Funding Information:

Org. Code E.O.

Object Code

Budget Entity Appropriation

Category Grant # Project # Year Amount

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: or Designee

(Authorized Signature) (Authorized Signature)

Additional signatures attached on separate page.

GC904

GC904-223C February 28, 2025

Task Assignment description and deliverable information are specified in the Scope of Work (SOW), Attachment A with costs and invoice information attached as Scheduled Pay Items (SPI)

Attachment B. The following attachments and or documents are hereby added to the contract.

Brittany Anding 850-245-8856 Geosyntec Consultants

Joe Applegate 850-556-8419

068732818

3130 SW 19th Street, Pembrooke Park ,Broward Co. FL

Petroleum Products Corp

$ 39,257.17

$ 39,257.17

Scope of Work

Tables, Schedule of Pay Items Attachment B, figure

Geosyntec Consultants

Joe Applegate

Project Manager

Joseph Applegate Digitally signed by Joseph Applegate Date: 2024.06.26 10:44:35 -04'00'

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2024.06.26 13:21:30 -04'00'

450202000 JG 139900 37450300 087889 NA NA 24 $ 39,257.17

9-Digit Facility ID Number: 068732818 STCM Facility Name: Petroleum Products Corp

SA

RAP

http://floridadep.gov/waste/petroleum-restoration

Reports must be submitted using the appropriate FDEP forms found at:

http://floridadep.gov/waste/petroleum-restoration/content/procedures-guidance-documents

All work must be conducted in accordance with PRP Standard Specification Details found at:

http://floridadep.gov/waste/petroleum-restoration/content/templates-forms-tools-and-guidance

The following tables are included as attachments to this SOW and further represent the details of the scope of work.

Prepare and submit an updated HASP. All parties agree, based on the simplicity of the scope and site conditions not having changed, a pre-drill meeting is not required.

updated HASP (no cost) Friday, August 2, 2024 Mobilize and perform refining soil sampling per the tables prior to RAP (next task). Engineer is required to visit site (seperate mobilization required) in prepartions of RAP to observe limitations on the excavation and staging areas for soil, utilities, as some of the trailers surrounding the one that is to be relocated for the excavation are in close proximity to some of the other existing trailers that are not being moved. Prepare and submit an interim report including but not limited to, EDD, lab reports, updated tables and figures, summary of historic and recent work, waste manifest, field notes, etc.

Interim Report Thursday, October 31, 2024 This task does not require pre-authorization and may be implemented as needed during the duration of the purchase order: schedule and conduct partnering team meeting(s) with all stakeholders (USEPA, Waste Ops, PRP, Trailer Park Owner, etc.) to discuss items where buy-in from all parties is required. Submit a tabulated spreadsheet and meeting summary (including times and parties in attendance) as needed.

Tabulated spreadsheet and meeting summary Monday, December 30, 2024

Task 3 Deliverable:

Task 3 Deliverable Due Date:

Soil Boring (SB) and Well Installation Table

Task 3 Description:

Attachment A Petroleum Restoration Program

Scope of Work

Task 1 Description:

Task 2 Deliverable Due Date:

Task 2 Deliverable:

Task 2 Description:

Task 1 Deliverable Due Date:

Task 1 Deliverable:

Specifications All work must be performed in accordance with this Scope of Work (SOW) and any attachments, Chapters 62-160, 62-532, 62-777 and 62-780, F.A.C., all applicable FDEP and Water Management District guidance memoranda, standard industry procedures and as described in the Agency Term Contract (ATC).

Copies of all referenced guidelines are available at:

SubPhase(s):

Soil and Air Sampling Table

Attachment A (SOW Template) Version 04-15-19

Attachment A Petroleum Restoration Program

Scope of Work

Develop and submit the Remedial Action Plan (RAP) for source removal at the location of the trailer park in accordance with the USEPA ROD [mobile home(s) must be moved to reach the contamination area(s)]. Approval of the RAP via an Order will be issued only after all stakeholders have reviewed and agreed with the document/plan. The RAP should include within its contents as an appendix the SPI/costs and SOW for the source removal (which will be generated under a separate purchase order/task assignment). Contingent Funding in this task is only to be used to offset the cost for pay items associated with a Field Request for Change for any open task.

certified RAP with scope/cost for source removal Monday, December 30, 2024 Friday, February 28, 2025 http://floridadep.gov/waste/petroleum-restoration/content/templates-forms-tools-and-guidance

Task 4 Description:

Task 4 Deliverable:

Task 4 Deliverable Due Date:

PO End Date:

Schedule of Pay Items (SPI) All unit rates and extended prices for all line item costs associated with this project are provided in the SPI [Attachment B to this Purchase Order (PO)] and shall not exceed the rates established in the ATC.

Requests for Change (RFC) All requests for changes to the SOW must be submitted in writing and be approved in writing by the FDEP/LP using the RFC form in accordance with paragraphs 2.A and 26 of the ATC and can be found at:

Performance Measures The FDEP/LP Site Manager will review the submitted documentation to confirm that all work was performed in accordance with the Specifications referenced above. The FDEP/LP Site Manager will notify the Contractor of acceptance or any deficiencies in the work and/or deliverables. The Contractor will be given an opportunity to remedy deficiencies at no additional cost to the FDEP.

Invoicing, Payments and Financial Consequences The Contractor may submit an invoice for a Task upon written notification of acceptance of the work/deliverables by the FDEP/LP Site Manager.

Upon receipt of FDEP/LP written approval of the required documentation for completed portions of each task, the Contractor must submit an invoice within thirty (30) days. Invoices for completed work may be submitted at any time for fully completed and approved tasks, but no more frequently than every thirty (30) days, for approved partial tasks. Each invoice request must contain all documentation of performance as specified in the ATC, this Purchase Order (PO), and its attachments.

Any change which results in an extension of the due dates, PO end date, or a change in quantities or costs, requires that a PO Change Order be formally issued prior to performance of the revised SOW.

The FDEP/LP Site Manager will review the work and/or deliverables within the timeframes established in FDEP guidance documents. The Contractor will respond to any comments to complete the work and/or deliverables within the timeframe established in the comment letter or email correspondence.

Failure to provide all deliverables which are satisfactory or failure to meet the specified deliverable timetables, shall result in non-payment, loss of retainage, or other financial consequences, and/or termination of the PO, as specified in the ATC. If the deliverable due day occurs on a weekend, state holiday, or federal holiday the deliverable will be due the following business day.

Retainage shall be withheld in the amount of 5%, unless otherwise noted in the SPI, from each payment by the FDEP/LP until completion and approval of all Tasks. The Contractor shall submit a Release of Claims and request for retainage payment with the final invoice. Payment of retainage will be reduced by the amount of any assessed financial consequences.

Attachment A Petroleum Restoration Program

Scope of Work

Deliverables All deliverables under this Purchase Order must be electronic. Paper copies should not be submitted unless the deliverable requires a Professional Engineer (PE) or Professional Geologist (PG) signature and seal, and the electronic signature and seal does not meet the requirements in Chapters 61G15 or 61G16, Florida Administrative Code, as applicable.

Notice of Field Activities The Contractor must provide written notification (emails are acceptable) of field activities at least seven (7) calendar days prior to the commencement of work to all applicable parties including the PRP site manager, PRP Inspector (PRP_Inspector@dep.state.fl.us), site operator, site owner, RP and affected off-site property owners.

Environmental Forensics Site Investigation and Other Technical Support Services

SCHEDULE OF PAY ITEMS WORKSHEET

INVOICE - PAGE 1

Yes No to

Facility Name

Facility Address Retainage Percent

Vendor Remit Payment To: Bill To :

FDEP Received Date

NOTE: THIS INVOICE REQUIRES ATTACHMENT OF DEP SITE MANAGER APPROVED SCHEDULE OF PAY ITEMS INVOICE RATE SHEET AND MUST BE

SUBMITTED ON COMPANY LETTERHEAD.

Purchase Order Balance Remaining $39,257.17

Total Amount Payable This Invoice $0.00

Retainage (Final Invoice) $0.00

Total Retainage Held $0.00

Forfeited Retainage

Amount Approved This Invoice $0.00 $0.00

Available Purchase Order Balance $39,257.17

Previously Invoiced $0.00 $0.00

Purchase Order Amount $39,257.17

Amount Retainage

Agent :

Email Address :

Telephone :

10%

Florida Dept. of Environmental Protection Division of Waste Management

Tallahassee, Florida 32399-2400 2600 Blair Stone Road, M.S. 4575

Submit invoices via email to:

PRP_AcctingInvoices@dep.state.fl.us

Service Start Date Service End Date PoS Extended

068732818 00360

NOTE: THIS INVOICE REQUIRES ATTACHMENT OF DEP SITE MANAGER APPROVED SCHEDULE OF PAY ITEMS INVOICE RATE SHEET AND MUST BE

SUBMITTED ON COMPANY LETTERHEAD.

Purchase Order # FAC ID # Reference # Invoice # Invoice Date Contractor ID Final Invoice

Petroleum Products Corp

6/25/2024F&TS Schedule of Pay Items 10-06-22

INVOICE INSTRUCTIONS

PRP INVOICE INSTRUCTIONS

PRP Invoices must be submitted on Company Letterhead and must be formatted in accordance with the attached Excel document.

Invoices must be submitted via email to PRP Accounting (PRP_AcctingInvoices@dep.state.fl.us).

Submitted invoices must include a copy of the PRP Deliverable Approval Letter including the DEP Site Manager approved invoice rate sheet specifying which costs may be invoiced, Subcontractor Utilization Form (required even if subcontractors are not utilized), Release of Claims (if final invoice), vendor invoice/receipt for all reimbursable pay items, and all supporting documentation in accordance with the Purchase Order (PO) that was issued from MyFloridaMarketPlace (MFMP).

The PRP Reference # and Facility Address at the top section of the Invoice sheet and the Purchase Order # at the top of the Invoice rate sheet must be entered by the Contractor and be in accordance with the PO.

The Invoice Number must be a unique number entered by the Contractor and cannot be “0”, greater than nine characters, or a duplicate number.

The Invoice Date must be entered by the Contractor based on the date of invoicing.

- The Invoice Date may not predate the Service End Date or postdate the Program's received date of the invoice.

The Contractor must check a box to indicate whether or not this invoice is the final invoice for the associated Purchase Order.

- If yes, then retainage will be invoiced for and a release of claim form must be submitted along with the invoice.

"Service Start Date" and "Service End Date" must be entered by the Contractor based on the actual dates on which the invoiced task(s) was (were) performed.

- The "Service Start Date" may not predate the PO Start Date indicated on the PO.

- The "Service End Date" may not postdate the PO End Date indicated on the PO, and may not postdate the "Invoice Date". For the deliverable to be considered on time, the Service End Date may not postdate the deliverable due date.

"PoS Extended" should only be entered by the Contractor if the Period of Service was extended via issuance of a MFMP PO Change Order.

The Retainage Percent is prepopulated from the Invoice Rate Sheet worksheet.

All information requested on the "Vendor Remit Payment To:" section of the invoice must be entered by the Contractor.

The bottom section of the invoice (payment information) is prepopulated from the Invoice Rate Sheet. If DEP has notified the contractor that retainage was forfeited, the total forfeited amount must be entered in the appropriate block.

6/25/2024 AttachmentB-SPI-Bamboo Park_RAP Preparation -TSS-Forensics_6_20_24

HISPANIC (I)

HISPANIC (O)

NON-MINORITY (A)

SMALL BUSINESS (STATE) (B)

SMALL BUSINESS (FEDERAL) (C)

GOVERNMENTAL AGENCY

NON-PROFIT ORGANIZATION (F)

P.R.I.D.E. OR RESPECT

VETERAN BUSINESS ENTERPRISE (L)

AFRICAN AMERICAN (H)

ASIAN/HAWAIIAN (J)

NATIVE AMERICAN (K)

AMERICAN WOMAN (M)

VETERAN BUSINESS ENTERPRISE (W)

AFRICAN AMERICAN (N)

51% OR MORE MINORITY COMMUNITY SERVED (U)

OTHER NON-PROFIT (V)

ASIAN/HAWAIIAN (P)

NATIVE AMERICAN (Q)

AMERICAN WOMAN (R)

VETERAN BUSINESS ENTERPRISE (Y)

BOARD IS 51% OR MORE MINORITY (S)

51% OR MORE MINORITY EMPLOYEES (T)

RELEASE OF CLAIMS

1. I, of (the "Vendor") hereby certify:

A.

MFMP Purchase Order number on the following real property:

B.

C.

D.

E.

F.

2.

State of County of

Sworn to and subscribed before me by this day of

Personally known ( )

Produced Identification ( ) Type of ID:

My Commission Expires

Notary Public, State of Commission Number (if applicable)

PRP RoC Revised 1/16/14

(Notary's Signature)

---------------------------------------------- Notarization of Signature of Vendor (required) ---------------------------------------------------

(street, city, county)

Site Owner:

(name of property owner)

That the Vendor has completed the work in accordance with the MFMP Purchase Order.

That all subcontractors and suppliers have been paid in full.

That receipt by the Vendor of payment for the final invoice, under the aforementioned agreement and the task assignment issued thereunder, shall constitute a full release and discharge by the Vendor to the owner of any and all claims of the Vendor against the owner, arising out of, connected with, or resulting from, performance of the obligations of the Vendor and any subcontractors and suppliers pursuant to the agreement. The Vendor shall certify such release of claim to the owner, in writing, upon request by the owner.

That upon receipt by the Vendor from the Department of payment for the final invoice, under the aforementioned agreement and the task assignment issued thereunder, the Vendor releases the Department from any and all claims of the Vendor and any subcontractors and suppliers that may arise under, or by virtue of, the agreement and the task assignment issued thereunder, except those claims that may be specifically exempted and set forth under the terms of the agreement. Exemptions claimed must be attached to this affidavit and reference the MFMP Purchase Order number. Any exemptions not attached are hereby waived.

That person appearing is authorized to make the statements set forth in this affidavit.

(signature of authorized Vendor representative)

Site Address:

(name of person appearing) (title of person appearing)

Geosyntec Consultants (name of Vendor)

That the Vendor entered into an agreement with the DEP to perform certain work under

Site Name: Petroleum Products Corp DEP Facility ID #: 068732818 (site or business name)

MFMP PURCHASE ORDER AFFIDAVIT/RELEASE OF CLAIMS FORM

This affidavit must be completed and signed by the Vendor when requesting final payment on a MFMP Purchase Order. The signature of the Vendor shall be notarized as set forth below. Final payment on a MFMP Purchase Order will not be released until this form is accepted by the Florida Department of Environmental Protection (DEP).

am the

6/25/2024F&TS Schedule of Pay Items 10-06-22