CN-370000-HW686-DC028B.pdf

Funding Information:

Org. Code E.O. Object Code Budget Entity Appropriation

Category Grant # Project # Year Amount

☐ Additional Funding Information attached on separate page.

Rev. 8/26/2020

STATE OF FLORIDA

DEPARTMENT OF ENVIRONMENTAL PROTECTION

Task Assignment This Task Assignment (TA) is entered into between the Parties named below, pursuant to Contract Number: .

1. TA Number: TA Completion Date:

TA Description:

2. Parties State of Florida Department of Environmental Protection

(Department)

Department Project Manager: Department Project Manager Phone:

Contractor Name: (Contractor ) ntractor’st ’s Project Manager: ontractor’s t’s Project Manager Phone:

3. Project Number:

(If different from TA Number)

Project Location(s):

Project Name:

4. As consideration for the services rendered by Contractor under the terms of this TA, the Department shall pay the Contractor on the following bases, up to the Total TA Value as indicated below:

☐ Fixed Price:

☐ Fixed Unit Rate: (Extended Price)

☐ Cost Reimbursement:

Total TA Value:

5. The Parties agree to comply with the terms and conditions of the underlying the Contract, and the following attachments which are hereby incorporated by reference:

Attachment 1:

☐ Additional Attachments (if necessary):

IN WITNESS WHEREOF, this TA shall be effective on the last date signed below.

State of Florida Department of Environmental Protection CONTRACTOR Department Name:

Title:

Secretary or Designee

(Authorized Signature) (Authorized Signature) Date:

☐ Additional signatures attached on separate page.

HW686

DC028B Completion March 28, 2025

Annual VOH Groundwater Sampling and Analysis and Groundwater Monitoring Report.

Mary Uribe 850-245-8990 Contractor Contractor

Contractor Contractor

Contractor Contractor

Contractor

Professional Service Industries, Inc. (Intertek-PSI)

Professional Service Industries, Inc. (Intertek-PSI)

Joshua Newell

ERIC_4947

32 NW Wright Parkway Fort Walton Beach, Okaloosa County, Viking Plaza

✔ $ 18,544.47

$ 18,544.47

Scope of Work

Joshua S Newell Digitally signed by Joshua S Newell Date: 2024.11.07 09:01:12-05'00'

Mubeen Darji

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

Date: 2024.11.06 13:56:55 -05'00'

N/A

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

WCP TAFORM 04-2017

Contract Number:

Task Assignment #:

Deliverables:

Deliverable Deliverable Due Date

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

TOTAL COST

Sub Task 1: Project Management 02/28/2025

SubTask 2 VOH Monitoring and Deliverable 02/28/2025

SubTask 3 PFAS Monitoring 02/28/2025

Sub Task 1: Project Management $ 1,507.70

SubTask 2 VOH Monitoring and Deliverable $ 16,481.98

SubTask 3 PFAS Monitoring $ 554.79

$ 18,544.47

HW686

DC028B

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 Secretary

Memorandum

TO: ERIC_4947

Viking Plaza

FROM: Mary Uribe, Project Manager

SUBJECT: Negotiation Summary

HW686 DC028B

DATE: November 4th, 2024

PSI will perform groundwater sampling and monitoring activities at Viking Plaza, as detailed in the June 24th,2024 proposal. Proposed work includes collection of groundwater samples, and development of an annual groundwater monitoring report.

Total task amount is $18,544.47. PSI’s time, labor, and subcontractor costs for these activities have been reviewed and are appropriate. The level-of-effort and cost estimate are reasonable for the scope of services. Final deliverable due date is February 28th, 2025. Task completion date is March 28th, 2025.

FDEP COST ESTI MATEContractor: Professional Service Industries, Inc. (Intertek-PSI)

Date: 5/15/2024 revised 6/24/2024

Task #: SubTask 1 Project Management SubTask 6

Site: Viking Plaza ERIC_4947 SubTask 2 VOH Monitoring and Deliverable SubTask 7

Activity/Phase: GW Monitor, PFAS Samplng SubTask 3 PFAS Monitoring SubTask 8

Project Manager: Nana Westmark SubTask 4 SubTask 9

SubTask 5 SubTask 10

Totals 1 2 3 4 5 6 7 8 9 10

Labor Rate Category

$58.41 Project Manager 9 9.3

$64.90 Principal Consultant 0 0.0 0 0 0 0 0 0 0 0

$60.00 Senior Engineer, MR 0 0.0 0 0 0 0 0 0 0 0

$58.41 Senior Geologist, NW 17 16.5 0.0 0 0 0 0 0 0 0

$64.90 Senior Scientist, DC 0 0.0 0.0 0 0 0 0 0 0 0

$62.50 Senior Engineer, GR 0 0.0 0.0 0 0 0 0 0 0 0

$0.00 Certified Hazardous Materials Manager 0 0.0 0.0 0 0 0 0 0 0 0

$0.00 Florida Licensed Asbestos Consultant 0 0.0 0.0 0 0 0 0 0 0 0

$56.99 Project Manager 0 0.0 0.0 0 0 0 0 0 0 0

$48.00 Project Engineer, JN 0 0.0 0.0 0 0 0 0 0 0 0

$42.09 Project Engineer, MK 0.0 0.0 0.0 0 0 0 0 0 0 0

$40.87 Project Scientist, JD 0.0 0.0 0.0 0 0 0 0 0 0 0

$39.42 Project Scientist, SL 0.0 0.0 0.0 0 0 0 0 0 0 0

$33.74 Project Scientist, SB 29.0 29.0 0.0 0 0 0 0 0 0 0

$37.00 Project Scientist, SAM 0.0 0.0 0.0 0 0 0 0 0 0 0

$29.77 Project Scientist, RF 0.0 0.0 0.0 0 0 0 0 0 0 0

$0.00 QA Officer 0.0 0.0 0.0 0 0 0 0 0 0 0

$31.51 Remediation Specialist 0.0 0.0 0.0 0 0 0 0 0 0 0

$34.03 GIS / CAD Specialist, DG 9.0 9.0 0.0 0 0 0 0 0 0 0

$25.48 Staff Scientist, MM 30.5 30.5 0.0 0 0 0 0 0 0 0

$24.05 Staff Scientist 0.0 0.0 0.0 0 0 0 0 0 0 0

$28.85 Staff Scientist 0.0 0.0 0.0 0 0 0 0 0 0 0

$30.91 Environmental Specialist, CC 38.0 31.5 6.5 0 0 0 0 0 0 0

$28.39 Environmental Specialist, DK 0.0 0.0 0.0 0 0 0 0 0 0 0

$20.81 Administrative Assistant, BM 0.0 0.0 0.0 0 0 0 0 0 0 0

Total Hours 132.3 9.3 116.5 6.5 0 0 0 0 0 0 0

Direct Labor $4,746.26 $546.03 $3,999.31 $200.92 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 151.02% $7,167.80 $824.61 $6,039.76 $303.43 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Gen & Admin 0.00% $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Fringe 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 $11,914.06 $1,370.64 $10,039.07 $504.35 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 02/03 CEF Intertek-PSI Page 1

FDEP COST ESTI MATEContractor: Professional Service Industries, Inc. (Intertek-PSI)

Date: 5/15/2024 revised 6/24/2024

Task #: SubTask 1 Project Management SubTask 6

Site: Viking Plaza ERIC_4947 SubTask 2 VOH Monitoring and Deliverable SubTask 7

Activity/Phase: GW Monitor, PFAS Samplng SubTask 3 PFAS Monitoring SubTask 8

Project Manager: Nana Westmark SubTask 4 SubTask 9

SubTask 5 SubTask 10

Totals 1 2 3 4 5 6 7 8 9 10

Travel

Vehicle Rental $480.00 $480.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Mileage Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Air Fare $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Per diem + Hotel $1,116.00 $1,116.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Travel $1,596.00 $1,596.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor (Equipment Procurement)

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

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

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

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

Subcontractor Subtotal $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Procurement Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Subcontractor Cost $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor (Services Procurement)

Drilling (Conventional) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Drilling (Non-conventional) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Mobile Laboratory $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Surveying $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

IDW $110.00 $110.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Utilities $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

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

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

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

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

Subcontractor Subtotal $110.00 $110.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Handling Fee $11.00 $11.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Subcontractor Cost $121.00 $121.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Laboratory

Analytical Costs $1,387.00 $1,387.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Fast Turnaround Charges $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Sample Shipping $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Laboratory $1,387.00 $1,387.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Field Expenses

Personal Protection $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Expendables $120.00 $120.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Equipment (Drilling related) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Equipment (Analytical related) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Equipment (IDW related) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Equipment (Other) $2,215.00 $2,215.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Field Expenses $2,335.00 $2,335.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal $17,353.06 $1,370.64 $15,478.07 $504.35 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Completion Fee $1,191.41 $137.06 $1,003.91 $50.44 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $18,544.47 $1,507.70 $16,481.98 $554.79 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 02/03 CEF Intertek-PSI Page 2

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Viking Plaza ERIC_4947 SubTask 2 VOH Monitoring and Deliverable DATE: 5/15/2024 revised 6/24/2024

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Field Activities

Senior Geologist, N Westmark Event lab kit request, equipment selection 3 Notification to tenants 1 Evaluate data 8 Make Recommendations for report 4 Sign and seal document 0.5

Total Hours: 16.5

Environmental Specialist, C Cummins Field event preparation (VOH and PFAS) 2 Travel (15 hour roundtrip for gw sampling) 15 5 shallow wells @ 1 hr each 5 3 intermediate wells @ 1.5 hr each 4.5 2 deep wells @ 2 hrs each 4 Stage IDW 1

Total Hours: 31.5

Staff Scientist, M Mater Travel (15 hour roundtrip for gw sampling) 15 4 shallow wells @ 1 hr each 4 3 intermediate wells @ 1.5 hr each 4.5 2 deep wells @ 2 hrs each 4 Pick-up, drop off samples VOH samples, 3

Total Hours: 30.5

Project Scientist, S Barnes Data reduction/evaluation 7 Preparation of report 15 Report - Prepare final tables and figure 7

Total Hours: 29.0

GIS/CADD Specialist, D Grove Develop maps Total Hours: 9

TOTAL LABOR 116.5

VEHICLE TYPE RATE UNIT USEAGE

$0.00

Equipment Van / Truck from Tampa $120.00 day 4 $480.00

$0.00

TOTAL VEHICLE $480.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00 Environmental Specialist, C Cummins Lodging Groundwater Sampling $150.00 days 3 $450.00 Meals Groundwater Sampling $36.00 days 3 $108.00

Environmental Specialist, M Mater Lodging Groundwater Sampling $150.00 days 3 $450.00 Meals Groundwater Sampling $36.00 days 3 $108.00

$0.00

TOTAL PER DIEM $1,116.00

SUBCONTRACTOR COSTS

NAME PURPOSE COST

Erwin Remediation IDW transport & disposal 1 $110.00 $110.00

TOTAL $110.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC IDW

$0.00 Halocarbons by EPA Method 8260 $73.00 18 1 $1,387.00

$1,387.00 $0.00

$0.00

TOTAL LAB $1,387.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00 55--gallon drum $100.00 each 1 $100.00 Shallow Groundwater Sampling Kit $290.00 day 3 $870.00 Deep Groundwater Sampling Kit $415.00 day 3 $1,245.00

$2,215.00 Expendables $40.00 day 3 $120.00

TOTAL EQUIPMENT $2,335.00

FINAL --7/24/96

Page 4 Rev 1 Viking ERIC_4947 GW, PFAS 0552-425779

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Viking Plaza ERIC_4947 SubTask 3 PFAS Monitoring DATE: 5/15/2024 revised 6/24/2024

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Field Activities PFAS Sampling

Environmental Specialist, C Cummins Additional decontamination for PFAS 3 Documentation of PFAS groundwater sampling 1 Inventory cooler, prepare cooler for shipping to FDEP 2.5

Total Hours: 6.5

TOTAL LABOR 6.5

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$834.20 week 0 $0.00 Deep Groundwater Sampling Kit $415.00 day 0 $0.00

$0.00 Expendables $40.00 day 0 $0.00

55--gallon drum $100.00 each 0 $0.00

TOTAL EQUIPMENT $0.00

VEHICLE TYPE RATE UNIT USEAGE

Equipment Van / Truck (GW Sampling) $120.00 day 0 $0.00 $420.00 week 0 $0.00

TOTAL VEHICLE $0.00

PER DIEM STAFF RATE UNIT USEAGE

$0.00 $0.00 $0.00

TOTAL PER DIEM $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC #IDW

EPA Method 8260 $73.00 0 0 0 $0.00 Shipping, large $104.00 0 $0.00

$0.00

TOTAL LAB $0.00

SUBCONTRACTOR COSTS

NAME PURPOSE UNIT COST

Petrotech IDW drum pickup 0 $125.00 $0.00

TOTAL $0.00

Rev 1 Viking ERIC_4947 GW, PFAS 0552-425779 Page 5 Rev 1 Viking ERIC_4947 GW, PFAS 0552-425779

PSI Proposal 0552-425779-Rev 1 FDEP – Viking Plaza ERIC_4947

May 15, 2024, revised June 24, 2024 www.intertek.com/building

Post injection monitoring commenced in 2015 and the most recent groundwater quality monitoring was conducted in 2021. The Underground Injection Control (UIC) parameters have been monitored according to the RAP Schedule since 2015, and as per FDEP discussions, are being discontinued based on recent groundwater quality results revealing no elevated UIC detections.

The FDEP has implemented the August 2021 Waste Cleanup Section Dynamic Plan for addressing PFAS which consists of monitoring drycleaning sites in close proximity to public wells. The Viking Plaza groundwater was monitored in June 2023 for PFAS which revealed one well with elevated levels. PSI recommended, and FDEP concurred, that PFAS compounds should be included in the routine monitoring at the site.

The proposal contained herein consists of conducting groundwater sampling and analysis for VOH parameters and PFAS compounds for the routine annual groundwater monitoring at select wells. The results will be used to evaluate current groundwater quality conditions.

Specifically, the proposed scope of work consists of the following subtasks.

1. Project Management

This scope is provided for in the template worksheets.

2. Annual VOH Groundwater Sampling and Analysis, and Groundwater Monitoring Report

The field activities for the routine VOH groundwater sampling event will be conducted concurrently with the PFAS sampling.

a. Mobilization to the site.

b. Collection of groundwater samples per the following:

May 15, 2024, revised June 24, 2024 www.intertek.com/building

Monitor Well VOH PFAS A Wells

AMW001 X

AMW004R X

AMW009 X

AMW013 X

AMW014R X

AMW015 X

AMW017 X

AMW022 X

AMW024 X

B Wells X

BMW011 X

BMW012 X X

BMW019 X

BMW023 X X

BMW025 X

BMW027 X X

C Wells

CMW007 X

CMW020 X

D Wells

DMW016 X

The groundwater samples will be submitted to a National Environmental Laboratory Accreditation Conference (NELAC) approved laboratory for analysis for Volatile Organic Halocarbons by EPA Method 8260.

c. Containerize purge water into a 55-gallon drum, label appropriately, and upon waste characterization, have transported to an approved facility for treatment. The manifest will be submitted to the Department upon receipt.

d. Evaluation of data and develop an Annual Groundwater Monitoring Report to include current groundwater elevation maps, and current groundwater quality data. Conclusions and recommendations will be made which will include any modifications to the proposed annual groundwater sampling event.

May 15, 2024, revised June 24, 2024 www.intertek.com/building

3. PFAS Groundwater Sampling and Analysis, and Summary Deliverable

The PFAS groundwater sampling event will be conducted concurrently with the routine VOH sampling but will be addressed through Subtask 3.

a. Collection of groundwater samples per the above table for PFAS analysis.

b. Preparation of sample coolers and ship to the FDEP Central Laboratory in Tallahassee for analyses for PFAS analyses.

c. Containerize purge water into a 55-gallon drum, label appropriately, and upon waste characterization, have transported to an approved facility for treatment. The manifest will be submitted to the Department upon receipt.

d. Evaluation of data to be included in the Groundwater Monitoring Report described above.

COST ESTIMATE AND SCHEDULE

The estimated cost to perform the described services is shown in the attached Cost Estimate. All PSI services will be conducted in accordance with the terms and conditions contained within DEP Contract No. HW686, Waste Cleanup Program Services, dated December 21, 2021. An invoice and deliverable schedule are presented as follows.

Viking Plaza ERIC_4947 Deliverables Deliverable Due Date

SubTask 1 Project Management Upon completion of Task Assignment SubTask 2 VOH Monitoring and Deliverable October 25, 2024

SubTask 3 PFAS Monitoring October 25, 2024 Invoice Schedule Amount to be Invoiced

SubTasks 1 & 2 & 3 - Submittal & approval of Groundwater Monitoring Report

$18,544.47