DEP CONTRACT NO.

Task Assignment #: Module #: Grant #:

Contractor Name:

Contractor Representative:

DEP Contract Manager: Phone #:

DEP Site #:

Site Name:

Address(Street, City, County):

Phase:

Task Description [use additional pages if necessary]:

The Deliverable and Invoice Schedule is attached.

Final Deliverables:

Final Deliverable Due Date:

TASK ASSIGNMENT TYPE AND NOT TO EXCEED AMOUNTS:

FIXED FEE

RETAINAGE:

TOTAL TASK ASSIGNMENT VALUE: $0.00

DEP Task Manager:

DEP Contract Manager:

Contractual Authority:

Contractor Representative:

CC: Procurement Section (MS 93) Section Representative ________

TASK ASSIGNMENT NOTIFICATION FORM

COST PLUS FIXED FEE

COST REIMBURSEMENT

FIXED PRICE FEE SCHEDULE

Period of Performance:

Execution of Task Assignment through:

DEP will review the deliverables to verify that they meet the specifications of this contract and task description. DEP’s Contract Manager shall notify the Contractor of any deficiencies in the deliverable(s) and shall give the Contractor reasonable opportunity to correct noted deficiencies and provide a revised deliverable(s).

WCP TAFORM 01_18

HW560

D000 NADC036F

Tetra Tech

Shawn Oullette

850-245-8969Dean Cox

ERIC_4743

Village Laundry & Dry Cleaners

10235 Lake Carroll Way, Tampa, Hillsborough County, FL 33618

Operation and Maintenance (O&M)

This task assignment authorizes Tetra Tech costs for six months of SVE system utilities (Subtask 6), O&M (Subtasks 2 and 3), groundwater sampling (Subtask 4) & waste/IDW disposal (Subtask 5), along with associated Project Management (Subtask 1). (The utilities costs are the only costs that are not fixed price.) The total cost is $28,866.31 with 167 hours of labor.

Semi-annual data tables, monthly checklist, field notes, lab report & email recommendations

06/30/2022

08/31/2022

$ 27,066.31 $ 0.00 $ 1,800.00 $ 0.00

$ 0.00

Dean Cox Digitally signed by Dean Cox Date: 2021.12.09 09:40:19 -05'00'

Dean Cox Digitally signed by Dean Cox Date: 2021.12.09 09:40:33 -05'00'

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

Date: 2021.12.09 14:17:03 -05'00'

Shawn Ouellette Digitally signed by Shawn Ouellette Date: 2021.12.09 14:30:23 -05'00'

$ 28,866.31

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

WCP TAFORM 01-2018

Contract Number:

Task Assignment #:

Deliverables:

Deliverable Deliverable Due Date

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

TOTAL COST

HW560

Monthly checklists, field documentation, lab report, and email recommendations December 2021 - February 2022 (Subtask 2) 03/21/2022

Groundwater monitoring report, field documentation and lab report (Subtask 4), along with IDW manifest(s) (Subtask 5) 04/15/2022

Semi-annual data tables, monthly checklists, field documentation, lab report, and email recommendations March - May 2022 (Subtask 3), along with task Project Management (Subtask 1)

06/30/2022

FDEP approval of monthly checklists, field documentation, lab report, and email recommendations December 2021 - February 2022 (Subtask 2) $ 5,170.88

FDEP approval of groundwater monitoring report, field documentation and lab report (Subtask 4), along with IDW manifest(s) (Subtask 5) $ 13,356.84

FDEP approval of semi-annual data tables, monthly checklists, field documentation, lab report, and email recommendations March - May 2022 (Subtask 3), along with task Project Management (Subtask 1) $ 8,418.59

FDEP receipt of utility invoices for 6 months (December 2021 - May 2022); Utilities (Cost Plus Fixed Fee) = not to exceed $1800; Utilities Handling Fee $120 - Subtask 6 $ 1,920.00

$ 28,866.31

DC036F

FLORIDA DEPARTMENT OF

Environmental Protection

Bob Martinez Center

2600 Blair Stone Road Tallahassee, FL 32399-2400

Ron DeSantis Governor

Jeanette Nuñez

Lt. Governor

Shawn Hamilton Interim Secretary

Memorandum

TO: HW560 Contract File FROM: Dean Cox, Contract Manager SUBJECT: Village Laundry (ERIC_4743) O&M (6 months) and Groundwater Sampling

DATE: 12/8/2021

This task assignment authorizes Tetra Tech costs for six months of SVE system utilities (Subtask 6), O&M (Subtasks 2 and 3), groundwater sampling (Subtask 4) & waste/IDW disposal (Subtask 5), along with associated Project Management (Subtask 1). (The utilities costs are the only costs that are not fixed price.) The total cost is $28,866.31 with 167 hours of labor.

FDEP COST ESTI MATEContractor: Tetra Tech

Date: December 8, 2021

Task #: HW560-DC036F SubTask 1 Project Management SubTask 6 Utilities

Site: Village Laundry, Tampa SubTask 2 System Monitoring - (DEC - FEB 2022) SubTask 7

Activity/Phase: O&M SubTask 3 System Monitoring - (Mar -May 2022) SubTask 8

Project Manager: Dean Cox SubTask 4 GW Sampling SubTask 9

SubTask 5 IDW SubTask 10

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

$48.08 Project Manager (SO) 15 15.0 $34.86 Senior CADD Specialist (FM) 4 0 0 4 0 0 0 0 0 0 $48.08 Scientist IV (SO) 27 0 0 26 1 0 0 0 0 0 $34.10 Senior Technician (MM) 113 30 31 44 8 0 0 0 0 0 $57.63 Engineer IV (MJ) 8 3.0 5 0.0 0 0 0 0 0 0

$0.00 0 0 0 0 0 0 0 0 0 0 Total Hours 167 15 33.0 36 74.0 9 0 0 0 0 0

Direct Labor $6,470.93 $718.99 $1,195.89 $1,345.25 $2,889.92 $320.88 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 143.00% $9,253.44 $1,028.16 $1,710.12 $1,923.71 $4,132.59 $458.86 $0.00 $0.00 $0.00 $0.00 $0.00 Gen & Admin 12.20% $1,918.37 $213.15 $354.53 $398.81 $856.75 $95.13 $0.00 $0.00 $0.00 $0.00 $0.00 Fringe 0.00% $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Labor $17,642.74 $1,960.30 $3,260.54 $3,667.77 $7,879.26 $874.87 $0.00 $0.00 $0.00 $0.00 $0.00

Other Direct Costs $323.54 $35.95 $59.79 $67.26 $144.50 $16.04 $0.00 $0.00 $0.00 $0.00 $0.00 Travel

Vehicle Rental $941.00 $291.00 $291.00 $291.00 $68.00 $0.00 $0.00 $0.00 $0.00 $0.00 Mileage Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Air Fare $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Per diem + Hotel $458.00 $0.00 $0.00 $458.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Travel $1,399.00 $291.00 $291.00 $749.00 $68.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 02/03 Page 1

FDEP COST ESTI MATEContractor: Tetra Tech

Date: December 8, 2021

Task #: HW560-DC036F SubTask 1 Project Management SubTask 6 Utilities

Site: Village Laundry, Tampa SubTask 2 System Monitoring - (DEC - FEB 2022) SubTask 7

Activity/Phase: O&M SubTask 3 System Monitoring - (Mar -May 2022) SubTask 8

Project Manager: Dean Cox SubTask 4 GW Sampling SubTask 9

SubTask 5 IDW SubTask 10

Totals 1 2 3 4 5 6 7 8 9 10 Subcontractor (Equipment Procurement)

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor Subtotal $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Procurement Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor (Services Procurement) Drilling (Conventional) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Drilling (Non-conventional) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Mobile Laboratory $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Surveying $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 IDW Erwin $300.00 $0.00 $0.00 $0.00 $300.00 $0.00 $0.00 $0.00 $0.00 $0.00 Utilities $1,800.00 $0.00 $0.00 $0.00 $0.00 $1,800.00 $0.00 $0.00 $0.00 $0.00

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor Subtotal $2,100.00 $0.00 $0.00 $0.00 $300.00 $1,800.00 $0.00 $0.00 $0.00 $0.00 Handling Fee $150.00 $0.00 $0.00 $0.00 $30.00 $120.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $2,250.00 $0.00 $0.00 $0.00 $330.00 $1,920.00 $0.00 $0.00 $0.00 $0.00

Laboratory Analytical Costs $2,386.00 $200.00 $800.00 $1,386.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fast Turnaround Charges $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Sample Shipping $262.00 $63.00 $63.00 $136.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Laboratory $2,648.00 $263.00 $863.00 $1,522.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Field Expenses Personal Protection $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Expendables $292.50 $97.50 $97.50 $97.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Drilling related) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Analytical related) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (IDW related) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Other) $2,546.25 $873.00 $873.00 $800.25 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Field Expenses $2,838.75 $970.50 $970.50 $897.75 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal $27,102.03 $1,996.25 $4,844.83 $5,859.53 $11,192.51 $1,288.91 $1,920.00 $0.00 $0.00 $0.00 $0.00 Completion Fee $1,764.28 $196.03 $326.05 $366.78 $787.93 $87.49 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $28,866.31 $2,192.28 $5,170.88 $6,226.31 $11,980.44 $1,376.40 $1,920.00 $0.00 $0.00 $0.00 $0.00

REV: 02/03 Page 2

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Village Laundry, Tampa FL SUBTASK 2: System Monitoring - (DEC 2021- FEB 2022)

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Technician (MM) Monthly system performance 10 7 hrs round trip travel and 3 hrs on-site

Engineer V (MJ) Submit O&M checklist via email with recommendations 1

Senior Technician (MM) Monthly system performance 10 7 hrs round trip travel and 3 hrs on-site

Engineer V (MJ) Submit O&M checklist via email with recommendations 1

Senior Technician (MM) Monthly system performance / influent monitoring 10 7 hrs round trip travel and 3 hrs on-site

Engineer V (MJ) Submit O&M checklist and lab data via email with recommendations 1

TOTAL LABOR 33

EQUIPMENT ITEM RATE COSTING UNIT USAGE TOTALS

Equipment O&M Kit $291.00 day 3 $873.00 Expendables $32.50 day 3 $97.50

TOTAL EQUIPMENT $970.50

VEHICLE TYPE RATE UNIT USAGE

Equipment Van $97.00 day 3 $291.00

TOTAL VEHICLE $291.00

PER DIEM STAFF RATE UNIT USAGE

MEALS

HOTEL

TOTAL PER DIEM $0.00

LABORATORY COSTS

PARAMETER MEDIA METHOD RATE # SAMPLES # QA/QC

Organics Air TO15 $200.00 1 0 (influent - FEB 2022) $200.00

Shipping, FedEx, 5 lb @ 24 hrs $63.00 1 (from SVE) $63.00

TOTAL LAB $263.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

TOTAL $0.00

CEF DC036F LOE 2

SITE : Village Laundry, Tampa FL SUBTASK 3: System Monitoring - (Mar- May 2022)

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Technician (MM) Monthly system performance 10 7 hrs round trip travel and 3 hrs on-site

Engineer V (MJ) Submit O&M checklist via email with recommendations 1

Senior Technician (MM) Monthly system performance 10 7 hrs round trip travel and 3 hrs on-site

Engineer V (MJ) Submit O&M checklist via email with recommendations 1

Senior Technician (MM) Monthly system performance / influent monitoring 11 7 hrs round trip travel and 4 hrs on-site

Engineer V (MJ) O&M Tables (6 tables per site visit = 6 tables @ 0.5 hr/table) 3

TOTAL LABOR 36

EQUIPMENT ITEM RATE COSTING UNIT USAGE TOTALS

Equipment O&M Kit $291.00 day 3 $873.00 Expendables $32.50 day 3 $97.50

TOTAL EQUIPMENT $970.50

VEHICLE TYPE RATE UNIT USAGE

Equipment Van $97.00 day 3 $291.00

TOTAL VEHICLE $291.00

PER DIEM STAFF RATE UNIT USAGE

MEALS

HOTEL

TOTAL PER DIEM $0.00

LABORATORY COSTS

PARAMETER MEDIA METHOD RATE # SAMPLES # QA/QC

Organics Air TO15 $200.00 4 0 (influent -3 VEWs May 2022) $800.00

Shipping, FedEx, 5 lb @ 24 hrs $63.00 1 (from SVE) $63.00

TOTAL LAB $863.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

CEF DC036F LOE 3

CEF DC036F LOE 4

SITE : Village Laundry SUBTASK 4: Groundwater Monitoring

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Technician (MM) Mobilization and site prep 5.5

Senior Technician (MM) Field pre- and post-calibration of water quality instrument per DEP SOPs and travel 2

Senior Technician (MM) Well sampling and gauging (20 MWs at 1.5 hr/well) 30 Shallow Wells (MW001, MW003, MW004 and MW007)

Intermediate Wells (MW002I, MW003I, MW004I, MW005I, MW007I, MW008I, MW009I and MW010I)

Deep Wells (MW002D, MW003D, MW004D, MW005D, MW007D, MW008D, MW009D and MW010D)

Senior Technician (MM) Demobilization (2 hr prep and ship coolers and 3.5hr travel) 5.5

Scientist IV (SO) Technical support 2

GW sampling report to be combined with the Annual O&M Report Scientist IV (SO) General data evaluation/ QA/QC data review/ map prep/ report generation 24

Senior Technician (MM) Data management (19 samples @ 8 min/sample) 1

Senior CADD Specialist (FM) Maps (2 hr per map; GW flow & hit maps) 4

TOTAL LABOR 74

FIELD EXPENSES ITEM RATE COSTING UNIT USAGE TOTALS

Equipment

Expendables $32.50 day 3 $97.50

Drum $58.20 each 3 $174.60

Shallow Groundwater sampling kit $208.55 day 3 $625.65

TOTAL EQUIPMENT $897.75

VEHICLE TYPE RATE UNIT USAGE

Truck $97.00 day 3 $291.00

TOTAL VEHICLE $291.00

PER DIEM STAFF RATE UNIT USAGE

MEALS $36.00 day 3 $108.00

Senior Technician (MM)

HOTEL

Senior Technician (MM) $175.00 night 2 $350.00

TOTAL PER DIEM $458.00

LABORATORY COSTS

PARAMETER Media Method RATE # SAMPLES #QAQC

Organics* Aqueous 8021 $66.00 19 2 (equip blk, IDW) $1,386.00

* = reduced 8021 analyte list (PCE, TCE, cis-1,2-DCE, trans-1,2-DCE, 1,1-DCE, & Vinyl chloride)

Field Parameters:

Conductivity Aqueous Field Measurement 19 $0.00

DO Aqueous Field Measurement 19 $0.00 pH Aqueous Field Measurement 19 $0.00

Redox Potential Aqueous Field Measurement 19 $0.00

Temperature Aqueous Field Measurement 19 $0.00

Turbidity Aqueous Field Measurement 19 $0.00

Shipping, FedEx, 25 lb @ 24 hrs + ice $68.00 2 $136.00

TOTAL LAB $1,522.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

CEF DC036F LOE 5

SITE : Village Laundry, Tampa SUBTASK 5: IDW Disposal

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Technician (MM) Round trip travel and drum removal 8

Scientist IV (SO) Disposal profile review and approval, manifests for FDEP submittal 1

TOTAL LABOR 9

EQUIPMENT ITEM RATE COSTING UNIT USAGE TOTALS

TOTAL EQUIPMENT $0.00

VEHICLE TYPE RATE UNIT USAGE

Car $68.00 Day 1 $68.00

TOTAL VEHICLE $68.00

PER DIEM STAFF RATE UNIT USAGE

MEALS

TOTAL PER DIEM $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

TOTAL LAB $0.00

NAME PURPOSE

IDW Disposal Dispose of 1 drum of non-hazardous IDW (estimated)

Erwin 3 drum of non-haz waters $100.00 drum $300.00

TOTAL $300.00

SITE : Village Laundry, Tampa SUBTASK 6: Utility Invoice Services - (DEC 2021 - May 2022)

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

TOTAL LABOR 0

EQUIPMENT ITEM RATE COSTING UNIT USAGE TOTALS

Equipment

TOTAL EQUIPMENT $0.00

VEHICLE TYPE RATE UNIT USAGE

TOTAL VEHICLE $0.00

PER DIEM STAFF RATE UNIT USAGE

MEALS

HOTEL

TOTAL PER DIEM $0.00

LABORATORY COSTS

PARAMETER MEDIA METHOD RATE # SAMPLES # QA/QC

TOTAL LAB $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

TECO 6 month of power (running 24 hrs/day) $300 month $1,800.00

TOTAL $1,800.00

CEF DC036F LOE 6

408 Ditmar Street

Pensacola, FL 32503

ErwinRemediation@Gmail.com - P.O. Box 884 Gulf Breeze, FL 32562

(850) 292-6511

To: Mr. Jay McGovern

Tetra Tech

759 South Federal Hwy, Suite 314

Stuart, FL 34994

February 13, 2020

Re: Drum Disposal – Non-Hazardous Material - Florida

Mr. McGovern:

The price for transportation and disposal of drums of either non-hazardous soil or groundwater located in the State of Florida (excluding the Florida Keys) will be $100.00 per drum for both transportation and disposal.

Please feel free to contact me on my direct line at 850-292-6511 if you have any questions.

Respectfully, Jonathan Erwin

Erwin Remediation, Inc.

Email: ErwinRemediation@Gmail.com

Office: (850) 292-6511 mailto:Remediation@Gmail.com

Tetra Tech, Inc.

759 South Federal Highway, Suite 314 Stuart, FL 34994

Tel 772.781.3400 Fax 772.781.3411 www.tetratech.com

December 8, 2021

TTST-HW560-21-092

Mr. Dean Cox Contract Manager Florida Department of Environmental Protection 2600 Blair Stone Road Tallahassee, FL 32399-2400

SUBJECT: VILLAGE LAUNDRY & DRY CLEANERS (FORMER)

TASK ASSIGNEMNT REQUEST

10235 LAKE CARROLL WAY

TAMPA, FL 33618

ERIC_4743

Dear Mr. Cox:

Tetra Tech, Inc. is requesting a Task Assignment to continue the SVE system’s operation and maintenance (O&M) at the Village Laundry site in Tampa Florida. The following presents a scope of work (SOW) summary and the proposed schedule.

SOW – Field Activities The field activities associated with the proposed SOW will include travel to the site monthly for system operational measurement collection, system operation and routine maintenance.

Annual Groundwater monitoring February 2022.

The Task Assignment request also includes 6 months of Utility Invoice Services (December 2021 - May 2022) from TECO to operate the SVE system, estimated at $300/month.

SOW – Reporting Following completion of quarterly field activities, the O&M checklists will be submitted via email. An interpretation of the results and recommendations for further courses of action will be provided.

The proposed deliverables and deliverable due dates are summarized below:

• Subtask 1 – Project Management

• Subtask 2 – Monthly System Monitoring - (December 2021 February 2022):

Mr. Dean Cox December 8, 2022

Tetra Tech, Inc.

Deliverable (3 Monthly O&M checklists) due date. March 21, 2022

• Subtask 3 – Monthly System Monitoring - (Mar- May 2022):

Deliverable (Annual Report) due date. June 30, 2022

• Subtask 4 – Annual Groundwater monitoring - (February 2022):

Deliverable due date June 30, 2022 (in the Annual O&M Report)

• Subtask 5 – IDW Disposal Deliverable due date May 31, 2022

• Subtask 6 – Submittal of six months of paid utility invoices:

Deliverable due date July 31, 2022

Should you have any questions, please contact me at 772.781.3412.

Sincerely, Shawn Ouellette, P.G.

Project Manager c: File

Level of Effort/Cost Estimate Forms (submitted electronically)

Pages from HW560 DC036F unsigned.pdf