CN-370000-HW687-DC014F.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

DC014F August 8, 2025

This Task Assignment authorizes Terracon to conduct Groundwater Sampling at the

Village Laundry and Cleaners site.

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

Donna Cline 904-479-7415

ERIC_4743

10235 Lake Carroll Way, Tampa, Hillsborough County

Village Laundry and Dry Cleaners

$ 18,126.96

$ 18,126.96

Scope of Work

Terracon Consultants, Inc.

Donna Cline

Senior Associate / Remediation Engineer

01/07/2025

Mubeen Darji

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

Date: 2024.12.17 15:32:00 -05'00'

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

FLORIDA DEPARTMENT OF

Environmental Protection

Bob Martinez Center 2600 Blair Stone Road

Tallahassee, FL 32399-2400

Ron DeSantis Governor

Jeanette Nuñez Lt. Governor

Secretary

Memorandum

TO:

FROM:

Negotiation File

ERIC

, Project Manager

SUBJECT: Negotiation Summary

DATE:

Task Assignment (HW687)

FDEP COST ESTIMATE

Contractor: Terracon

Date: 12/16/2024

Task #: SubTask 1 Project Management

Site: Village Laundry and Dry Cleaners ERIC_4743 SubTask 2 VOH Groundwater Sampling

Activity/Phase: Groundwater Sampling and Reporting SubTask 3 PFAS Sampling

Project Manager: Gabriel Sostre SubTask 4

SubTask 5

Totals 1 2 3 4 5 6

Labor Rate Category

$55.29 Project Manager Fabio Fortes 8.66 8.66

$33.31 CADD Specialist Chelsea Fugate 7.00 6.00 1.00 0.00 0.00 0.00

$31.85 Staff Engineer Eddy Lion 28.50 28.50 0.00 0.00 0.00 0.00

$41.30 Senior Scientist Ryan Fetter 42.50 40.50 2.00 0.00 0.00 0.00

$70.14 Senior Engineer Donna Cline 1.00 0.00 1.00 0.00 0.00 0.00

$55.29 Senior Engineer Fabio Fortes 13.00 6.00 7.00 0.00 0.00 0.00

Total Hours 100.66 8.66 81.00 11.00 0.00 0.00 0.00

Direct Labor $4,164.12 $479.06 $3,111.98 $573.08 $0.00 $0.00 $0.00

Overhead 116.00% $4,830.38 $555.71 $3,609.90 $664.77 $0.00 $0.00 $0.00

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

Fringe 56.26% $2,342.73 $269.52 $1,750.80 $322.41 $0.00 $0.00 $0.00

Total Labor $11,337.23 $1,304.29 $8,472.68 $1,560.26 $0.00 $0.00 $0.00

Travel

Vehicle charge $840.00 840.00$ $0.00 $0.00 $0.00 $0.00

Mileage Costs $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

Per diem + Hotel $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Total Travel $840.00 $840.00 $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

Subcontractor Subtotal $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

Total Subcontractor Cost $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

Drilling (Non-conventional) $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

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

IDW - Petrotech $310.00 310.00$ $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

Subcontractor Subtotal $310.00 $310.00 $0.00 $0.00 $0.00 $0.00

Handling Fee $31.00 $31.00 $0.00 $0.00 $0.00 $0.00

Total Subcontractor Cost $341.00 $341.00 $0.00 $0.00 $0.00 $0.00

Laboratory

Analytical Costs $1,752.00 1,752.00$ -$ $0.00 $0.00 $0.00

Encore Sampler $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

Sample Shipping $110.00 110.00$ -$ $0.00 $0.00 $0.00

Total Laboratory $1,862.00 $1,862.00 $0.00 $0.00 $0.00 $0.00

Field Expenses

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

Expendables $185.00 159.00$ 26.00$ $0.00 $0.00 $0.00

Equipment (Drilling related) $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

Equipment (IDW related) $100.00 100.00$ $0.00 $0.00 $0.00 $0.00

Equipment (Other) $2,328.00 2,328.00$ $0.00 $0.00 $0.00 $0.00

Total Field Expenses $2,613.00 $2,587.00 $26.00 $0.00 $0.00 $0.00

Subtotal $16,993.23 $1,304.29 $14,102.68 $1,586.26 $0.00 $0.00 $0.00

Completion Fee $1,133.73 $130.43 $847.27 $156.03 $0.00 $0.00 $0.00

Total Estimated Cost $18,126.96 $1,434.72 $14,949.95 $1,742.29 $0.00 $0.00 $0.00

REV: 02/03 CEF TERRACON Page 1

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Village Laundry and Dry Cleaners ERIC_4743

SUBTASK 2: VOH Groundwater Sampling

PROPOSAL NO. PH4237303

DATE: 12/16/2024

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Field Task Planning Staff Engineer EL 1.00

Senior Scientist RF 1.00

Senior Engineer FF 3.00

Groundwater Sampling

Senior Scientist RF 2.00

Staff Engineer EL 3.00

Senior Scientist RF 1.00

Staff Engineer EL 1.00

Senior Scientist RF 3.00

Staff Engineer EL 3.00

Senior Scientist RF 17.50

Staff Engineer EL 17.50

Staff Engineer EL 2.00

Senior Scientist RF 1.00

Staff Engineer EL 1.00

GWM Report Deliverable

Senior Scientist RF 4.00

Senior Scientist RF 7.00

Senior Scientist RF 1.00

Senior Scientist RF 3.00

Senior Engineer FF 3.00

CADD Specialist CF 6.00

Personnel: RF EL FF CF DC

Hours: 40.50 28.50 6.00 6.00 0.00 TOTAL LABOR 81.00

VEHICLE TYPE RATE UNIT USEAGE

Truck (RF) GW Sampling 120.00$ day 3 360.00$

Truck (EL) GW Sampling 120.00$ day 3 360.00$

Truck (EL) IDW pick up 120.00$ day 1 120.00$

TOTAL VEHICLE 840.00$

SUBCONTRACTOR COSTS

NAME PURPOSE COST UNIT USEAGE

Petrotech IDW Disposal 310.00$ each 1 310.00$

TOTAL SUBCONTRACTOR 310.00$

LABORATORY COSTS

PARAMETER RATE # SAMPLES IDW TOTALS

Halocarbons (short list) EPA 8260 73.00$ 23 1,752.00$

Sample shipment Small, overnight 110.00$ 1 0 110.00$

TOTAL LAB 1,862.00$

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Expendables Expendables 40.00$ day 3 120.00$

Ice (Sample preservation, 2 bags/day) 6.50$ day 6 39.00$

Equipment (others) Shallow Groundwater Sampling Kit 325.00$ day 6 (2 people x 3 days) 1,950.00$

Tubing, HDPE 0.30$ ft 1100 330.00$

Tubing, silicon (3/16 x 3/8) 3.00$ ft 16 48.00$

IDW Related 55-gallon drum, new 100.00$ each 1 100.00$

TOTAL EQUIPMENT 2,587.00$

Conclusions and reccomendations

Prepare Figures and Exhibits

Prepare report tables, draft groundwater elevation and analytical isoconcentration figures

Prepare report

QA/QC field and laboratory data

Summarize groundwater analytical results

Collect water levels from 34 monitoring wells @ 10 minutes per well

Kickoff meeting and field work organization

Kickoff meeting and field work organization

Mobilization/Demobilization (from Tampa)

Field documents organization

Field documents organization

Request the VOH Sample Kit and PreTask Planning, remotely turn off the SVE system the day before the mobilization, and prepare field sampling and Field Work Request.

Load/unload equipment and check equipment calibration

Pickup drum for IDW from drum wholesale. Load/unload equipment, and check equipment calibartion

Mobilization/Demobilization (from Tampa)

Collect water levels from 34 monitoring wells @ 10 minutes per well

Collect 23 VOH Groundwater Samples @ 1.5 hrs per well

Collect 23 VOH Groundwater Samples @ 1.5 hrs per well

Containerize IDW,coordinate with current Tenant, turn on the SVE system at the end of the GW sampling activities

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Village Laundry and Dry Cleaners ERIC_4743

SUBTASK 3: PFAS Sampling

PROPOSAL NO. PH4237303

DATE: 12/16/2024

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Field Task Planning

Senior Engineer FF 2.00

Groundwater Sampling activities included in LOE 2

IDW Coordination Senior Engineer FF 1.00 Staff Engineer EL 2.00

Email Deliverable for PFAS Sampling

Senior Engineer FF QA/QC field and laboratory data 2.00

Senior Engineer FF Evaluate and summarize groundwater analytical results 2.00

Senior Engineer DC Conclusions and Recommendations for PFAS analysis 1.00

CADD Specialist CF Prepare PFAS exhibit (showing PFOA, PFOS and PFOA+PFAS for each well) 1.00

Personnel: EL FF DC CF

Hours: 2.00 7.00 1.00 1.00 TOTAL LABOR 11.00

VEHICLE TYPE RATE UNIT USEAGE

TOTAL VEHICLE -$

LABORATORY COSTS

PARAMETER RATE # SAMPLES IDW

TOTAL LAB -$

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

Expendables Expendables 40.00$ day 0 -$

Ice (Sample Preservation 2 bags/day) 6.50$ each 4 26.00$

Analytical related Groundwater Sampling Kit 290.00$ day 0 -$

Tubing, HDPE 0.30$ ft 0 -$

Tubing, silicon (3/16 x 3/8) 3.00$ ft 0 -$

TOTAL EQUIPMENT 26.00$

Request Sample Kit, Coordinate Lab Availability

Prepare IDW Waste Characterization/Generator Profile, schedule and coordinate pickup Meet Transporter onsite and sign manifest