL $2,395.84

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

$200.00 0 $0.00

Summa cannisters $33.00 0 $0.00 $0.00

Shipping, large , overnight $150.00 0 $0.00

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Construction/O&M/Pilot Test Kit $360.00 day 0 $0.00 Construction/O&M supplies $75.00 day 0 $0.00 Construction/O&M supplies $75.00 day 1 $75.00

$75.00 Expendables $40.00 day 0 $0.00 Expendables $40.00 day 1 $40.00

TOTAL EQUIPMENT $115.00

Sensaphone Sentinel

TO-15 (VOCs) (infl and eff per Qtr,) + one event to include 4 SVE wells

Setup new telemetry accounts and operation

Shutdown system and disconnect telemetry line inputs

Install new hardware

Shutdown system and disconnect effluent piping string blower to Union or PVC pipe

Install new hardware

Page 4 Delta CO-1 Coastal Cleaners ERIC_5272 0552-411863

C O

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$1 ,3

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$0 .0

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$0 .0

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$1 ,5

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$2 ,4

$0 .0

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$0 .0

Ex pe nd ab le s $6

$0 .0

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r) $8

$1 ,3

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$0 .0

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$7 3, 6.

$7 ,9

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$0 .0

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$7 7, 3.

$8 ,4

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1, 7.

$1 ,7

I- In te rt ek Pa

WINNING

BID

Part - $1,561.50 Shipping - $46.84 Taxes - $117.11 Total = $1,725.45

Part - $1,561.50 Shipping - $49.00 Taxes - $117.11 - Assumed but not provided until payment info is provided Total = $1,727.61

Pa rt

Sh ip pi ng

Ta xe s

- A ss um ed b ut n ot p ro vi de d un til p ay m en t i nf o is p ro vi de d

To ta l =

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.

HW686

DC021B Completion February 28, 2025

This Task Assignment authorizes Professional Service Industries, Inc. (PSI) to perform Operations and Maintenance (O&M) activities in accordance with the PSI scope of work, cost estimate, and schedule received on November 3, 2023.

Kelly Crain 850-245-8753 Contractor Contractor

Contractor Contractor

Contractor

Professional Service Industries, Inc. (Intertek-PSI)

Nana G. Westmark 813-886-1075

ERIC_5272

2166 Main Street Dunedin, Pinellas County, Florida 34698

Coastal Cleaners

✔ $ 65,183.97 ✔ $ 12,240.00

$ 77,423.97

Scope of Work

Nana Westmark

Senior Geologist / Principal Consultant

Nana G Westmark Digitally signed by Nana G Westmark Date: 2023.12.05 13:32:40 -05'00'

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2023.12.05 10:38:06 -05'00'

N/A gOrg. Code

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 2, 3 & 4: Email Summary of 1st & 2nd Qtr Monthly O&M (Nov, Dec, Jan & Feb, March, April); Semi-annual RASS 05/30/2024

Subtask 5, 6, 7, 9 and 1: Email Summary of 3rd & 4th Qtr Monthly O&M (May, June, July & Aug, Sep, Oct), Semi-annual RASS, Annual VOH GW monitoring, and PM 11/30/2024

Subtask 10: PFAS Monitoring 11/30/2024

Subtask 8: Utilities 01/15/2025

FDEP Approval of Email Summary of 1st & 2nd Qtr Monthly O&M (Nov, Dec, Jan & Feb, March, April) (Subtask 2 & 3), Semi-annual RASS (Subtask 4) $ 21,637.07

FDEP Approval of Email Summary of 3rd & 4th Qtr Monthly O&M (May, June, July & Aug, Sep, Oct) (Subtask 5 & 6), Semi-annual RASS (Subtask 7), Annual VOH GW monitoring (Subtask 9), and PM (Subtask 1)

$ 41,329.21

FDEP Approval of PFAS Monitoring (Subtask 10) $ 1,737.69

FDEP Approval of Receipt of Utilities Bill for 12 months (Cost Plus Fixed Fee) Utilities not to exceed $12,240.00, handling fee = $480.00 (Subtask 8) $ 12,720.00

$ 77,423.97

HW686

DC021B

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