TASK ASSIGNMENT NOTIFICATION FORM

DEP CONTRACT NO. SL0lO

PETROLEUM RESTORATION PROGRAM

Task Assignment Number: SL010.PT12 Date: September 12, 2023

Project Name: LIL CHAMP FOOD STORE #1219, 3362 POWERS AVE, JACKSONVILLE, FL 32207 FDEP Facility ID Number: 168629636

Owner's Name/Parcel#: SALEM 3362, LLC / PARCEL #152869-0000 COUNTY: DUVAL

Contractor: American Government Services Corporation

Contractor Contract Manager: Wendi McAleese / Tammy Mehl

DEP Designated Task Manager: Matthew Ingham Subcontractors: (List, if any) _________ _

DEP Contract Manager: Matthew Ingham

FEID No: 59-2346160

Phone Number: 813-933-3322

Phone Number: 850-245-8964 MBE: Yes __K_No MBE: Yes __K_ No Phone Number: 850-245-8964

Task Description (Use additional sheets if necessary): This Task is to provide a Title Search Report with SO-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

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

�/ 9/463 �--------D-a-F-te"-'---.1<--"-""'-Authorized to execute Task Assignments

Amount Not to Exceed:

1 @$325.00

$325.00

FLORIDA DEPARTMENT OF

ENVIRONMENT AL PROTECTION

DEP Contract Manager or designee Date

APPROVED:

Contractual Authority Date

Funding Authority Date Walter Matthew Ingham

Digitally signed by Walter Matthew Ingham Date: 2023.09.14 13:28:49 -04'00'

Walter Matthew Ingham

Digitally signed by Walter Matthew Ingham Date: 2023.09.14 13:28:42 -04'00'

Walter Matthew Ingham

Digitally signed by Walter Matthew Ingham Date: 2023.09.14 13:28:36 -04'00'

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