ATTACHMENT C

DEP Contract No. GC897, Attachment C, Page 1 of 4

TASK ASSIGNMENT NOTIFICATION FORM

DEP Agreement Number: GC897 Task Assignment #: GC897-05

Local Program Name: Florida Department of Health Pinellas County

LP Contract Manager: Charles Minor Phone #: (727) 538-7277

DEP Contract Manager: David G. Warfel Phone #: (850) 245-8891

Task Description: (use additional pages if necessary)

See attached

Deliverables: See Attachment A, Paragraphs A, B, C and E.

Task Assignment Type Amount not to Exceed

Fixed Cost: $ 828,273.60 Task Performance Period July 1, 2020 to June 30, 2021

Total Task Assignment Value: $ 828,273.60

Organization Code E.O. Object Code Module Category Fiscal Year GAA Line Item # Budget Representative Approval

37450401002 JN 131545 4713 104138 00 GAA TBD

DEP Contract Manager Date

Cost Center Administrator Date

Program Administrator Date

Division Director Date

Deputy Secretary Date

Secretary Date

Contractor Representative Date

06/12/2020

David G. Warfel Digitally signed by David G. Warfel Date: 2020.06.18 14:56:43 -04'00'

Susan Fields Digitally signed by Susan Fields Date: 2020.06.18 15:35:59 -04'00'

Natasha Lampkin Digitally signed by Natasha Lampkin Date: 2020.06.18 16:33:53 -04'00'

Tim J. Bahr Digitally signed by Tim J. Bahr Date: 2020.06.29 16:34:27 -04'00'

John Truitt Digitally signed by John Truitt Date: 2020.06.29 17:05:29 -04'00'

Justin Wolfe Digitally signed by Justin Wolfe Date: 2020.07.02 11:16:30 -04'00'

Digitally signed by Charles Minor DN: CN=Charles Minor, O=Environmental Health, OU=FL Department of Health - Pinellas, E=Charles.Minor@flhealth.gov, C=US Reason: I am the author of this document Location:

Date: 2020-06-12 14:29:16

Charles Minor

Monica J. Brady Digitally signed by Monica J.

Brady Date: 2020.06.29 15:20:14 -04'00'

Brady_MJ Typewritten Text

Brady_MJ Line

DEP Contract No. GC897, Attachment C, Page 2 of 4

Task Assignment No. 5 (07/01/2020 – 06/30/2021) A. Tasks

Local Program performs all work as specified in Attachment A of the Contract GC897.

B. Performance Measures

Department Contract Manager shall review deliverable documentation to ensure that work has been performed as specified in the Scope. The Department Contract Manager will notify the Local Program of acceptance or any deficiencies in the work and/or deliverables. The Local Program will be given an opportunity to remedy deficiencies at no additional cost to the Department. In addition, the Department Contract Manager will perform a detailed performance analysis to determine retainage release on a monthly basis, per Paragraph D below.

C. Compensation

Fixed costs include all expenses associated with vehicle operation and maintenance, lease, or rental (including vehicle maintenance cost for field visits and operation and maintenance (O&M) inspections; all travel costs associated with Department training and/or meetings with Department representative(s) within Florida) all costs for staffing, including salaries, fringe benefits, rent, utilities, any overhead and indirect expenses; general administrative expenses and all other costs related to the performance of the work specified in the Attachment A of the Contract and this Task Assignment.

1. Level of Effort.

If the Local Program has been assigned more than one site (discharge) at a source property, the Local Program will only be compensated for the site with the highest level of effort.

Retainage will be withheld as specified in Paragraph D for the following activities:

a. The Local Program will be compensated at a rate of $3,320.00 per source property per year in planning phase

(site assessment (SA), including interim source removal, and remedial action plan (RAP)).

b. Remediation phase (remedial action construction (RAC), operation and maintenance (O&M) and source removal (SR)); because more effort is expected and required in managing sites in these phases, source properties with sites in remediation phase will be compensated at a rate of $6,640.00 per year for the first two

(2) years after a RAP Approval Order, UIC Approval Order, or County-issued approval letter, if no Order is required, is issued for a Level 1 or Level 2 RAP or a Level 4 Limited Scope RAP or RAP Modification Plan (as defined in Attachment B of the Contract), and $ 3,320.00 after the first two (2) years. For a Level 1, 2 or 3 Limited Scope RAP or RAP Modification Plan (as defined in Attachment B of the Contract) the source property will be compensated at a rate of $6,640.00 for one (1) year after a RAP Approval Order, UIC Approval Order or County-issued approval letter if no Order is required, is issued, and $ 3,320.00 for subsequent years. This includes SRs (not interim source removals under SA) which will be paid at $6,640.00 for one (1) year and $ 3,320.00 for subsequent years.

c. Sites in monitoring phase (natural attenuation monitoring (NAM), post active remediation monitoring (PARM), long term natural attenuation monitoring (LTNAM), and well abandonment for site closure (WASC)); because minimal effort is expected and required for sites in this phase, the Local Program will be compensated at a rate of $1,992.00 per year.

d. Non-Program and Voluntary Cleanup sites: The Local Program will be compensated at 75% of the level of effort cost as described above.

Retainage will not be withheld for the following activities:

a. Sites that are low score assessments (LSAs): for LSA sites, the Local Program will receive a one-time payment of $ 3,320.00 per source property once the first LSA purchase order is issued.

b. Once an LSA is complete, and if the Local Program determines that the site may qualify for conditional closure without remediation, either because a Conditional Closure Application or a No Further Action Proposal with Conditions has been submitted, the site may be paid at a rate of $3,320.00 on an annual basis

DEP Contract No. GC897, Attachment C, Page 3 of 4 until the Conditional Site Rehabilitation Completion Order or LSSI No Further Action Order is issued, or it is determined that conditional closure is not achievable without remediation.

2. Performance Incentives

a. In order to encourage more efficient site cleanup, and in addition to the fixed cost payments, the Local

Program shall be paid an additional target payment of $1000.00, when the following is completed at a site:

i. A Site Rehabilitation Completion Order (SRCO) per Chapter 62-780.680, F.A.C., or Low Score Site

Initiative No Further Action Approval Order per Section 376.3071(12), F.S., is issued, but only if the order is submitted to the Department within 60 days of the approval of the no further action proposal or well abandonment report, whichever is later. The number of discharges listed in a SRCO should correspond with the number of discharges listed in the no further action proposal. For example, if multiple discharges were proposed for no further action in a report, only one SRCO shall be submitted.

b. 5% PERFORMANCE INCENTIVE PAYMENT MAXIMUM -The maximum amount that can be paid annually is 5% of the total non-LSA source property compensation amount, even if more performance incentives are met. Performance incentives must be billed for on the invoice for the month they are achieved.

3. Cost reimbursement: No cost reimbursement will be made under this Task Assignment.

D. Financial Consequences

No payment will be made for unsatisfactory work. In addition, retainage will be withheld in the amount of 5% of 1/12 of the total non-LSA source property compensation.

Retainage

1. 5% of 1/12 of total non-LSA source property compensation will be withheld as retainage each month.

2. Based on the level to which performance measures are met, up to eighty percent (80%) of the retainage will be released the month after the invoice is submitted. Performance for purposes of obtaining the eighty percent (80%) retainage is based on the following four (4) performance measures:

a. Performance Measure 1: Turnaround times for deliverable reviews – Percentage of deliverable reviews that met turnaround times (Attachment T of Contract) will be self-reported in the monthly invoice and a percentage of those will be verified by the Department;

b. Performance Measure 2: Turnaround times for requests for change – Percentage of requests for change that met turnaround times will be self-reported in the monthly invoice and a percentage of those will be verified by the Department;

c. Performance Measure 3: Data entry correctly and timely completed in the Storage Tank Contamination Monitoring (STCM) database – based on a review by the Department of a percentage of documents reported on the invoice and correctly and timely updated in STCM (Paragraphs A.1.a., A.1.e, A.1.i., and A.1.l. of Attachment A). The overall percentage of data correctly and timely updated or entered in STCM will be extrapolated from the Department’s review; and

d. Performance Measure 4: Document correctly and timely inserted into OCULUS – based on a review by the Department of a percentage of documents reported on the invoice and correctly and timely inserted into STCM (Paragraphs A.1.e., A.1.f, A.1.g.iii, A.1.h, A.1.i., and A.1.m. of Attachment A). The overall percentage will be extrapolated from the Department’s review.

3. Performance Measures: Monthly Retainage Release Schedule

a. The percentage calculated for each of the above four performance metrics will be averaged, and that average will be used to determine how much retainage will be released;

DEP Contract No. GC897, Attachment C, Page 4 of 4

b. If the average of the four monthly performance metrics is 90% or above, then 80% of withheld retainage will be released the following month;

c. If the average of the four monthly performance metrics is at least 80%, but less than 90%, then 60% of withheld retainage will be released the following month and 20% of the withheld retainage will be forfeited.

d. If the average of the four monthly performance metrics is at least 70%, but less than 80%, then 40% of withheld retainage will be released the following month and 40% of the withheld retainage will be forfeited.

e. If the average of the four monthly performance metrics is below 70%, then 0% of the withheld retainage will be released the following month and 80% of the withheld retainage will be forfeited.

4. The remaining twenty percent (20%) of retainage will be withheld from each monthly payment and shall be released at the end of the Task Assignment if 98% of all assigned source properties were visited or inspected during the fiscal year pursuant to Paragraph A.1.g of Attachment A of the Contract, based on self-reporting by the Local Program and a percentage of those will be verified by the Department. See attached List of Source Properties Requiring Inspection in FY 20/21 for list of source properties that are assigned to be visited inspected.

Failure to meet the 98% target shall result in forfeiture of this retainage.

E. Budget Summary

The total Task Assignment (TA) amount for TA #5 of DEP Contract No. GC897 is $828,273.60. The Local Program will be paid an annual fixed cost base rate of $ 788,832.00 for petroleum cleanup site management, $788,832.00 of which will be for petroleum cleanup site management of 278 non-Low Score Assessment (LSA) source properties.

Additional funds are considered in this Task Assignment for compensation associated with the completion of Performance Incentives (see Paragraph C.2., above). However, the actual payment amount may be less than the Task Assignment amount, based on the Local Program’s performance.

1. Payments for each month can range from 95% to 104% of 1/12 of the total non-LSA source property compensation amount, plus LSA costs (per Paragraph C.1.e above). An additional 1% of 1/12 of the total non- LSA source property compensation amount could be paid at the end of the Task Assignment.

2. 90% of the level of effort amount eligible for distribution each month will be paid in the monthly invoice and 10% will be reserved for the final invoice. Upon completion of the final deliverable, an agreed-upon portion of the remaining 10% will be released based on satisfactory completion of all units of work. The amount paid will be determined by completing a site reconciliation comparing the number of sites worked on to the number of sites assigned. At the end of the year, if there are sites that were not worked on, the amount paid for those sites will be subtracted from the payment of the remaining 10%.

3. SRCOs that are issued do not reduce the total non-LSA source property compensation amount for this Task Assignment.

4. If an additional number of source properties (increase of 5% or 15 sites, whichever is greater) are assigned to the

Local Program during a Task Assignment period, a Task Assignment Change Order may be issued to provide compensation for the increased number of source properties if the Local Program makes a written request.

List of Source Properties Requiring Inspection in FY 20/21

*Note - Per TA Attachment A Section A.1.g.i: "If a site will receive a site rehabilitation completion Order (SRCO) or if a low-score assessment (LSA) will be generally characterized for risk within the first two months of the fiscal year, a field visit or O&M inspection will not be required"

098503064 098503163 098503199 098626537 098842138 098842217 278508792 278508832 278508845 278508860 278520263 278520264 278626277 278626852 279046743 518514945 518515056 518515086 518519638 518519846 518519850 529102562 518630303 518519942 518520040 518520041 518520046 519100584 519101813 519801205 528515112 528515437 528515465 528515596 528515652 529601156 608516823 608516849 608516863 608516881 098503199 278942572 528515369 098503049 098503073 098503085 098503110 098503158 098518737 098626568 099201690 278508753

278508782 278508802 278508807 278508828 278508859 278508869 278520262 278521963 278626273 278841448 279201672 279810078 279812131 279815582 518514899 518514943 518515022 518515056 518519636 518519794 518519811 518519850 518520040 518520041 518623343 518626558 518626581 518630205 518630460 518840696 518841173 518943417 519045685 519046744 519101813 519201597 519400404 519801205 519804373 528515178 528515181 528515253 528515280 528515293 528515342 528515397 528515465 528515523 528515525 528515555 528515561 528515652 528623414

528623569 528624558 528624655 528630847 528631032 528631035 528735150 528839846 528944087 529045855 529046160 529046927 529103183 528624562 529201805 529201989 529202302 529300889 529601252 528515358 529100955 529601306 529814263 608516823 608516833 608516836 608521917 608521921 608837864 609047173 609100922 279103580 279812305 518736753 608628420 098503076 098518725 098945300 099806167 278508731 278508751 278508761 278508768 278508778 278508851 278508871 278626864 278841460 278842203 279201021 279202364 279805507 518514878

518514904 518514982 518514991 518514991 518515007 518515028 518515054 518515083 518519624 518519830 518519875 518520049 518626557 518629897 518630085 518732434 518736509 519201926 519203030 519400404 528515133 528515134 528515207 528515240 528515249 528515252 528515298 528515315 528515357 528515365 528515423 528515424 528515435 528515480 528515579 528515593 528515597 528515601 528515626 528520552 528520634 528623401 528623468 528623557 528623647 528623853 528624529 528630825 528630895 528732810 528943752 529045580 529201998

529400164 529401769 608516810 608516852 608516879 608516885 608516887 608521916 608631423 529201545 528623485 608942552 609200362 609201938 099101870 518519747 528515175 528515221 528515283 528515332 528515359 528515446 528515454 528515488 528515499 528515521 528515541 528515570 528520534 528520623 528521836 528623486 528623526 528623586 528623588 528623619 528623629 528623696 528623870 528624537 528624590 528624660 528624689 528626387 528630865 528630903 528631041 528631248 528731566 528736517 528839772 528840107 528842135

List of Source Properties Requiring Inspection in FY 20/21

*Note - Per TA Attachment A Section A.1.g.i: "If a site will receive a site rehabilitation completion Order (SRCO) or if a low-score assessment (LSA) will be generally characterized for risk within the first two months of the fiscal year, a field visit or O&M inspection will not be required"

528943420 529047276 529103526 529202168 529202441 529401400 529600723 529808471 278508790 278508866 279800315 279813992 518520036 528732233 518514920 528515552 528943443 529202634 528839814 528515233 528515386 528515481 528624635 528624679 528837731 529800302 529814506 528624652 518519621 528623329 528623358 528623449 528623582 528623665 528624588 528624626 528630822 528732285 528839372 528841912 529045803 529601551 529601588 529700962 529804087 529805421 529813954 528630902 528623723 528624602