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

HW001A Completion December 11, 2022

This Task Assignment authorizes Professional Service Industries, Inc. (PSI) to conduct PFAS Sampling in accordance with the PSI scope of work, cost estimate, and schedule received on September 8 2022.

Skylar Schwed 850-245-8795 Contractor Contractor

Contractor Contractor

Contractor Contractor

Contractor

Professional Service Industries, Inc. (Intertek-PSI)

Professional Service Industries, Inc. (Intertek-PSI)

Nana G. Westmark 813-886-1075

ERIC_4690

11605 North 15th Street Tampa, Florida

Coin-O-Magic Laundromat

✔ $ 2,658.65

$ 2,658.65

Scope of Work

Nana Westmark

Senior Geologist / Principal Consultant

Nana G Westmark Digitally signed by Nana G Westmark Date: 2022.09.26 09:50:07 -04'00'

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2022.09.25 07:50:11 -04'00'

N/A

Murphy_SL Highlight

Murphy_SL Highlight

Murphy_SL Highlight

Murphy_SL Highlight

Murphy_SL Highlight

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

Subtasks 1 &2 Groundwater Monitoring email & PM 11/15/2022

Subtasks 1& 2: Submittal and FDEP approval of the groundwater monitoring email and PM $ 2,658.65

$ 2,658.65

HW686

HW001A

Printed on recycled paper.

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

To: HW686 Contract Negotiation File Coin O Magic Cleaners Tampa FL

ERIC_4690

From: Skylar Schwed, Project Manager Date: September 15, 2022 Subject: Negotiation Summary

HW686 HW001A

This Task Assignment authorizes PSI to conduct groundwater monitoring activities in accordance with the September 8, 2022, Scope of Work, and Cost Estimate.

PSI confirmed on September 8, 2022, that an Access Agreement with the current real property owner of the Coin O Magic Cleaners (ERIC_4690) site has been executed.

The original Task Assignment totaled $2,658.65 with 23 labor hours but after negotiations and corrections with contractor costs are reflected as below:

The FDEP Project Manager agrees to the scope of work and final cost associated with this Task Assignment. The final cost for this Task Assignment is $2,658.65 with 23 labor hours.

PSI may invoice following the schedule established in the Deliverables and Invoice Schedule Attachment, which accompanies the Task Assignment Notification Form.

PSI Proposal Number: 0552-382505 September 8, 2022

Professional Service Industries, Inc.

5801 Benjamin Center Drive, Suite 112, Tampa, FL 33634

Phone: (813) 886-1075 Fax: (813) 249-4916 www.intertek.com/building

Florida Department of Environmental Protection Waste Site Cleanup Section 2600 Blair Stone Road, MS 4520 Tallahassee, Florida 32399-2400

Attention: Ms. Skylar Schwed, Environmental Specialist II Phone: (850) 245-8705 main, (850) 245-8795 direct Email: Skylar.Schwed@FloridaDEP.gov

Re: Proposal for PFAS Groundwater Sampling and Summary Coin-O-Magic Laundromat (current University Laundromat) 11605 North 15th Street Tampa, Florida Facility ID No. 299500268, ERIC_4690

Dear Ms. Schwed:

Professional Service Industries, Inc. (PSI), an Intertek company, is pleased to provide the proposal contained herein to provide Groundwater Sampling for Perfluoroalkyl and polyfluoroalkyl substances (PFAS) compounds for the Coil O-Magic Laundromat. Included with this proposal is a brief discussion of project history to date, proposed scope of work, cost estimate and a proposed schedule for completion. Site Access between the property owner and the FDEP (and its contractors) was signed July 31, 2017.

PROJECT BACKGROUND

Historical records reveal that on-site drycleaning using perchloroethene (a.k.a PCE) was likely conducted from 1986 through 1994 at which time the drycleaning business was converted to a dry-drop-off and coin-operated laundromat. The Coin O Magic Laundromat was accepted into the Drycleaning Solvent Cleanup Program and the state provided funding for assessment and remediation. The Site Assessment commenced in 2018 which revealed low levels of solvent compounds. A Soil Vapor Extraction (SVE) system for soil remediation was designed and installed in 2022 and is currently operating.

No large Public Supply Wells as of January 2017 have been identified within ½ mile of the Site, whereas one small potable private well is located within ¼ mile of the Site. The private potable mailto:Skylar.Schwed@FloridaDEP.gov

FDEP – Coin O Magic ERIC_4690

Groundwater Sampling - PFAS September 8, 2022 www.intertek.com/building well provides water for the Hackworth Duplex located at 11720 North 15th Street, which is about 1,100 feet northwest of the Site.

The FDEP is currently implementing the August 2021 Waste Cleanup Section Dynamic Plan for addressing PFAS which consists of monitoring drycleaning sites with close proximity to public wells. Therefore, we are proposing to conduct a groundwater sampling event for select wells at the Coin O Magic Laundromat to evaluate the potential presence of PFAS compounds.

PROPOSED SCOPE OF WORK

The proposed groundwater sampling activities will be implemented in general accordance with the FDEP’s Standard Operating Procedures for Field Activities (DEP SOP-001/01) and the site Health and Safety Plan developed for this project. Based upon our discussion, this proposal generally includes the following activities:

• Collect groundwater samples from existing select wells for PFAS analysis including perfluorooctanoic acid (PFOA) and perfluorooctanesulfonic acid (PFOS),

• Utilize the FDEP Laboratory in Tallahassee for sample kits and all laboratory analysis as required for these activities, and

• Provide summary deliverable.

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

1. Project Management

This scope is provided for in the template worksheets.

2. Groundwater Sampling

a. Collect the following samples for PFAS analyses by the FDEP laboratory.

I. Shallow wells MW001, MW002, II. Intermediate wells MW003.

b. All IDW (purge water and wash water) will be handled and disposed of in accordance with FDEP and USEPA guidelines.

c. Provide a deliverable in accordance with WSCS PFAS Screening Plan for Drycleaning Sites, which will include a simple email summary including one figure with text boxes (no isoconcentration contours), field notes/forms, and the final laboratory report.

FDEP – Coin O Magic ERIC_4690

Groundwater Sampling - PFAS September 8, 2022 www.intertek.com/building

COST ESTIMATE AND SCHEDULE

The estimated cost to perform the Groundwater Sampling is shown on the attached Cost Estimate. All PSI services will be conducted in accordance with the terms and conditions contained within DEP Contract No. HW 686, Waste Cleanup Program Services, dated December 21, 2021. An invoice and deliverable schedule are presented as follows.

Coin O Magic ERIC_4690

Deliverables

Deliverables Deliverable Due Date SubTask 1 Project Management Upon completion of Task

Assignment SubTask 2 Groundwater Monitoring / Email

Deliverable Two days within receipt of FDEP lab data if above PGCTLs

Invoice Schedule

Requirements for Invoice Submittal Amount to be Invoiced SubTasks 1 & 2 - Submittal & approval of Groundwater Monitoring Email Results

$2,658.65

PSI appreciates the opportunity to be of service to the FDEP. If you have any questions, please feel free to contact us at (813) 886-1075.

Respectfully submitted, PROFESSIONAL SERVICE INDUSTRIES, INC.

Michael Rothenburg, PE, CIH Nana Westmark, PG, CHMM Senior Engineer Senior Geologist / Contract Manager

Enclosure: Cost Estimate Level of Effort

Z:\552-Env\FDEP HW 686 Drycleaning, Main Contract\0552------Coin O Magic GW, PFAS\Proposals\2022 GW PFAS\Coin O Magic ERIC_4690 0552-382505.docx

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

Date: 9/8/2022

Task #: SubTask 1 Project Management SubTask 6

Site: Coin O Magic ERIC_4690 SubTask 2 Groundwater Monitoring / Email Deliverable SubTask 7

Activity/Phase: Groundwater Monitoring - PFAS SubTask 3 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

$56.99 Project Manager 2 1.6 $0.00 Principal Consultant 0 0 0 0 0 0 0 0 0 0

$62.64 Senior Engineer, MR 0 0 0 0 0 0 0 0 0 0 $56.99 Senior Geologist, NW 4 4 0 0 0 0 0 0 0 0

$0.00 Senior Scientist 0 0 0 0 0 0 0 0 0 0 $0.00 Certified Industrial Hygientist 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 $0.00 Florida Licensed Asbestos Consultant 0 0 0 0 0 0 0 0 0 0 $0.00 Project Manager 0 0 0 0 0 0 0 0 0 0

$36.06 Project Engineer 0 0 0 0 0 0 0 0 0 0 $38.20 Project Engineer, IK 0 0 0 0 0 0 0 0 0 0 $30.56 Project Engineer, MK 0 0 0 0 0 0 0 0 0 0 $37.02 Project Engineer, SJ 0 0 0 0 0 0 0 0 0 0 $33.74 Project Scientist, SB 0 0 0 0 0 0 0 0 0 0 $29.86 Project Scientist 0 0 0 0 0 0 0 0 0 0 $29.77 Project Scientist, RF 3 3 0 0 0 0 0 0 0 0

$0.00 QA Officer 0 0 0 0 0 0 0 0 0 0 $31.51 Remediation Specialist, RH 7 7 0 0 0 0 0 0 0 0 $29.86 GIS / CAD Specialist, DG 2 2 0 0 0 0 0 0 0 0

$0.00 Staff Engineer 0 0 0 0 0 0 0 0 0 0 $0.00 Staff Geologist 0 0 0 0 0 0 0 0 0 0

$24.94 Staff Scientist, BW 0 0 0 0 0 0 0 0 0 0 $30.91 Environmental Specialist, CC 0 0 0 0 0 0 0 0 0 0 $22.06 Environmental Specialist, MZ 5 5 0 0 0 0 0 0 0 0 $20.81 Administrative Assistant, BM 0 0 0 0 0 0 0 0 0 0

$0.00 0 0 0 0 0 0 0 0 0 0 $0.00 0 0 0 0 0 0 0 0 0 0 $0.00 0 0 0 0 0 0 0 0 0 0 $0.00 0 0 0 0 0 0 0 0 0 0 $0.00 0 0 0 0 0 0 0 0 0 0 $0.00 0 0 0 0 0 0 0 0 0 0

Total Hours 23 2 21 0 0 0 0 0 0 0 0

Direct Labor $799.88 $92.02 $707.86 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Overhead 151.02% $1,207.98 $138.97 $1,069.01 $0.00 $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 $2,007.86 $230.99 $1,776.87 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

REV: 02/03 CEF Intertek-PSI Page 1

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

Date: 9/8/2022

Task #: SubTask 1 Project Management SubTask 6

Site: Coin O Magic ERIC_4690 SubTask 2 Groundwater Monitoring / Email Deliverable SubTask 7

Activity/Phase: Groundwater Monitoring - PFAS SubTask 3 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 $120.00 $120.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Mileage Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Air Fare $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Per diem + Hotel $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Travel $120.00 $120.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subcontractor (Equipment Procurement) $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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

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

$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 Handling Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Subcontractor Cost $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Laboratory Analytical Costs $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fast Turnaround Charges $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Sample Shipping $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Laboratory $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Field Expenses Personal Protection $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Expendables $40.00 $40.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Drilling related) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Analytical related) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (IDW related) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Equipment (Other) $290.00 $290.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Total Field Expenses $330.00 $330.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Subtotal $2,457.86 $230.99 $2,226.87 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Completion Fee $200.79 $23.10 $177.69 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Estimated Cost $2,658.65 $254.09 $2,404.56 $0.00 $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 : Coin O Magic ERIC_4690 SubTask 2 Groundwater Monitoring / Email Deliverable

DATE: 9/8/2022

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Senior Geologist, N Westmark Technical Assistance 1 Notification to tenants 1 Field documents evaluation and edit submittal 2

Environmental Specialist, M Zilske Travel (1 roundtrip for gw sampling) 1 Collect groundwater samples shallow wells @ 1 hr each 2 Additional decontamination for PFAS 1 Stage IDW 1

Remediation Specialist, RH Field Event Preparation 1 Travel (1 roundtrip for gw sampling) 1 Collect groundwater samples intermediate wells @ 1.5 hr each 1.5 Additional decontamination for PFAS 1 Inventory cooler, prepare cooler for shipping to FDEP 2.5

CADD/ GIS, D Grove Prepare map with PFAS results 2

Project Scientist, R Fetter Prepare field deliverable and PFAS analytical results 3

TOTAL LABOR 21

VEHICLE TYPE RATE UNIT USEAGE

$0.00

Equipment Van / Truck $120.00 day 1 $120.00

$0.00

TOTAL VEHICLE $120.00

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

TOTAL $0.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

$0.00

$0.00 0 $0.00

$0.00 $0.00

$0.00

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00

Shallow Groundwater Sampling Kit $290.00 day 1 $290.00

$290.00 Expendables $40.00 day 1 $40.00

TOTAL EQUIPMENT $330.00

Analaytical laboratory services for PFAS provided by FDEP Central Laboratory

FINAL --7/24/96

Page 4 Coin O Magic ERIC_4690 0552-382505