CN-370000-SL010-PT11.pdf

TASK ASSIGNMENT NOTIFICATION FORM

DEP CONTRACT NO. SL010

PETROLEUM RESTORATION PROGRAM

Task Assignment Number: SL010.PT11 Date: August 11, 2023

Project Name: SHELL-FCE #1715, 301 N CONGRESS AVE, BOYNTON BEACH, FL 33426 FDEP Facility ID Number: 508513926

Owner’s Name/Parcel #: FIRST COAST ENERGY LLP / PARCEL #08-43-45-30-01-001-0012

COUNTY: PALM BEACH

Contractor: American Government Services Corporation FEID No: 59-2346160 Contractor Contract Manager: Wendi McAleese / Tammy Mehl Phone Number: 813-933-3322

DEP Designated Task Manager: Matthew Ingham Phone Number: 850-245-8964 Subcontractors: (List, if any) ________________________ MBE: _____ Yes X No ___________________________________________________ MBE: _____ Yes X No DEP Contract Manager: Matthew Ingham Phone Number: 850-245-8964

Task Description (Use additional sheets if necessary): This Task is to provide a Title Search Report with 50-year chain of title on the parcel described above (see Attachment A) in accordance with the contract.

Deliverable: Contractor shall provide a Title Search Report.

Performance Measure: DEP Contract Manager will review deliverable to ensure specifications were met.

Financial Consequences: DEP will not pay for unsatisfactory deliverables. Contractor shall be given the right to remedy at no cost to DEP.

In accordance with “Attachment 5: Price Sheet” to the contract, the AGS approved contracted rate for Title Search Report/Commitment Unrelated to a Closing = $325.00.

Title Commitment Due Date: 14 days or best timeframe if less, after execution of Task Assignment Task Assignment End Date: 60 days after Task Assignment execution

Amount Not to Exceed:

1 @ $325.00

$325.00

FLORIDA DEPARTMENT OF

ENVIRONMENTAL PROTECTION

DEP Contract Manager or designee Date

Liquidated Damages Per Day Charges: N/A

Task Assignment Type: Fee Schedule

Title Search Report/Commitment Unrelated to a Closing:

Total Task Assignment Value =

AMERICAN GOVERNMENT SERVICES CORPORATION

_______________________________08/11/2023________ Contract Manager Date Authorized to execute Task Assignments

APPROVED:

Contractual Authority Date

Funding Authority Date

Walter Matthew Ingham

Digitally signed by Walter Matthew Ingham Date: 2023.08.14 12:55:08 -04'00'

Walter Matthew Ingham Digitally signed by Walter Matthew Ingham Date: 2023.08.14 12:55:20 -04'00'

Walter Matthew Ingham

Digitally signed by Walter Matthew Ingham Date: 2023.08.14 12:55:29 -04'00'

FOR DEPARTMENT USE ONLY:

Funding Information:

Org. Code E.O. Fund Object Code

Budget Entity

Module Category Project # Year Amount

37450404555 JG 212001 132600 37450300 4773 087889 PETRO 23 $325.00

cc: Procurement Section (MS93)

Name of Project: SL010.PT11 / SHELL FCE #1715 / 508513926

8/11/23, 9:29 AM PAPA Maps https://maps.co.palm-beach.fl.us/cwgis/papa.html?qvalue=08434530010010012 1/1

View Property Record

Owners

FIRST COAST ENERGY LLP

Property Detail Location 301 N CONGRESS AVE

Municipality BOYNTON BEACH

Parcel No. 08434530010010012

Subdivision

PALM BEACH FARMS CO PL

NO 8 IN

Book 23277 Page 35

Sale Date MAY-2009

Mailing Address

6867 SOUTHPOINT DR N

STE 101

JACKSONVILLE FL 32216

Use Type 2600 - SERVICE STATION

Total Square Feet

Sales Information Sales Date Price

MAY-2009 10

FEB-2001 150000

JAN-1970 62500

Appraisals Tax Year 2022

Improvement Value $352,920

Land Value $1,111,862

Total Market Value $1,464,782

All values are as of January 1st each year

Assessed/Taxable values Tax Year 2022

Assessed Value $1,373,688

Exemption Amount $0

Taxable Value $1,373,688

Taxes Tax Year 2022

Ad Valorem $28,963

Non Ad Valorem $2,673

Total tax $31,636

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FLORIDA DEPARTMENT OF

Environmental Protection

Marjory Stoneman Douglas Building

3900 Commonwealth Boulevard

Tallahassee, FL 32399

Ron DeSantis Governor

Jeanette Nuñez

Lt. Governor

Shawn Hamilton

Secretary

MEMORANDUM

FROM: Tim Bahr, Director, Division of Waste Management

SUBJECT: Delegations of Authority

DATE: 11/1/2021

In accordance with DEP Directive 100, the following referenced delegation(s) are hereby delegated to the delegate(s) listed.

Delegation Reference Delegate(s)

DEL-1A $35,000 Signature Authority:

Contracts/Task Assignments up to

$35,000.

*May be delegated down no further than a

Park Manager or a Environmental

Administrator.

• Teresa Booeshaghi, Assistant

Division Director

• Natasha Lampkin, Program

Administrator, Petroleum Restoration

Program

• Jennifer Farrell, Program

Administrator, Waste Cleanup

Program

• Kim Walker, Program Administrator, Permitting and Compliance

Assistance

• Brian Dougherty, Program

Administrator, District and Business

Support

• Wayne Kiger, Program

Administrator, Directors Office

• Fletcher Herrald, Program

Administrator, Financial

Management and Procurement

• Blake Miller, Environmental

Administrator, Petroleum Restoration

Program

• Matt Ingham, Environmental

Administrator, Petroleum Restoration

Program