CN-370000-HW687-DC017A.pdf

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.

HW687

DC017A Completion November 30, 2022

This Task Assignment (TA) authorizes costs for SVE system pulsing/bumping & sampling, sample shipping & analysis, and associated equipment.

Dean Cox 850-245-8969 Contractor Contractor

Contractor Contractor

Contractor Contractor

Contractor

Terracon Consultants, Inc.

Terracon Consultants, Inc.

Donna Cline 813-321-0340

ERIC_4789

10055 North Dale Mabry Highway, Tampa

Imperial Cleaners (former)

✔ $ 3,418.54 ✔ $ 1,000.00

$ 4,418.54

Scope of Work

William E. Burns, Jr.

William E. Burns, Jr. Digitally signed by William E. Burns, Jr.

Date: 2022.07.13 12:31:20 -04'00'

N/A dlcline Typewriter Donna Cline

Senior Remediation Engineer

7/14/2022

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

WCP TAFORM 04-2017

Contract Number:

Task Assignment #:

Deliverables:

Deliverable Deliverable Due Date

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

TOTAL COST

Email with system sampling analytical report, O&M checklist, field notes, and SVE system evaluation & recommendations. 08/31/2022

FDEP approval of email with system sampling analytical report, O&M checklist, field notes, and SVE system evaluation & recommendations (Subtask 1 Project Management and Subtask 2 System Bump & Evaluation).

$ 3,153.54

FDEP receipt of utility invoices - Utilities Cost Reimbursement not to exceed $1000;

Utilities Initiation Fee $225; Utilities Handling Fee $40 (Subtask 3 Utilities) $ 1,265.00

$ 4,418.54

HW687

DC017A

FLORIDA DEPARTMENT OF

Environmental Protection

Bob Martinez Center

2600 Blair Stone Road Tallahassee, FL 32399-2400

Ron DeSantis Governor

Jeanette Nuñez

Lt. Governor

Shawn Hamilton Interim Secretary

Memorandum

TO: HW687 Contract File FROM: Dean Cox, Contract Manager SUBJECT: SVE System Bump/Pulse & Evaluation (DC017A)

DATE: 7/7/2022

This Task Assignment (TA) authorizes costs for SVE system pulsing/bumping & sampling, sample shipping & analysis, and associated equipment. The total cost of this TA is $4,418.54 and $1,000.00 of this total is cost reimbursement for utilities. There are

15.10 hours of labor in this TA.

The scope of the initial proposal for this TA was changed based on WSCS PE review of the latest Tetra Tech Semi-Annual O&M Report (period ending in June 2022) – the scope was reduced to a bump/pulse-only TA. Results of the bump are anticipated to indicate system shutdown. Site access has been verified.

FDEP COST ESTIMATE

Contractor: Terracon

Date: 7/6/2022 Task #: HW687 DC017A SubTask 1 Project Management SubTask 6

Site: Imperial Cleaners (Former) ERIC_4789 SubTask 2 System Bump & Evaluation SubTask 7 Activity/Phase: System Bump & Evaluation SubTask 3 Utilities SubTask 8

Project Manager: Dean Cox SubTask 4 SubTask 9 SubTask 5 SubTask 10

Totals 1 2 3 Labor Rate Category

$64.50 Project Manager Donna Cline 1.10 1.10 $0.00 Administrative 0.00 0.00 0.00 0.00 0 0 0 0 0 $0.00 Brownfield Consultant 0.00 0.00 0.00 0.00 0 0 0 0 0

$22.25 CADD Specialist Andy Schifano 0.00 0.00 0.00 0.00 0 0 0 0 0 $0.00 Data Analyst & Visualization Specialist 0.00 0.00 0.00 0.00 0 0 0 0 0

$17.50 Environmental Technician Corey Olson 6.50 6.50 0.00 0.00 0 0 0 0 0 $0.00 Field Geologist 0.00 0.00 0.00 0.00 0 0 0 0 0 $0.00 Field Scientist 0.00 0.00 0.00 0.00 0 0 0 0 0 $0.00 GIS Technician 0.00 0.00 0.00 0.00 0 0 0 0 0 $0.00 Principal Consultant 0.00 0.00 0.00 0.00 0 0 0 0 0 $0.00 Project Geologist 0.00 0.00 0.00 0.00 0 0 0 0 0 $0.00 Project Industrial Hygienist 0.00 0.00 0.00 0.00 0 0 0 0 0 $0.00 Project Scientist 0.00 0.00 0.00 0.00 0 0 0 0 0

$64.50 Senior Engineer Donna Cline 6.00 6.00 0.00 0.00 0 0 0 0 0 $0.00 Senior Geologist 0.00 0.00 0.00 0.00 0 0 0 0 0 $0.00 Senior GIS Analyst 0.00 0.00 0.00 0.00 0 0 0 0 0 $0.00 Senior Industrial Hygienist 0.00 0.00 0.00 0.00 0 0 0 0 0 $0.00 Senior Scientist 0.00 0.00 0.00 0.00 0 0 0 0 0

$29.33 Staff Engineer Ricker Lamphier 1.50 1.50 0.00 0.00 0 0 0 0 0 $0.00 Staff Scientist 0.00 0.00 0.00 0.00 0 0 0 0 0 $0.00 0.00 0.00 0.00 0.00 0 0 0 0 0 $0.00 0.00 0.00 0.00 0.00 0 0 0 0 0 $0.00 0.00 0.00 0.00 0.00 0 0 0 0 0 $0.00 0.00 0.00 0.00 0.00 0 0 0 0 0 $0.00 0.00 0.00 0.00 0.00 0 0 0 0 0 $0.00 0.00 0.00 0.00 0.00 0 0 0 0 0

Total Hours 15.10 1.10 14.00 0.00 0.00 0 0 0 0 0

Direct Labor $615.57 $70.82 $544.75 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 116.00% $714.06 $82.15 $631.91 $0.00 $0.00 $0.00 $0.00 $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 Fringe 56.26% $346.32 $39.84 $306.48 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Labor $1,675.95 $192.81 $1,483.14 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 02/03 CEF TERRACON Page 1

FDEP COST ESTIMATEContractor: Terracon Date: 7/6/2022

Task #: HW687 DC017A SubTask 1 Project Management SubTask 6 Site: Imperial Cleaners (Former) ERIC_4789 SubTask 2 System Bump & Evaluation SubTask 7

Activity/Phase: System Bump & Evaluation SubTask 3 Utilities SubTask 8 Project Manager: Dean Cox SubTask 4 SubTask 9

SubTask 5 SubTask 10

Totals 1 2 3 Travel

Vehicle Rental $0.00 -$ $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 Air Fare $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 Total Travel $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor (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

Subcontractor Subtotal $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 Total Subcontractor Cost $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 Drilling (Non-conventional) $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 Surveying $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

Utilities $1,000.00 $0.00 1,000.00$ $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Initiation Fee $225.00 $0.00 225.00$ $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 $1,225.00 $0.00 $1,225.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Handling Fee $40.00 $0.00 $40.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $1,265.00 $0.00 $1,265.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Laboratory Analytical Costs $1,165.00 1,165.00$ $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 Sample Shipping $70.00 70.00$ $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Laboratory $1,235.00 $1,235.00 $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 Expendables $0.00 -$ $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 Equipment (Analytical related) $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 Equipment (Other) $75.00 75.00$ $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Field Expenses $75.00 $75.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal $4,250.95 $192.81 $2,793.14 $1,265.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee $167.59 $19.28 $148.31 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $4,418.54 $212.09 $2,941.45 $1,265.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 02/03 CEF TERRACON Page 2

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Imperial Cleaners (Former) ERIC_4789 SUBTASK 2: System Bump & Evaluation

PROPOSAL NO. PH4227040

DATE: 7/6/2022

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Field Task Planning/Initial Site Visit/Month 1 O&M Staff Engineer RL 1.00 Staff Engineer RL 0.50 Senior Engineer DC Mobilization (from Tampa - included with Village Laundry) 0.00 Senior Engineer DC System Startup / Initial Visit / Inventory Equipment / Evaluate System Operation 3.00 Environmental Technician CO Load/unload 0.50 Environmental Technician CO Mobilization (from Tampa - included with Village Laundry) 0.00 Environmental Technician CO System O&M, optimize system 3.00 Environmental Technician CO Collect soil vapor samples for laboratory analysis 3.00 Senior Engineer DC 3.00

*All mobilization are included with Village Laundry, an adjacent site TOTAL LABOR 14.00

VEHICLE TYPE RATE UNIT USEAGE

Truck (Environmental Technician) 120 day 0 -$ Truck (Senior Engineer) 120 day 0 -$

TOTAL VEHICLE -$

PER DIEM STAFF RATE UNIT USEAGE

TOTAL PER DIEM -$

SUBCONTRACTOR COSTS

NAME PURPOSE COST UNIT USEAGE

TOTAL SUBCONTRACTOR -$

Request sample kit PreTask Planning, prepare field sampling SOW/coordinate site access

System bump data, evaluation & recommendations (sent in an email)

SUBTASK 2: System Bump & Evaluation

PROPOSAL NO. PH4227040

DATE: 7/6/2022

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC* #IDW TOTALS

VOCs 200.00$ 5 1,000.00$

Summa Canister 33.00$ 5 165.00$ Sample Shipping Large (2 day) 70.00$ 1 70.00$

TOTAL LAB 1,235.00$

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Construction / O&M / Pilot Test Kit 360.00$ day 0 -$ Construction / O&M Supplies 75.00$ day 1 75.00$ Expendables 40.00$ day 0 -$

TOTAL EQUIPMENT 75.00$

TO-15 (VEW-1, -2, -3, -4 Influent)

SUBTASK 4: Utilities

PROPOSAL NO. PH4227040

DATE: 7/6/2022

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

TOTAL LABOR 0.0

VEHICLE TYPE RATE UNIT USEAGE

TOTAL VEHICLE -$

PER DIEM STAFF RATE UNIT USEAGE

TOTAL PER DIEM -$

SUBCONTRACTOR COSTS

NAME PURPOSE COST UNIT USEAGE

Duke Initiation Fee 225.00$ lump sum 1 225.00$ Duke Electric 500.00$ Month 2 1,000.00$

Subcontractor Handling Fee 20.00$ Month 2 40.00$

TOTAL SUBCONTRATOR 1,265.00$

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC* #IDW TOTALS

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

TOTAL EQUIPMENT -$