CN-370000-HW686-DC05CCO1.pdf
PDF 2 MB Posted
- Contract number
- HW686
- Issued by
- Florida
About this file
This document is a Task Assignment Change Order (TACO #1) issued by the State of Florida Department of Environmental Protection (FDEP) to Professional Service Industries, Inc. (Intertek-PSI) for environmental services at the Pure Cleaners site (ERIC_5494) located at 954 West State Road 434 in Longwood, Seminole County. The contract is identified as HW686, with Task Assignment number DC005C. The change order was signed on December 2, 2024, and involves modifications to the original task assignment dated August 29, 2024.
The TACO authorizes PSI to conduct four quarters of groundwater monitoring and two groundwater monitoring reports consisting of volatile organic hydrocarbon (VOH) data and per- and polyfluoroalkyl substances (PFAS) data. The change order reduces one VOH sample from Subtasks 3, 4, and 5 while adding PFAS monitoring labor and materials under Subtask 7. The amended total task value is $30,619.21, representing an increase of $2,707.82 from the original task amount of $27,911.39. The task completion date was extended from December 31, 2025, to January 17, 2026, adding 17 days. Deliverables include quarterly groundwater sampling reports with due dates ranging from December 2, 2024, through October 31, 2025, with invoicing contingent upon FDEP approval of laboratory data, field notes, and summary reports. The contract operates under a fixed unit rate structure with invoice amounts ranging from $3,579.86 to $10,600.35 per deliverable.
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Text version
Funding Information:
Org. Code E.O. Object Code Budget Entity Appropriation
Category Grant # Project # Year Amount
Additional Funding Information attached on separate page.
Rev. 8/17/2020
STATE OF FLORIDA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
Task Assignment Change Order This Change Order is entered into between the Parties named below and amends the Task Assignment (TA) and any previous TA Change Orders (TACO) as follows:
1. TA Number: TACO Number: Contract Number:
TACO Description:
2. Parties State of Florida Department of Environmental Protection (Department)
Department’s Project Manager: Department’s 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 Name:
4. There are no changes to the TA compensation.
The compensation of the TA is changed to the amounts indicated below:
Amended Price Price Prior to TACO Fixed Price:
Fixed Unit Rate: (Extended Price)
Cost Reimbursement:
Total TA Value:
There are no changes to the TA Expiration Date.
The TA Completion Date is changed from ______________ to ______________ (a total of ______ days).
6. There are no changes to the Attachments.
Attachment ___ is replaced with Attachment -____.
7. No Additional Changes.
Additional Changes:
8. All other terms and conditions of the TA remain in effect. If and to the extent that any inconsistencies may appear between the TA and this TACO, the provisions of this TACO shall control.
IN WITNESS WHEREOF, this TACO 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.
DC005C 1 HW686
Mary Uribe • Responsibilities o As a Contractor Professional ServicesIndustries, Inc. (Intertek-PSI) Contractor
Contractor Joshua Newell Contractor 8637124342
ERIC_5494
Pure Cleaners
✔ $ 30,619.21 $ 27,911.39
$ 30,619.21 $ 27,911.39 Completion
Completion 12/31/2025 01/17/2026 17
1 1
Contractor
Digitally signed by Joshua S Newell Date: 2024.12.02 11:53:44-05'00'
Jennifer Farrell
Digitally signed by Jennifer Farrell Date: 2024.12.02 11:16:28 -05'00'
Monitoring for PFAS and reduction of 1 VOH sample for Subtasks 3, 4, and 5.
Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment
Contract Number:
Task Assignment #:
Deliverables:
Deliverable Deliverable Due Date
Invoice Schedule:
Requirements for Invoice Submittal Amount to be Invoiced
TOTAL COST
HW686
DC005C
$ 30,619.21
Subtask 2: 1st Qtr Groundwater Sampling
Subtask 3: 2nd Qtr Groundwater Sampling
Subtask 4: 3rd Qtr Groundwater Sampling
Subtask 5: 4th Qtr Groundwater Sampling and IDW T&D
Subtasks 6 & 1: Reporting and PM
Subtask 7: PFAS Sampling
Subtask 2: Upon FDEP approval of lab data, field notes, and summary of Q1
Subtask 4: Upon FDEP approval of lab data, field notes, and summary of Q3
Subtask 5: Upon FDEP approval of lab data, field notes, IDW Waste Manifest, and Summary of Q4
Subtask 7: Upon FDEP approval of PFAS lab data, field notes, and PFAS reporting in email deliverable and Monitoring Report.
Subtasks 6 & 1: Upon FDEP approval of Groundwater Monitoring Report and PM
Subtask 3: Upon FDEP approval of lab data, field notes, and summary of Q2
12/02/2024
03/03/2025
06/02/2025
10/31/2025
10/31/2025
10/31/2025
$ 3,801.66
$ 4,249.54
$ 3,801.66
$ 3,579.86
$ 10,600.35
$ 4,586.14
FFLORIDA DDEPARTMENT OF
EEnvironmental Protection
Bob Martinez Center
2600 Blair Stone Road Tallahassee, FL 32399-2400
Ron DeSantis Governor
Jeanette NNuñez
Lt. Governor
Shawn Hamilton Secretary
Memorandum
TO: ERIC_5494
Pure Cleaners
FROM: Mary Uribe, Project Manager
SUBJECT: Negotiation Summary
HW686 DC005C-1
DATE: 11/18/2024
PSI will perform 4 quarters of Groundwater Monitoring and two groundwater reports consisting of VOH data and PFAS data.
Summary of changes includes subtracting the cost of one VOH sample from Subtasks 3, 4, and 5, as well as adding the cost for labor and materials to perform PFAS monitoring under Subtask 7. Total task amount is $30,619.21 with a change in cost of + $2,707.82 from the initial TA.
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 October 31st 2025. Task completion date is December 31st, 2025.
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R E V
C E F
P S I
I n t e r t e k
P a g
LEVEL OF EFFORT/EXPENSE WORKSHEET
SITE : Pure Cleaners ERIC_5494 SubTask 2 1st Qtr Groundwater Sampling, VOH, PFAS DATE: 5/2/2023, Revised 8/28/2024
LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON
STAFF-TITLE WORK DESCRIPTION HOURS
Senior Geologist, N Westmark Event lab kit request, equipment selection 2 Tenant / owner notification 1 Technical oversight 1 Review final deliverable before submittal 1
Total Hours: 5
Project Scientist, S Luth Prepare for field event 1 Travel (5 hour round trip) 5 Obtain DTW from 8 wells 1 Sample 3 shallow wells (1 hr per well) 3 Pickup, drop off samples 2 Stage drum 1
Total Hours: 13
Project Engineer, J Newell Data reduction/evaluation 1.5 Generate letter report with summary of activities/results 8
Total Hours: 9.5
TOTAL LABOR 27.5
VEHICLE TYPE RATE UNIT USEAGE
Equipment Van / Truck $120.00 day 1 $120.00
TOTAL VEHICLE $120.00
PER DIEM STAFF RATE UNIT USEAGE
$0.00 $0.00 $0.00
TOTAL PER DIEM $0.00
SUBCONTRACTOR COSTS
NAME PURPOSE COST
$0.00
Petrotech Southeast IDW pickup, transport, dispose 0 $100.00 $0.00 $0.00
TOTAL $0.00
LABORATORY COSTS
PARAMETER RATE # SAMPLES #QAQC
$0.00 $0.00
EPA Method 8260 for Halocarbons $73.00 3 $219.00 $0.00 $0.00
TOTAL LAB $219.00
EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS
$0.00 Shallow Groundwater Sampling Kit $290.00 day 1 $290.00 55-gallon drum $100.00 each 1 $100.00
390.00$ Expendables $40.00 day 1 $40.00
$0.00
TOTAL EQUIPMENT $430.00
FINAL --7/24/96
Page 1 TACO # 1 - ERIC_5494 Pure Cleaners 0552-392390 PFAS, VOH
SubTask 3 2nd Qtr Groundwater Sampling, VOH DATE: 5/2/2023, Revised 8/28/2024
LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON
STAFF-TITLE WORK DESCRIPTION HOURS
Senior Engineer, G Robinson Event lab kit request, equipment selection 2 Tenant / owner notification 1 Technical oversight 1 Review final deliverable before submittal 1
Total Hours: 5
Project Scientist, S Luth Prepare for field event 1 Inventory sample kit 1 Travel (5 hour round trip) 5 Obtain DTW from 8 wells 1 Sample 2 shallow wells (1 hr per well) 2 Pickup, drop off samples 2 Stage drum 1
Total Hours: 13
Project Engineer, J Newell Data reduction/evaluation 1 Generate letter report with summary of activities/results 6
Total Hours: 7
TOTAL LABOR 25
VEHICLE TYPE RATE UNIT USEAGE
Equipment Van / Truck $120.00 day 1 $120.00
TOTAL VEHICLE $120.00
PER DIEM STAFF RATE UNIT USEAGE
$0.00 $0.00 $0.00
TOTAL PER DIEM $0.00
SUBCONTRACTOR COSTS
NAME PURPOSE COST
$0.00
Petrotech Southeast IDW pickup, transport, dispose 0 $100.00 $0.00 $0.00
TOTAL $0.00
LABORATORY COSTS
PARAMETER RATE # SAMPLES #QAQC
$0.00 $0.00
EPA Method 8260 for Halocarbons $73.00 2 $146.00 $0.00 $0.00 $0.00
TOTAL LAB $146.00
EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS
$0.00 Shallow Groundwater Sampling Kit $290.00 day 1 $290.00 55-gallon drum $100.00 each 0 $0.00
290.00$ Expendables $40.00 day 1 $40.00
$0.00 $0.00
TOTAL EQUIPMENT $330.00
SubTask 4 3rd Qtr Groundwater Sampling, VOH DATE: 5/2/2023, Revised 8/28/2024
LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON
STAFF-TITLE WORK DESCRIPTION HOURS
Senior Engineer, G Robinson Event lab kit request, equipment selection 2 Tenant / owner notification 1 Technical oversight 1 Review final deliverable before submittal 1
Total Hours: 5
Project Scientist, S Luth Prepare for field event 1 Inventory sample kit 1 Travel (5 hour round trip) 5 Obtain DTW from 8 wells 1 Sample 2 shallow wells (1 hr per well) 2 Pickup, drop off samples 2 Stage drum 1
Total Hours: 13
Project Engineer, J Newell Data reduction/evaluation 1 Generate letter report with summary of activities/results 6
Total Hours: 7
TOTAL LABOR 25
VEHICLE TYPE RATE UNIT USEAGE
Equipment Van / Truck $120.00 day 1 $120.00
TOTAL VEHICLE $120.00
PER DIEM STAFF RATE UNIT USEAGE
$0.00 $0.00 $0.00
TOTAL PER DIEM $0.00
SUBCONTRACTOR COSTS
NAME PURPOSE COST
$0.00
Petrotech Southeast IDW pickup, transport, dispose 0 $100.00 $0.00 $0.00
TOTAL $0.00
LABORATORY COSTS
PARAMETER RATE # SAMPLES #QAQC
$0.00 $0.00
EPA Method 8260 for Halocarbons $73.00 2 $146.00 $0.00 $0.00 $0.00
TOTAL LAB $146.00
EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS
$0.00 Shallow Groundwater Sampling Kit $290.00 day 1 $290.00 55-gallon drum $100.00 each 0 $0.00
290.00$ Expendables $40.00 day 1 $40.00
$0.00 $0.00
TOTAL EQUIPMENT $330.00
SubTask 5 4th Qtr Groundwater Sampling, VOH, IDW T&D DATE: 5/2/2023, Revised 8/28/2024
LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON
STAFF-TITLE WORK DESCRIPTION HOURS
Senior Engineer, G Robinson Event lab kit request, equipment selection 2 Tenant / owner notification 1 Technical oversight 1 Review final deliverable before submittal 1
Total Hours: 5
Project Scientist, S Luth Prepare for field event 1 Inventory sample kit 1 Travel (5 hour round trip) 5 Obtain DTW from 8 wells 1 Sample 2 shallow wells (1 hr per well) 2 Pickup, drop off samples 2 Stage drum 1 Collect IDW sample for waste characterization 1
Total Hours: 14
Project Engineer, J Newell Waste profiling 2 IDW manifest execution T&D oversight 1
Total Hours: 3
TOTAL LABOR 22
VEHICLE TYPE RATE UNIT USEAGE
Equipment Van / Truck $120.00 day 1 $120.00
TOTAL VEHICLE $120.00
PER DIEM STAFF RATE UNIT USEAGE
$0.00 $0.00
TOTAL PER DIEM $0.00
SUBCONTRACTOR COSTS
NAME PURPOSE COST
$0.00
Petrotech Southeast IDW pickup, transport, dispose 1 $115.00 $115.00 $0.00
TOTAL $115.00
LABORATORY COSTS
PARAMETER RATE # SAMPLES #QAQC IDW
$0.00 $0.00
EPA Method 8260 for Halocarbons $73.00 2 1 $219.00 $0.00 $0.00
TOTAL LAB $219.00
EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS
$0.00 Shallow Groundwater Sampling Kit $290.00 day 1 $290.00 55-gallon drum $100.00 each 0 $0.00
290.00$ Expendables $40.00 day 1 $40.00
$0.00 $0.00
TOTAL EQUIPMENT $330.00
SubTask 6 Reporting DATE: 5/2/2023, Revised 8/28/2024
LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON
STAFF-TITLE WORK DESCRIPTION HOURS
Senior Engineer, G Robinson Evaluate final document for accuracy prior to submittal 4 Total Hours: 4
Project Engineer, J Newell Data reduction/evaluation 8 Preparation of draft report 16
Report - Prepare final tables and figures 20
Address final comments/edits - Sign/Seal report 2
Total Hours: 46
GIS/CADD Specialist, D Grove Create and prepare figures 8 Total Hours: 8
TOTAL LABOR 58
VEHICLE TYPE RATE UNIT USEAGE
$0.00
$0.00
TOTAL VEHICLE $0.00
PER DIEM STAFF RATE UNIT USEAGE
$0.00 $0.00 $0.00 $0.00
TOTAL PER DIEM $0.00
SUBCONTRACTOR COSTS
NAME PURPOSE COST
$0.00
$0.00
TOTAL $0.00
LABORATORY COSTS
PARAMETER RATE # SAMPLES #QAQC
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00
TOTAL LAB $0.00
EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS
$0.00
$0.00 $0.00 $0.00
TOTAL EQUIPMENT $0.00
SubTask 7 PFAS Monitoring DATE: 5/2/2023, Revised 8/28/2024
LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON
STAFF-TITLE WORK DESCRIPTION HOURS
Field Activities PFAS Sampling
Project Engineer, J Newell Request PFAS sample kit via FDEP Lab Form 1 Data reduction/evaluation 1
Provide evaluation within letter/GWMR/SRCR 4
Report - Prepare final tables and figures 6 Q2 Request PFAS sample kit via FDEP Lab Form 1 Q2 Data reduction/evaluation 1
Q2 Provide evaluation within letter/GWMR/SRCR 4
Q2 Report - Prepare final tables and figures 4
Total Hours: 22
Project Scientist, S Luth Additional decontamination for PFAS 1 Documentation of PFAS groundwater sampling 1 Inventory cooler, prepare cooler for shipping to FDEP 1 Travel (5 hour round trip) 5 Sample 5 shallow wells (1 hr per well) 5 Additional decontamination for PFAS 1 Documentation of PFAS groundwater sampling 1 Inventory cooler, prepare cooler for shipping to FDEP 1
Total Hours: 16
GIS/CADD Specialist, D Grove Create and prepare figures 2 Q2 Create and prepare figures 2
Total Hours: 4
TOTAL LABOR 42
EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS
$834.20 week 0 $0.00 Deep Groundwater Sampling Kit $415.00 day 0 $0.00 Q2 Shallow Groundwater Sampling Kit $290.00 day 1 $290.00 Expendables $40.00 day 0 $0.00 Q2 Expendables $40.00 day 1 $40.00 55-gallon drum $100.00 each 0 $0.00
TOTAL EQUIPMENT $330.00
VEHICLE TYPE RATE UNIT USEAGE
Equipment Van / Truck (GW Sampling) $120.00 day 0 $0.00 Q2 Equipment Van / Truck (GW Sampling) $120.00 day 1 $120.00
$420.00 week 0 $0.00
TOTAL VEHICLE $120.00
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
TACO # 1 - ERIC_5494 Pure Cleaners 0552-392390 PFAS, VOH
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SubTask 3 2nd Qtr Groundwater Sampling, VOH
DATE: 10/29/2024
LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON
STAFF-TITLE WORK DESCRIPTION HOURS
Senior Engineer, G Robinson Event lab kit request, equipment selection 0 Tenant / owner notification 0 Technical oversight 0 Review final deliverable before submittal 0
Total Hours: 0
Project Scientist, S Luth Prepare for field event 0 Inventory sample kit 0 Travel (5 hour round trip) 0 Obtain DTW from 8 wells 0 Sample 2 shallow wells (1 hr per well) -1 Pickup, drop off samples 0 Stage drum 0
Total Hours: -1
Project Engineer, J Newell Data reduction/evaluation 0 Generate letter report with summary of activities/results 0
Total Hours: 0
TOTAL LABOR -1
VEHICLE TYPE RATE UNIT USEAGE
Equipment Van / Truck $120.00 day 0 $0.00
TOTAL VEHICLE $0.00
PER DIEM STAFF RATE UNIT USEAGE
$0.00 $0.00 $0.00
TOTAL PER DIEM $0.00
SUBCONTRACTOR COSTS
NAME PURPOSE COST
$0.00
Petrotech Southeast IDW pickup, tranpoort, dispose 0 $100.00 $0.00 $0.00
TOTAL $0.00
LABORATORY COSTS
PARAMETER RATE # SAMPLES #QAQC
$0.00 $0.00
EPA Method 8260 for Halocarbons $73.00 -1 ($73.00) $0.00 $0.00 $0.00
TOTAL LAB ($73.00)
EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS
$0.00 Shallow Groundwater Sampling Kit $290.00 day 0 $0.00 55-gallon drum $100.00 each 0 $0.00
Expendables $40.00 day 0 $0.00
$0.00 $0.00
TOTAL EQUIPMENT $0.00
Page 1 Delta - ERIC_5494 Pure Cleaners 0552-392390 PFAS, VOH
SubTask 4 3rd Qtr Groundwater Sampling, VOH
DATE: 10/29/2024
LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON
STAFF-TITLE WORK DESCRIPTION HOURS
Senior Engineer, G Robinson Event lab kit request, equipment selection 0 Tenant / owner notification 0 Technical oversight 0 Review final deliverable before submittal 0
Total Hours: 0
Project Scientist, S Luth Prepare for field event 0 Inventory sample kit 0 Travel (5 hour round trip) 0 Obtain DTW from 8 wells 0 Sample 2 shallow wells (1 hr per well) -1 Pickup, drop off samples 0 Stage drum 0
Total Hours: -1
Project Engineer, J Newell Data reduction/evaluation 0 Generate letter report with summary of activities/results 0
Total Hours: 0
TOTAL LABOR -1
VEHICLE TYPE RATE UNIT USEAGE
Equipment Van / Truck $120.00 day 0 $0.00
TOTAL VEHICLE $0.00
PER DIEM STAFF RATE UNIT USEAGE
$0.00 $0.00 $0.00
TOTAL PER DIEM $0.00
SUBCONTRACTOR COSTS
NAME PURPOSE COST
$0.00
Petrotech Southeast IDW pickup, tranpoort, dispose 0 $100.00 $0.00 $0.00
TOTAL $0.00
LABORATORY COSTS
PARAMETER RATE # SAMPLES #QAQC
$0.00 $0.00
EPA Method 8260 for Halocarbons $73.00 -1 ($73.00) $0.00 $0.00 $0.00
TOTAL LAB ($73.00)
EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS
$0.00 Shallow Groundwater Sampling Kit $290.00 day 0 $0.00 55-gallon drum $100.00 each 0 $0.00
Expendables $40.00 day 0 $0.00
$0.00 $0.00
TOTAL EQUIPMENT $0.00
SubTask 5 4th Qtr Groundwater Sampling, VOH, IDW T&D
DATE: 10/29/2024
LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON
STAFF-TITLE WORK DESCRIPTION HOURS
Senior Engineer, G Robinson Event lab kit request, equipment selection 0 Tenant / owner notification 0 Technical oversight 0 Review final deliverable before submittal 0
Total Hours: 0
Project Scientist, S Luth Prepare for field event 0 Inventory sample kit 0 Travel (5 hour round trip) 0 Obtain DTW from 8 wells 0 Sample 2 shallow wells (1 hr per well) -1 Pickup, drop off samples 0 Stage drum 0 Collect IDW sample for waste characterization 0
Total Hours: -1
Project Engineer, J Newell Waste profiling 0 IDW manifest execution T&D oversight 0
Total Hours: 0
TOTAL LABOR -1
VEHICLE TYPE RATE UNIT USEAGE
Equipment Van / Truck $120.00 day 0 $0.00
TOTAL VEHICLE $0.00
PER DIEM STAFF RATE UNIT USEAGE
$0.00 $0.00
TOTAL PER DIEM $0.00
SUBCONTRACTOR COSTS
NAME PURPOSE COST
$0.00
Petrotech Southeast IDW pickup, tranpoort, dispose 0 $115.00 $0.00 $0.00
TOTAL $0.00
LABORATORY COSTS
PARAMETER RATE # SAMPLES #QAQC IDW
$0.00 $0.00
EPA Method 8260 for Halocarbons $73.00 -1 0 ($73.00) $0.00 $0.00
TOTAL LAB ($73.00)
EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS
$0.00 Shallow Groundwater Sampling Kit $290.00 day 0 $0.00 55-gallon drum $100.00 each 0 $0.00
Expendables $40.00 day 0 $0.00
$0.00 $0.00
TOTAL EQUIPMENT $0.00
SubTask 7 PFAS Monitoring
DATE: 10/29/2024
LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON
STAFF-TITLE WORK DESCRIPTION HOURS
Field Activities PFAS Sampling
Project Engineer, J Newell Request PFAS sample kit via FDEP Lab Form 0 Data reduction/evaluation 0
Provide evaluation within letter/GWMR/SRCR 0
Report - Prepare final tables and figures 0 Q2 Request PFAS sample kit via FDEP Lab Form 1 Q2 Data reduction/evaluation 1
Q2 Provide evaluation within letter/GWMR/SRCR 4
Q2 Report - Prepare final tables and figures 4
Total Hours: 10
Project Scientist, S Luth Additional decontamination for PFAS 0 Documentation of PFAS groundwater sampling 0 Inventory cooler, prepare cooler for shipping to FDEP 0 Travel (5 hour round trip) 5 Sample 5 shallow wells (1 hr per well) 5 Additional decontamination for PFAS 1 Documentation of PFAS groundwater sampling 1 Inventory cooler, prepare cooler for shipping to FDEP 1
Total Hours: 13
GIS/CADD Specialist, D Grove Create and prepare figures 0 Q2 Create and prepare figures 2
Total Hours: 2
TOTAL LABOR 25
EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS
$834.20 week 0 $0.00 Deep Groundwater Sampling Kit $415.00 day 0 $0.00 Q2 Shallow Groundwater Sampling Kit $290.00 day 1 $290.00 Expendables $40.00 day 0 $0.00 Q2 Expendables $40.00 day 1 $40.00 55-gallon drum $100.00 each 0 $0.00
TOTAL EQUIPMENT $330.00
VEHICLE TYPE RATE UNIT USEAGE
Equipment Van / Truck (GW Sampling) $120.00 day 0 $0.00 Q2 Equipment Van / Truck (GW Sampling) $120.00 day 1 $120.00
$420.00 week 0 $0.00
TOTAL VEHICLE $120.00
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
Delta - ERIC_5494 Pure Cleaners 0552-392390 PFAS, VOH
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
DC005C December 31, 2025
This Task Assignment authorizes Professional Service Industries, Inc. (PSI) to conduct groundwater sampling for VOHs and PFAS in accordance with the scope of work received on August 28, 2024.
Nicole Knutson 850-245-8763 Professional Service Industries, Inc. (Intertek-PSI)
Nana Westmark 813-886-1075
ERIC_5494
954 West State Road 434 Longwood, Seminole County
Pure Cleaners
$ 27,911.39
$ 27,911.39
Scope of Work
Professional Service Industries, Inc. (Intertek-PSI)
Mubeen Darji
Mubeen Darji, P.E. Digitally signed by Mubeen Darji, P.E.
Date: 2024.08.29 10:01:22 -04'00'
N/A
Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment
WC TAFORM
Contract Number:
Task Assignment #:
Deliverables:
Deliverable Deliverable Due Date
Invoice Schedule:
Requirements for Invoice Submittal Amount to be Invoiced
TOTAL COST
File details come from the government source that posted it. Updated .