NCD980602163_20040209_Warren County PCB Landfill_SERB C_Change Orders 16 - 20-OCR

OC-?4 rev. 9-88
INSTITUTION:
PROJECT:
ST A TE CODE & ITEM :
CONTRACT FOR:
CONTRACTOR:
i NCDENR
STATE CONSTRUCTION OFFICE
CHANGE ORDER NO. 20
Warren County PCB Landfill Detoxification
ID#: 010440101A
BCD Detoxification
Shaw Environmental & Infrastructure, Inc.
D OR Owner Request
X CR Contractor Request
D DR Designer Request
D CC Concealed Condition
D DE Design Error lB D DO Design Omis · 19
0 SC Schedule 1l
0 OT Other ~ J,1fl/
200 Horizon Center Blvd, Trenton, NJ 08691-1904 :::= C. St, <Oa, , ... n.
Under the terms of the Contract and without invalidating the original provisions thereof, the following ch ~ .· e i/~g; f}
authorized for the change in contract amount herein set forth: (Description of change order attached) ocP 'Ff'fct 7Q,t
Add new line item #26, "Additional work related to stockpiled clay cap material" to cover work directed by wn_r. A .
summary of those costs and supporting documents are attached. 'P £, ::. _\
Reduce line item #12 to reflect final actual cost, reduce by cost remaining as of Application for Payment #33.
The time of completion including previous orders is 973 calendar days and shall be unchanged by Q calendar days by this
change order, for a revised contract date of completion of November 10, 2003.
CONTRACT COST SUMMARY
1. Original Contract Amount
2. Amt. Of Previous Orders
3. Amt. Of This Order:
ADD
ADD
$ 7,539,655.67
$ 6,133.72
Deduct
Deduct
$638,240.90
$ 0.00
TOTALS
$6,658,000.00
4. Total additions lines 2 &3 $ 7,545,789.39 Minus Total Deducts: $638,240.90 $6,907,548.49
(Line 4 shall show the net amount to be added or (deducted) from the contract amount.)
5. Revised Contract Total Amount
6. The Owner certifies that the contingency fund balance after this change is
$13,565,548.49
$
Fill in one copy only
I certify that my Bonding Company will be notified forthwith that my contract has been increased by the amount of this
change order, and that a copy of the approved change order will be iled upon receipt by me to my surety.
,,,.-0 ~ \~ "-kl
( ate)
Shaw Environmental & Infrastructure, Inc. By: -------------~---(Contractor)
200 Horizon Center Blvd
Trenton, NJ 08691-1904
Earth Tech
Gary W. uke, P.E.
Ptranager
By: -----------------(Designer) J;tvni ?J,j&h f--PVAIK:..
_N_C_D_E_N_R ..... ,_D_iv_o_f W_a_st_e_M_an_a_.g.__e_m_e_n_t ___ By: ~~ /);. ~
(Owner)
_S_t_a_te_C_o_n_s_tr_u_ct_io_n_O_ff_ic_e ________ B~-Z~?-~~--·_.1/ _________ _
(_
-----------------By:
Other approving Agency (if needed)
DISTRIBUTION: 1 original to State Construction
1 original to Owner
1 original to Board or Commission (if any)
(Date)
(Date)
(Date)
REQUEST FOR AUTHORIZATION TO CHANGE
DATE:. December 4, 2003 STATE CODE: SCO#010440101A
REQUEST NO.: 20
NCDENR
Earth Tech
PROJECT NAME: Warren County PCB Landfill
OWNER: CONTRACTOR: Shaw Environmental & Infrastructure, Inc.
DESIGNER: CONTRACT FOR: BCD Detoxification
DESCRIPTION OF CHANGE:
Add new line item #26, "Additional work related to stockpiled clay cap material" to cover work directed by Owner.
Reduce line item #12 to reflect final actual cost, reduce by cost remaining as of Application for Payment #33.
No change in schedule.
REASON FOR CHANGE:
Line 26 required to cover additional work requested by Owner due to fact that stockpile of clay cap material was
found to be contaminated with PCBs.
Line 12 reduction is possible since work is complete and final actual quantity was less than bid quantity.
SUMMARY REVIEW OF CONTRACTOR'S ESTIMATE FOR TIME AND COST: (Attach Contractor's detailed cost breakdown of labor
and materials).
Add line 26 -Additional work related to stockpiled
clay cap material
Reduce line 12 -Liquid BCD Treatment with offsite recycle
by 1,847.92 gallons@ $4.40/gal
Total change order value:
DESIGNER SUMMARY:
1. Schedule items affected by this change: None
ADD
DEDUCT
ADD
2. Can Contractor mitigate the change without requiring a contract time extension? Yes
3. Will the change require a contract time extension for other contractors? No Which? n/a
$14,264.56
($ 8,130.84)
$6,133.72
4. Are a'dditional costs indicated by reason of the time extension? No If so they must be included in 5 & 6 Below.
CONTRACTOR'S ESTIMATE DESIGNER'S ESTIMATE
5. Estimated cost of change: ---'-$ _6,_, 1_33_._72 _______ _
6. Estimated time extension field cost (if any) _N/_a _________ _
DESIGNER RECOMMENDATION AND CERTIFICATION:
I certify that I have reviewed all aspects of this change order and have determined that it is in the best interest of the owner to have the
work accomplished. I have also determined that the cost and time allotment are fair and equitable, and I recommend acceptance by the
owner.
Approved by: ~ ,,.-J ~
Title: Orroj ,:;;,h '1 t'.
Date: _J_/_s~/6_4-~_
Warren County PCB Landfill
Shaw E&I Project #827062
Dukefile: c:\mydocs\nclf\corres to E ~~) ~ ¼c~ w) J
L \)~ b <.\.. ~ :P,µ'
updated: 12/3/03
Costs for Change Order, additioi
additional work requel
us
Task 1. Double handling of m, pending
Task 2.
Task 3.
Task 4.
thermal treatment, Ju!
484.29 Shaw labOI
79.12 Shaw labo:
563.41 Total Sha'.A
112.68 Shaw 20%
676.09 TASK 1 Ti
1t attached
Keep rented backhoe idle from 8/6/03 order from NCDENR to stop work on placing
material from Mt. Tilley in landfill pending resolution of their issues with USEPA
until unit was decontaminated and taken off rent on 9/10/03.
6,747.68 Gregory Poole invoices CPRR00052947 and CPRR00053286, copies
attached, cover total rental period of 8/4 to 9/10, 38 days. Unit was
used by Shaw only on 8/4-5 before activity was placed on hold. Idle
period was 36 of 38 days= 95%. Invoices total $7,121 .50, so idle time
accounts for $6,747.68 of the cost.
6,747.68 Total Shaw direct cost
1,349.54 Shaw 20% markup on non-subcontracted costs
8,097.22 TASK 2 TOTAL CHARGE TO NCDENR
Aiken & Yelle survey to estimate remaining volume of soil for thermal treatment,
work requested by NCDENR as support for Change Order #13
912.50 See markup of Aiken & Yelle invoice 45616, dated 9/8/03, copy attached
912.50 Total Shaw direct cost
136.88 Shaw 15% markup on subcontracted costs
1,049.38 TASK 3 TOTAL CHARGE TO NCDENR
Aiken & Yelle survey to estimate remaining volume of soil for thermal treatment,
work requested by NCDENR as support for Change Order #18
1,012.50 See markup of Aiken & Yelle invoice 13168, dated 10/9/03, copy attached
1,012.50 Total Shaw direct cost
151.88 Shaw 15% markup on subcontracted costs
1,164.38 TASK 4 TOTAL CHARGE TO NCDENR
Task Sa. Aiken & Yelle survey to mark max elevation at which to place material from
Mt. Tilley in landfill to comply with USEPA 15 ft minimum cover requirement.
I
Task Sb Aiken & Yelle survey to confirm "as-built" locations of placement of material from
Mt. Tilley in landfill to comply with USEPA 15 ft minimum cover requirement
1,050.00 See markup of Aiken & Yelle invoice 13241 , dated 11 /21 /03, copy attached
1,050.00 Total Shaw direct cost
157.50 Shaw 15% markup on subcontracted costs
1,207.50 TASK 5 TOTAL CHARGE TO NCDENR
Task 6. Paradigm Laboratories analyze 4 soil samples for PCBs, same day TAT,
work requested by NCDENR as support for Change Order #13
1,200.00 See Paradigm invoice 23091501 and lab reports, copies attached
1,200.00 Total Shaw direct cost
180.00 Shaw 15% markup on subcontracted costs
1,380.00 TASK 6 TOTAL CHARGE TO NCDENR
Task 7. Paradigm Laboratories analyze 2 soil samples for PCBs, same day TAT,
work requested by NCDENR as part of Mt Tilley post-excavation confirmation
600.00 See Paradigm invoice 23102404 and lab reports, copies attached
600.00 Total Shaw direct cost
90.00 Shaw 15% markup on subcontracted costs
690.00 TASK 7 TOTAL CHARGE TO NCDENR
TOTAL CHARGE TO NCDENR FOR TASKS 1 to 7
14,264.561
MT. TILLEY EXCAVATION LABOR DETAIL
7/15/2003 WBS# 02900901 WBS# 16200100 Equipment Used
Dave Ditcher 8
Albert Scott 3 9 Cat 320 excavator
Delmar Kinq 3 3 L90 loader
Dave's time charged today was actually combined effort of Dave and Rick
to remark grids to prevent overexcavation
7/16/2003
!Albert Scott 4 !Cat 320 excavator I
7/17/2003
Albert Scott 12 Cat 320 excavator
Delmar Kinq 4 L90Ioader
7/18/2003
!Albert Scott. 5 IL901oader
7/25/2003
Dave Ditcher 1
Albert Scott 1 9 Cat 320 excavator
Thomas Wilson 1 9 Volvo A-30C truck
565005 Shaw Environ & Infrastructure Project Transaction Detail Report by Cost Code RPM0S0-06/107 Dept/Proj. Project: .827062 NC DEPT OF ENVIRONMENT AND 827062 NC DEPT OF ENVIRONMENT AND Duke, Gary W. Supervisor Client: 00956837 1277440 NC DEPT OF ENVIRONMENTAL -WAR Project Class: Host Dept: CFP Client -Fixed Price 5403020 South Construction Contract#: Cost Code Description Cost Type 02900901 E&S Changes -Field Cost Ditcher, David A. 9111 ST **** Llll General Superintendent Ref# 00956641 BCI# 80873937 Seq# 000-001-001 GL Date 07/18/03 Sub-total 5403161 02900901 E&S Changes -Field Cost 9111 King, Delmar ST L041 Environmental Technician III Ref# 01207869 BCI# 80873938 Seq# 000-001-001 GL Date 07/18/03 02900901 E&S Changes -Field Cost Scott, Albert J. 9111 ST **** ****** ******** L061 Equipment Operator III Ref# 00957859 BCI# 80873939 Seq# 000-001-001 GL Date 07/18/03 Sub-total 5513510 Sub-total 9111 Sub-total 02900901 Prov Dept/ Gov' t Pool Service Date Document/ Subledger 5403161 07/15/03 T2-59602-3007. 022 5513510 07/15/03 T2-59602-3007. 022 5513510 07/15/03 T2-59602-3007. 022 ********** Sub-total 827062 NC DEPT OF ENVIRONMENT AND Grand Total **** End of Report**** E C 4 4 4 Page Number 4 Date 7/30/03 From Date 06/01/03 Thru Date 07/25/03 *** Service Date*** Planned Start Date: Planned Completion Date: Actual Completion Date: Quantity UM 8.00 HR 8.00 HR 3.00 HR 3.00 HR Direct Cost$ 378.05 378.05 45 .11 61.13 03/01/01 03/01/02 Total Cost$ 484.43 484.43 58.79 79 .14 6.00 HR 106.24 137.93 14.00 HR 484.29 622.36 14.00 HR 484.29 622.36 14.00 HR 14. 00 HR 484.29 ----~ ~ 622.36 622.36 Revenue ~ t9 f ---
565005 Shaw Environ & Infrastructure Project Transaction Detail Report by Cost Code RPM080-06/107 Dept/Proj. Project: .827062 NC DEPT OF ENVIRONMENT AND Supervisor Client: 827062 NC DEPT OF ENVIRONMENT AND 00956837 Duke, Gary W. 1277440 NC DEPT OF ENVIRONMENTAL -WAR Project Class: Host Dept: CFP Client -Fixed Price 5403020 South Construction Contract#: Cost Code Description Cost Type 02900901 E&S Changes -Field Cost 9111 **** Ditcher, David A. ST Llll General Superintendent Ref# 00956641 BCI# 81066684 Seq# 000-001-001 GL Date 08/01/03 Sub-total 5403161 0290~1<£&S Changes -Field Cost 9111 **** Scott, Albert J. ST L061 Equipment Operator III Ref# 00957859 BCI# 81066686 Seq# 000-001-001 GL Date 08/01/03 Sub-total 5513510 02900901 E&S Changes -Field Cost 9111 **** ****** ******** Wilson Jr., Thomas W. ST L032 Environmental Technician II Ref# 01306634 BCI# 81066685 Seq# 000-001-001 GL Date 08/01/03 Sub-total 5513511 Sub-total 9111 Sub-total 02900901 Prov Dept/ Gov•t Pool Service Date Document/ Subledger 5403161 07/25/03 T2-59654-441.0 022 5513510 07/25/03 T2-59654-441.0 022 5513511 07/25/03 T2-59654-441.0 019 E C 4 4 4 Page Number 5 Date 8/06/03 From Date 07/26/03 Thru Date 08/05/03 ***** G/L Date***** Planned Start Date: 03/01/01 03/01/02 Planned Completion Date: Actual Completion Date: Quantity UM 1.00 HR 1.00 HR 1.00 HR 1.00 HR Direct Cost$ 47.25 47.25 20.38 20.38 Total Cost$ 60.54 60.54 26.38 26.38 1.00 HR 11.49 15.09 1.00 HR 11.49 15.09 3.00 HR 79.12 102.01 3.00 HR -----~ ---------------~ 102.01 Revenue ~1 x u'-f --
, J\s\L -i_
FROM.: SHAW_ENUIR. INC [ount~,NC FAX NO. 252 257 4218 De c. 03 2003 03:56PM P2
Bill TO
INVOICE
Please llerl1il To; PO Bo~ 60ll57, Chariot\e, NC 26260
Federal Taxpayer !CJ. 56-04873"1 l
·SHIP TO
· SHAW ENVIRONMENTAL, INC
. , ROUTE 4, ,BOX 426
'.WARRENTON I NC
DIRECTIONS ARE ATTACHED
27589 0426
~·Jlli;y.rt)ci:·4,,1iJfiiici~-·;,:;;;,:,,,:,.,f\c ::ttii:v.clJO§:,: A<tt.::':':=i:=:':' ,,,,,, ·, ·: · R:,;~:i';,:,,,:,:,,:-::::' ,,~·~:· ... · ' ,. ,· · Ir':-' · ·
; CPRR0005294 09 -04-03 DAV E 1
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I R24 l30 07-02-03 10 ALAN/RALEIGH 2119800 756E,-l
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]. . 0
CUSTOMER CONTACT: DAVE
********~*****************
INVOICE DUE UPON RECEIPT
*********************•·••*
EQUIPMENT RENTAL
CATERPILLAR, INC
ID NO: 00020840 0
ENVIRONIVINTAL CHG
FROM 08/04/03 THRU 08/31/03
MODEL 320C/HYD
SERIAL NO: OPAB00530
PIN: "-CAT0320CVPAB00530;-
NC -STATE SALES TAX
COUNTY SALES TAX
----···•--··-·------=----.----
AMOUNT
5000.00
3.00
225 ,C1 C
125-0C
535~. '.)0 TERMS: Machine Sale an~ Rental hwo·ices are due upou rec1?ipt of invoice, all other invoice -
terms arc nr.t JO days from date o~ invoit~. A-servir.e charge of 1,5%.per montl\.i18% 11er annum)
Will be pusted clirer.tly to your rrio,ittily s.tatilment i(11aymer.t not received within terms, Pa.ts
returned camwt be accepted without prior Authorization and thP-u $uhjsct to' handling charyes,
Cl~im tor .errors or 1l,1111r1111is must.be milde within 10 days. No ,et.urns accepted without invoice
PAY THIS r--_--.
1-----------,----------·--AMOUNT ..
CREDIT
n111111Jer. . . .
We _can Emi,:il ,,niVor Fa.,: your Invoice~·!'. Please, ctill us ar [phone] to begin today.
. '
f J •
FROM : SHALl_ENUIR. INC [ount~,NC rnx No. 252 257 4218 Dec. 03 2003 03:56PM P3
-',e_g_ory Poole
BILL TO
-----------...,,------'-------------
1 NV O ICE
Plr.;,c;,:, R,:,mit To: PO Box 60457, Ch;-,rl.,tte, NC 2S2GO
F;:d;:r.,1 T:>xpaye, Id. 56-048731 l
SHIP TO
SHAW ENVIRONMENTAL, INC
ROUTE 4, BOX 426
WARRENTON, NC
DIRECTIONS ARE ATTACHED
27589 0426
CPRR00053286 09-ll-03 2119800 DAVE
.-.. .-::\·ps:Q:• •.: : <w-:::::::;::;::;:::::::::::::;:::: :;::::;a ·:':' .• J\.'liEs:is::::,,,,::,~:: •::::;,::p,-c;;::c:':';' t::•;:1:llc~;;:•;;;•:· ;::;:;•;• '.
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A.A 320C/HYD PAB00530 00020840
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1.0
1.0
CUSTOMER CONTACT: DAVE
**************************
INVOICE DUE UPON RECEIPT
**************************
EQUIPMENT RENTAL
CATERPILLAR, INC
HYDRAULIC EXCAVATOR
FROM 09/01/03 THRU 09/10/03
MODEL 320C/HYD
ID NO: 000208400 SERIAL NO: P~..B00530
FINAL RENTAL BILL
ENVIRONMNTAL CHG
PIN: *CAT0320CVPAB00530*
NC STATE SALES TAX
COUNTY S.ALES TAX
1650 .. or;
3.0J
74.25
41. 25
--------------,-,-----~------------------.--------,------------
1 ERMS: M<'lchine Salo and Rental Invoices are due upon .receipt of invoice, ·1111 otlier invoice · ·
terms c1r~ 11ec 30 days from date of. invoice ... A service charge of .1 :5% per month ll'!iOfo p·er a,mum)
will be po~ted dire~tly to your monthly statement'if payment no.t received lll(ithin terms. Pam
returned cannot be ·accepted without prior Authorization and then suhjec.t to hillldling charges.
Claim for ·errors or damagss must be made within 10 days. No returns accepted without invoice
PAY THIS
AMOUNT
AMOUNT
.CR.EDIT
11u,nber. · · · · · · · · · ·
We .can E,,;_~iil andJ,j,: I•t1xyour11rvoic~s! Pfeaj,·e ca/[ usat (9]9)890-"1223 to begin today.
Customer Copy ·
l768.S.0
. ./ Aiken & Yelle Associates, PA
. 3755 Benson Drive
Raleigh, NC 27609
Phone: [phone]
■ILLTO
ShawE&I
200 Horizon Center Blvd
Trenton, NJ 08691-1904
ATTN: Bill Gallagher
Dl!SCRIPTION
\ ~~'¥-. ~
/ Invoice
DATI! INVOICI! #
9/8/2003 45616
DUI! DATI!
10/8/2003
Payments not received by due date are subject
to a 1.5% per month finance charge ..
PllOJl!CT
PCB Warren County
QUANTITY RATI!
Locate Pin Location For Clean Soil
Two Man Field Crew ~b.~ -t--:;. ~1)1<\h,,~4'5
I)~ vV>li'I ,_;,~'I) ~"\-. 85.00 382.50
Load Pin Location Fax Drawing To Job Site
Survey Technician
\'I~ '-'K..l> !S<::> -~ -s:.-.,~""--~ ~
Topo Of Landfill (9203 Of Existing Conditions)
Two Man Field Crew
Cale Volumes of Remaining Untreated Material,
Fills to Existing And Proposed Elevations, Send
Report to Site
Professional Land Surveyor
1 60.00 60.00
5 85.00
'¥-"-U..'>-X~•<.~ ~ U'i.t:-\~ /"Ti;;. 'r!,Q._',)I, <'t°(.,',,\
.>~ (..\;q,lN1'~ () ~X~ ~ \~ ' ~" "'-\ °' \ l.... .. t_; 'Q .
6.5 75.00 487.50
Total $1,355.00
61, /4 -7~· ~L/ ~ '---P-ay_m_e_n_ts_,c_r_e-di_ts ____ $_o_o_o__, Balance Due $1,355.00
Aiken & Yelle Associates, PA
3755 Benson Drive
Raleigh, NC 27609
Phone: [phone]
BILL TO
----•·"•·---------•····---
ShawE&l
200 Horizon Center Blvd
Trenton_, NJ 08691-1904
ATTN: Bill Gallagher
l)l'lSCRIPTION
---·······•-·-
Locate Locations of Flags and Clean/Unclean
Materials
Survey Technician
Two Man Field Crew
Recalcuated Volume Studies -t)~,h l.'li.. 7\.'\V\~
Professional Engineer
Professional Land Surveyor
Survey Technician
T • d BL.88-L.L.8 rBTBl
1
ln'voice
Paymeuts not received by du1· date are subject
to 11 1.5% per month fin,mce charge ..
QUANTITY
1.5
3
1.5
\ C\ ,
AMOUNl"
60.00 ... D2000
90.00 \ ~ \ Cl 990.00
~
95.00 f 42.50 75.00 Sl . s 22s.oo
60.00 90.00
Total $1,567.50
Paymenw/Crediw $0.00
Balance Due $1.567.50
dsE :20 EO 80 -:i.oo
Aiken & Yelle Associates, PA
3755 Benson Drive
Raleigh, NC 27609
Phone: [phone]
■ILLTO
ShawE&I
200 Horizon Center Blvd
Trenton, NJ 08691-1904
ATTN: Bill Gallagher
Dl!SCRIPTION
Locate Elags Within Landfill and North of Pit (2
Mobilizations) , ~~ ~ h-\...'if-,:>...r-
Two Man Field Crew "-
Data Adjustment And Forward Data To Site
Survey Technician
'
\~s~~ S~ LSb
Invoice
DATe INVOICI! #
11/21/2003 13241
DUI! DATI!
12/21/2003
Payments not received by due date are subject
to a 1.5% per month finance charge ..
PROJl!CT
PCB Warren County
QUANTITY RATI! AMOUNT
M ~~ ~ ~ ~· Q. "'¥-. ~~")I.... 't ~~"' S>o.1 \ o . .., \ ,-1
10 90.00 900.00
2.5 60.00 150.00
\.....o t.fii\;:..,::,
Total · $1,050.00
Payments/Credits $0.00
Balance Due $1,050.00
Duke, Gary
From: Duke, Gary
Sent: Friday, September 12, 2003 5:08 PM
To: Pat Backus (E-mail); Pat Backus (E-mail 2); Jim Cloonan (E-mail); John Funk (E-mail)
Cc: Ditcher, David; Bill Gallagher (E-mail); Dennis Jones (E-mail); Rob Holland (E-mail)
Subject: Lab results
Batch 218 was 130 ppb
Untreated soil samples taken by EarthTech were
Pole Barn, 310 ppm
LF1, 740 ppm
LF2, 220 ppm
LF3, 180 ppm
Page 1 of I
I just spoke to Pat so she has this info, Paradigm also faxed results for ET samples to John Funk about half an hour ago.
You may notice that there was no spike recovery on ET samples, that's because spike was 100 ppb and so was lost in the
dilutions. Paradigm did not show units for the spike so I had to call to confirm that this was indeed the case.
Good news all around, the sample that needed to be low was, the 4 that needed to be high were.
(Jary (J)ukf
Gary W. Duke, P.E.
Shaw Environmental & Infrastructure, Inc.
200 Horizon Center Blvd.
Trenton, NJ 08691-1904
phone [phone]
fax [phone]
work schedule 'A'
9/12/2003
f aradigm Analytical Labs, Inc.
r. 500 Business Drive .
Wilmfagton, NC 28405 ·
910-350-1903 .
i MAIL TO:
!'sh~~ Envir~n~~~t~T~ NC ·.
! Route 4 Box 426 ·
. i Warrenton, NC 27589
Atten: .Dave Ditcher I I
I
'~~"-l
Invoice
l DATE I INVOICE NO. :
9/15/2003 23091501
'---'----~----'--'---'------·-
f . ~~;EN·T·~~OJECT . -····-~·-~--····· ··_···_·· --·····-··--··
i Pi·oject ID: 827062 .
I
. Sample ID'.s: . .. . . ·
WCLF-PB-1
, WCLF-LF-I, WCL.F-LF-2
WCLF-LF-'3 ' I
I
.... _J
. ' --, I i . ' P.O. NO. TERMS . DUE DATE. LAB PROJECT NO. I
-----·--··' •·······-·~-----+------+--------.I
See Above
,-·-.. ·---·-·-.. -DESCRIPT!ON
i ...... · .... ··-· ·····••~····:·••······ •··-.. , ........ _,,_ ................ -----...... .
: PCB's by 8082 ., Son.ication -Same Day Rush
I .
!
'
i
i
Thank you for your btisiness.
.. '' ...
cd Wd£p:10 £00c 91 ·das
Net 30 10/15/2003 G515-521 . . !
QTY --7,'-,-·.--U-N-IT_P_R_IC_E_·..._~--A-M-;~·~~--I.
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4 300.00 1 ;200.00 ; ·
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I I I ...... ..... ......... . _ ... !. ···--· .. ····• ... ·-·
~~a~---$1,200.00
Sep:12·03 05:0Bpm . From,.PARADIGM LABS 9103501557 T-881 P.02/06 F-163
r~u1u1,.1. n1,.nJ..J1,&.1."'"'"' .. ,a..,, ..... '",...,.,,""""''·----.. ---, -- · ------.\
Client Sample ID: WCLF-PB·1
Client Project ID: 827062
Lab Sample ID: 80496
Lab Project ID: G515-521
Matrix: Soil
Compound
Aroctor-1016
Aroclor-1221
Aroclor-1232
Aroclor-1242
Aroclor-1248
Aroclor• 1254
Aroclor-1260
Surrogate Spike Recoveries
TCMX
Comments:
BQL "' Below Quantitation Limit
NA = Not applicable, surrogate diluted out.
Results for PCBs
by EPA 8082
%SOLIDS: 83.9
Quantitation
Limit (ug/KG)
41000
41000
41000
41000
41000
41000
41000
Spike
Added
100
?\S~
Date Collected: 9/11/03
Date Received: 9112/03
Date Analyzed: 9/12/03
Analyzed By: CLP
Dilution: 500
Spike
Result
NA
Result
(ug/KG)
BQL
BQL
BQL
BQL
BQL
BQL
310000
Percent
Recovered
NA
Reviewed By: L
N.C. Certification #481 S.C. Certification #99029
Sep-12-03 . 05:0Spm · From-PARADIGM LABS
Client Sample ID: WCLF-LF-1
Client Project ID: 827062
Lab Sample 1D: 80497
Lab Project ID: G515-521
Matrix: Soil
Compound
Aroclor-1016
Aroclor-1221
Aroclor-1232
Aroclor-1242
Aroclor-1248
Aroclor-1254
Aroclor-1260
Surrogate Spike Recoveries
TCMX
Comments:
BQL = Below Quantitation Limit
NA ~ Not applicable, surrogate diluted out.
9103501557
Results for PCBs
by EPA 8082
¾SOLIDS: 87.7
Quantitation
Limit (ug/KG)
47000
47000
47000
47000
47000
47000
47000
Spike
Added
100
T-881 P.03/06 F-163
Date Collected: 9/11/03
Date Received: 9/12103
Date Analyzed: 9/12/03
Analyzed By CLP
Dilution 500
Spike
Result
NA
Result
(ug/KG)
BQL
BQL
BQL
BQL
BQL
BQL
740000
Percent
Recovered
NA
Reviewed By. L
N .C. Certification #481 S.C. Certification #99029
..
Se.p-12-03 . 05: 08pm , From-PARADIGM LABS
I
Client Sample 10: WCLF-LF-2
Client Project ID: 827062
Lab Sample ID: 80498
Lab Project ID: <3515-521
Matrix: Soil
Compound
Aroclor-1016
Aroclor-1221
Aroclor-1232
Aroclor-1242
Aroclor-1248
Aroclor-1254
Aroclor-1260
Surrogate Spike Recoveries
TCMX
Comments:
BOL = Below Quantitation Limit
NA = Not applicable, surrogate diluted out.
9103501557
Results for PCBs
by EPA 8082
%SOLIDS: 87 .2
Quantitation
Limit (ug/KG)
8800
8800
8800
8800
8800
8800
8800
Spike
Added
100
T-881 P.04/06 F-163
Date Collected: 9/11103
Date Received: 9/12/03
Date Analyzed: 9/12/03
Analyzed By: CLP
Dilution: 100
Spike
Result
NA
Result
(ug/KG)
BOL
BQL
BQL
BQL
BQL
BQL
220000
Percent
Recovered
NA
l:• . •;
Reviewed By,~
N.C. Certification #481 S.C. Cenification #99029
Sep-!2-03 05:0Bpm From-PARADIGM LABS 9103501557 ..... "' .......... _ ... __ ._ ..... ··-----------
Client Sample ID: WCLF-LF-3
Client Project ID: 827062
Lab Sample ID: 80499
Lab Project ID: G515-521
Matrix: Soil
Compound
Aroclor-1016
Aroclor-1221
Aroclor-1232
Aroclor-1242
Aroclor-1248
Aroclor-1254
Aroclor-1260
Surrogate Spike Recoveries
TCMX
Comments:
BQL : Below Quantitation Limit
NA = Not applicable, surrogate diluted out.
Results for PCBs
by EPA 8062
%SOLIDS: 87_6
Quantitation
Limit (ug/KG)
8300
8300
8300
8300
8300
8300
8300
Spike
Added
100
T-881 P 05/06 F-163
Date Collected; 9/11/03
Date Received: 9/12/03
Date Analyzed: 9/12/03
Analyzed By: CLP
Dilution: 100
Result
(ug/KG)
BQL
BOL
BQL
BQL
BQL
BQL
180000
Spike Percent
Result Recovered
NA NA
..
Reviewed By· L .
N.C. Certification #481 S.C. Certification #99029
PARADIGl\f ANALYTICAL LABORATORJES, INC. 5:',00 Business Drive. Wilminglon, NC 28405 Phone: [phone] FAX: [phone] Chain-of Cuslolly Rccon.J & AnalylicaJ Request Client: Er"'e,T /Jru,.,,~ Project ID: 8'-,. 7o I~ Date: JI T-r[1l-0J Address: RT 'I Bv.)( '/:J-6 Contact: ~>l Jl,-0 (,.J..J Turnaround: s11~e. P!iy TAT COC# __:; . i ( : I ,-.~ U> a, '<J . !. , ~ Page 1 of_}__~ Jvi~/d~ ~ Report To: Er-Ne iI ~ ~ -Af: f .fJ d )(. ~ ;-6 ~ Address:"-'",.,..e..7°"1,vc,, ,-JS-8'1 Phone/'lS-~1-S7 /8'/d JobNumber:_______ w,,,t<&-t'.1f.•C .1JS ~ Quote#: ________ Faxe,~:,;; 7 'I'>-1 S: P.O. Number: _______ invoice To: 5 /-1 {J W E + I ~ .-=----------r-----r---r----r------------------------------------=--------> I I I I I I Analyses I Comments: ~ Preservatives SampJe ID ~~a·· -PB -I wcJ.f-Lf· I w<-lf-/J -,. lwc.l}_ • L f -J Date I Time IMalrix \J v 1,, I I fcp1d) 1,r:10 lso) ,, / II S,1>To) IS"~JS' ft1,l / -·-,;-·-. ~ cl ~~ oo Q.. Ve ✓ . Please spedfy any special reportiDJ:l :=, · requirements ~ U> ~JI 5n,.._,J,T pre,, 7Y'C/'17c.,.... TJ..,....., S"(.I Pl',,.., P( D 5Pr.t lll'y T!Jf -'i t...<c. ✓ -I I I I I I I I I is:0"'; ficJ>h~ c,-J.,-,.,1;·.>f\J O,v/"t , !~J!To) l5:'/f' fql / ./ I II 1--w[":_fJ t1) lf:So ~(J,) ✓ ✓ I I r~,+ +o: ~ I ----------= U1 --------·l-----l----+---l-+--1--+---1-1 I I 1--~-1--+-----+-~-I ~ct),-1 ~i-...J\(.. __ _ E"c.r-\¼-\t:(.\.\ ~\~.\~ 1.-, U1 -.a --• --··--•---·----1-----+--~--+---l---t--I J~Tl,-.1.cFr..ci,..,k (B l"<.d·"''"'"~ I<'-. -, _____ I ------l----·l----l--+--+--+--l-_.,__-~_____.-----l--1----+---l----1---.1.---I n;., )( q J 'I S"J -4 (:, 'l.. ", -cf --t I CD CD -------1--·---+ I'--+--+---+--I I I I 1------1---1---11-----------a ✓-ic:--/e::-e: 2 / __.,, ~ ------11---1-----'-I I I I I I I I 1-~--.---+---+---1-I-_J,,2-.:/(7~ / --~-· ~ 1./'J 1' Re1inquishe~,. Date Time Receh·ed ll~• Dale Time Temp;rature State Certification Requcstetf -~ ·~ .-1'-:f.~.'.",; J)JJU, J(,?0 •. I '. r(,/1!J;•· ?../J. ~.3tJjY-I-c __ N(' ____ SC~--O!hcr -·--(;' ---· -·--· __ ,_. ·-____ i ___ -, ------+---------4--------l SEE REVEHSE FOR r1•..--:n" .• c, ., "'''' .,._., .... ,,. \. ,, .•. ,..,, ... ,_
FROM SHAW_ENVIR. INC [ount~,NC
1aradigrn Analytical Labs, Inc.
· .5500Business bi:-ive
Wilfoi11gton, NC 28405
S)JQ.:350-1903
Atten: Dave Ditcher
FA>< NO. 252 257 4218 Dec. 03 2003 03:57PM P4
Invoice
,-~·--······· .I ...... ····--
! DATE. . j INVOICE \10, i· .... i ....... .
· f 10/24(20.03 [ · 231 02~04
..... ' . • -~-.... -:t_ ... •--:.-· ·-····, .
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·SeeAbove ·Net30 :: ·102ihoo3 ;°,i G5f5-57·8 I
· • oEScR1P_1_1o_N_· ·-----·--~·.-. :_ ......... __ 0_1Y--,-•._· _ .....•• ·--~-__ :_~_~:_·· ·._ ..... _ ... -'--::-.... · __ · .. _ .... -!-.. _·-·_-···_•··_---,-_ I
.PCB·;~ by 8082~ Sonication -Same Day Rush · 2 ·. ·. ··. 300:0i) •· · 600:00 I
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l ••.•... " ·········-·~--------·-··-·-··· .. ·•······ .. -········ ..
i Total·.
I
· J/. (t/1-J>DlC>OI
$600.00 i . __ __j
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Oc t:-23·03 05 :30pm From-PARADIGM LABS
M~ ... ~ -,\'---\...'Xj
'-
Client Sample ID~1-13
Client Project ID: 827062
Lab Sample ID: 82402
Lab Project ID: G515-578
Matrix: Soil
Compound
Aroclor-1016
Aroclor-1221
Aroclor-1232
Aroclor-1242
Aroclor-1248
Aroclor-1254
Aroclor-1260
Surrogate Spike Recoveries
TCMX
Comments:
BQL = Below Quantitation Limit
NA = Not applicable, surrogate diluted out.
9103501557
Results for PCBs
by EPA 8082
%SOLIOS: 80.4
Quantltation
Limit (uglKG)
38
38
38
38
38
38
38
Spike
Added
100
T-148 P. 02/04 F-430
\ ~'":)\L_
Date Collected: 10/22/03
Date Received: 10/23/03
Date Analyzed: 10123/03
Analyzed By: CLP
Dilution: 1
Spike
Result
63
Result
{uglKG)
BQL
BQL
BQL
BQL
BQL
BQL
1300
·Percent
Recovered
63
,.
l
Reviewed By: k
N.C. Cenification #481 S.C. Certification #99029
·,
Oct-23-03 05:3Opm From-PARADIGM LABS
Client Sample ID: MT-2-13
Client Project ID: 827062
Lab Sample ID: 82403
Lab Project ID: G515-578
Matrix: Soil
Compound
Aroclor-1016
Aroclor-1221
Aroclor-1232
Aroclor-1242
Aroclor-1248
Aroclor-1254
Aroclor-1260
Surrogate Spike Recoveries
TCMX
Comments:
BQL = Below Quantitation Limit
NA == Not applicable, surrogate diluted out.
9103501557
Results for PCBs
by EPA 8082
%SOLIDS: 77.1
Quantitation
Limit (ug/KG)
40
40
40
40
40
40
40
Spike
Added
100
T-148 P.03/04 F-430
\ ~')~ 11
~:';'
Date Collected: 10/22/03
Date Received: 10/23/03
Date Analyzed: 10/23/03
Analyzed By: CLP
Dilution: 1
Result
Spike
Result
64
(ug/KG)
SOL
BQL
BQL
BQL
BQL
BQL
330
Percent
Recovered
64
Reviewed By:~
N.C. Certification #481 S.C. Certification #99029
PARADIGM ANALYTJCAL LABORATORIES, INC. 5500 Business Drive, Wilmington, NC 28405 Phone: [phone] FAX: (9I0)-35O-1557 -.. -··--·-------------------COC# 35759 Chain-of Custody Record & Analytical Request {·-...... Page__L • C, 0 ...... I -. " , ... .., or l :;l.o> . _____ ·-:-6 ,... :::lient: SJ,pj,,, 1:--"--f-=l,..__ __ _ Project ID: 8rJ 706J.. Date: .JJ {)c,7 '0 3 Report To:YA46ft ~~, ~ \ddress:Ri ~ &t t'Jt Contact: .Ei;.,u;sz&o«w Turnaround: J/lme my /& ~ &x -¼t/4 ~ \ddress: haBR&nat4 NB. J. ·75~q Phone:~ f.J .;l,.f7-Lill2 Job Nwnber: _______ J1/IIJ?Rtltllffl? J//1, ~753q ~ }uole #: _______ _ Fax: d£.J a<57~ irJLO P.O. Number: _______ Invoice To: ,5/24«1 E/z ~ Sample ID )')7-,-, ~ h,-..l-/3 I I I I Preservatives I ~yses I . Comments: . ~ . Please specify any special reporting ~ Date I Time I Matrix 1 NI I I ~oe1 I I I 1b) j/4/<o I So, I I v I I I ~~ Oe1 . 'O':? IJ1/'111s..,,·1 1 t.,, 1 I I Ii~ I ,,,. I ~ I requirements ~ <n ~MP_ d11v /IIT -/.JS/::' ,-------.-~n .. ,~ ..£. n.,, /t'Y,) f'-1/Ti)A,R;;b.) aulr r;-~ /f?-~7~ i ~-------c:::, UI UI --., ----1 ~~ ~~ f ~ "TI -------------+--'--'.....,..----,----,'----'--...____.._____,__4----1.---+--~--+--......__.___-+------------------l. Relinquished By Date Time Received By Date Time Temperature State Certification Requested ~ . g~ NC __ SC __ Olher __ . I Cy.,fuJ., ----------,--------I----. . . . I ,, -·~ .. n ····~ SEE REVERSE FDR TERMS AND CONDlTlONS
REQUEST FOR EXCEPTION TO CONTRACT
1. Project Title: Warren County PCB Landfill Detoxification (SCO Contract 010440101A. CO#20)
2. Division : Waste Management
3. Source of Funds: Appropriations: Receipts :
Federal: Match Required:
4. Budget Codes: GL Company: 1604 GL Account: 53-2199 GL Center: 4845
5. Is there a deadline for obligation of these funds? If so, date: _______ _ No ✓
6. Type of contract requested : Contract for Services ____________ _
Award of DENR Grant Funds _________ _
Amendment to existing contract/grant ____ ✓ __ _
7. Pro posed Vend or/Reci p ient: __ ---=S"""h-'-"a=...;w-'--=E'-'-n'--'-v-'-'-i r-"'o"'"'n-'-'-m-'--'e"""n"'""t=a,_I &=---'-l'--'-nf'-'-r=a=-st'-'-r=uc=t=u"--re=-----------------
8. Summary of work/activities to be performed under this contractual arrangement:
For additional work related to movement of the contaminated clay stockpile and determination of contaminated
volume and concentration of contaminated soil in the landfill that exceeded the original contract quantity of
72,000 tons. Attached change order form OC-24 contains supporting information.
9. Justification of Need for Contract:
A) Was this vendor selected through a competitive process? ✓Yes ___ No ___ Will Be
B) Explanation of why this work cannot be performed within the resources of the DENR Agency:
DENR does not have the equipment, staff, or expertise to operate a soil remediation facility.
C) Is there a State Agency/University that could perform this work? __ Yes ✓No
D) If Yes, provide a list of those agencies :
E) Contacts made to determine the ability of other state agencies/universities to perform this work (name of
contact, agency, telephone number and response):
None
F) If not utilizing another state agency/university, state the reason:
Same as 9 (B).
G) Calculation of available funding for this contract. Include amount available and amount previously
obligated/approved to be obligated:
See attached summary sheet of funding, expenditures, commitments, and remaining balance. CO#20 adds
$6,133.72 to the Shaw contract. Shaw revised contract amount is $13,565,548.49.
SUBMITTED BY: ';}t?a,t;: ~ Phone: [phone] x308
Contact Person for questions regarding this contract: ____ P~a~t_B_a~c~k~u~s __
APPROVALS:
Disapproved
Disapproved
~ Disapproved
Date Transmitted to Purchase and Services: ______________ _
Contract Exception Form -9/20/02
Date: 12/17/2003
Phone: [phone] x308
FORM 2800
AGREEMENT INFORMATION & CONTRACT BUDGET
ENCUMBRANCE
DENR DIVISION OF PURCHASE AND SERVICES
1. PARTIES TO THIS AGREEMENT
A B .
*DENR CONTRACT NO: SCO# 010440101A
*PURCHASE ORDER NO:
REVISION NO: C0#20
..-----------------------------DENR Division of:
Waste Management
Division Section
Division
Address (MSC#, City, State, Zip)
1646 Mail Service Center
Ralei h NC 27699-1646
Division Contract Administrator
Patricia M. Backus, P.E.
Division Director/Authorized Agent
Telephone No.
[phone] X 308
Date
Contractor (Name Contract Issued To:)
Shaw Environmental & Infrastructure
I.R.S. Number or Social Security Number
753044680 I
Check if Applicable
_ Private and/or
Non-Profit
Address (to which checks will be mailed) Wire Transfer
U.S.Bank, (Wire Transfer) ABA# 081000210 Acct# -1523020107 48
(City, State, Zip)
St. Louis, MO 63195-6786
Please check one of the following:
African American owned Woman owned _Handicapped owned
_ Hispanic owned _Other minority owned ✓ None of the above
Contractor Contact Person/Key Personnel:
GaryW. Duke, P.E. I
Telephone Number
[phone]
3. DIVISION CONTRACT COORDINATOR:_~B~re~n=d=a~R=iv~e~rs~--------PHONE NO: --~<=9~19~)~7~3=3-~4=9=96~x=2~0~4 __ _
4. FISCAL YEAR: ___ -'-F~Y~0~3~-0~4~------
5. START DATE: ____ M~a~rc~h~1~3~2~0=0~1 ________ (Contractor cannot begin work until contract is executed by DENR)
6. TERMINATION DATE: November 10 2003 (Limit to time required; contract cannot exceed 3 years)
7. CURRENT CONTRACT AMOUNT: __ ~$~1=3~,5=5=9~.4~1-'-4.~7-'--7 ______________________ _
8. *AMENDMENT AMOUNT: __ ~$~6=·~1=3=3~.7~2 ___ (/ndicate Previously Assigned Contract No. & PO in appropriate block ABOVE)
9. REVISED CONTRACT TOTAL: $_1~3~5~6~5~5=4~8~-~49~ ________ (Original Amount+ Amendment Increase/Decrease)
10. UNENCUMBRANCE (Balance remaining in Contract that will not be paid to Contractor):$ __________ _
11. ITEM DESCRIPTION 12. DENR CONTRACT AMOUNT
Contract Purpose/Brief Narrative: (Estimate of Expenditures each FY if multiple
year contract)
Detoxification of the Warren County PCB Landfill.
Change order 20 is for additional costs associated with moving the contaminated stock Add line item 25 -Additional work related to
file and for confirming that the contaminated material found above the original contract stockpiled clay cap material
amount of 72 .000 tons was contaminated and required treatment. = $14,264.56
Reduce line item 12 -Liquid BCD treatment
with offsite recycle by 1.847.92 gallons@
13. $4.40/gal
CFDACODE: (Catalog of Federal Domestic Assistance Code, if applicable) =$8,130.84
14. Total change order value =$6,133.72
GL COMPANY: 1604 GL ACCT: 53-2199 GL CENTER 4845
15.
Federal Funds State Funds Contractor Match Other Funds TOTAL PROJECT COST
$ $ 13,565,548.49 $ $ $ 13.565.548.49
16. IA hz/o 3
Division Budget Officer (Mandatory Signature) Date
I
I
Funding: Source and Amount HB 230 SB 1366 DOJ-Settlement HB 162 HB 166 SB 1115 SB 1115 OSBM Autorized Transfers Funds remaining from DWR completed projects Parks FEMA reimbursement Balance in Funds ExQenditures DEH FEMA reimbursement Pending transfers Sub total Total Funding Total Funds Remaining Planning/Design/Contractor Selection Detoxification Project Paid to Date Remaining Contract Obligations & Expenses Shaw Contract Advisor Contract Oversight Contract Petroleum Traders DENR & Other Expenses Subtotal of contract obligatations Retainage Change Order #20 -Proposedb Additional contract obligations Qverall Balance Remaining Funds-Outstanding Expenditures 24308-2103 49816-4845 49716-4332 49816-4845 49916-4725 49816-4845 49816-4845 49816-4845 49816-4845 49815-4845 49815-4845 Less Hurricane Floyd Recovery Fund 49716-4332 49816-4845• 49916-4725 (Majority of Work Prior to 2000) (Work after 2000) (Excluding Retainage) (Monitoring Well Removal) $ 1,000,000.00 $ 2,000,000.00 $ 570,274.00 $ 7,000,000.00 $ 1,000,000.00 $ 2,500,000.00 $ 500,000.00 $ 323,420.62 $ 1,740,155.14 $ 1,540,417.51 $ 350,000.00 $ 18,524,267.27 ~439,450.00 $ 17,084,817.27 $ 225,900.16 $ 728,085.89 $ 18,389.29 !;lti _97~,3}'5:34 $ 1,560,550.00 $ 14,539,813.28 $ 16,100,363.28 $ 478,693.52 $ $ 72,418.69 $ $ 2,809.25 !-· __ SS3":"921A6 $ 403,048.96 $ 6,133.72 9,27J.20 = Includes $350,000 to be transferred to 4845 f::: b For additional contaminated cap work. • "\ ~ ~ ~ ~ 1A../11/oa a--1-~ ~ ~ ~-~
I -
1
00-24 rev. 9-88 /
/
1
INSTITUTION:
PROJECT: I
STA TE CODE & ITEM :
CONTRACT FOR:
CONTRACTOR:
NCDENR
STATE CONSTRUCTION OFFICE
CHANGE ORDER NO. 16
Warren County PCB Landfill Detoxification
ID#: 010440101A
BCD Detoxification
Shaw Environmental & Infrastructure, Inc.
X OR Owner Request D CR Contractor Request
D DR Designer Request D CC Concealed Condition
D DE Design Error D DO Design Omissi \\ 12 13
0 SC Schedule C 1l
□ OT Other ~ /1/o I
200 Horizon Center Blvd, Trenton, NJ 08691-1904 CO V~OOJ ~
Under the terms of the Contract and without invalidating the original provisions thereof, the following cha I..!"\ l~f;tf/ ~
authorized for the change in contract amount herein set forth : (Description of change order attached) ~ OFF/Ct 'TIO/( ~
Add new line item 24, 0ffsite Sediment Removal, as authorized by NCDENR letter dated September 29, 2 ~nd daily (;,,,~"V
time and materials cost summary, copies of which are attached. /Jf 6282 L2Sl-,
The time of completion including previous orders is 956 calendar days and shall be unchanged by Q calendar days by this
change order, for a revised contract date of completion of October 24, 2003.
CONTRACT COST SUMMARY
1. Original Contract Amount
2. Amt. of Previous Orders
3. Amt. of This Order:
ADD
ADD
$ 7,211,801.25
$ 5,293.30
Deduct
Deduct
$385,375.28
$ 0.00
TOTALS
$6,658,000.00
4. Total additions lines 2 &3 $ 7,217,094.55 Minus Total Deducts: $385,375.28 $6,831,719.27
(Line 4 shall show the net amount to be added or (deducted) from the contract amount.)
5. Revised Contract Total Amount
6. The Owner certifies that the contingency fund balance after this change is
$13,489,719.27
$
Fill in one copy only
I certify that my Bonding Company will be notified forthwith that my contract has been increased by the amount of this
change order, and that a copy of the approved change order will be mailed upon receipt by me to my surety.
_S_h_a_w_E_nv_ir_o_n_m_e_nt_a_l &_ln_f_ra_s_tr_uc_t_ur_e-'-, _ln_c_. __ By: ~ ~ .-/ ~ __ \~~'~'l_<\-}_b_~--
(Contractor) ~ (Date)
200 Horizon Center Blvd Gary W. Duke, P.E.
Trenton, NJ 08691-1904 Project Manager
Earth Tech By: ~ J ~
-------0. ' (Designer)
_N_C_D_E_N_R ...... , _D_iv_o_f_W_a_s_te_M_a_na_,g..__e_m_e_n_t ___ By:
(Owner)
State Construction Office By: ~~,,,,,,-5 /~ -------C-<77
----------------By : Other approving Agency (if needed)
DISTRIBUTION: 1 original to State Construction
1 original to Owner
1 original to Board or Commission (if any)
1 original to Designer
1 original to Contractor
1 original to Surety
(Date)
(Date)
/,:z?~ 7-v 3
(Date)
(Date)
1
REQUEST FOR AUTHORIZATION TO CHANGE
DATE: October 28, 2003 STATE CODE: SCO#010440101 A
REQUEST NO.: 16
NCDENR
Earth Tech
PROJECT NAME: Warren County PCB Landfill
OWNER: CONTRACTOR: Shaw Environmental & Infrastructure, Inc.
DESIGNER: CONTRACT FOR: BCD Detoxification
DESCRIPTION OF CHANGE:
Add new line item 24, Offsite Sediment Removal, as authorized by NCDENR letter dated September 29, 2003
and daily time and materials cost summary, copies of which are attached.
Schedule is unaffected by this change.
REASON FOR CHANGE:
Offsite sediments were found to contain PCBs, so Owner directed that they be removed and brought back within
the site for appropriate disposition.
SUMMARY REVIEW OF CONTRACTOR'S ESTIMATE FOR TIME AND COST: (Attach Contractor's detailed cost breakdown of labor
and materials).
Add new line 24 -Offsite Sediment Removal,
1 lump sum
Total change order value:
DESIGNER SUMMARY:
1. Schedule items affected by this change: None
ADD
2. Can Contractor mitigate the change without requiring a contract time extension? Yes
3. Will the change require a contract time extension for other contractors? No Which? n/a
$5,293.30
$5,293.30
4. Are additional costs indicated by reason of the time extension? No If so they must be included in 5 & 6 Below.
CONTRACTOR'S ESTIMATE DESIGNER'S ESTIMATE
5. Estimated cost of change: _$_5~,2_9_3_.3_0 _______ _
6. Estimated time extension field cost (if any) Covered by unit price for Shaw
DESIGNER RECOMMENDATION AND CERTIFICATION:
I certify that I have reviewed all aspects of this change order and have determined that it is in the best interest of the owner to have the
work accomplished. I have also determined that the cost and time allotment are fair and equitable, and I recommend acceptance by the
owner.
Approved by: _-i,,[114'--"'-'-"--...,.d'--J.._:........c. ____ Date:
Title: rfrr u= f½r
1
1
Date
Work Done
DAILY LABOR COST
Cost Item
Dave Ditcher
Rick Bergener
Delmar King
Albert Scott
DAILY EQUIPMENT COST
Cost Item
Case 580
Bobcat
L90 Loader
Bobcat mob & demob
DAILY TOTAL COST
Date
Work Done
Previous Cost
Today's Cost
Total Cost
DAILY LABOR COST
Cost Item
Dave Ditcher
Rick Bergener
Delmar King
Albert Scott
Off-Site Sediment Removal Cost Summary
Change Order 16
10/28/2003
Capture cost of mobilization and demobilization of Bobcated rented from
Gregory Poole Co., was $300.00 each way, total $600.00 Shaw cost.
Total Hours Hourly Hourly
Worked Labor Travel/Lodg.
$47.25 $11.08
$22.31 $11 .08
$15.04 $11.08
$20..38 $11.08
Total Labor Cost:
Total Days
Used
Cost per
day
$ 72.25 $
t---------1 $ 90.00 $
1----------1 $ 116.00 $
.__ _____ ~ $ 600.00 $
Cost
600.00
Hourly
Per Diem
$6.05
$6.05
$6.05
$6.05
Total Equipment Cost:
Labor
Equipment
Subtotal
20% Mark Up
Total Daily Cost
Off-Site Sediment Removal Cost Summary
Change Order 16
10/13/2003
Cost
$0.00
$0.00
$0.00
$0.00
$0.00
$600.00
$0.00
$600.00
$600.00
$120.00
$720.00
Sediment traps in both areas removed. Silt fabric disposed of. Rock dams
spread out. CO #16 work is completed.
$4,095.62
$477.68
$4,573.30 (Not to exceed $5,655)
Total Hours Hourly Hourly
Worked Labor Travel/Lodg.
1 $47.25 $11 .08
2 $22.31 $11 .08
4 $15.04 $11 .08
$20.38 $1 1.08
Total Labor Cost:
Hourly
Per Diem Cost
$6.05 $64.38
$6.05 $78.88
$6.05 $128.68
$6.05 $0.00
$271.94
'
DAILY EQUIPMENT COST
Cost Item
Case 580
Bobcat
L90 Loader
DAILY TOT AL COST
Date
Work Done
Previous Cost
Today's Cost
Total Cost
DAILY LABOR COST
Cost Item
Dave Ditcher
Rick Bergener
Delmar King
Albert Scott
DAILY EQUIPMENT COST
Cost Item
Case 580
Bobcat
L90 Loader
DAILY TOT AL COST
Total Days
Used
Cost per
day
72.25 $
90.00 $
116.00 $
Cost
36.13
90.00
Total Equipment Cost:
Labor
Equipment
Subtotal
20% Mark Up
Total Daily Cost
Off-Site Sediment Removal Cost Summary
Change Order 16
10/8/2003 thru 10/10/2003
$126.13
$271 .94
$126.13
$398.07
$79.61
$477.68
No labor expended. Rental of Bobcat skid-steer for 3 days. Removal of the
off site sediment traps is last task remaining.
$3,771 .62
$324.00
$4,095.62 (Not to exceed $5,655)
Total Hours
Worked
Total Days
Used
___ 3 __ -1 :
Hourly Hourly
Labor Travel/Lodg.
$47.25 $11.08
$22.31 $11.08
$15.04 $11 .08
$20.38 $1 1.08
Total Labor Cost:
Cost per
day
72.25 $
90.00 $
116.00 $
Cost
270.00
Hourly
Per Diem
$6.05
$6.05
$6.05
$6.05
Total Equipment Cost:
Labor
Equipment
Subtotal
20% Mark Up
Total Daily Cost
Cost
$0.00
$0.00
$0.00
$0.00
$0.00
$270.00
$0.00
$270.00
$270.00
$54.00
$324.00
Date
Work Done
Previous Cost
Today's Cost
Total Cost
DAILY LABOR COST
Cost Item
Dave Ditcher
Rick Bergener
Delmar King
Albert Scott
DAILY EQUIPMENT COST
Cost Item
Case 580
Bobcat
L90 Loader
DAILY TOT AL COST
Date
Work Done
Previous Cost
Today's Cost
Total Cost
DAILY LABOR COST
Cost Item
Dave Ditcher
Rick Bergener
Delmar King
Albert Scott
Off-Site Sediment Removal Cost Summary
Change Order 16
10/7/2003
Continue remediation in West area. Assume completion. Will wait for a final
inspection from Earth Tech. All spoils stockpiled on Pad 4 awaiting backfill.
$3,047.02
$724.60
$3,771.62 (Not to exceed $5,655)
Total Hours
Worked
2
1
5
3
Total Days
Used ---~---1 :
Hourly Hourly
Labor Travel/Lodg.
$47.25 $11 .08
$22.31 $11.08
$15.04 $11 .08
$20.38 $11 .08
Total Labor Cost:
Cost per
day
72.25 $
90.00 $
116.00 $
Cost
72.25
90.00
Hourly
Per Diem
$6.05
$6.05
$6.05
$6.05
Total Equipment Cost:
Labor
Equipment
Subtotal
20% Mark Up
Total Daily Cost
Off-Site Sediment Removal Cost Summary
Change Order 16
10/6/2003
Cost
$128.76
$39.44
$160.85
$112.53
$441.58
$162.25
$441 .58
$162.25
$603.83
$120.77
$724.60
Complete remediation on East area. Excavated material staged on Pad 4.
$2,526.65
$520.37
$3,047,02 (Not to exceed $5,655)
Total Hours Hourly Hourly
Worked Labor Travel/Lodg.
1 $47.25 $11 .08
1 $22.31 $11 .08
4 $15.04 $11 .08
2 $20.38 $11 .08
Total Labor Cost:
Hourly
Per Diem Cost
$6.05 $64.38
$6.05 $39.44
$6.05 $128.68
$6.05 $75.02
$307.52
\
DAILY EQUIPMENT COST
Cost Item
Case 580
Bobcat
L90 Loader
DAILY TOT AL COST
Date
Work Done
Previous Cost
Today's Cost
Total Cost
DAILY LABOR COST
Cost Item
Dave Ditcher
Rick Bergener
Delmar King
Albert Scott
DAILY EQUIPMENT COST
Cost Item
Case 580
Bobcat
L90 Loader
DAILY TOT AL COST
Total Days
Used
Cost per
day
72.25 $
90.00 $
116.00 $
Cost
36.13
90.00
Total Equipment Cost:
Labor
Equipment
Subtotal
20% Mark Up
Total Daily Cost
Off-Site Sediment Removal Cost Summary
Change Order 16
10/3/2003
$126.13
$307.52
$126.13
$433.65
$86.73
$520.37
Resume remediation on west side discrete areas. Haul excavated spoils to staging
area on Pad 4. Now approx. 65% complete on this area. East area still at
75% complete.
$1 ,871 .24
$655.41
$2,526.65 (Not to exceed $5,655)
Total Hours
Worked
1
1
4
5
Total Days
Used
Hourly Hourly
Labor Travel/Lodg.
$47.25 $11 .08
$22.31 $11.08
$15.04 $11.08
$20.38 $11 .08
Total Labor Cost:
Cost per
day
72.25 $
90.00 $
116.00 $
Cost
36.13
90.00
Hourly
Per Diem
$6.05
$6.05
$6.05
$6.05
Total Equipment Cost:
Labor
Equipment
Subtotal
20% Mark Up
Total Daily Cost
Cost
$64.38
$39.44
$128.68
$187.55
$420.05
$126.13
$420.05
$126.13
$546.18
$109.24
$655.41
Date
Work Done
Previous Cost
Today's Cost
Total Cost
DAILY LABOR COST
Cost Item
Dave Ditcher
Albert Scott
Delmar King
DAILY EQUIPMENT COST
Cost Item
Case 580
Bobcat
L90 Loader
DAILY TOT AL COST
Off-Site Sediment Removal Cost Summary
Change Order 16
9/29/2003
The east and west areas were walked and flagged with John Funk.
The chain link and silt tenses by the north sed basin were opened to
gain access to the West area. About 75% of the west area remediation
was completed.
$0.00
$588.70
$588.70 (Not to exceed $5,655)
Total Hours
Worked
3
7
Total Days
Used
1:
Hourly
Labor
$47.25
$20.38
$15.04
Cost per
day
72.25
90.00
116.00
Hourly Hourly
Travel/Lodg. Per Diem
$11.08 $6.05
$11 .08 $6.05
$11 .08 $6 .05
Total Labor Cost:
Cost
$ 72.25
$
$
Total Equipment Cost:
Labor
Equipment
Subtotal
20% Mark Up
Total Daily Cost
Cost
$193.14
$0.00
$225.19
$418.33
$72.25
$418.33
$72.25
$490.58
$98.12
$588.70
North Carolina
Deparbnent of Environment and Natural Resources
Division of Waste Management
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Dexter R. Matthews, Director
September 29, 2003
Mr. Gary Duke, P.E.
Shaw Environmental & Infrastructure
200 Horizon Center Blvd.
Trenton, NJ 08691-1904
Reference: Off-Site Sediment Removal
Change Order No. 16
Warren County Landfill PCB Detoxification
NCSCO ID #010440101A
Dear Mr. Duke:
The State of North Carolina, Department of Environment and Natural Resources (the State) herein
authorizes Shaw Environment & Infrastructure, Inc. (Shaw) to remove accumulated sediments from two
drainage features located north of the Warren County PCB Landfill. The two drainage features and
extent of sediment removal is generally shown on an aerial photograph prepared by Earth Tech titled
"Sediment Removal Areas." Prior to proceeding with sediment removal, Earth Tech and Shaw personnel
will flag the areas where sediment will be removed. Shaw shall then mobilize suitable equipment to
remove accumulated sediments up to a depth of 2 inches from the two drainage features and transport the
sediments to the PCB landfill for disposal. The work shall be performed in accordance with Shaw's
proposal dated September 24, 2003, and the work will be paid on a time and material basis not to exceed
$5,655.00 without written authorization from the State. The work shall be completed within two weeks
from the date of this authorization.
Sincerely,
'y)~/4-~
Patricia M. Backus, P.E.
PCB Landfill Project Manager
cc: Mike Kelly, DENR -DEH
Jim Cloonan, Earth Tech
John Funk, Earth Tech
1646 Mail Service Center, Raleigh, North Carolina 27699-1646
Phone: [phone] \ FAX: [phone] \ Internet: www.enr.state.nc.us
AN EQUAL OPPORTUNITY \ AFFIRMATIVE ACTION EMPLOYER -50% RECYCLED / 10% POST CONSUMER PAPER
REQUEST FOR EXCEPTION TO CONTRACT RE# SlDjt ot ol/ If {)t o t ft
1. Project Title: Warren County PCB Landfill Detoxification (CO#16)
2. Division: Waste Management
3. Source of Funds: Appropriations: Receipts:
Federal: Match Required:
4. Budget Codes: GL Company: 1604 GL Account: 53-2199 GL Center: 4845
5. Is there a deadline for obligation of these funds? If so, date: _______ _ No ✓
6. Type of contract requested : Contract for Services ___________ _
Award of DENR Grant Funds _________ _
Amendment to existing contract/grant ____ ✓ __ _
7. Proposed Vendor/Recipient: __ ~S_h_a_w_E_n_v_i_ro~n_m_e=n~t~a_l &~l~nf~ra=s=t~ru~c~t=ur~e'----------------
8. Summary of work/activities to be performed under this contractual arrangement:
During the detoxification of the PCB Landfill it was discovered that a portion of the clay cap was contaminated
with PCBs. The cap had been stockpiled at the north end of the site and some of it had been washed offsite
during rainfall events before the discovery. The limit on the concentration per the EPA Region 4 TSCA approval
is 1.0 ppm PCBs. Material that was above that concentration was removed by Shaw under a written approval.
Cost is based on time and materials.
9. Justification of Need for Contract:
A) Was this vendor selected through a competitive process? ✓Yes ___ No ___ Will Be
B) Explanation of why this work cannot be performed within the resources of the DENR Agency:
DENR does not have the equipment, staff, or expertise to operate a soil remediation facility.
C) Is there a State Agency/University that could perform this work? __ Yes ✓No
D) If Yes, provide a list of those agencies:
E) Contacts made to determine the ability of other state agencies/universities to perform this work (name of
contact, agency, telephone number and response):
None
F) If not utilizing another state agency/university, state the reason:
Same as 9 (B).
G) Calculation of available funding for this contract. Include amount available and amount previously
obligated/approved to be obligated:
Funds to cover amendment will be from savings due to state purchase of fuel.
SUBMITTED BY:\;?d ~ Phone: [phone] x308 Date: 11/05./03 ~;;t:~:::;on for questions regarding thisry: T,~Pat :~
~ Disapproved ,,.,2d&~~ .... ~--'-"""/M-1--,..-1<''-ht._.~ .... ---~,---Division Directo~ -~:? . ·:;,; A,~;~~-,.-i:.~ r¥'·,
Phone: [phone] x308
------+--------BPA _/(#_,,,____,..,~ ..... ------lo'----------Chief Deputy
Approved Disapproved
~ Disapproved NOV ti ~0uS
Date Transmitted to Purchase and Services: _____________ _
FORM 2800
AGREEMENT INFORMATION & CONTRACT BUDGET
ENCUMBRANCE
DENR DIVISION OF PURCHASE AND SERVICES
1. PARTIES TO THIS AGREEMENT
A B.
ASSIGNED BY PURCHASE & SERVICE
*DENR CONTRACT NO: SCO# 010440101A
*PURCHASE ORDER NO:
REVISION NO: C0#16
~---------------------------DENR Division of:
Waste Management
Division Section
Division
Address (MSC#, City, State, Zip)
1646 Mail Service Center
Ralei h NC 27699-1646
Division Contract Administrator
Patricia M. Backus, P.E.
Division Director/Authorized Agent
Telephone No.
[phone] X 308
Date
Contractor (Name Contract Issued To:)
Shaw Environmental & Infrastructure
I.R.S. Number or Social Security Number
753044680 I
Check if Applicable
_ Private and/or
Non-Profit
Address (to which checks will be mailed) Wire Transfer
U.S.Bank, (Wire Transfer) ABA# 08100021 O Acct# -152302010748
(City, State, Zip)
St Louis, MO 63195-6786
Please check one of the following:
African American owned Woman owned _Handicapped owned
_ Hispanic owned _Other minority owned ✓ None of the above
Contractor Contact Person/Key Personnel:
Gary W. Duke, P.E. I
Telephone Number
[phone]
3. DIVISION CONTRACT COORDINATOR: __ B-'re_n-=-d~a_R_iv-'e_rs~--------PHONE NO: --~(-'-91-'9C4)-'-7-=-3-'-3-...:4-=-99~6~x...:2~0...:4 __ _
4. FISCAL YEAR: FY 03-04 --------------
5. START DATE: ___ ...:M=a"-'rc""'h'-1""'3:.i..::2:.;:;0-=-0-=-1 ________ (Contractor cannot begin work until contract is executed by DENRJ
6. TERMINATION DATE: October 24 2003 (Limit to time required; contract cannot exceed 3 years)
7. CURRENT CONTRACT AMOUNT: __ __,$'""'"1"""3'-'4-=-8..:..4'-'.4=25~.-=-97'-----------------------------
8. *AMENDMENT AMOUNT: __ ~$_5~1=2~93~·-=-3-=-0 ___ (/ndicate Previously Assigned Contract No. & PO in appropriate block ABOVE)
9. REVISED CONTRACT TOTAL : $ ___ -'$-'1_3~A_8_9~J_1_9_.2_7 ________ ~(0riginal Amount+ Amendment Increase/Decrease)
10. UN ENCUMBRANCE (Balance remaining in Contract that will not be paid to Contractor): $ _________________ _
11. ITEM DESCRIPTION 12. DENR CONTRACT AMOUNT
Contract Purpose/Brief Narrative: (Estimate of Expenditures each FY if multiple
. year contract)
Detoxification of the Warren County PCB Landfill.
Change Order #15 is a lump sum cost for the removal of material outside of the project Add Line item 24 = $5,293.30
boundary which had a concentration greater than allowed by EPA TSCA (Offsite sediment removal)
13.
CFDA CODE: (Catalog of Federal Domestic Assistance Code, if applicable)
14.
GL COMPANY: 1604 GL ACCT: 53-2199 GL CENTER 4845
15
Federal Funds State Funds Contractor Match Other Funds TOTAL PROJECT COST
$ $ 13,489,719.27 $ $ $ 13,489,719.27
16.
o(visionBudget Officer (Mandatory Signature)
11 / (:, /o3
Date
I
I
North Carolina
Department of Environment and Natural Resources
Division of Waste Management
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Dexter R. Matthews, Director
September 29, 2003
Mr. Gary Duke, P.E.
Shaw Environmental & Infrastructure
200 Horizon Center Blvd.
Trenton, NJ 08691-1904
Reference:
Dear Mr. Duke:
Off-Site Sediment Removal
Change Order No. 16
Warren County Landfill PCB Detoxification
NCSCO ID #010440101A
E;l\. -·~ rm ,,;, , ____ _
NCDENR
The State of North Carolina, Department of Environment and Natural Resources (the State) herein
authorizes Shaw Environment & Infrastructure, Inc. (Shaw) to remove accumulated sediments from two
drainage features located north of the Warren County PCB Landfill. The two drainage features and
extent of sediment removal is generally shown on an aerial photograph prepared by Earth Tech titled
"Sediment Removal Areas." Prior to proceeding with sediment removal, Earth Tech and Shaw personnel
will flag the areas where sediment will be removed. Shaw shall then mobilize suitable equipment to
remove accumulated sediments up to a depth of 2 inches from the two drainage features and transport the
sediments to the PCB landfill for disposal. The work shall be performed in accordance with Shaw's
proposal dated September 24, 2003, and the work will be paid on a time and material basis not to exceed
$5,655.00 without written authorization from the State. The work shall be completed within two weeks
from the date of this authorization.
Sincerely,
y)~~-~
Patricia M. Backus, P.E.
PCB Landfill Project Manager
cc: Mike Kelly, DENR -DEH
Jim Cloonan, Earth Tech
John Funk, Earth Tech
1646 Mail Service Center, Raleigh, North Carolina 27699-1646
Phone: [phone] \ FAX: [phone] \ Internet: www.enr.state.nc.us
AN EQUAL OPPORTUNITY \ AFFIRMATIVE ACTION EMPLOYER-50% RECYCLED / 10% POST CONSUMER PAPER
OC-24 rev. 9-88
INSTITUTION: ,;
PROJECT:
ST A TE CODE & ITEM :
CONTRACT FOR:
CONTRACTOR:
NCDENR
STATE CONSTRUCTION OFFICE
CHANGE ORDER NO. 1.I
Warren County PCB Landfill Detoxification
ID#: 010440101A
BCD Detoxification
Shaw Environmental & Infrastructure, Inc.
X OR Owner Request
D CR Contractor Request D DR Designer Request
D CC Concealed Condition D DE Design Error
D DO Design Omission \il l3 14 □ SC Schedule Ch \ ..A I$ lo □ OTOther o-..~ ~ ~ "" N ✓.;, 200 Horizon Center Blvd, Trenton, NJ 08691-1904 "'-a,, er
V 2003 .;
Under the terms of the Contract and without invalidating the original provisions thereof, the following ch CO e i?:cJfJof<lAf[ ~
authorized for the change in contract amount herein set forth: (Description of change order attached) -d" NSfRUCTfon• .~
rt' OFFICE •~ "
Increase line item #20 for fuel adjustment change order for fuel to be supplied directly by state per "Letter eement lor
Supply of Fuel". Increase is to reflect final actual contract quantities. /t')" r,,, ... -'
The time of completion including previous orders is 956 calendar days and shall be unchanged by Q calendar days ·by this
change order, for a revised contract date of completion of October 24, 2003.
CONTRACT COST SUMMARY
1. Original Contract Amount
2. Amt. Of Previous Orders
3. Amt. Of This Order:
ADD
ADD
$ 7,217,094.55 Deduct
$ 0.00 Deduct
$385,375.28
$252,865.62
TOTALS
$6,658,000.00
4. Total additions lines 2 &3 $7,217,094.55 Minus Total Deducts: $638,240.90 $6,578,853.65
(Line 4 shall show the net amount to be added or (deducted) from the contract amount.)
5. Revised Contract Total Amount
6. The Owner certifies that the contingency fund balance after this change is
$13,236,853.65
$
Fill in one copy only
I certify that my Bonding Company will be notified forthwith that my contract has been increased by the amount of this
change order, and that a copy of the approved change order will be mailed upon receipt by me to my surety.
_S_h_a_w_E_n_vi_ro_n_m_e_n_ta_l_&_l_n_fr_a_st_ru_c_tu_r_e~, l_n_c_. __ By:
(Contractor)
~~~~
200 Horizon Center Blvd
Trenton, NJ 08691-1904
Earth Tech By:
(Designer)
_N_C_D_E_N_R~,_D_iv_of_W_a_st_e_M_a_n_a_g~e_m_e_n_t ___ By:
(Owner)
Gary W. Duke, P.E.
Project Manager
'kl d,AJ
_S_t_a_te_C_o_n_s_tr_u_ct_io_n_O_ffi_1c_e ________ ~;~
-----------------By:
Other approving Agency (if needed)
DISTRIBUTION: 1 original to State Construction
1 original to Owner
1 original to Board or Commission (if any)
1 original to Designer
1 original to Contractor
1 original to Surety
(Date)
(Date)
I (Date)
-QPrc!J
(Date)
(Date)
REQUEST FOR AUTHORIZATION TO CHANGE
DAT,E: October 28, 2003 STATE CODE: SCO#010440101A
REQUEST NO.: 17
NCDENR
Earth Tech
PROJECT NAME: Warren County PCB Landfill
OWNER: CONTRACTOR: Shaw Environmental & Infrastructure, Inc.
DESIGNER: CONTRACT FOR: BCD Detoxification
DESCRIPTION OF CHANGE:
Increase line item #20 for fuel adjustment change order for fuel to be supplied directly by state per "Letter
Agreement for Supply of Fuel". Increase is to reflect final actual contract quantities.
No change in schedule.
REASON FOR CHANGE:
Increase contract quantity to cover actual quantity of fuel supplied by state.
SUMMARY REVIEW OF CONTRACTOR'S ESTIMATE FOR TIME AND COST: (Attach Contractor's detailed cost breakdown of labor
and materials).
Increase line 20 -"Credit for fuel purchased by state"
Total change order value:
DESIGNER SUMMARY:
1. Schedule items affected by this change: None
CREDIT
CREDIT
2. Can Contractor mitigate the change without requiring a contract time extension? Yes
-$252,865.62
-$252,865.62
3. Will the change require a contract lime extension for other contractors? No Which? n/a
4. Are additional costs indicated by reason of the time extension? No If so they must be included in 5 & 6 Below.
CONTRACTOR'S ESTIMATE DESIGNER'S ESTIMATE
5. Estimated cost of change: _-..:..$2-'5;_2..:..,8;...c6...;;.5~.6..;;c2 ______ _
6. Estimated time extension field cost (if any) _N_/a __________ _
DESIGNER RECOMMENDATION AND CERTIFICATION:
I certify that I have reviewed all aspects of this change order and have determined that it is in the best interest of the owner to have the
work accomplished. I have also determined that the cost and lime allotment are fair and equitable, and I recommend acceptance by the
owner.
Approved by: _.,..U~_· __ d_-~wJ~· _____ Date:
0 pr b) f-\-5.r-Title:
STATE OF NC FUEL DELIVERY LOG TO MIDWEST SOIL REMEDIATION Cost for load at Running total backup DENR/Shaw of DENR/Shaw data line Date Order Date Delivery Quantity Date Quantity price of price -by # Placed Requested Ordered Delivered Delivered $1.008/gal month 2 05/29/03 05/30/03 7,500 05/30/03 7,501 $7,561.01 $7,561.01 3 05/29/03 05/31/03 7,500 05/31/03 7,504 $7,564.03 $15,125.04 CUTOFF FOR END OF MAY BILLING BY SHAW AND MSR 5 05/29/03 06/02/03 7,500 06/02/03 7,501 $7,561.01 $7,561.01 6 06/02/03 06/03/03 7,500 06/03/03 7,499 $7,558.99 $15,120.00 7 06/02/03 06/04/03 7,500 06/04/03 7,500 $7,560.00 $22,680.00 8 06/02/03 06/06/03 7,500 06/06/03 7,504 $7,564.03 $30,244.03 9 06/02/03 06/07/03 7,500 06/07/03 7,498 $7,557.98 $37,802.02 10 06/05/03 06/07/03 6,000 06/07/03 6,001 $6;049.01 $43,851,02 11 06/02/03 06/09/03 7,500 06/09/03 7,503 $7,563.02 $51,414.05 12 06/02/03 06/10/03 7,500 06/10/03 7,495 $7,554.96 $58,969.01 13 06/09/03 06/12/03 7,700 Cancelled 6/10 16:30 $0.00 $58,969.01 14 06/09/03 06/13/03 7,700 Cancelled 6/10 16:30 $0.00 $58,969.01 15 06/09/03 06/14/03 7,700 06/14/03 6,000 $6,048.00 $65,017.01 16 06/09/03 06/16/03 7,700 06/16/03 7,501 $7,561.01 $72,578.02 17 06/09/03 06/17/03 7,700 06/17/03 7,698 $7,759.58 $80,337.60 18 06/16/03 06/18/03 7,700 06/18/03 7,702 $7,763.62 $88,101.22 19 06/16/03 06/20/03 7,700 06/20/03 7,651 $7,712.21 $95,813.42 20 06/16/03 06/21/03 7,700 06/21/03 7,700 $7,761.60 $103,575.02 21 06/16/03 06/23/03 7,700 06/23/03 7,701 $7,762.61 $111,337.63 22 06/16/03 06/24/03 7,700 06/24/03 7,700 $7,761.60 $119,099.23 23 06/23/03 06/25/03 7,000 06/25/03 7,000 $7,056.00 $126,155.23 24 06/23/03 06/26/03 6,000 Cancelled 6/25 08:30 $0.00 $126,155.23 25 06/23/03 06/27/03 6,000 Cancelled 6/25 08:30 $0.00 $126,155.23 26 06/23/03 06/28/03 6,000 06/28/03 7,700 $7,761.60 $133,916.83 27 06/23/03 06/30/03 7,700 06/29/03 7,701 $7,762.61 $141,679.44 CUTOFF FOR END OF JUNE BILLING BY SHAW AND MSR 29 06/23/03 07/01/03 7,700 07/01/03 7,701 $7,762.61 $7,762.61 30 06/30/03 07/02/03 7,700 07/02/03 7,705 $7,766.64 $15,529.25 31 06/30/03 07/03/03 6,000 07/03/03 5,999 $6,046.99 $21,576.24 32 06/30/03 07/05/03 6,000 .Cancelled 7/4 08:00 $0.00 $21,576.24 33 06/30/03 07/05/03 6,000 .Cancelled 7/4 08:00 $0.00 $21,576.24 34 06/30/03 07/07/03 7,700 Cancelled 7/4 08:00 $0.00 $21,576.24 35 06/30/03 07/08/03 7,700 Cancelled 717 09:45 $0.00 $21,576.24 2107B-1118-2180-51600 Page 1 DENR / Shaw NOTES Shaw credit to DENR for May= $15,125.04 this was supplemental order placed 6/5 Cancelled by PB due to 6/10-11 shutdown Cancelled by PB due to 6/10-11 shutdown Quantity revised by PB 6/10 Cancelled by PB due to 6/25-27 shutdown Cancelled by PB due to 6/25-27 shutdown Increased order from 6,000 to 7,700 gal 6/27 6/30 order delivered 6/29 at vendor's request Shaw credit to DENR for June= $141,679.44 Cancelled by PB due to 7/2-7 shutdown Cancelled by PB due to 7/2-7 shutdown Cancelled by PB due to 7/2-7 shutdown Cancelled by PB due to 7/2-7 shutdown FuelLogState 101103 FINAL as sent DENR
backup data line Date Order Date Delivery Quantity # Placed Requested Ordered 36 07/07/03 07/09/03 7,700 37 07/07/03 07/10/03 7,700 38 07/07/03 07/11/03 6,000 39 07/07/03 07/12/03 6,000 40 07/07/03 07/14/03 7,700 41 07/07/03 07/15/03 7,700 42 07/14/03 07/16/03 7,700 43 07/14/03 07/17/03 7,700 44 07/14/03 07/18/03 6,000 45 07/14/03 07/19/03 6,000 46 07/14/03 07/21/03 7,700 47 07/14/03 07/22/03 7,700 48 07/21/03 07/23/03 6,000 49 07/21/03 07/24/03 6,000 50 07/21/03 07/25/03 6;000 51 07/21/03 07/26/03 6,000 52 07/21/03 07/28/03 7,700 53 07/21/03 07/29/03 7,700 54 07/28/03 07/30/03 6,000 55 07/28/03 07/31/03 6,000 STATE OF NC FUEL DELIVERY LOG TO MIDWEST SOIL REMEDIATION Cost for load at Running total DENR/Shaw of DENR/Shaw Date Quantity price of price -by Delivered Delivered $1.008/gal month 07/09/03 7,700 $7,761.60 $29,337.84 07/10/03 7,703 $7,764.62 $37,102.46 07/11/03 6,005 $6,053.04 $43,155.50 07/12/03 6,001 $6,049.01 $49,204.51 07/14/03 7,698 $7,759.58 $56,964.10 Cancelled 7/14.09:45 $0.00 $56,964.10 07/16/03 7,690 $7,751.52 $64,715.62 07/17/03 7,698 $7,759.58 $72,475.20 07/18/03 5,999 $6,046.99 $78,522.19 07/19/03 6,005 $6,053.04 $84,575.23 07/21/03 7,700 $7,761.60 $92,336.83 Cancelled 7/22 09:45 $0.00 $92,336.83 cancelled 1122 09:30 $0.00 $92,336.83 07/24/03 6,005 $6,053.04 $98,389.87 07/25/03 7,706 $7,767.65 $106,157.52 07/26/03 6,006 $6,054.05 $112,211.57 07/28/03 7,698 $7,759.58 $119,971.15 Cancelled 7/28 10:20 $0.00 $119,971.15 07/30/03 5,999 $6,046.99 $126,018.14 07/31/03 5,999 $6,046.99 $132,065.14 CUTOFF FOR END OF JULY BILLING BY SHAW AND MSR 57 07/28/03 08/01/03 6,000 08/01/03 6,004 $6,052.03 $6,052.03 58 07/28/03 08/02/03 7,700 08/02/03 6,004 $6,052.03 $12,104.06 59 07/28/03 08/04/03 SEE LINE 84 $0.00 $12,104.06 60 07/28/03 08/05/03 7,700 Cancelled 8/415:00 $0.00 $12,104.06 61 08/04/03 08/06/03 6,000 08/06/03 6,000 $6,048.00 $18,152.06 62 08/04/03 08/07/03 6,000 08/07/03 6,000 $6,048.00 $24,200.06 63 08/04/03 08/08/03 6,000 08/08/03 5,999 $6,046.99 $30,247.06 64 08/04/03 08/09/03 6,000 08/09/03 6,005 $6,053.04 $36,300.10 65 08/04/03 08/11/03 7,700 08/11/03 7,699 $7,760.59 $44,060.69 66 08/04/03 08/12/03 7,700 08/12/03 7,701 $7,762.61 $51,823.30 67 08/11/03 08/13/03 6,000 Cancelled 8/12 08:00 $0.00 $51,823.30 68 08/11/03 08/14/03 6,000 08/14/03 6,028 $6,076.22 $57,899.52 69 08/11/03 08/15/03 6,000 08/15/03 6,000 $6,048.00 $63,947.52 2107B-1118-2180-51600 Page 2 DENR / Shaw NOTES Cancelled by PB due to 7 /14 shutdown Cancelled by PB due to 7/21-22 shutdown Cancelled by PB due to 7/21-22 shutdown Increased order from 6,000 to 7,700 gal 7/23 Increased to 7,700 gal 7/23, back to 6,000 7/25 Cancelled by PB due to 7 /27-28 shutdown Shaw credit to DENR for July= $132,065.14 Decreased order from 7,700 8/1 by Bill G Missed in Aug, bill in Sept, see line 84 Cancelled by Bill, MSR down at noon 8/4 Cancelled by Bill, MSR down Increased to 7,700 gal 8/13, back to 6,000 8/14 FuelLogState 101103 FINAL as sent DENR
backup data line Date Order Date Delivery Quantity # Placed Requested Ordered 70 08/11/03 08/16/03 6,000 71 08/11/03 08/18/03 7,700 72 08/11/03 08/19/03 7,700 73 08/18/03 08/20/03 6,000 74 08/18/03 08/21/03 6,000 75 08/18/03 08/22/03 6,000 76 08/18/03 08/23/03 7,700 77 08/18/03 08/25/03 7,700 78 08/18/03 08/26/03 7,700 79 08/25/03 08/27/03 6,000 80 08/25/03 08/28/03 6,000 81 08/25/03 08/29/03 6,000 82 08/25/03 08/30/03 6,000 STATE OF NC FUEL DELIVERY LOG TO MIDWEST SOIL REMEDIATION Cost for load at Running total DENR/Shaw of DENR/Shaw Date Quantity price of price -by Delivered Delivered $1.008/gal month Cancelled 8/15 09:50 $0.00 $63,947.52 Gancelled 8(15 09:50 $0.00 $63,947.52 08/19/03 7,701 $7,762.61 $71,710.13 Cancelled•8/19 10:45 $0.00 $71,710.13 08/21/03 6,001 $6,049.01 $77,759.14 08/22/03 6,001 $6,049.01 $83,808.14 08/23/03 6,000 $6,048.00 $89,856.14 08/25/03 7,700 $7,761.60 $97,617.74 08/26/03 7,724 $7,785.79 $105,403.54 08/27/03 6,003 $6,051.02 $111,454.56 Cancelled 8/2715:45 $0.00 $111,454.56 08/29/03 7,728 $7,789.82 $119,244.38 08/30/03 7,700 $7,761.60 $127,005.98 CUTOFF FOR END OF AUGUST BILLING BY SHAW AND MSR 84 07/28/03 . 08/04/03 7,700 08/04/03 · 7,704 $7,765.63 ···• $7;765:63 85 08/25/03 09/01/03 7,700 09/01/03 7,699 $7,760.59 $15,526.22 86 08/25/03 09/02/03 6,000 09/02/03 7,632 $7,693.06 $23,219.28 87 09/02/03 09/04/03 6,000 09/04/03 6,008 $6,056.06 $29,275.34 88 09/02/03 09/05/03 7,700 09/05/03 7,701 $7,762.61 $37,037.95 89 09/02/03 09/06/03 7,700 09/06/03 6,004 $6,052.03 $43,089.98 90 09/02/03 09/08/03 6,000 09/08/03 6,004 $6,052.03 $49,142.02 91 09/02/03 09/09/03 6,000 09/09/03 5,999 $6,046.99 $55,189.01 92 09/08/03 09/10/03 6,000 09/10/03 6,002 $6,050.02 $61,239.02 93 09/08/03 09/11/03 6,000 09/11/03 6,004 $6,052.03 $67,291.06 94 09/08/03 09/12/03 6,000 09/12/03 6,007 $6,055.06 $73,346.11 95 09/08/03 09/13/03 7,700 09/13/03 6,000 $6,048.00 $79,394.11 96 09/08/03 09/15/03 6,000 09/15/03 6,000 $6,048.00 $85,442.11 97 09/08/03 09/16/03 6,000 09/16/03 6,002 $6,050.02 $91,492.13 98 09/15/03 09/17/03 6,000 09/17/03 6,005 $6,053.04 $97,545.17 99 09/15/03 09/18/03 6,000 09/18/03 6,009 $6,057.07 $103,602.24 100 09/15/03 09/19/03 6,000 Cancelled $0.00 $103,602.24 101 09/15/03 09/20/03 6,000 Cancelled $0.00 $103,602.24 102 09/15/03 09/22/03 6,000 09/22/03 6,004 $6,052.03 $109,654.27 103 09/15/03 09/23/03 6,000 09/23/03 6,006 $6,054.05 $115,708.32 2107B-1118-2180-51600 Page 3 DENR / Shaw NOTES Cancelled by Bill, MSR down Cancelled by Bill, MSR down Cancelled by Bill, MSR down Decreased order from 7,700 8/22 by Bill G Cancelled by Bill, MSR down Increased to 7,700 gal 8/27 Increased to 7,700 gal 8/27 Shaw credit to DENR for Aug= $127,005.98 Missecl'in"Aug; bill in Sept, see line:59 .... Decreased order from 7,700 9/5 by Bill G Decreased order from 7,700 9/12 by Bill G Cancelled by Dave Ditcher ale Isabel Cancelled by Dave Ditcher ale Isabel Fuel Log State 101103 FINAL as sent DENR
STATE OF NC FUEL DELIVERY LOG TO MIDWEST SOIL REMEDIATION Cost for load at Running total backup DENR/Shaw of DENR/Shaw data line Date Order Date Delivery Quantity Date Quantity price of price -by # Placed Requested Ordered Delivered Delivered $1.008/gal month 104 09/23/03 09/24/03 6,000 09/24/03 6,000 $6,048.00 $121,756.32 105 09/23/03 09/25/03 6,000 09/25/03 5,998 $6,045.98 $127,802.30 106 09/23/03 09/26/03 6,000 09/26/03 6,004 $6,052.03 $133,854. 107 09/23/03 09/27/03 7,700 09/27/03 7,700 $7,761.60 $141,615.94 108 09/23/03 09/29/03 6,000 09/29/03 6,005 $6,053.04 $147,668.98 109 09/23/03 09/30/03 6,000 09/30/03 6,000 $6,048.00 CUTOFF FOR END OF SEPT BILLING BY SHAW AND MSR 111 09/29/03 10/01/03 6,000 10/01/1__ -, DENR / Shaw NOTES 112 09/29/03 10/02/03 6,000 Cancelled 10/1 8:0u 113 09/29/03 10/03/03 6,000 10/03/03 6, 0.00 ,w-.u41Cancelled by Bill G. MSR down $12,104.06 114 09/29/03 10/04/03 7,700 10/04/03 7,860, 115 09/29/03 10/06/03 6,000 10/06/03 6,015 116 09/29/03 10/07/03 6,000 10/07/03 6,004 117 10/06/03 10/08/03 6,000 10/08/03 6,001, 118 10/06/03 10/09/03 6,000 10/09/03 6,010 119 10/06/03 10/10/03 6,000 10/10/03 6,000 120 10/06/03 10/11 /03 7,700 10/11 /03 6,000 121 10/06/03 10/12/03 6,000 Cancell~d,10/10 122 10/06/03 10/13/03 6,000 Cancel.led 10/10 123 10/06/03 10/14/03 6,000 Cancelled 10/10 CUTOFF FOR END OF OCT BILLING BY SHAW AND MSR $7,922.88 $6,063.12 $6,052.03 $6,049.01 $6,058.08 $6,048.00 $6,048.00 $0.00 $0.00 $0.00 125 IGRAND TOTALS, BASED ON SITE TICKETS I 620,970 I $625,937.76 126 !CORRECTIONS TO FINAL TOTALS BASED ON FUEL VENDOR INVOICES $20,026.94 $26,090.06 $32,142.10 $38,191.10 $44,249.18 $50,297.18 $56,345.18 Decreased order from 7,700 10/10 by Bill G $56,345.18 Canceled 10/10 by Bill G, MSR to buy future $56,345.18 Canceled 10/10 by Bill G, MSR to buy future $56,345.18 Canceled 10/10 by Bill G, MSR to buy future Shaw credit to DENR for Oct= $56,345.18 127 DENR Fuel Purchase Log shows total of 620,969 gallons on tickets, but only 617,077 invoiced by DENR's fuel vendor after corrections made by 128 vendor after offloading undelivered fuel after trucks returned to terminal, make correction below to adjust Shaw total to match vendor invoices. 129 Adjust Shaw's 620,970 to vendor's 617,077 gal (3,893) -$3,924.14 130 GRAND TOTALS, BASED ON VENDOR INVOICES 617,077 $622,013.62 131 Credited by Shaw through Sept application #31 $573,592.58 132 October total adjusted Shaw credit to DENR 48,037 $48,421.04 133 Total previously authorized on CO #9 $369,148.00 134 Excess to be authorized on CO #17 $252,865.62 135 Dukefile: c:\mydocs\nclf\FuelLogState 101103 FINAL.xis 2107B-1118-2180-51600 Page 4 FuelLogState 101103 FINAL as sent DENR
DENA Fuel Purchases 'S ~~<;.~"i)~\-"I¼,.~ ~ c;l,.c:,-,. \ ~ x.~ ~..., ~ l'f'i' ~ lj'.) '-""'-v ~ ~L~'li;..~ Q.. ~ 9-.,i:>""l. t:.J-""( M~~~~~ Orders Reauested Actual DENR Shaw Savlnqs Delivery Quantity Cancel or Delivery Delivery Invoice Order No. Order Date Date Ordered Modifv Oat• Date Ticket Ouantitv Price Fuel CharQe Sales Tax Pum<>Charae Invoice Total Price Coat 1 5/29/2003 5/30/2003 7500 5/30/2003 7501 7479 0.7934 $5 933.84 $415.37 $30.00 $6 379.21 $1.008 $7 538.63 $1 159.62 2 5/29/2003 5/3112003 7500 5/3112003 7504 7485 0.7934 $5 938.60 $415.70 $30.00 $6 384.30 $1.008 $7,544.88 $1 160.58 3 5/2912003 612/2003 7500 612/3003 7501 7475 0.6341 $6,234.90 $436.44 $30.00 $6 701.34 $1.008 $7 534.80 $633.46 4 612/2003 61312003 7,500 61312003 7499 7475 0.7697 $5 753.51 $402.75 $30.00 $6186.25 $1.008 $7 534.80 $1 348.55 5 612/2003 614/2003 7 500 614/2003 7500 7475 0.7697 $5 753.51 $402.75 $30.00 $6186.25 $1.008 $7 534.80 $1 348.55 6 612/2003 61612003 7,500 61612003 7504 7474 0.7697 $5 752.74 $402.69 $30.00 $6185.43 $1.008 $7 533.79 $1 348.36 7 612/200' 617/2003 7 500 617/2003 7498 7465 0.7697 $5 745.81 $402.21 $30.00 $6178.02 $1.008 $7 524.72 $1 346.70 8 612/2003 619/2003 7500 619/2003 7503 7473 0.7697 $5 751.97 $402.64 $30.00 $6184.61 $1.008 $7 532.78 $1 348.18 9 612/2003 6110/2003 7500 6110/2003 7495 7458 0.7947 $5 926.87 $414.88 $30.00 $6 371.75 $1.008 $7 517.66 $1145.91 10 615/2003 617/2003 6000 617/2003 6001 5972 0.7697 $4 596.65 $321.77 $30.00 $4 948.41 $1.008 $6 019.78 $1 071.36 11 61812003 6112/2003 6110/2003 12 619/2003 611312003 6110/2003 13 619/2003 6114/2003 6000 6110/2003 6114/2003 6000 5964 0.7947 $4 739.59 $331.77 $30.00 $5101.36 $1.008 $6011.71 $910.35 14 619/2003 611612003 7700 611612003 7501 7465 0.7947 $5 932.44 $415.27 $30.00 $6 377.71 $1.008 $7,524.72 $1147.01 15 619/2000 6117/2003 7700 6117/2003 7698 7657 0.6341 $6,386.70 $447.07 $30.00 $6 863.77 $1.008 $7 718.26 $854.48 16 611612003 611812003 7700 611812003 7702 7664 0.6341 $6 392.54 $447.48 $30.00 $6870.02 $1.008 $7 725.31 $855.29 17 611612003 6120/2003 7700 6120/2003 7651 7613 0.6341 $6 350.00 $444.50 $30.00 $6824.50 $1.008 $7 673.90 $849.40 18 611612003 612112003 7700 612112003 7699 7663 0.6341 $6 391.71 $447.42 $30.00 $6 869.13 $1.008 $7 724.30 $855.18 19 611612003 612312003 7700 612312003 7701 7668 0.6341 $6 395.88 $447.71 $30.00 $6873.59 $1.008 $7729.34 $855.75 20 61161200: 6124/2003 7700 6124/2003 7700 7646 0.7913 $6 050.28 $423.52 $30.00 $6 503.80 $1.008 $7 707.17 $1 203.37 21 612312003 6125/2003 7000 612512003 7000 6959 0.7913 $5 506.66 $385.47 $30.00 $5 922.12 $1.008 $7014.67 $1 092.55 22 612312003 612612003 6125/2003 23 612312003 6127/2003 6125/2003 24 612312003 612812003 6000 6/2712003 612812003 7700 7648 0.7913 $6 051.86 $423.63 $30.00 $6 505.49 $1.008 $7 709.18 $1 203.69 25 612312003 6130/2003 7700 6129/2003 7701 7636 0.7913 $6042.37 $422.97 $30.00 $6 495.33 $1.008 $7697.09 $1 201.76 26 612312003 7/112003 7700 7/112003 7701 7649 0.8265 $6 321.90 $442.53 $30.00 $6 794.43 $1.008 $7 710.19 $915.76 27 6130/2003 7/2/2003 7700 712/2003 7705 7645 0.8265 $6 318.59 $442.30 $30.00 $6 790.89 $1.008 $7 706.16 $915.27 28 6130/2003 7/312003 6,000 71312003 5999 5962 0.8265 $4 927.59 $344.93 $30.00 $5 302.52 $1.008 $6009.70 $707.17 29 6130/2003 7/5/2003 7/4/2003 30 6130/2003 7/5/2003 7/4/2003 31 6130/2003 7/7/2003 7/4/2003 32 6130/2003 7/812003 7/7/2003 33 71712003 7/9/2003 7700 7/912003 7700 7646 0.6313 $6 356.12 $444.93 $30.00 $6 631.05 $1.008 $7 707.17 $876.12 34 7/7/2003 7/10/2003 7700 7/10/2003 7703 7644 0.6313 $6 354.46 $444.81 $30.00 $6829.27 $1.008 $7 705.15 $875.88 35 7/7/2003 7/11/2003 6000 7/11/2003 6005 5957 0.6313 $4 952.05 $346.64 $30.00 $5 328.70 $1.008 $6 004.66 $675.96 36 7/7/2 m 7/12/2003 6000 7112/2003 6001 5948 0.6313 $4944.57 $346.12 $30.00 $5 320.69 $1.008 $5 995.58 $674.89 37 7/7/2 n, 7/14/2003 7700 7/14/2003 7698 7636 0.6313 $6 347.81 $444.35 $30.00 $6 822.15 $1.008 $7 697.09 $874.93 38 7/7/200: 7/15/2003 7/14/2003 39 7/14/2003 7/1612003 7700 7/1612003 7690 7637 0.8513 $6501.38 $455.10 $30.00 $6,986.47 $1.008 $7 698.10 $711.62 40 7/14/2003 7/17/2003 7,700 7/17/2003 7698 7646 0.8513 $6 509.04 $455.63 $30.00 $6994.67 $1.008 $7 707.17 $712.50 41 7/14/2003 7/1812003 6000 7/1812003 5999 5957 0.8513 $5 071.19 $354.98 $30.00 $5 456.18 $1.008 $6,004.66 $548.48 42 7/14/2003 7/19/2003 6000 7/19/2003 6005 5961 0.8513 $5 074.60 $355.22 $30.00 $5 459.82 $1.008 $6008.69 $548.87 43 7/14/2003 7/21/2003 7700 7/21/2003 7700 7646 0.8513 $6 509.04 $455.63 $30.00 $6 994.67 $1.008 $7707.17 $712.50 44 7/14/2003 7/22/2003 7/2112003 45 7/21/2003 7/23/2003 7/22/2003 46 7/21/2003 7/24/2003 6000 7/24/2003 6005 5962 0.6340 $4 972.31 $348.06 $30.00 $5 350.37 $1,008 $6009.70 $659.33 47 7/21/2 7/25/2003 7700 7/2312001 7/25/2003 7706 7648 0.6340 $6 378.43 $446.49 $30.00 $6 854.92 $1.008 $7709.18 $854.26 48 7/21/2003 7/2612003 7700 712312003 7/2612003 6006 5963 0.6340 $4 973.14 $348.12 $30.00 $5 351.26 $1.008 $6010.70 $659.44 49 7/21/200: 7/2812003 7700 7/28/2003 7698 7646 0.6340 $6 376.76 $446.37 $30.00 $6 853.14 $1.008 $7707.17 $854.03 50 7/21/2003 7/29/2003 7/2812003 51 7/2812rYJ: 7/30/2003 6000 7/30/2003 5999 5958 0.8136 $4 847.43 $339.32 $30.00 $5 216.75 $1.008 $6 005.66 $788.92 52 7/2812r>I. 7/31/2003 6000 7/31/2003 5999 5956 0.8136 $4845.80 $339.21 $30.00 $5 215.01 $1.008 $6 003.65 $788.64 53 7/28/200 8/1/2003 6000 811/2003 6004 5932 0.8136 $4826.28 $337.84 $30.00 $5 194.12 $1.008 $5 979.46 $785.34 54 7/281200: 812/2003 6000 8/1/2003 812/2003 6004 5951 0.8136 $4841.73 $338.92 $30.00 $5 210.65 $1.008 $5998.61 $787.95 55 7/281= 814/2003 7700 814/2003 7704 7644 0.8136 $6219.16 $435.34 $30.00 $6684.50 $1.008 $7705.15 $1 020.65 56 7/2812003 815/2003 814/2003 57 814/200." 81612003 6000 81612003 6000 5956 0.8465 $5 041.75 $352.92 $30.00 $5 424.67 $1.008 $6003.65 $578.98 58 814/2•• 817/2003 6000 817/2003 6000 5954 0.8465 $5 040.06 $352.80 $30.00 $5 422.86 $1.008 $6001.63 $578.77 59 814/2003 81812003 6000 8/812003 5999 5951 0.8465 $5 037.52 $352.63 $30.00 $5 420.15 $1.008 $5 998.61 $578.46 60 814/2•• 819/2003 6000 819/2003 6005 5959 0.8465 $5 044.29 $353.10 $30.00 $5 427.39 $1.008 $6006.67 $579.28 61 814/2003 8111/2003 7700 8111/2003 7699 7642 0.8465 $6468.95 $452.63 $30.00 $6 951.78 $1.008 $7 703.14 $751.36 62 814/2003 8112/2003 7700 8/12/2003 7701 7643 0.8797 $6,723.55 $470.65 $30.00 $7 224.20 $1.008 $7704.14 $479.95 63 8111/2"' 811312003 8112/2003 64 8111/200'. 8114/2003 6000 8114/2003 6028 5980 0.8797 $5 260.61 $368.24 $30.00 $5 658.85 $1.008 $6 027.84 $368.99 65 8111/2003 8115/2003 6,000 8114/2003 8115/2003 6000 5951 0.8797 $5 235.09 $366.46 $30.00 $5 631.55 $1.008 $5 998.61 $367.06 pmb 10/2112003
~ DENA Fuel Purchases Orders Re uested Actual DENA Shaw Savin s Delivery Quantity Cancel or Delivery Delivery Invoice Order No. Order Date Date Ordered Modi Dal Date Ticket Quanti Price Fuel Char e Sales Tax Pum Char e Invoice Total Price Cost 66 8,/11/2003 8,/16,/2003 8,/15/2003 67 8,/11/2003 8,/18,/2003 8,/15/2003 68 8,/11/2003 8,/19/2003 7700 8,/19/2003 7701 7647 0.8501 $6,500.71 $455.05 $30.00 $6 985.76 $1.008 $7708.16 $722.41 69 8,/18,/2003 8,/20/2003 8,/19/2003 70 8,/21/2003 6000 8,/21/2003 6001 5952 0.8501 $5,059.60 $354.19 $30.00 $5 443.96 $1.008 $5 999.62 $555.64 71 8,/22/2003 6000 8,/22/2003 6001 5951 0.8501 $5 056.95 $354.13 $30.00 $5 443.07 $1.008 $5 996.61 $555.54 72 8,/23/2003 6000 8,/22/2003 8,/23/2003 6000 5951 0.8501 $5 056.95 $354.13 $30.00 $5 443.07 $1.008 $5 996.61 $555.54 73 8,/25/2003 7700 8,/25/2003 7700 7635 0.8501 $6,490.51 $454.34 $30.00 $6 974.85 $1.008 $7 696.08 $721.23 74 8,/26,/2003 7700 8,/26,/2003 7724 7667 0.6475 $6 497.79 $454.85 $30.00 $6 962.64 $1.008 $7 726.34 $745.70 75 8,/25/2 8,/27/2003 6000 8,/27/2003 6003 5950 0.6475 $5 042.63 $352.98 $30.00 $5 425.61 $1.008 $5 997.60 $571.99 76 8,/25/2 8,/28,/2003 8,/27/2003 77 8,/25/2 8,/29/2003 7700 8,/27/2003 8,/29/2003 7728 7658 0.6475 $6 490.16 $454.31 $30.00 $6 97♦.41' $1.008 $7 719.26 $744.60 78 8,/25/2 8,/30/2003 7700 8,/27/2003 8,/30/2003 7700 7635 0.6475 $6 470.66 $452.95 $30.00 $6 953.61 $1.008 $7 696.08 $742.47 79 8,/25/2 9/1/2003 7700 9/1/2003 7699 7637 0.6475 $6 472.36 $453.07 $30.00 $6 955.42 $1.008 $7 696.10 $742.67 60 8,/25/2 9/2/2003 6000 9/2/2003 7632 7632 0.8558 $6 531.47 $457.20 $30.00 $7016.67 $1.008 $7 693.06 $674.39 81 9/2/2 9/4/2003 6000 9/4/2003 6008 5960 0.8556 $5 100.57 $357.04 $30.00 $5 467.61 $1.008 $6007.68 $520.07 62 9/2/2 9/5/2003 7700 9/5/2003 7701 7642 0.8558 $6540.02 $457.60 $30.00 $7 027.63 $1.008 $7 703.14 $675.31 63 9/2/2 9/6,/2003 7700 9/6,/2003 6004 5971 0.8558 $5 109.96 $357.70 $30.00 $5 497.68 $1.008 $6016.77 $521.09 64 9/2/2 9/8,/2003 6000 9/8,/2003 6004 5963 0.8558 $5 103.14 $357.22 $30.00 $5 490.36 $1.008 $6010.70 $520.34 85 9/212 9/9/2003 6000 9/9/2003 5999 5953 0.6106 $4 625.50 $337.79 $30.00 $5193.29 $1.008 $6000.62 $607.34 86 9/8,/2 9/10/2003 6000 9/10/2003 6002 5963 0.6106 $4633.61 $338.35 $30.00 $5 201.96 $1.008 $6010.70 $606.74 87 9/8,/2 9/11/2003 6000 9/11/2003 6004 5971 0.6106 $4640.09 $338.81 $30.00 $5 208.90 $1.008 $6016.77 $609.67 86 9/8,/2 9/12/2003 6000 9/12/2003 6007 5971 0.6106 $4640.09 $338.81 $30.00 $5 208.90 $1.008 $6016.77 $609.67 89 9/8,/2003 9/13/2003 6000 9/12/2003 9/13/2003 6000 5962 0.6106 $4 632.60 $338.30 $30.00 $5 201.10 $1.008 $6009.70 $606.60 90 9/8,/2003 9/15/2003 6000 9/15/2003 6000 5962 0.8106 $4 632.80 $338.30 $30.00 $5 201.10 $1.008 $6009.70 $606.60 91 9/8,/2003 9/16,/2003 6000 9/16,/2003 6002 5955 0.8136 $4646.18 $339.23 $30.00 $5 215.41 $1.008 $6002.64 $787.23 92 9/15/2003 9/17/2003 6000 9/17/2003 6005 5972 0.6136 $4660.01 $340.20 $30.00 $5 230.21 $1.008 $6019.76 $789.56 93 9/15/2003 9/18,/2003 6,000 9/18,/2003 6009 5973 0.8136 $4 660.63 $340.26 $30.00 $5 231.09 $1.008 $6,020.76 $769.70 94 9/15/2003 9/19/2003 9/18,/2003 95 9/15/2003 9/20/2003 9/18,/2003 96 9/15/2003 9/22/2003 6000 9/22/2003 6004 5966 0.8136 $4 855.13 $339.86 $30.00 $5 224.99 $1.008 $6 013.73 $786.74 97 9/15/2003 9/23/2003 6000 9/23/2003 6006 5958 0.7566 $4 507.82 $315.55 $30.00 $4 853.37 $1.008 $6 005.66 $1152.29 98 9/22/2003 9/24/2003 6000 9/24/2003 6000 5962 0.7566 $4 510.85 $315.76 $30.00 $4856.61 $1.008 $6009.70 $1153.09 99 9/22/2003 9/25/2003 6000 9/25/2003 5998 5974 0.7566 $4 519.93 $316.40 $30.00 $4 866.33 $1.008 $6021.79 $1155.46 100 9/22/2003 9/26,/2003 6000 9/26,/2003 6004 5969 0.7566 $4 516.15 $316.13 $30.00 $4 862.26 $1.008 $6 016.75 $1154.46 101 9/22/2003 9/27/2003 7700 9/27/2003 7700 7662 0.7566 $5 797.07 $405.79 $30.00 $6 232.86 $1.008 $7723.30 $1 490.43 102 9/22/2003 9/29/2003 6000 9/29/2003 6005 5965 0.7566 $4513.12 $315.92 $30.00 $4 859.04 $1.008 $6012.72 $1153.68 103 9/22/2003 9/30/2003 6000 9/30/2003 6000 5969 0.7908 $4 720.29 $330.42 $30.00 $5060.71 $1.008 $6016.75 $936.05 104 9/29/2003 10/1/2003 6000 10/1/2003 6005 5979 0.7908 $4 728.19 $330.97 $30.00 $5 089.16 $1.008 $6026.63 $937.67 105 9/29/2 10/2/2003 10/1/2003 106 9/29/2003 10/3/2003 6000 10/3/2003 6003 5974 0.7908 $4 724.24 $330.70 $30.00 $5,064.94 $1.008 $6 021.79 $936.86 107 9/29/2003 10/4/2003 7700 10/4/2003 7660 7 0.7908 $6191.96 $433.44 $30.00 $6 655.40 $1.008 $7 892.64 $1 237.24 108 9/29/2003 10/6,/2003 6000 10/6,/2003 6015 5990 0.7908 $4 736.89 $331.58 $30.00 $5 098.47 $1.008 $6037.92 $939.45 109 9/29/2003 10/7/2003 6000 10/7/2003 6004 5977 0.6410 $5 026.66 $351.87 $30.00 $5 408.52 $1.008 $6 024.82 $616.29 110 10/6,/2003 10/8,/2003 6000 10/8,/2003 6001 5962 0.6410 $5 030.86 $352.16 $30.00 $5 413.02 $1.008 $6 029.86 $616.63 111 10/6,/2003 10/9/2003 6000 10/9/2003 6010 5964 0.6410 $5 032.54 $352.28 $30.00 $5 414.62 $1.008 $6 031.87 $617.05 112 10/6,/2003 10/10/2003 6000 10/10/2003 6000 5979 0.6410 $5 028.34 $351.98 $30.00 $5 410.32 $1.008 $6026.63 $616.51 113 10/6,/2003 10/11/2003 6000 10/10/2003 10/11/2003 6000 5980 0.6410 $5 029.18 $352.04 $30.00 $5411.22 $1.008 $6027.64 $616.62 114 10/6,/2003 10/13/2003 10/10/2 115 10/6,/2003 10/14/2003 10/10/200 TOTAL &20900 ~--:--:::-7 620 969 617077 ~ , .., f ~~ ,..,. , -.. ~ ---,--•c $544 734. 75 $l522 013.&2 $77 278.87 1 ~,, ~\~'->~lie pmb 10/2112003
REQUEST FOR EXCEPTION TO CONTRACT RE# SCott o ,eil../lf 0/0t?t-'
1. Project Title:
2. Division:
3. Source of Funds:
4. Budget Codes:
Warren County PCB Landfill Detoxification (CO#19)
Waste Management
Appropriations:~--------Receipts: -"---------------
Match Required: -"-----------Federal:
GL Company: 1604 GL Account: 53-2199 GL Center:_-----"4-"-84-'-5"'-----
5. Is there a deadline for obligation of these funds? If so, date: _______ _ No~
6. Type of contract requested: Contract for Services ___________ _
Award of DENR Grant Funds _________ _
Amendment to existing contract/grant ____ ✓ __ _
7. Proposed Vendor/Recipient: Shaw Environmental & Infrastructure
8. Summary of work/activities to be performed under this contractual arrangement:
The contractor purchased fuel directly the last week of operations. The contractor requested this in order to
avoid having fuel at the end of the job that couldn't be used . The contract treatment cost was tied to a base fuel
price. The cost of fuel purchased exceeded that base. Per the contract, Shaw is entitled to additional
compensation.
9. Justification of Need for Contract:
A) Was this vendor selected through a competitive process? ✓Yes ___ No ___ Will Be
B) Explanation of why this work cannot be performed within the resources of the DENR Agency:
DENR does not have the equipment, staff, or expertise to operate a soil remediation facility.
C) Is there a State Agency/University that could perform th is work? __ Yes ✓No
D) If Yes, provide a list of those agencies:
E) Contacts made to determine the ability of other state agencies/universities to perform this work (name of
contact, agency, telephone number and response):
None
F) If not utilizing another state agency/university, state the reason :
Same as 9 (B).
G) Calculation of available funding for this contract. Include amount available and amount previously
obligated/approved to be obligated :
Funds to cover amendment will come from savings due to the state purchase of fuel.
SUBMITTED BY: ~ X3~ Phone: [phone] x308 Date:_1"-'1"""/0"-5"'"'.'--'/0~3~--
Contact Person for questions regarding this contract: Pat Backus Phone: [phone] x308 Ae ::::::::::: Qt?) iL~:;:;on m,ecto, R~.' __ .c, : FD
~ Disapproved _1...,q.~~,,-;~,.,.~~----+.~,_/_, ________ Chief Deputy
Date Transmitted to Purchase and Services: _____________ _
FORM 2800
AGREEMENT INFORMATION & CONTRACT BUDGET
ENCUMBRANCE
DENR DIVISION OF PURCHASE AND SERVICES
1. PARTIES TO THIS AGREEMENT
ASSIGNED BYPURCHASE & SERVI "'
*DENR CONTRACT NO: SCO# 010440101A
*PURCHASE ORDER NO:
REVISION NO: CO#19
A. B .
DENR Division of: ..-----------------------------Contractor (Name Contract Issued To:)
Waste Management
Division Section
Division
Address (MSC#, City, State, Zip)
1646 Mail Service Center
Ralei h NC 27699-1646
Division Contract Administrator
Patricia M. Backus, P.E.
Division Director/Authorized Agent
Telephone No.
[phone] X 308
Date
3. DIVISION CONTRACT COORDINATOR: Brenda Rivers
Shaw Environmental & Infrastructure
I.R.S. Number or Social Security Number I Check if Applicable
753044680 _ Private and/or
Non-Profit
Address (to which checks will be mailed) Wire Transfer
U.S.Bank, (Wire Transfer) ABA#081000210 Acct#-152302010748
(City, State, Zip)
St. Louis, MO 63195-6786
Please check one of the following:
African American owned Woman owned _Handicapped owned
_ Hispanic owned _ Other minority owned ✓ None of the above
Contractor Contact Person/Key Personnel:
Gary W. Duke, P.E. I
Telephone Number
[phone]
---------------PHONE NO: --~(9_1_9~) _73_3_-4_9_9_6_x_20_4 __ _
4. FISCAL YEAR: __ ___;F_Y:......:;..03;:;..--=-0..;,.4 _____ _
5. START DATE: ___ -'M=ar'""c""h_1'""3'-'--"2""0""0"""1 ________ (Contractor cannot begin work until contract is executed by DENR)
6. TERMINATION DATE: November 10 2003 (Limit to time required; contract cannot exceed 3 years)
7. CURRENT CONTRACT AMOUNT: __ ~$_1-'-3~2-'-3~6~8-'-53~.-'-65 _______________________ _
8. *AMENDMENT AMOUNT: __ ~$_2~3_13_._5_6 ___ (/ndicate Previously Assigned Contract No. & PO in appropriate block ABOVE)
9. REVISED CONTRACT TOTAL: $ ___ ....,$'-"1..;:;3...,;,5:;..;:5""9"'-A..;..1;_4"".7;_7'--_______ ..... (Original Amount+ Amendment Increase/Decrease)
10. UNENCUMBRANCE (Balance remaining in Contract that will not be paid to Contractor): $ __________ _
11. ITEM DESCRIPTION I 12. DENR CONTRACT AMOUNT
Contract Purpose/Brief Narrative: (Estimate of Expenditures each FY if multiple
year contract)
Detoxification of the Warren County PCB Landfill.
Change order 19 is a fuel adjustment change order for fuel purchased by the Add line item 25 -Fuel adjustment for fuel
contractor during October, 2003, per provisions of the contract. purchased by contractor in October, 2003
= $2,313.56
13.
CFDA CODE: (Catalog of Federal Domestic Assistance Code, if applicable)
14.
GL COMPANY: 1604 GL ACCT: 53-2199 GL CENTER 4845
15
Federal Funds State Funds Contractor Match Other Funds TOTAL PROJECT COST
$ $ 13,559,414.77 $ $ $ 13,559,414.77
16.
Division Budget Officer (Mandatory Signature) Date
1 OC-24 rev. 9-88
INSTITUTION:
PROJECT:
STATE CODE & ITEM :
CONTRACT FOR:
CONTRACTOR:
NCDENR
STATE CONSTRUCTION OFFICE
CHANGE ORDER NO. 1§.
Warren County PCB Landfill Detoxification
ID#: 010440101A
BCD Detoxification
Shaw Environmental & Infrastructure, Inc.
200 Horizon Center Blvd, Trenton, NJ 08691-1904
D OR Owner Request
X CR Contractor Request
D DR Designer Request
D CC Concealed Condition D DE Design Error
D DO Design Omission
□ SC Schedule Change
□ OTOther
Under the terms of the-Contract and without invalidating the original provisions thereof, the following change in work is
authorized for the change in contract amount herein set forth: (Description of change order attached)
Increase line item 11, BCD soil treatment, by 3,622.71 tons (from 78,000 to 81,622.71 tons), per contract General
Conditions Article 19. c. 1.
The time of completion including previous orders is 956 calendar days and shall be increased by 17 calendar days by this
change order, for a revised contract date of completion of November 10, 2003.
CONTRACT COST SUMMARY
1. Original Contract Amount
2. Amt. Of Previous Orders
3. Amt. Of This Order:
ADD
ADD
$ 7,217,094.55
$ 320,247.56
Deduct
Deduct
$638,240.90
$ 0.00
TOTALS
$6,658,000.00
4. Total additions lines 2 &3 $ 7,537,342.11 Minus Total Deducts: $638,240.90 $6,899,101 .21
(Line 4 shall show the net amount to be added or (deducted) from the contract amount.)
5. Revised Contract Total Amount
6. The Owner certifies that the contingency fund balance after this change is
$13,557,101.21
$
Fill in one copy only
I certify that my Bonding Company will be notified forthwith that my contract has been increased by the amount of this
change order, and that a copy of the approved change order will be mailed upon receipt by me to my surety.
Shaw Environmental & Infrastructure, Inc. By: 4 ~ L?~
(Contractor) ~
200 Horizon Center Blvd Gary W. Duke, P.E.
Trenton, NJ 08691-1904 Project Manager
_E_a_rt_h_T_e_ch ___________ By: A (J c) ,/-aJ
(Designer) r .
_N_C_D_E_N_R~,_D_iv_of_W_a_st_e_M_a_n_a~g~e_m_e_n_t ___ By:
(Owner)
State Construction Office By: Q ,.,,?-/~~ -----------------~ 7
-----------------By:
Other approving Agency (if needed)
DISTRIBUTION: 1 original to State Construction
1 original to Owner
1 original to Board or Commission (if any)
1 original to Designer
1 original to Contra
1 original to Suret}1<o
'(Date)
(Date)
(Date)
REQUEST FOR AUTHORIZATION TO CHANGE
DATE: October 28, 2003 STATE CODE: SCO#010440101A
REQUEST NO.: 18
NCDENR
Earth Tech
PROJECT NAME: Warren County PCB Landfill
OWNER: CONTRACTOR: Shaw Environmental & Infrastructure, Inc.
DESIGNER: CONTRACT FOR: BCD Detoxification
DESCRIPTION OF CHANGE:
Increase line item 11, BCD soil treatment, by 3,622.71 tons (from 78,000 to 81,622.71 tons), per contract
General Conditions Article 19.c.1.
Increase schedule by 17 days.
REASON FOR CHANGE:
Increase contract quantity to cover revised estimated amount of PCB contaminated soil on site requiring
treatment.
SUMMARY REVIEW OF CONTRACTOR'S ESTIMATE FOR TIME AND COST: (Attach Contractor's detailed cost breakdown of labor
and materials).
Increase line 11 -"BCD soil treatment" $320,247.56
Total change order value: $320,247.56
DESIGNER SUMMARY:
1. Schedule items affected by this change: Critical path item "BOC soil treatment increases by 17 days, see attached spreadsheet.
2. Can Contractor mitigate the change without requiring a contract time extension? No
3. Will the change require a contract time extension for other contractors? No Which? n/a
4. Are additional costs indicated by reason of the time extension? No If so they must be included in 5 & 6 Below.
CONTRACTOR'S ESTIMATE DESIGNER'S ESTIMATE
5. Estimated cost of change: ___...$--'3_2..;_0,'-'2_47_ . ..;..56 _______ _
6. Estimated lime extension field cost (if any) Covered by unit price for Shaw
DESIGNER RECOMMENDATION AND CERTIFICATION:
I certify that I have reviewed all aspects of this change order and have determined that it is in the best interest of the owner to have the
work accomplished. I have also determined that the cost and time allotment are fair and equitable, and I recommend acceptance by the
owner.
Approved by: --:t"'u~--~~~) _ _f.L._~~----Date:
Title: a;; t )~~ I J / 4. ( c3
Warren County PCB Landfill Detoxification Project NC SCO Project 1D#010440101A Shaw project #827062 Treated Soil Batch Weight and Treatment Certification Log A B C D E G H K M N 0 Batch# I Bin #I Date I Time I complete complete Date I Time I Belt scale I Belt scale I Belt I Residuals I Net Iona I Shaw I Name of~b Lab start start complete start scale recycled fnr batch sample # lab n,port # n,port {Ions) · {tons) not tons {tons) date SHAW INVOICE 131 FOR PERIOD THROUGH 9130103 COVERED THROUGH BATCH #235, TOTAL INVOICED TONS TO DATE• 77,144.22, NET FOR PERIOD• 8,894.36 2361 3 I 10/03/03 I 1:00 11oto2J031 0:10 I 88,180.00 I 87,838.oo I 342.oo I 3.80 I 338.20 13-236 IP1111dign1 I _ -81553110/06/03 2371 4 I 10/04/03 I 3:05 I 10/03/031 1:00 I 88,530.00 I 88,180.oo I 350.oo I 7.15 I 34ZJ!5 IH27 IParadigm~~_l_lQ/_0!!/93 2381 3 I 10/05/03 I 4:15 I 10!04to3l 3:o5J 88,880,00J __ 88,53o.oo I_ 35Q,QOl___6.20 J __ ~.80 J3-238 !ParadigmJ 81555110/06/03 2391 2 I 10/06/03 I 15:05 I 10/05/031 4:15 I 89,262.00 I 88,880.00 I 382.oo I 10.51 I 371.49 12-239 !Paradigm I 81657110/08/03 2401 1 I 1oto7to3 I 15:10 I 10/06/03115:051_ 89,602,!Q 1__89,262,oo l _ 340,10 I ___ n10 I 322.40 11-240 I Paradigm I 81658110/08/03 2411 4 I 10/08103 I 22:ao I 10/07/03121:201 89,952.00 I 89,602.10 I 349.90.I 8.02 I 341.88 14-241 !Paradigm I 81968110113/03 2421 3 I 10/09/03 I 22:00 110108/03/22:301 90,303.oo I -~9,952.00 I 351.oo I 5.15 I 345.85 13-242 !Paradigm I 81980110113/03 2431 2 I 10/11/03 I 1:00 I 10/09to3122:ool 90,655.oo I 90,303.oo I 352.oo I 6.81 I 345.1912-243 IParadigml 81981110/13/03 2441 3 I 10/12/03 I 7:ao 110111t031 1:00 I _ 91,005.oo I _90,655.oo I __ 350.oo I _ 1.a1 I _ 342,63 13-244 ___ Iearadig_m l _ _ 81982110/13/03 2451 1 I 10/13/03 I 3:00 I 10/12/031 7:30 I 91,267.oo I 91,005.oo I 262.00 I 5.19 I 258.81 11-245 !Paradigm I 81983110/13/03 2461 3 I 10114/03 I 11:30 110113/031 3:00 I 91,657.oo I 91,267.oo I 390.oo I 24.49 I 385.51 13-246 IP■radigm I 82078110/15/03 2471 4 110,15/03 I 9:26 I 10/14/03l 11:30I 91.882.00 I 91.657.00 I 225.00 I 1.11 I 217.89 !4-247 lpmgm I 82083110/16/03 248 2 10116/03 16:30 10115/03 9:26 92,233.00 91,882.00 351.00 _ 12.61 338.392-248Paradigm _ 8228710/20/03 2491 3 I 10/17/03 I 3:30 I 10116/03l 16:3ol 92,548.00 I 92,233.00 l 315.oo l 13.90 I 301.10 13-249 !Paradigm l 82268110/20/03 2501 4 I 10118103 I 18:30 110117to31 3:30 l 92,932.40 I_ 92,548.oo l_ 3_84.40 l 8.58 I __ 375.82 14-.250 _ !Paradigm! ___ 82269/ 10120/03 p Reaultaof PCB ■nalysia {mg/kg-ppm) or0.SofBQL mu■tbe<0.5 0.140 0._QI2 0.060 0.110 0.140 0.058 0.065 0.110 0.068 0.048 0.120 0.019 0.200 0.190 0.430 a R Approved, I Rojectad, can be rrNJlt be backfilled nttrnted s Total Iona approved 77,142.69 77,4!JQ.89 77,m.74 ''•']'.6i16'1',&U 78,539.03 78,861.43 79,203.31 79,549.16 ]_9,894.35 , •.. +:11~36lli8} 80,493.79 80,859.30 81,077.19 81,4_15.58 l·••·•Hll':C1'o1&.61L 8Jc~50 82,092.50 TOTALS 92,887,37 2.681,12 I_ 90.200.2_5. I ___ . . I _ --··· 1. . .. _ I ___ _ __ :_ I _ _ __ L I . _ .. -__ 1 ez,os2.50 9ili200.2$ •• : 90i200,25:::~+:VA4UESOIIII.THESEoIH£!E!;,,P;l!;S:t.A\1~'!':/il,\(1'C:a:rn::: ;°', ,, , ,,, , , , •.•,,,.,,:,y,::,;" ... 89.,11:?!,~2 .. GRAND TOTAL, NET TONS OF TREATED SOIL file ,,.,.._ for bfank form: batch~ loon 100802 SCALE ENTRIES CHECK belt scale net tons to date ADJUSTMENTS initial start tons gap between batches 4 & 5 batch e, see note Total adjustments Adjusted tons to date Most recent ~compete• tons 92,887.37 92.:932.40 30.61 7.65 6.77 ~ L--..AUiii :aidiiiii!iii!Jdr:i;lay6alc!!;1~••: :~ :,....:9Cl~po:,2:~::· Summary of Iona ■pprowd, by month Approved in : Sept 02 Oct02 Nov02 Dec02 Jan 03 Feb 03 March 03 April 03 May03 June 03 July03 August 03 Sept 03 1,918.79 7,992.40 4,338.55 1,721,61 6,938.03 6,468.57 4,325.91 6,819.12 5,399.&6 8,179.93 6,364.18 7,785.10 8,894.36 77,144.22 T Total Iona ntjected 7,735.02 7,735.02 7.7~M2 7,735.02 7,735.02 7,735.02 7,735.02 7,735.02 7,735.02 7,735.02 7,735.02 7,735.02 7,735.02 7,735.02 7,735.02 70735.02 7,735.02 7,735.02 u approwd_ batch tona•PCB •K"P"Q 0.0000 47.3480 24.6852 20.6280 40.8639 45.136'0 19.8290 22.4803 37.9709 23.296'8 12.3269 43.8612 4.0310 67.6780 57.2090 161.&026 0.0000 V Running Total of col u 10580.0846 10627.4328 10652.1178 10672.7458 10713.&097 10758.7457 10778.5747 10801.0550 10839.0259 10862.3247 10874.&516 10918.5128 10922.5437 10990.2217 11047.4307 11209.0333 11209.0333 Weighted avg PCB for Oct only r \ w Weighted Avg PCB cV/5 mustbe<0.2 0.137 0.137 0.137 0.137 0.136 0.136 0.136 0.136 0.136 0.135 0.135 0.135 0.135 0.135 0.135 0.137 0.137 0.127
. . DUKEFILE: CO #15 added days.xis Warren County PCB Landfill -thermal production 80,000 70,000 60,000 .c 50,000 B cu .0 -0 ~ schedule projection, "straight line" from 1/7 8/31/2003 68,248 .fl 40,000 IA -0 IA 117/2003 16,613 236 51,636 for 78,000 tons total cu IA ton/cal.dy 219 C 0 30,000 I-ton to go 9,752 days to go 44.57 for 81,622.71 tons total ton/cal.dy 219 20,000 ton to go 13,375 days to go 61.13 Additional days required for increase from 78,000 to 81,622.71 tons 10,000 add days 16.56 round up 17.00 N N N N N N N N N N O') O') O') O') O') O') O') O') O') O') O') O') O') O') O') O') O') ~ e a e ~ e ~ e e ~ e e 0 e ~ e ~ ~ 0 ~ a e e e ~ ~ 0 co ..,. ~ 0) M 0 ..,. ;:::: N ~ .,;i O') ... ~ ,;i ~ ~ li; a e ~ ~ N ~ ~ ~ ~ ~ e !2 ~ fa ~ ~ ~ ~ a, 0 ~ :: ,;i ;; ;; ,;i O') ~ "' in "' co ;:::: ... a, 0 0 0 ~ ~ ~ ~ ~ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Date batch started
REQUEST FOR EXCEPTION TO CONTRACT RE# .sc Mo104L/v101 A
1. Project Title: Warren County PCB Landfill Detoxification (CO#18}
2. Division: Waste Management
3. Source of Funds: Appropriations: Receipts:
Federal: Match Required:
4. Budget Codes: GL Company: 1604 GL Account: 53-2199 GL Center: 4845
5. Is there a deadline for obligation of these funds? If so, date: _______ _
6. Type of contract requested: Contract for Services ___________ _
Award of DENR Grant Funds _________ _
Amendment to existing contract/grant ____ ✓ __ _
7. Proposed Vendor/Recipient: __ ---=S'-'-h""a""w;....=.E'-'-nv"""i"'"'ro""'n..;.;.m.;..ce=n""t=a""'"I =&....:.l'-'-nf.:..c.r=as=t:.:....ru=c~t=u'--'re'-----------------
8. Summary of work/activities to be performed under this contractual arrangement:
More contaminated soil was in the landfill than indicated by the original landfill construction information. Original
contract quantity was 72 ,000 tons. Change order #13 increased the quantity to 78 ,000 tons. The final treated
quantity was 81,622.71 tons. This change order is for treatment of the additional 3,622.71 tons.
9. Justification of Need for Contract:
A) Was this vendor selected through a competitive process? ✓Yes ___ No ___ Will Be
B) Explanation of why this work cannot be performed within the resources of the DENR Agency:
DENR does not have the equipment, staff, or expertise to operate a soil remediation facility.
C) Is there a State Agency/University that could perform this work? __ Yes ✓No
D) If Yes , provide a list of those agencies:
E) Contacts made to determine the ability of other state agencies/universities to perform this work (name of
contact, agency, telephone number and response):
None
F) If not utilizing another state agency/university, state the reason:
Same as 9 (B).
G) Calculation of available funding for this contract. Include amount available and amount previously
obligated/approved to be obligated:
Funds to cover the change will be from a combination of a reduction of other itefnsin the contract and
additional funds authorized by the General Assembly and DENR.
SUBMITTED BY: \'t?u ~ Phone: [phone] x308 Date :_1'-'1.:....:/0::....::5=./-=-0=3 __ ~;;t:~:::;on for questions regarding thisn •~ ~:;-;/~.'£ Phone [phone] x308
~ Disapproved -=M-"---' ...... ~ .... ~~--/L~~~~.,..___...,~---.. ...... --Division DirectorT! ·~ ,,..,._:',i,...,;-,~-;-• __
Approved Disapproved ------,..,......,;---------BPA _t\,,Pc. : .. , .. _ •_,· ~-,D ~ Disapproved ~ Chief Deputy
Date Transmitted to Purchase and Services: _____________ _
FORM 2800
AGREEMENT INFORMATION & CONTRACT BUDGET
ENCUMBRANCE
DENR DIVISION OF PURCHASE AND SERVICES
1.
A.
PARTIES TO THIS AGREEMENT
DENR Division of:
Waste Management
Division Section
Division
Address (MSC#, City, State, Zip)
1646 Mail Service Center
Ralei h NC 27699-1646
Division Contract Administrator
Patricia M. Backus, P.E.
Telephone No.
[phone] X 308
ASSlGNEO BYPURCHAS~ {!, 'SERVfCii
*DENR CONTRACT NO: SCO# 010440101A
*PURCHASE ORDER NO:
REVISION NO: C0#18
B.
Contractor (Name Contract Issued To:)
Shaw Environmental & Infrastructure
I.R.S. Number or Social Security Number
753044680 I Check if Applicable
_ Private and/or
Non-Profit
Address (to which checks will be mailed) Wire Transfer
U.S.Bank, (Wire Transfer) ABA# 081000210 Acct# -152302010748
(City, State, Zip)
St. Louis, MO 63195-6786
Please check one of the following:
African American owned Woman owned _Handicapped owned
_ Hispanic owned _ Other minority owned ✓ None of the above
Contractor Contact Person/Key Personnel:
Gary W. Duke, P.E. I
Telephone Number
[phone]
3. DIVISION CONTRACT COORDINATOR:_....:B=..:r-=-e'-'-nd::..:a'-Rc.:;ic.=..ve=..:r-=-s--------PHONE NO: __ _.(-=-91.:...:9:...l...:..7-=-33-=---'4-=-99::..;6'-x'-"2=-=0-'4 __ _
4. FISCAL YEAR: ___ c...FY-'--"0"""3--'-0'-4'--------
5. START DATE: ___ ....;.M~ar'"'c""'h_1'"'3'--'-"2"'0-"0-'-1 ________ (Contractor cannot begin work until contract is executed by DENR)
6. TERMINATION DATE: November 10 2003 (Limit to time required; contract cannot exceed 3 years)
7. CURRENT CONTRACT AMOUNT: __ ~$_1_3~2_3~6~8_53_._65 _______________________ _
8. *AMENDMENT AMOUNT: __ ~$_3_2_0~2_4_7_._56 ___ (/ndicate Previously Assigned Contract No. & PO in appropriate block ABOVE)
9. REVISED CONTRACT TOTAL : $ ___ _,$'--'1"""3""',5'"'5'-'-7..,_11-'-'0'"'1c.c.2=-1-'-----------'(0riginal Amount+ Amendment Increase/Decrease)
10. UNENCUMBRANCE (Balance remaining in Contract that will not be paid to Contractor):$ __________ _
11. ITEM DESCRIPTION 12. DENR CONTRACT AMOUNT
Contract Purpose/Brief Narrative: (Estimate of Expenditures each FY if multiple
year contract)
Detoxification of the Warren County PCB Landfill.
Change order 18 is an increase in the contract value due to the treatment of additional Increase line item 11 (BCD soil treatment)
contaminated soil.
= $320,247.56
13.
CFDA CODE: (Catalog of Federal Domestic Assistance Code, if applicable)
14.
GL COMPANY: 1604 GL ACCT: 53-2199 GL CENTER 4845
15
Federal Funds State Funds Contractor Match Other Funds TOTAL PROJECT COST
$ $ 13,557,101 .21 $ $ $ 13,557,101 .21
16. 11/t-/03
Division Budget Officer (Mandatory Signature) Date
I
I
OC-24 rev. 9-88
INSTITUTION:
PROJECT:
STA TE CODE & ITEM :
CONTRACT FOR:
CONTRACTOR:
NCDENR
STATE CONSTRUCTION OFFICE
CHANGE ORDER NO. 1!t
Warren County PCB Landfill Detoxification
ID#: 010440101A
BCD Detoxification
Shaw Environmental & Infrastructure, Inc.
200 Horizon Center Blvd, Trenton, NJ 08691-1904
D OR Owner Request
X CR Contractor Request
D DR Designer Request D CC Concealed Condition
D DE Design Error D DO Design Omission
□ SC Schedule Change
□ OTOther
Under the terms of the Contract and without invalidating the original provisions thereof, the following change in work is
authorized for the change in contract amount herein set forth: (Description of change order attached)
Add new line item #25, for fuel adjustment change order for fuel purchased by contractor during October, 2003, per
provisions of specification paragraphs 01270-1.03-C-4d and 6b.
The time of completion including previous orders is 973 calendar days and shall be unchanged by Q calendar days by this
change order, for a revised contract date of completion of November 10, 2003.
CONTRACT COST SUMMARY
1. Original Contract Amount
2. Amt. Of Previous Orders
3. Amt. Of This Order:
ADD
ADD
$ 7,537,342.11
$ 2,313.56
Deduct
Deduct
$638,240.90
$ 0.00
TOTALS
$6,658,000.00
4. Total additions lines 2 &3 $ 7,539,655.67 Minus Total Deducts: $638,240.90 $6,901,414.77
(Line 4 shall show the net amount to be added or (deducted) from the contract amount.)
5. Revised Contract Total Amount
6. The Owner certifies that the contingency fund balance after this change is
$13,559,414.77
$
Fill in one copy only
I certify that my Bonding Company will be notified forthwith that my contract has been increased by the amount of this
change order, and that a copy of the approved change order will be mailed upon receipt by me to my surety.
Shaw Environmental & Infrastructure, Inc. By: ~ ~ £?__.L _______ (_C_o-nt-ra-c-to_r_)--~---
200 Horizon Center Blvd Gary W. uke, P.E.
Trenton, NJ 08691-1904 Project Manager J2 du-J By: -----------------Earth Tech
(Designer)
_N_C_D_E_N_R~, _D_iv_o_f_W_a_s_te_M_a_na~g-e_m_e_n_t ___ By: Cf}~~ )F, . ~
(Owner)
State Construction Office
-----------------By:
Other approving Agency (if needed)
DISTRIBUTION: 1 original to State Construction
1 original to Owner
1 original to Board or Commission (if any)
7(D e)
(Date)
(Date)
~ftcJ3
(Date)
REQUEST FOR AUTHORIZATION TO CHANGE
DATE: October 29, 2003
REQUEST NO.:
OWNER:
DESIGNER:
19
NCDENR
Earth Tech
DESCRIPTION OF CHANGE:
STATE CODE: SCO#010440101 A
PROJECT NAME: Warren County PCB Landfill
CONTRACTOR: Shaw Environmental & Infrastructure, Inc.
CONTRACT FOR: BCD Detoxification
Add new line item #25, for fuel adjustment change order for fuel purchased by contractor during October, 2003,
per provisions of specification paragraphs 01270-1.03-C-4d and 6b.
No change in schedule.
REASON FOR CHANGE:
Reimburse contractor for unit price cost difference for fuel from base cost established by Owner in contract bid
documents.
SUMMARY REVIEW OF CONTRACTOR'S ESTIMATE FOR TIME AND COST: (Attach Contractor's detailed cost breakdown of labor
and materials).
Add line 25 -fuel adjustment for fuel puchased by
Contractor in October, 2003
Total change order value:
DESIGNER SUMMARY:
1. Schedule items affected by this change: None
ADD
ADD
2. Can Contractor mitigate the change without requiring a contract time extension? Yes
$2,313.56
$2,313.56
3. Will the change require a contract time extension for other contractors? No Which? n/a
4. Are additional costs indicated by reason of the time extension? No If so they must be included in 5 & 6 Below.
CONTRACTOR'S ESTIMATE DESIGNER'S ESTIMATE
5. Estimated cost of change: --'-$_2 .... ,3_1_3._56 _______ _
6. Estimated time extension field cost (if any) _N_/a _________ _
DESIGNER RECOMMENDATION AND CERTIFICATION:
I certify that I have reviewed all aspects of this change order and have determined that it is in the best interest of the owner to have the
work accomplished. I have also determined that the cost and time allotment are fair and equitable, and I recommend acceptance by the
owner.
Approved by: ___,...,k~l __ ,~-_) ..... {nR~. ____ Date:
Uct u1 ri qt: Title:
..
Filename: CO #19 FUELLOG Oct 03 102903
backup
data line
#
2
3
4
DATE AMT PRE-TAX
DELIVERED DELIVERED TOTAL SALES TAX
10/14/03 7478 $7 088.92 $496.22
10/16/03 7488 $7,049.73 $493.48
10/17/03 6090 $5,701.82 $399.13
TOTALS 21,056 $19,840.47 $1,388.83
Check on calculations
Avg actual cost = total $ I total gal
Avg actual cost less contract cost
Avg cost difference x total gal
TOTAL
$7 585.14
$7,543.21
$6,100.95
$21,229.30
$1 .0082
$0.0916
Difference from Running total
$0.916666 of difference
contract base from $0.916666
cost for this contract base
load
Calculations of fuel price adjustment change order fom NCDENR to Shaw for this month
Total fuel purchased, from above
Deduct quantity of oil added to feed soil
Total Gallons
21,056
0 2
3
4
5
Deduct value of line 2 at avg actual cost for month
Net fuel used to thermally treat soil 21,056
6
7
Value of fuel quantity on line 4, at contract base rate
of $1.10/gal divided by 1.2 overhead & profit factor
Cost differential for all fuel used to thermally treat soil
Tons of soil treated to specification this month
8 Tons of soil treated but not meeting specification this month
9
10
11
Tota·I tons of soil treated this month
Percentage of total soil treated to specification this month
Cost differential subject to change order = line 6 • line 1 o
12 IF line 11 is NEGATIVE, calculate CREDIT due to NCDENR as
line 11 • 1.1
13 IF line 11 is POSITIVE, calculate ADJUSTMENT due to SHAW as
line 11 • 1.2
14 Amount due from NCDENR to Shaw
Total Cost
$21,229.30
$0.00
$21 ,229.30
$19,301 .33
$1 ,927.97
4,948.26
4,948.26
100.00%
$1,927.97
$2,313.56
$2,313.56
cost/gal
with tax
for load
$1.01433
$1 .00737
$1 .00180
backup data line DATE AMT PRE-TAX # DELV'D DELV'D TOTAL 2 10/14/03 7478 $7,088.92 3 10/16/03 7488 $7,049.73 4 10/17/03 6090 $5,701.82 BOWERS BURROWS INC FUEL DELIVERY LOG TO MIDWEST SOIL REMEDIATION, IN Difference from $0.916666 contract base cost for this SALES TAX TOTAL load $496.22 $7,585.14 $730.31 $493.48 $7,543.21 $679.21 $399.13 $6,100.95 $518.45 These were last 3 loads aflter last state fuel delivery on 10/11 /03 GRAND TOTAL 21,056 $19,840.47 $1,388.83 $21,229.30 $1,927.97 Check on calculations Avg actual cost to date= total$/ total gal $1.0082 Avg actual cost to date less contract cost $0.0916 Running total of difference from $0.916666 contract base cost $730.31 $1,409.52 $1,927.97 $1,927.97 Avg cost difference x total gal to date $1,927.97 Value musfmatch running total Dukefile: c:\mydocs\nclf\Fuellog MSR 102903 FINAL.xis 2107B-1118-2180-51600 Page 1 cost/gal without cost/gal tax for with tax load for load $0.94797 $1.01433 $0.94147 $1.00737 $0.93626 $1.00180 FUELLOG MSR 102903 FINAL
■ .,.,_ .. & ■UIIIIOW8, INC. __ • Da....., Drift 15 · ttencleraon, NC 27131 , ,
212..-2.0111 'IJL ~ 3123s ~~~ ro/L!41Jt"dfR Su V
ADDRESS
I BILLOFLADING#Z?}o/J~ ]
PETROLEUM PI.ODUCT GALLONS UNIT PRICE TOT Al.
PLUSGAct\lllR
NO LEAD GASOLINE
PUMRJM GASOUNE
KE1'0SENE
DIESEL FUEL -FUEL OIL #2 '.Jt/'l >? • '1¢-77') ?lJ8Y. C/:l. OTHER PACKAGES KIND UNIT PRICE TOTAL
MISC.
PETa.OLEUM
-nn11rfl s
OTHEIVMJSC. s I
SAL£STAX sc,-; ~-~ ,~ --AUTifORIZED SIONA nJR.£ INVOICE TOT AL s"..,. -'J. r/
•
awea & IIURIIOW8, INC.
11-~ IIO Dabney Drive
Henderaon, NC 27131
212-tl2-4111
~ 31236
::10 A3~d SJii
ADDRESS
I BILL Of LADING • 6199 Jg o'
PETROLBUM PROOUCT GALLONS UNIT PRICE TOT AL
NO LEAD GAIOUNE
PREMIUM GASOLJHE
k!ROSENE
DIESEL FUEL
FUEL OJL#l
OTHER KIND UNIT PRICE TOTAL
MISC.
PETllOLEUM
ont.EIVMISC.
SALES
AUTHORIZED SIGNA TIJRE INVOIC
•
GWallS & ■UIUIOWS, INC.
. -Dallney Drive 11.p Henderaon. NC 27131 , ,
212-a2.0111 !q)'7il3 31237 ~~~TO =-~~d Zf =
ADDllESS ------------------
PETl'OLEUM PRODUCT GALLONS UNIT PRICE TOTAL
NO LEAD GASOLINE
PllMIUM GASOLINE
kEJlOSEN£
DIESEL FUEL
FUEL OIL #2
OTHER
MISC.
PETROLEUM
OTHEI/MISC.
SALES TAX
AUTHORIZED SIGNA nJR£ INV ICE TOTAL
REQUEST FOR EXCEPTION TO CONTRACT
1. Project Title:
2. Division:
3. Source of Funds:
4. Budget Codes:
Warren County PCB Landfill Detoxification (CO#17)
Waste Management
Appropriations:~--------Receipts:~-------------
Match Required: ~----------Federal:
GL Company: 1604 GL Account: 53-2199 GL Center: _ __,,4-=-84....:...5=------
5. Is there a deadline for obligation of these funds? If so, date: _______ _
6. Type of contract requested : Contract for Services ___________ _
Award of DENR Grant Funds ________ _
Amendment to existing contract/grant ____ ✓ __ _
7. Proposed Vendor/Reci pient: __ ---=S;,.:..;h=ac.:..:wc...,;E=n:...:..v.:....:i.:....:ro::..:.n.:..:..m:...:..e=n-'-'t=a.:..,_I &=-..:.I:...:..nf:..:..ra=s=t::...;ru=c=-=-t=urc..::e;....._ _____________ _
8. Summary of work/activities to be performed under this contractual arrangement:
Change order #9 deducted $369,148 to cover the cost of fuel purchased by the state for the project. The
deduction was based on an estimated fuel usage and an agreement signed by the state and Shaw. More fuel
was required than estimated. This change order increases the deduction to reflect the final actual quantities
purchased.
9. Justification of Need for Contract:
A) Was this vendor selected through a competitive process? ✓Yes ___ No ___ Will Be
B) Explanation of why this work cannot be performed within the resources of the DENR Agency:
DENR does not have the equipment, staff, or expertise to operate a soil remediation facility.
C) Is there a State Agency/University that could perform this work? __ Yes ✓No
D) If Yes, provide a list of those agencies:
E) Contacts made to determine the ability of other state agencies/universities to perform this work (name of
contact, agency, telephone number and response):
None
F) If not utilizing another state agency/university, state the reason:
Same as 9 (B).
G) Calculation of available funding for this contract. Include amount available and amount previously
obligated/approved to be obligated:
See form OC-24 supporting information.
SUBMITTED BY: ~ ~ Phone: [phone] x308
Contact Person for questions regarding th?')ntract: Pat Backus
AP~LdS : rnsappmved ~
Approved
Date: 11 /05./03
Phone: [phone] x308
Division Director
BPA
~)
Disapproved
Disapproved
----------::----------..... //4~-· ,..~"'......_"-+· ________ Chief Deputy
Date Transmitted to Purchase and Services: _____________ _
FORM 2800
AGREEMENT INFORMATION & CONTRACT BUDGET
ENCUMBRANCE
DENR DIVISION OF PURCHASE AND SERVICES
1.
A.
PARTIES TO THIS AGREEMENT
DENR Division of:
Waste Management
Division Section
Division
Address (MSC#, City, State, Zip)
1646 Mail Service Center
Ralei h NC 27699-1646
Division Contract Administrator
Patricia M. Backus, P.E.
Division Director/Authorized Agent
Telephone No.
[phone] X 308
Date
ASSIGNED BY PURCHASE & SERVICE
*DENR CONTRACT NO: SCO# 010440101A
*PURCHASE ORDER NO:
REVISION NO: C0#17
B.
Contractor (Name Contra.;t Issued To:)
Shaw Environmental & Infrastructure
I.R.S. Number or Social Security Number I Check if Applicable
753044680 _ Private and/or
Non-Profit
Address (to which checks will be mailed) Wire Transfer
U.S.Bank, (Wire Transfer) ABA# 081000210 Acct# -152302010748
(City, State, Zip)
St. Louis, MO 63195-6786
Please check one of the following:
African American owned Woman owned _Handicapped owned
_ Hispanic owned _ Other minority owned ✓ None of the above
Contractor Contact Person/Key Personnel:
Gary W. Duke, P.E. I
Telephone Number
[phone]
3. DIVISION CONTRACT COORDINATOR: __ B~r~e~nd=a~R_iv_er_s _______ _ PHONE NO: __ ..._{9::...1:..::9c,_) .:....73::..:3=--4.;..;9:..::9"°6-"x=-20=-4'----
4. FISCAL YEAR: ___ .:....F..:..Y....:0:..::3....;-0=-4'--------
5. START DATE: ___ ....;M..:.=.a'""rc"'h'-1'""3'-'-"2:..::0..:a0..:..1 ________ (Contractor cannot begin work until contract is executed by DENR)
6. TERMINATION DATE: October 24 2003 (Limit to time required; contract cannot exceed 3 years)
7. CURRENTCONTRACTAMOUNT: __ _,$~1~3~4~8~9~7-=-1~9-.:2.:....7 ______________________ _
8. *AMENDMENT AMOUNT:. __ __,_(z.$-=2:.::5.:2.1..:,8:..::6:.::5"'"'.6:..:2,.,.) __ (lndicate Previously Assigned Contract No. & PO in appropriate block ABOVE)
9. REVISED CONTRACT TOTAL: $ ___ --'$'-"1'-"3'"",2::..:3::..:6c.,8-=-5::..:3c.c·..c.6-=-5----------'(Original Amount+ Amendment Increase/Decrease)
10. UN ENCUMBRANCE (Balance remaining in Contract that will not be paid to Contractor): $. ___ __:$,:.:2:..::5c.:::2"-'8"-'6::..::5:..:..6:::..:2=------------
11. ITEM DESCRIPTION 12. DENR CONTRACT AMOUNT
Contract Purpose/Brief Narrative: (Estimate of Expenditures each FY if multiple
year contract)
Detoxification of the Warren County PCB Landfill.
Change order 17 is a reduction in the contract value due to the purchase of fuel by the Increase line item 20 (Credit for fuel
state for the project. purchased by state) = ($252,865.62)
13.
CFDA CODE: (Catalog of Federal Domestic Assistance Code, if applicable)
14.
GL COMPANY: 1604 GL ACCT: 53-2199 GL CENTER 4845
15
Federal Funds State Funds Contractor Match Other Funds TOTAL PROJECT COST
$ $ 13,236,853.65 $ $ $ 13,236,853.65
16. 11/to/03
Division Budget Officer (Mandatory Signature) Date
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