CN-370000-HW687-DC022A.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

DC022A Completion November 30, 2022

This TA authorizes costs for preparation of an Interim Source Removal (ISR) Workplan, based on the Terracon proposal letter submitted 7/27/22 and cost estimate/CEF-LOE submitted 8/3/2022. All costs are fixed unit rate.

Dean Cox 850-245-8969 Contractor Contractor

Contractor Contractor

Contractor Contractor

Contractor

Terracon Consultants, Inc.

Terracon Consultants, Inc.

Donna Cline 813-321-0340

ERIC_4741

13541 N. Florida Ave., Tampa (Hillsborough)

Fabricare Cleaners (former)

✔ $ 7,505.43

$ 7,505.43

Scope of Work

William E. Burns, Jr.

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

Date: 2022.08.08 10:53:18 -04'00'

N/A dlcline Typewriter Donna Cline Senior Remediation Engineer dlcline Typewriter 8/8/2022

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

ISR Workplan (Subtask 1 Project Management and Subtask 2 ISR Workplan & Construction Drawings) 10/31/2022

FDEP approval of ISR Workplan (Subtask 1 Project Management and Subtask 2 ISR Workplan & Construction Drawings) $ 7,505.43

$ 7,505.43

HW687

DC022A

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: Fabricare ISR Workplan – DC022A

DATE: 8/8/2022

This TA authorizes costs for preparation of an Interim Source Removal (ISR) Workplan, based on the Terracon proposal letter submitted 7/27/22 and cost estimate/CEF-LOE submitted 8/3/2022. The total TA cost is $7,505.43 with 65.47 hours of labor. All costs are fixed unit rate.

Labor was negotiated with Terracon. There are in 8.67 fewer hours in this TA compared to the original Terracon TA proposal. This reduced labor resulted in a $1,127.16 cost reduction/savings.

An SVE system is planned for installation at the site – an SVE Presumptive Remedy Approval Form was signed by the WSCS PE on 8/2/22. The facility has closed, been purchased, and is being reconfigured as a boating-related business. Terracon is working with the new tenant regarding placement of the system and preservation of the wells and MAGS. The property access agreement was confirmed current.

FDEP COST ESTIMATE

Contractor: Terracon

Date: 8/3/2022 Task #: HW687 DC005B SubTask 1 Project Management SubTask 6

Site: Fabricare Cleaners & Laundry ERIC_4741 SubTask 2 ISR Workplan and Construction Drawings SubTask 7 Activity/Phase: ISR Workplan and Construction Drawings SubTask 3 SubTask 8

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

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

$64.50 Project Manager Donna Cline 4.47 4.47 $0.00 Administrative 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $0.00 Brownfield Consultant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

$22.25 CADD Specialist Andy Schifano 9.00 9.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $0.00 Data Analyst & Visualization Specialist 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $0.00 Environmental Technician 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $0.00 Field Geologist 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $0.00 Field Scientist 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $0.00 GIS Technician 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $0.00 Principal Consultant 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $0.00 Project Geologist 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $0.00 Project Industrial Hygienist 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $0.00 Project Scientist 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

$64.50 Senior Engineer Donna Cline 14.00 14.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $0.00 Senior Geologist 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $0.00 Senior GIS Analyst 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $0.00 Senior Industrial Hygienist 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $0.00 Senior Scientist 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

$29.33 Staff Engineer Ricker Lamphier 38.00 38.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $0.00 Staff Scientist 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 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

Total Hours 65.47 4.47 61.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Direct Labor $2,506.10 $288.31 $2,217.79 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 116.00% $2,907.08 $334.44 $2,572.64 $0.00 $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 $0.00 Fringe 56.26% $1,409.93 $162.20 $1,247.73 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Labor $6,823.11 $784.95 $6,038.16 $0.00 $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: 8/3/2022

Task #: HW687 DC005B SubTask 1 Project Management SubTask 6 Site: Fabricare Cleaners & Laundry ERIC_4741 SubTask 2 ISR Workplan and Construction Drawings SubTask 7

Activity/Phase: ISR Workplan and Construction Drawings SubTask 3 SubTask 8 Project Manager: Dean Cox SubTask 4 SubTask 9

SubTask 5 SubTask 10

Totals 1 2 3 4 5 6 7 8 9 10 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

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 $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 Total 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 $6,823.11 $784.95 $6,038.16 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee $682.32 $78.50 $603.82 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $7,505.43 $863.45 $6,641.98 $0.00 $0.00 $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 : Fabricare Cleaners & Laundry ERIC_4741 SUBTASK 2: ISR Workplan and Construction Drawings

PROPOSAL NO. PH4227316

DATE: 8/3/2022

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Prepare ISR Plan and Construction Drawings, Signed and Sealed by a Professional Engineer

Staff Engineer RL Evaluate MAGS and prepare SVE remediation design calculations 6 Staff Engineer RL Prepare ISR workplan 10 Staff Engineer RL Develop summary tables 2 Staff Engineer RL Develop Exhibits/Construction Drawings (trench details, SVE cross sections, treatment 10 system layout, P&ID, electrical detail, equipment list, and components) Staff Engineer RL Evaluate remedial equipment to be used and determine design details after discussions with 4 owner/tenant and power company Staff Engineer RL Prepare FDEP RAP Checklist 2 Staff Engineer RL Discussions / technical pre-design meeting with DEP 4

Senior Engineer DC Evaluate calculations 2 Senior Engineer DC Evaluate ISR Workplan written portion 4 Senior Engineer DC Evaluate for completion Exhibits/Construction Drawings 3 Senior Engineer DC Sign and seal ISR Workplan and Construction Drawings 1 Senior Engineer DC Discussions / technical pre-design meeting with DEP 4

Cadd Support AS ISR Workplan - Create and prepare final Exhibits and Construction Drawings 9

TOTAL LABOR 61

VEHICLE TYPE RATE UNIT USEAGE

TOTAL VEHICLE -$

PER DIEM STAFF RATE UNIT USEAGE

TOTAL PER DIEM -$

SUBCONTRACTOR COSTS

NAME PURPOSE COST UNIT USEAGE

TOTAL -$

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC #IDW

TOTAL LAB -$

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

TOTAL EQUIPMENT -$