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

DC002F July 17, 2026

Management of the FDEP BWC's Equipment Storage Facility in Lakeland, Florida.

Mary Uribe 850-245-8990 Professional Service Industries, Inc. (Intertek-PSI)

Joshua Newell 863 712 4342

Multiple Sites

State Road 33 Lakeland, Polk County, FL

Lakeland Storage Facility

$ 44,600.85

$ 44,600.85

Scope of Work

Professional Service Industries, Inc. (Intertek-PSI)

Jennifer Farrell

Digitally signed by Jennifer Farrell Date: 2024.12.10 08:19:19 -05'00'

N/A

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

WC TAFORM

Contract Number:

Task Assignment #:

Deliverables:

Deliverable Deliverable Due Date

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

TOTAL COST

LEVEL OF EFFORT/EXPENSE WORKSHEET

SITE : Equipment Storage Facility SubTask 2 Quarter 1 - Equipment Storage Management

DATE: 12/5/2024

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Engineer Compile equipment list, photographs 5 Submit current equipment list to FDEP 1

Total Hours: 6 Staff Scientist Quarterly site visits Total Hours: 50

TOTAL LABOR 56

VEHICLE TYPE RATE UNIT USEAGE

$0.00 Truck, site visit $120.00 day 0 $0.00

$480.00 week 1 $480.00

TOTAL VEHICLE $480.00

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 Equipment Storage rental 3 monthly $1,605.00 $4,815.00

$0.00

TOTAL $4,815.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00 Construction / O&M Supplies $75.00 day 0 $0.00

$300.00 weekly 1 $300.00 Expendables 0 0 $40.00 day 5 0 $200.00

$0.00 $0.00 $0.00

TOTAL EQUIPMENT $500.00

FINAL --7/24/96

Page 4 PSI Equipment Storage 0552-440437

SubTask 3 Qtr 3 - Equipment Storage Management

DATE: 12/5/2024

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Engineer Compile equipment list, photographs 5 Submit current equipment list to FDEP 1

Total Hours 6 Staff Scientist Quarterly site visits Total Hours: 50

TOTAL LABOR 56

VEHICLE TYPE RATE UNIT USEAGE

$0.00 Truck, site visit $120.00 day 0 $0.00

$480.00 week 1 $480.00

TOTAL VEHICLE $480.00

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 Equipment Storage rental 3 monthly $1,605.00 $4,815.00

$0.00

TOTAL $4,815.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00 Construction / O&M Supplies $75.00 day 0 $0.00

$300.00 weekly 1 $300.00 Expendables 0 0 $40.00 day 5 0 $200.00

$0.00 $0.00 $0.00

TOTAL EQUIPMENT $500.00

Page 5 PSI Equipment Storage 0552-440437

SubTask 4 Qtr 4 - Equipment Storage Management

DATE: 12/5/2024

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Engineer Compile equipment list, photographs 5 Submit current equipment list to FDEP 1

Total Hours 6 Staff Scientist Quarterly site visits Total Hours: 50

TOTAL LABOR 56

VEHICLE TYPE RATE UNIT USEAGE

$0.00 Truck, site visit $120.00 day 0 $0.00

$480.00 week 1 $480.00

TOTAL VEHICLE $480.00

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 Equipment Storage rental 3 monthly $1,605.00 $4,815.00

$0.00

TOTAL $4,815.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00 Construction / O&M Supplies $75.00 day 0 $0.00

$300.00 week 1 $300.00 Expendables 0 0 $40.00 day 5 0 $200.00

$0.00 $0.00 $0.00

TOTAL EQUIPMENT $500.00

Page 6 PSI Equipment Storage 0552-440437

SubTask 5 Qtr 1 - Equipment Storage Management

DATE: 12/5/2024

LABOR CATEGORY *PROVIDE TIME REQUIRED FOR EACH PERSON

STAFF-TITLE WORK DESCRIPTION HOURS

Project Engineer Compile equipment list, photographs 5 Submit current equipment list to FDEP 1

Total Hours 6 Staff Scientist Quarterly site visits Total Hours: 50

TOTAL LABOR 56

VEHICLE TYPE RATE UNIT USEAGE

$0.00 Truck, site visit $120.00 day 0 $0.00

$480.00 week 1 $480.00

TOTAL VEHICLE $480.00

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 Equipment Storage rental 3 monthly $1,605.00 $4,815.00

$0.00

TOTAL $4,815.00

LABORATORY COSTS

PARAMETER RATE # SAMPLES #QAQC

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00

TOTAL LAB $0.00

EQUIPMENT ITEM RATE COSTING UNIT USEAGE TOTALS

$0.00 Construction / O&M Supplies $75.00 day 0 $0.00

$300.00 week 1 $300.00 Expendables 0 0 $40.00 day 5 0 $200.00

$0.00 $0.00 $0.00

TOTAL EQUIPMENT $500.00

Page 7 PSI Equipment Storage 0552-440437

FDEP – Equipment Storage Facility PSI Proposal: 0552-440437

December 5, 2024 www.intertek.com/building

1. The FDEP Equipment Storage Facility property is approximately 1 – 2-acre property and is owned by the Fountain RV Park. The property is surrounded by a 6-foot chain link fence and locked padlock.

2. No power, water, or office trailers are available on-site.

3. Mowing or keeping vegetation down is the responsibility of others.

4. PSI will be available with an approximate one-week notification to receive incoming equipment and allow contractors to return FDEP-owned equipment as directed by the BWC.

5. Contractors will arrange with PSI to visit the site and inspect existing FDEP-owned remediation equipment.

6. PSI will spin the motors upon receiving equipment using manual (screwdriver or similar) means to determine if motors are free spinning.

7. PSI will spin the motors on all stored equipment monthly with a screwdriver.

8. No repairs of any equipment in the Storage Yard are required to be conducted by PSI.

9. PSI assumes no liability for stolen property or vandalism.

10. PSI will pay rent and fees as outlined in the FDEP Task Assignment to property owner.

11. PSI will provide the following Deliverables on a quarterly basis.

a. Excel spreadsheet of equipment on site.

b. Photos of equipment when received.

c. Maintain chain of custody (equipment transfer forms) to be provided by FDEP for removal or receiving equipment and submit to FDEP.

12. Trailer license tags (if present) are to remain with equipment.

13. Signage on existing equipment remains with equipment (store in trailer, if possible).

PROPOSED SCOPE OF WORK

This proposal consists of annual management for the equipment storage family. Specifically, the proposed scope of work consists of the following subtasks:

Subtask 1 - Project Management

This scope is provided for in the template worksheets.

FDEP – Equipment Storage Facility PSI Proposal: 0552-440437

December 5, 2024 www.intertek.com/building

Subtask 2 - Quarter 2 (April, May, June 2025), Equipment Storage Facility Oversight

PSI will coordinate remediation equipment transfers into and out of the Lakeland facility with other contractors. This will include providing a flexible schedule for routine equipment deliveries, providing personnel to visit the site for system inspection and testing, and providing directions for the parking system to minimize site disruption. Five days per quarter are proposed.

PSI will also open the motors of incoming remediation systems to provide documentation of system conditions prior to entry into the equipment facility.

The deliverable for the Quarter consists of a current equipment availability spreadsheet to include:

Equipment delivery dates, Contractors visiting facility, Remediation system equipment components, Photographs of incoming equipment.

Subtask 3 - Quarter 3 (July, August, September 2025), Equipment Storage Facility Oversight

PSI will provide similar services as described above in Subtask 2.

Subtask 4 - Quarter 4 (October, November December 2025), Equipment Storage Facility Oversight

PSI will provide similar services as described above in Subtask 2.

Subtask 5 - Quarter 1 (January, February, March 2026), Equipment Storage Facility Oversight

PSI will provide similar services as described above in Subtask2.

COST ESTIMATE AND SCHEDULE

The estimated cost to perform the above-described services is shown on the attached Cost Estimate and Level of Effort sheets. PSI services will be conducted in accordance with the terms and conditions contained within the State of Florida Department of Environmental Protection Standard Contract No.

HW686, dated December 21, 2021.

The deliverable and invoice schedule are presented below.