CN-370000-HW689-DC024D.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.

HW689

DC024D Completion July 17, 2026

This Task Assignment authorizes APTIM to complete well abandonments and reporting.

Alyssa Lamb 850-245-8791 Contractor Contractor

Contractor Contractor

Contractor Contractor

Contractor

APTIM Environmental & Infrastructure

APTIM Environmental & Infrastructure

Eric Kramer 407-287-3216

ERIC_5228

53127 U.S. Highway 19 New Port Richey, Pasco County, Florida 34625

Southgate Cleaners (former)

✔ $ 7,183.38

$ 7,183.38

Scope of Work

Kramer, Eric K Digitally signed by Kramer, Eric K Date: 2026.03.19 17:04:05 -04'00'

Mubeen Darji

Mubeen Darji, P.E. Digitally signed by Mubeen Darji, P.E.

Date: 2026.03.19 16:22:38 -04'00'

N/A

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

HW689

DC024D

Subtasks 1 & 2: PM and Well Abandonment and Reporting 04/30/2026

DEP approval of Subtasks1 & 2: PM and Well Abandonment Reporting including documentation of the well abandonments and photo log of the on-site field events $ 7,183.38

$ 7,183.38

FLORIDA DEPARTMENT OF

Environmental Protection

Bob Martinez Center 2600 Blair Stone Road

Tallahassee, FL 32399-2400

Ron DeSantis Governor

Jay Collins Lt. Governor

Alexis Lambert Secretary

Memorandum

TO:

FROM:

SUBJECT:

DATE:

ERIC_5228

Southgate Cleaners

Alyssa Lamb, Project Manager

Negotiation Summary

HW689 DC024D

February 27, 2026

APTIM will perform well abandonment activities at Southgate Cleaners, as detailed in the February 13, 2026 proposal. Four wells require abandonment at the site.

APTIM will obtain a well abandonment permit from the Southwest Florida Water Management District (SWFWMD) for approval prior to the actual field activities.

Once the permit has been obtained, existing wells MW-1, PZ-1, PZ-2 and PZ-3 will be abandoned.

Total task amount is $7,183.38. Aptim'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 April 30, 2026. Task completion date is June 26, 2026.

FDEP COST ESTIMATE

Contractor: Aptim Environmental & Infrastructure, LLC

Date: 2/13/2026

Task #: HW689 DC024D SubTask 1 Project Management SubTask 6

Site: Southgate Cleaners ERIC_5228 SubTask 2 2-Well Abandonemnt & Reporting SubTask 7

Activity/Phase: Well Abandonments SubTask 3 3-Reporting SubTask 8

Project Manager: Alyssa Lamb (FDEP)/Eric Kramer (APTIM) SubTask 4 SubTask 9

SubTask 5 SubTask 10

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

$74.65 Project Manager E. Kramer 4 3.8 $74.65 Engineer/Scientist 5 E. Kramer 1 1 0 0 0 0 0 0 0 0 $70.34 Engineer/Scientist 5 G. Roberts 14 14 0 0 0 0 0 0 0 0 $66.99 Engineer/Scientist 5 S. Flynn 0 0 0 0 0 0 0 0 0 0 $61.04 Engineer/Scientist 4 J. Cheze 0 0 0 0 0 0 0 0 0 0 $30.34 Engineer/Scientist 1 B. Blount 0 0 0 0 0 0 0 0 0 0 $29.42 Engineer/Scientist 1 R. Green 15 15 0 0 0 0 0 0 0 0 $41.30 Construction Manager 1 A. Escobar 15 15 0 0 0 0 0 0 0 0 $37.39 Designer 2 S. Ferianc 1 1 0 0 0 0 0 0 0 0 $30.00 Technical Publications Specialist 3 H. Vining 0 0 0 0 0 0 0 0 0 0 $29.12 Technical Publications Specialist 3 L. Houser 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 Total Hours 50 4 46 0 0 0 0 0 0 0 0

Direct Labor $2,438.09 $280.49 $2,157.60 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 85.58% $2,086.51 $240.04 $1,846.47 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Gen & Admin 19.38% $472.50 $54.36 $418.14 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fringe 31.96% $779.21 $89.64 $689.57 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Labor $5,776.31 $664.53 $5,111.78 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Travel Vehicle Rental $120.00 $120.00 $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 Meals $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Hotel $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Travel $120.00 $120.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor (Equipment Procurement) Materials $52.22 $52.22 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $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 $52.22 $52.22 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Procurement Fee $5.22 $5.22 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $57.44 $57.44 $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 Sanitary facility $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Electrician $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 02/03 CEF SHAW Page 1

FDEP COST ESTIMATE

Contractor: Aptim Environmental & Infrastructure, LLC

Date: 2/13/2026

Task #: HW689 DC024D SubTask 1 Project Management SubTask 6

Site: Southgate Cleaners ERIC_5228 SubTask 2 2-Well Abandonemnt & Reporting SubTask 7

Activity/Phase: Well Abandonments SubTask 3 3-Reporting SubTask 8

Project Manager: Alyssa Lamb (FDEP)/Eric Kramer (APTIM) SubTask 4 SubTask 9

SubTask 5 SubTask 10

Totals 1 2 3 4 5 6 7 8 9 10 Equipment $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Dumpster rolloff $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 $35.00 $35.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Expendables $40.00 $40.00 $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) $577.00 $577.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Field Expenses $652.00 $652.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal $6,605.75 $664.53 $5,941.22 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee $577.63 $66.45 $511.18 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $7,183.38 $730.98 $6,452.40 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 02/03 CEF SHAW Page 2

LEVEL OF EFFORT / EXPENSE WORKSHEET

SITE :

SUBTASK:

DATE:

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

TITLE STAFF WORK DESCRIPTION HOURS

Engineer/Scientist 5 E. Kramer 1

Engineer/Scientist 5 G. Roberts

Engineer/Scientist 5 S. Flynn Engineer/Scientist 4 J. Cheze Engineer/Scientist 1 B. Blount

Engineer/Scientist 1 R. Green

Construction Manager 1 A. Escobar

Designer 2 S. Ferianc 1 Technical Publications Specia H. Vining Technical Publications Specia L. Houser

TOTAL LABOR 46

VEHICLE TYPE RATE UNIT USEAGE TOTALS

Automobile $80.00 Day 0 $0.00 Van or Truck $120.00 Day 1 $120.00 Van or Truck (2 trucks) $480.00 Week 0 $0.00

TOTAL VEHICLE $120.00

MEALS STAFF RATE UNIT USEAGE TOTALS

B. Skipper $36.00 Day 0 $0.00 B. Blount $36.00 Day 0 $0.00

$36.00 Week 0 $0.00

TOTAL VEHICLE $0.00

HOTEL STAFF RATE UNIT USEAGE TOTALS

B. Skipper $175.00 Day 0 $0.00 B. Blount $175.00 Day 0 $0.00

Week 0 $0.00

TOTAL VEHICLE $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE RATE UNIT USAGE TOTALS

SWFWMD Permit Well Abandonment Permit No Fee 1 $0.00 Home Depot 1-Portland (94 lb), 6-Concrete (80 lb) $52.22 Bags 1 $52.22

TOTAL $52.22

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC TOTALS

EPA Method 8260 (VOHs) $73.00 0 0 $0.00 Sample Shipping (Small cooler) $110.00 0 $0.00 Sample Shipping (large cooler) $150.00 0 $0.00

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Expendables $40.00 Day 1 $40.00 Portable generator $70.00 Day 1 $70.00 Jack hammer $87.00 Day 1 $87.00 Concrete /Asphalt saw $60.00 Day 1 $60.00 Construction Kit $360.00 Day 1 $360.00 PPE Level D 2 person crew $35.00 Day 1 $35.00 55 Gallon Drums $100.00 each 0 $0.00

TOTAL EQUIPMENT $652.00

Field Mobilization (1 hr), Purchase necessary materials, concrete and Portland grout (1 hr), Travel to site roundtrip (3 hrs), Collection of depth to groundwater and total depth measurements from all the monitoring wells (1 hr), abandonment of monitoriong wells in accordance with SWFWMD requirements (3 hrs), Removal of manholes and Well Pads (3 hrs), Restore areas with concrete (2 hrs), paint repaired concrete to match existing (1 hr.)

Field Mobilization (1 hr), Purchase necessary materials, concrete and Portland grout (1 hr), Travel to site roundtrip (3 hrs), Collection of depth to groundwater and total depth measurements from all the monitoring wells (1 hr), abandonment of monitoriong wells in accordance with SWFWMD requirements (3 hrs), Removal of manholes and Well Pads (3 hrs), Restore areas with concrete (2 hrs), paint repaired concrete to match existing (1 hr.)

Preparation of Well Closure Map (1 hr).

2-Well Abandonemnt & Reporting Southgate Cleaners

February 6, 2026

Preparation of Deliverable Email and Submittal of Report (1 hr) Contacting Property Owner and/or, Property Manager and Tenant of Proposed Scope of Work (1 hr), Preparation and Submittal of SWFWMD Well Abandonment Permit (4 hrs), Meeting with Field Techicians to review Scope of Work and provide advanced Notice of Abandonments to SWFWMD of Schedule (1 hr), Preparation and submittal of required Well Completion Reports for each well and submittal to SWFWMD to close the permit (3 hrs). Preparation of Letter Report documenting field events and Photo Log documenting the well abandonments (5 hrs) .

2-Well Abandonment & Rpt Page 1 of 1 DC024D est (Southgate)

Proposed Scope of Work

Southgate Cleaners (former)

53127 U.S. Highway 19

New Port Richey, Pasco County, Florida 34625

Site Closure (Well Abandonments)

Task Assignment DC024D

ERIC_5228 (Former Facility No. 519500354)

Aptim Environmental & Infrastructure, LLC

February 13, 2026, 2026

The following proposed scope of work under this task assignment is for well abandonment at the former

Southgate Cleaners facility. This scope of work was requested by the FDEP because results of the site assessment completed by APTIM indicated No Further Action was merited and a Site Rehabilitation

Completion Order (SRCO) was issued on December 11, 2025.

Subtask 1-Project Management

Project management hours are calculated based on the labor hours anticipated in the scope of work.

Subtask 2-Well Abandonments and Reporting

Four wells require abandonment at the site. APTIM will obtain a well abandonment permit from the

Southwest Florida Water Management District (SWFWMD) for approval prior to the actual field activities.

Upon approval of the permits, the District will be notified of the schedule and the existing wells MW-1, PZ-

1, PZ-2 and PZ-3 will be abandoned in accordance with SWFWMD rules in Chapter 40D-3 F.A.C.

Following the well abandonments, Well Completion Reports will be prepared for each well abandoned for submittal to the SWFWMD to close the permit. A letter report documenting the well abandonments and including a photo log of the onsite field events will be submitted to the FDEP as a deliverable.

Field activities will commence upon approval of the Task Assignment and SWFWMD permits.

Abandonment of the wells should be completed by March 31, 2026, and reporting should be completed by April 30, 2026. A proposed Task Completion date can be estimated at June 26, 2026.

APTIM proposes to perform this scope of work in accordance with the terms and conditions of the contract executed between APTIM Environmental & Infrastructure, LLC and Florida Department of

Environmental Protection No. HW689. APTIM will begin the proposed scope of work upon issuance of the

Task Assignment Notification.

If you have any questions, please contact us for clarification.

Florida Department of Environmental Protection -- Waste Cleanup Program -- Waste Site Cleanup Section

TABLE 3: WELL SPECIFICATION

AND GROUNDWATER ELEVATION DATA

WELL ID

DIAMETER

WELL DEPTH

SCREEN INTERVAL

TOC ELEVATION

DATE DTW ELEV DTW ELEV DTW ELEV DTW ELEV DTW ELEV DTW ELEV

12/09/24 3.38 2.85 3.86 2.92 5.53 2.21 -- --

12/11/24 3.27 2.96 3.91 2.87 4.98 2.76 -- --

03/21/25 -- -- -- -- -- -- 5.29 2.31

04/22/25 4.01 2.22 4.05 2.73 5.27 2.47 5.41 2.19

Notes: Blank cell = no data

ELEV = surveyed elevation in feet relative to NAVD-88.

DTW = depth to water in feet below top of casing (TOC)

Screen Interval = approximate measurement in feet below land surface

Well depth in feet below land surface

Shaded dates pertain to the most recent gauging event

6.23 6.78 7.74 7.60

Blank

1" 1" 1" 1"

Facility Name: Southgate Cleaners Facility ID ERIC_5228

PZ-1 PZ-2 PZ-3 MW-1

Blank 2'-12' 2'-12' 2'-12' 3'-13'

12 12 12

PIEZOMETER and MONITORING

WELL LOCATION MAP

725 U.S. HIGHWAY 301 SOUTH

TAMPA, FLORIDA 33619

APTIM ENVIRONMENTAL & INFRASTRUCTURE, LLC

(813) 612-3600 office

Portland Cement Type I/II or IL

Portland (94 lb bag) 1 bag $12.92

Concrete (80 lb bag) 6 bags $35.88

Subtotal $48.80

Tax (7%) $3.42

Total $52.22

Portland (94 lb bag) 1 bag $12.98

Concrete (80 lb bag) 6 bags $35.88

Subtotal $48.86

Tax (7%) $3.42

Total $52.28

Portland (47 lb bag) 2 bags $29.98

Concrete (80 lb bag) 6 bags $59.94

Subtotal $89.92

Tax (7%) $6.29

Total $96.21