CN-370000-HW687-DC002i.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.

HW687

DC002i September 25, 2026

This Task Assignment authorizes Terracon Consultants Inc. to conduct Annual

Groundwater Sampling at the Village Cleaners site as part of contract HW687.

Gabriel Sostre 850-245-8749 Terracon Consultants, Inc.

Donna Cline 904-479-7415

ERIC_5205

2100 45th Street, Palm Beach County, West Palm Beach

Village Cleaners

$ 11,794.65

$ 11,794.65

Scope of Work

Terracon Consultants, Inc.

Donna Cline

Senior Associate

4/15/26

Digitally signed by Cline, Donna L DN: cn=Cline, Donna L, ou=Domain Users, email=Donna.Cline@terracon.com Date: 2026.04.15 05:12:41 -04'00'

Cline, Donna L

Mubeen Darji

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

Date: 2026.04.14 09:50:44 -04'00'

N/A

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

BWC TAFORM 01/18

Memorandum

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Village Cleaners WPB, ERIC_5205 SUBTASK 2: VOH Groundwater Sampling Proposal No PHB257053

DATE: 4/7/2026

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Field Task Planning Groundwater Sampling

Senior Geologist SO 1.00

Senior Geologist SO 1.00

Groundwater Sampling

Senior Staff Scientist JM Load/unload 1.00

Project Geologist JE Mobilization/Demobilization (from PSL office ) 2.00

Senior Staff Scientist JM Mobilization/Demobilization (from WPB office ) 1.50

Senior Staff Scientist JM Collect water levels from 16 monitoring wells @ 10 minutes per well 2.50

(MW-1, MW-3D, MW-5, MW-6, MW-7D, MW-8, MW-9, MW-10, MW-11, MW-12, MW-13, MW-14, MW-15, MW-16, MW-17, and MW-18)

Senior Staff Scientist JM Collect 6 VOH Groundwater Samples (MW-2, MW-7D, MW-9, MW-10, MW-12, and MW-16) 9.00

6 wells @1.5 hours per well

Project Geologist JE Assist in groundwater sampling of 6 wells due to highly urbanized area and safety concerns 9.00

Senior Staff Scientist JM Containerize IDW in the Central SVE Compound area and secure with chain and lock 1.00

Report Deliverable

Project Geologist JE Prepare report tables, draft groundwater elevation and analytical isoconcentration figures 4.00

Project Geologist JE Prepare report text 8.00

Project Geologist JE QA/QC field and laboratory data 2.00

Project Geologist JE Summarize groundwater analytical results 1.50

Senior Geologist SO Summarize groundwater geochemistry field results 1.00

Senior Geologist SO Conclusions/Recommendations 3.00

Cadd Specialist CF GIS Technician AS Prepare and update TetraTech base Figures and Exhibits (1hr/figure) 4.00

SO JM JE CF

Hours: 6.00 15.00 26.50 4.00 TOTAL LABOR 51.50

VEHICLE TYPE RATE UNIT USEAGE

Truck (Sampling) $120.00 day 2 240.00$ Car IDW Pick Up 80 day 0 -$

TOTAL VEHICLE 240.00$

SUBCONTRACTOR COSTS

NAME PURPOSE COST UNIT USEAGE

Erwin IDW Disposal 195.00$ Drum 0 -$

(See subtask 4) TOTAL -$

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC* #IDW TOTALS

Halocarbons (short list) EPA 8260 73.00$ 6 0 0 438.00$ (EQ Blank 0

Sample Shipping Large Cooler 110.00$ 0 0 0 -$ (LAB Drop Off)

TOTAL LAB 438.00$

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Expendables Expendables 40.00$ day 2 80.00$ Ice 6.50$ Bag 3 19.50$

Analytical related Shallow Groundwater Sampling Kit 290.00$ day 2 580.00$ Tubing, HDPE 0.30$ ft 175 52.50$ Tubing, silicon (3/16 x 3/8) 3.00$ ft 6 18.00$

IDW related 55-gallon drum, new 100.00$ drum 1 100.00$

TOTAL 850.00$

Request Sample Kit

PreTask Planning, prepare field sampling packet, coordinate site access with tenant/property management

SITE : Village Cleaners , ERIC_5205 SUBTASK 3: PFAS Sampling Proposal No PHB257053

DATE: 4/7/2026

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Field Task Planning Groundwater Sampling

Senior Geologist SO 1.00

Senior Geologist SO 0.00

Groundwater Sampling

Senior Staff Scientist JM Load/unload 0.00

Senior Staff Scientist JM Mobilization/Demobilization (from WPB) 0.00

Senior Staff Scientist JM Collect 6 PFAS Groundwater Samples (MW-1, MW-3D, MW-7D, MW-9, MW-10, and MW-16) 3.00

2 additonal wells @1.5 hours per well, bolded are not included with VOHs

Senior Staff Scientist JM Containerize IDW in the Central SVE Compound 0.00

PFAS Reporting

Senior Staff Scientist JE QA/QC field and laboratory data 1.00

Senior Staff Scientist JE Evaluate and summarize groundwater analytical results 1.50

Senior Geologist SO Conclusions and Recommendations for PFAS analysis 1.00

Cadd Specialist CF Prepare PFAS exhibit with text boxes (showing PFOA, PFOS and PFOA+PFAS for each well) 2.00

SO JM JE CF

Hours: 2.00 3.00 2.50 2.00 TOTAL LABOR 9.50

VEHICLE TYPE RATE UNIT USEAGE

Truck (Sampling) 120.00$ day 1 120.00$ Car IDW Pick Up 80.00$ day 0 -$

TOTAL VEHICLE 120.00$

SUBCONTRACTOR COSTS

NAME PURPOSE COST UNIT USEAGE

IDW Disposal (Erwin) 195.00$ Drum 0 -$ (See subtask 4)

TOTAL -$

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC* #IDW TOTALS

PFAS Analysis FDEP Laboratory -$ 6 1 0 -$ (MW-1, MW-3D, MW-7D, MW-9, MW-10, and MW-16)

Sample Shipping Small Cooler -$ 1 -$

TOTAL LAB -$

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Expendables Expendables 40.00$ day 0 -$ Ice 6.50$ Bag 0 -$

Analytical related Shallow Groundwater Sampling 290.00$ day 0 -$ Tubing, HDPE 0.30$ ft 50 15.00$ Tubing, silicon (3/16 x 3/8) 3.00$ ft 4 12.00$

IDW related 55-gallon drum, new 100.00$ drum 0 -$

TOTAL EQUIPMENT 27.00$

Request Sample Kits from FDEP laboratory

PreTask Planning, prepare field sampling packe, coordinate site access

SITE : Village Cleaners , ERIC_5205 SUBTASK 4: IDW Management Proposal No PHB257053

DATE: 4/7/2026

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

IDW Coordination

Senior Geologist SO Prepare IDW Waste Characterization/Generator Profile and waste manifest documentation 1.00

Senior Staff Scientist JM Coordinate IDW T&D Meet Transporter onsite for access (includes mob/demob, and 0.5 hr onsite) 2.00

SO JM

Hours: 1.00 2.00 TOTAL LABOR 3.00

VEHICLE TYPE RATE UNIT USEAGE

Truck (Sampling) 120.00$ day 0 -$ Car IDW Pick Up 80.00$ day 1 80.00$

TOTAL VEHICLE 80.00$

SUBCONTRACTOR COSTS

NAME PURPOSE COST UNIT USEAGE

IDW Disposal (Erwin) 195.00$ Drum 1 195.00$ Subcontractor Markup

TOTAL 195.00$

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Expendables Expendables 40.00$ day 0 -$ Ice 6.50$ Bag 0 -$

Analytical related Shallow Groundwater Sampling 290.00$ day 0 -$ Tubing, HDPE 0.30$ ft 0 -$ Tubing, silicon (3/16 x 3/8) 3.00$ ft 0 -$

IDW related 55-gallon drum, new 100.00$ drum 0 -$

TOTAL EQUIPMENT -$

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