FELLSMERE WATER CONTROL DISTRICT

INDIAN RIVER COUNTY

Landowners’ Meeting & Regular Board Meeting May 11, 2023
10:00 A.M.

Special District Services, Inc.
The Oaks Center 2501A Burns Road
Palm Beach Gardens, FL 33410

www.fellsmerewcd.org 561.630.4922 Telephone 877.SDS.4922 Toll Free 561.630.4923 Facsimile

AGENDA FELLSMERE
WATER CONTROL DISTRICT
109 North Willow Street Fellsmere, Florida 32948 LANDOWNERS’ MEETING May 11, 2023
10:00 a.m.

Call to Order
Proof of Publication…	Page 1
Establish Quorum
Consider Adoption of Election Procedures…	Page 2
Election of Chair for Landowners Meeting
Election of Secretary for Landowners’ Meeting
Approval of Minutes
May 12, 2022 Landowners’ Meeting Minutes…	Page 5
Election of Supervisors
Determine Number of Voting Units Represented or Assigned by Proxy…	Page 13
Nomination of Supervisors
Casting of Ballots…	Page 14
Ballot Tabulation and Result
Other Business
Receive Treasurer’s Report…	Page 15
Receive Engineer’s Report…	Page 16
Landowners’ Comments
Adjourn

Public Notice
04/20/2023
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FELLSMERE WATER CONTROL DISTRICT NOTICE OF ANNUAL LANDOWNERS' MEETING & REGULAR BOARD MEETING NOTICE IS HEREBY GIVEN that the
Board of Supervisors (Board) of the Fellsmere Water Control District (District) will hold an Annual Landowners' Meeting on May 11, 2023, at 10:00 a.m. in the District Offices located at 109 North Willow Street, Fellsmere, Florida 32948. The primary purpose of the Landowners' Meeting is to elect one (1) Supervisor to the District Board of Supervisors. Each Landowner may vote in person or by written proxy and is entitled to cast one vote per acre of land owned within the respective District. Copies of proxy forms and the Agendas for this meeting may be obtained from the District's website or by contacting the District Manager at (772) 345-5119 and/or toll free at 1-877-737- 4922 at least five (5) days prior to the date of this meeting. Immediately following the Annual Landowners' Meeting, a Regular Board Meeting will be held. The purpose of the Regular Board Meeting is for the Board to address any business which may lawfully & properly come before the Board. The meetings are open to the public and will be conducted in accordance with the provisions of Florida law. There may be occasions when Board Members or District Staff may participate by speaker telephone. A copy of the Agendas for the meetings may be obtained from the District's website (www.fellsmerewatercontroldistrict.org) or by contacting the District Manager at (772) 345-5119. Any person requiring special accommodations at these meetings because of a disability or physical impairment should contact the District Manager's Office at least forty-eight (48) hours prior to the meetings. If you are hearing or speech impaired, please contact the Florida Relay Service by dialing 7-1-1, or 1-800-955-8771 (TTY) / 1-800-955-8770 (Voice), for aid in contacting the District Manager's Office.
Each person who decides to appeal any decision made by the Board with respect to any matter considered at the meetings is advised that person will need a record of proceedings and that accordingly, the person may need to ensure that a verbatim record of the proceedings is made, including the testimony and evidence upon which such appeal is to be based. FELLSMERE WATER CONTROL DISTRICT www.fellsmerewatercontroldistrict.org PUBLISH: ST. LUCIE NEWS TRIBUNE 04/20/23 & 04/27/23 TCN5671975

FELLSMERE WATER CONTROL DISTRICT ELECTION PROCEDURES

Landowners’ Meeting
In accordance with the provisions of Chapter 2007-309, Laws of Florida, and applicable provisions of Chapter 298, it is required that an annual meeting of the Landowners of the District be held in June of each year for the purpose of electing a supervisor. To take the place of the retiring supervisor and hearing reports of the board of supervisors. The assembled Landowners shall organize by electing a Chairperson, who shall preside over the meeting; and a Secretary shall also be elected for recording purposes.

Establishment of Quorum
Any Landowner(s) present or voting by proxy shall constitute a quorum at the meeting of the Landowners.

Nomination of Candidates
At the meeting, the Chairperson shall call for nominations from the floor for Candidates for the Board of Supervisors. When there are no further nominations, the Chairperson shall close the floor for nominations. The names of each Candidate and the spelling of their names shall be announced. Nominees need not be present to be nominated.

Voting
Each Landowner shall be entitled to cast one vote for each acre (or lot parcel), or any fraction thereof, of land owned by him or her in the District, for each open position on the Board. (For example, if there are three positions open, an owner of one acre or less (or one lot parcel) may cast one vote for each of the three positions. An owner of two acres (or two lot parcels) may cast two votes for each of the three positions.) Each Landowner shall be entitled to vote either in person or by a representative present with a lawful written proxy.

Registration for Casting Ballots
The registration process for the casting of ballots by Landowners or their representatives holding their proxies shall be as follows:

At the Landowners’ Meeting and prior to the commencement of the first casting of ballots for a Board of Supervisor position, each Landowner, or their representative if proxies are being submitted in lieu thereof, shall be directed to register their attendance and the total number of votes by acreage (or lot parcels) to which each claims to be entitled, with the elected Secretary of the meeting or the District’s Manager.

At such registration, each Landowner, or their representative with a lawful proxy, shall be provided a numbered ballot for the Board of Supervisor position(s) open for election. A District representative will mark on the ballot the number of votes that such Landowner, or their representative, is registered to cast for each Board of Supervisor position open for election.

All Landowner proxies shall be collected at the time of registration and retained with the Official Records of the District for subsequent certification or verification, if required.

Casting of Ballots
Registration and the issuance of ballots shall cease once the Chairperson calls for the commencement of the casting of ballots for the election of a Board of Supervisor and thereafter no additional ballots shall be issued.
The Chairperson will declare that the Landowners, or their representatives, be requested to cast their ballots for the Board of Supervisor(s). Once the ballots have been cast, the Chairperson will call for a collection of the ballots.
Counting of Ballots
Following the collection of ballots, the Secretary or District Manager shall be responsible for the tabulation of ballots in order to determine the total number of votes cast for each candidate that is seeking election.
The board of supervisors shall consist of three persons who, except as herein otherwise provided, shall hold office for a term of 3 years and until their successors are duly elected and qualified.

Contesting of Election Results
Following the election and announcement of the votes, the Chairperson shall ask the Landowners present, or those representatives holding proxies for Landowners, whether they wish to contest the election results. If no contests are received, said election results shall thereupon be certified.
If there is a contest, the contest must be addressed to the Chairperson and thereupon the individual casting a ballot that is being contested will be required to provide proof of ownership of the acreage for which they voted at the election within five (5) business days of the Landowners’ Meeting. The proof of ownership shall be submitted to the District Manager who will thereupon consult with the District’s General Counsel and together they will review the material provided and will determine the legality of the contested ballot(s). Once the contests are resolved, the Chairperson shall reconvene the Landowners’ Meeting and thereupon certify the election results.
Recessing of Annual Landowners’ Meeting
In the event there is a contest of a ballot or of the election, the Landowners’ Meeting shall be recessed to a future time, date and location, at which time the election findings on the contest shall be reported in accordance with the procedure above and the newly elected Supervisor(s) shall thereupon take their Oath of Office.

Miscellaneous Provisions
Each Landowner shall only be entitled to vote in person or by means of a representative attending in person and holding a lawful written proxy in order to cast said Landowner’s votes.

Proxies will not require that proof of acreage (or lot parcel) ownership be attached. Rather, proof of ownership must be provided timely by the holder of the proxy, if the proxy is contested in accordance with the procedure above.

DRAFT

Annual Landowners Meeting May 12, 2022 @10:00 a.m.
The annual public meeting of the Landowners of the Fellsmere Water Control District was held on Thursday May 12, 2022, pursuant to public notice published in the Vero Beach Press Journal on April 25, 2022 and May 2, 2022 The meeting was called to order by the Secretary of the Board of Supervisors, Joyce Hertel.
She welcomed everyone to the 104nd Annual Landowners Meeting.

Present were Frank Sakuma from SDS., Inc., Richard Carnell, Rodney Tillman, Tyler Spencer from Carter Associates, Mark Mathis from City of Fellsmere and Joyce Hertel.

Frank Sakuma was elected temporary chairman and Joyce Hertel temporary secretary of the meeting, whereupon they assumed the duties of their offices.

Joyce reported representation of 17,573.98 acres present.
Upon motion duly made, seconded and carried, Chairman Frank Sakuma and Secretary Joyce Hertel were made permanent officers of the meeting.

FELLSMERE WATER CONTROL DISTRICT ANNUAL ENGINEER’S REPORT
MAY 2022

We are pleased to submit this annual engineer’s report as a yearly summary of the engineering related activities involved in the operations and functions of the Fellsmere Water Control District (F.W.C.D.), as required under Chapter 298 of the Florida Statutes.
CLIMATOLOGICAL REVIEW
For the seventh consecutive year, hurricane activity began prior to the official June 1st start of the season, with Tropical Storm Ana forming in late May. Three named storms (Elsa, Fred, and Mindy) made landfall in Florida along the panhandle. For the fifth consecutive year, no storms made landfall along the east coast of Florida. The 2021 hurricane season became the second consecutive season to not feature a Category 5 hurricane, after Hurricane Iota was downgraded to Category 4 in late 2020.
Overall activity in the Atlantic basin in 2021 was above-average, with twenty-one named storms, seven hurricanes, four major hurricanes and at least $70 billion in damages (4th most all-time). This season became the second consecutive season with at least 21 named storms. Making it the first time in history that all of the 21-designated names were utilized in back-to-back seasons. This compares to the long-term averages of 14 named storms, seven hurricanes, and three major hurricanes. The initial NOAA forecast outlook for the 2021 season called for 13-20 named storms, 6-10 hurricanes and 3-5 major hurricanes.
In terms of Accumulated Cyclone Energy (ACE), which measures the combined strength and duration of tropical storms and hurricanes, preliminary data indicate that the 2021 season was above normal. As a comparison, the 2021 season’s ACE was 20% above the long-term mean (1991-2020).
Storm Name Dates Storm Category at Peak Intensity Max Wind [mph]	Min. Pressure [mbar] Ana  May 22 - 23  Tropical Storm	45  1004
Bill	June 14 – 15	Tropical Storm	65	992	
Claudette	June 19 – 22	Tropical Storm	45	1004	
Danny June 27 – 29	Tropical Storm	45	1009	
Elsa	July 1 – 9	Category 1 Hurricane	85	991	
Fred	Aug. 11 – 17	Tropical Storm	65	991	

Grace  Aug. 13 – 21	Category 3 Hurricane	125	962	
Henri  Aug. 16 – 23	Category 1 Hurricane	75	986	
Ida	Aug. 26 – Sept. 1	Category 4 hurricane	150	929	
Kate	Aug. 28 – Sept. 1	Tropical Storm	45	1004	
Julian Aug. 28 – 30	Tropical Storm	60	993	
Larry	Aug. 31 – Sept. 11	Category 3 Hurricane	125	953	
Mindy Sept. 8 – 10	Tropical Storm	45	1002	
Nicholas Sept. 12 – 16 Category 1 Hurricane	75	988	
Odette Sept. 17 – 18	Tropical Storm	45	1005	
Peter	Sept. 19 – 22	Tropical Storm	50	1005	
Rose	Sept. 19 – 23	Tropical Storm	50	1003	
Sam	Sept. 22 – Oct. 5	Category 4 Hurricane	155	929	
Teresa Sept. 24 – 25  Subtropical Storm	45	1008	
Victor Sept. 29 – Oct. 4	Tropical Storm	65	997	
Wanda Oct. 31 –			
Nov. 7 Tropical Storm	50	987	

See attached U.S. National Weather Service 2021 North Atlantic Hurricane Tracking Chart.

Thankfully, the East Central Coast of Florida, including the F.W.C.D., made it through another year without enduring the devastation of a hurricane event.

Rainfall intensity and distribution varies significantly across the limits of the district in any given rainfall or storm event. The 2021 total yearly rainfall observed and recorded at the Vero Beach Municipal Airport was 40.6 inches, approximately 12.7 inches below the average 53.3”/year.

Measured monthly rainfall, at the FWCD office, during 2021 is as follows:

January	– 0.0”	
February	– 1.19”	
March	– 0.4”	
April	– 6.0”	
May	– 0.0”	
June	– 2.26”	
July	– 3.64”	
August –	6.85”	
September	– 2.61”	
October	– 0.4”	
November	– 5.44”	
December	– 1.02”	

Total annual rainfall measured at the district office is estimated to be 29.81 inches for 2021. This amounts to approximately 22”+/- below the long term annual average rainfall (52”) for the area.

Observed rainfall during the current dry season through the first three months of 2021 are: January – 1.75”; February – 0.35”, March – 3.46”.

MAY 13, 2021 – ANNUAL LANDOWNERS AND BOARD OF SUPERVISORS MEETING - MINUTES

At the May 13, 2021, Annual Landowners Meeting, Greg Nelsen, was nominated and elected to the Board of Supervisors for a three-year term.

At the following Board of Supervisors Organizational Meeting, the following officials were elected/appointed to serve for the following year:

President	Richard Carnell Vice-President Greg Nelson Secretary	Joyce Hertel
Treasurer	 Rodney Tillman Deputy Secretary	Dawn Cosner Deputy Treasurer	 Dawn Cosner

FELLSMERE WATER CONTROL DISTRICT ANNUAL PERMIT SUMMARY

Twenty-two (22) permit applications (Numbers 229-21 through 250-22) have been submitted since last year’s annual engineer’s report.

One (1) of the permit applications was for a AT&T utility crossing, (KMV fiberoptic). Two (2) permits were issued to the City of Fellsmere; for the Broadway Sidewalk, and the New York Sidewalk Projects. O’Reilly Auto Parts and Family Dollar, and Jose De La Hoz submitted permits and they are still under review. The balance of the permit applications is for new culvert driveway crossings, or for outfall/discharge culverts into district canals.

The South Regional Lake, a City of Fellsmere Project was permitted on October 23, 2018 as a Two (2) Phase Project. Phase (1) was completed in the Fall of 2020 and is currently functioning. Phase (2) is currently under construction. This project provides water quality improvements and additional flood storage for the FWCD system during large storm events. A structure located in Ditch 18 diverts water flow into the South Regional Lake where it is cleaned up. The lake is designed to overflow back into the FWCD Ditch 18 at the downstream end during normal flows. During large storm events the water can short circuit by overflowing the diversion structure in Ditch 18 and/or an emergency overflow weir designed into the lake system. The bypass conveyances ensure that the upstream flood elevations are not increased during large storm events after the lake system is placed into service.

The City of Fellsmere’s 100th Lane Paving Project was permitted May 31, 2019, and constructed during 2021. This project included the cleaning and regrading of the FWCD Sub-lateral Ditch No PL-12 from the pipe at Willow to the east 680+/- feet.

The permit process for the modification of the Florida Organic Aquaculture site plan has been on-going since 2013. The original permit was issued in 2013 and the site work was started. The F.O.A. applicant/developer submitted a permit modification request with plans and calculations prepared by a new Engineer, The Milcor Group, Inc. Multiple submittals and review comments from the F.W.C.D. occurred over several years. The control of the development has changed hands several times over the years and that has contributed to the delay in addressing the permit process issues. The FWCD adopted a policy of requiring a project approval letter from the land owner before the issuance of a FWCD permit. To date the FWCD has not received the approval letter. No progress has been made in the last year to address the review comments provided to the applicant’s engineer on April 24, 2020.

Parabel obtained a permit to construct the site plan improvements on June 8, 2016. They completed the first phase of their duck weed production facility just south of Ditch 23 and west of Park Lateral in the spring of 2018 and

started the permit closeout process. Based on the review of the as-built survey the site work was not completed as per the approved permit plans. Parabel indicated during 2018 and 2019 that the non-compliances would be addressed. Then they updated FWCD that the subject Fellsmere site would be shut down and operations will be consolidated into their facility located on 154th avenue south of SR 60. Recently observations at the site indicate that the facility is still in operation.

A permit application dated 2012 from the F.D.O.T., pertaining to replacement of the I-95 Bridge over the Main Canal was never issued due to disputed design and construction issues. The F.W.C.D. required additional fill and rock rip rap slope stabilization treatment for the transition sections of the realigned F.W.C.D. maintenance road. This requirement was intended to accommodate a safe maintenance road under the bridge for F.W.C.D., as was the conditions before construction started. The contractor has demobilized without constructing the required rip rap. The Courts have dismissed the case without the work being completed.

CITY OF FELLSMERE (C.O.F.)

The City of Fellsmere continues to develop strategies and implement improvements to its street and drainage infrastructure, including paving and drainage, and flood mitigation grants. The City has established a Stormwater Utility to aid in funding the projects.

The C.O.F. Stormwater Management Utility Program primarily addresses the secondary drainage system within the City, additional flood protection, and water quality issues mandated by other jurisdictional agencies. It does not overlap or duplicate the responsibilities of the F.W.C.D. regarding the maintenance and operations of the district’s primary Lateral and Sub-lateral drainage ditches.

The City has obtained CDBG Grant funds for a Flood Mitigation Project drainage improvement to the Ditch 14, New York Ditch. Also, Fellsmere has obtained a Grant for the 97th Street Flood Mitigation project.

ST. JOHNS RIVER WATER MANAGEMENT DISTRICT (S.J.R.W.M.D.)

The S.J.R.W.M.D. Governing Board has budgeted monies for a dispersed water storage pilot project within the
F.W.C.D. The land owner, FJV, is currently in the permitting phase. When constructed a pump will redirect water from flowing east in the FWCD Main Canal to the Indian River Lagoon and discharge it into an above ground impoundment located west of Lateral U. The goal is to provide significant reductions in the volume of water being discharged to the Indian River Lagoon. This results in two
benefits, improvement to the water quality of the Lagoon, and secondly additional fresh water is introduced into the St Johns River.

WATER QUALITY IN MAIN CANAL

Representative Water Quality sampling for the F.W.C.D. are taken from the Main Canal quarterly (approximately every three months) at the County Road 507 (Babcock Road) bridge.

Currently, and for some time now, the sampling, field analyses, and laboratory analyses are conducted by Pace Analytical Services, Inc. out of Pompano Beach, Florida. The discussion of water quality for this report is based on samples taken during: the 2nd quarter of 2021 through the 1st quarter of 2022.

The acceptable Florida Nutrient Numeric Threshold Limits for Phosphorus is (0.12 mg/L). The F.W.C.D. water quality results for phosphorus are as follows, May 2021 (N/A no test mg/l), August 2021 (0.18 mg/l), November 2021 (0.047 mg/l), and the February 2022 (0.025 mg/l).  The August sample has concentration levels that are greater than the
0.12 limit, however, the May and February levels are lower and the overall average of the results is close to the limit.

The Nutrient Numeric Threshold Limit for Total Nitrogen in the Florida Peninsula region is a maximum concentration of 1.54 mg/l. The F.W.C.D. water quality results for Nitrogen for this past year, all samples were below the threshold.

ANNUAL ENGINEERING RELATED ACTIVITIES

Attendance at the public/stakeholders’ forums, conference calls conducted by the F.D.E.P, or by watching the webinar recordings to represent and assist the F.W.C.D. in addressing Basin Management Action Plan (BMAP) mandates to reduce the pollution currently being discharged into the Indian River Lagoon. The FDEP has determined that pollution reduction allocations to the F.W.C.D. will not be assigned. Instead, the FWCD will be required to report maintenance efforts and support the implementation of water quality improvement projects as may be proposed by other BMAP stakeholders.

On-going annual engineering activities include the following:

Attend all regularly scheduled meetings of the Board of Supervisors and maintain a District Engineering file.

Remain on daily call to provide technical assistance and information to District personnel, supervisors, landowners and other governmental and public agencies concerning the operations, functions and regulations of the district.

Continue to provide technical permit review assistance to the district, and project consultants, in the submission and issuance of all permit applications to assure compliance with F.W.C.D. policies and requirements.

Attendance at pre-construction meetings for significant site plan or subdivision type projects in the F.W.C.D. Also, provide limited construction inspection to check compliance with F.W.C.D. permit conditions and to minimize the discharge of turbidity from construction sites.

Review the quarterly stormwater quality analysis from the district.

Monitor and review the actions and activities of other jurisdictional agencies and related organizations that may affect the operations and functions of the district.

Review records and files in preparation of the Annual Engineer’s Report as required under Florida Statutes – Chapter 298.

The FWCD Board of Supervisors entered into a contract with Special District Services in 2019 to provide some of the district’s administrative duties along with Joyce Hertel, a long-term District employee who continues to manage the daily office duties.

Once again, we are pleased to report that the district staff, under the direction, guidance and support of the District’s Board of Supervisors, continues to maintain and protect the works of improvement of the district, and to provide the landowners within the district a cost-effective level of service for flood protection.

Respectfully submitted, CARTER ASSOCIATES, INC.

George Simons
George Simons, P.E. District Engineer Fellsmere Water Control District May 11, 2022
Florida Registration #40437
C.O.A. / L.B. #205

The Annual Engineer’s report written by George Simons CAI, was read by Tyler Spencer, by motion duly made by Rodney and seconded by Richard was unanimously approved, as submitted was ordered filed and spread upon the minutes.
Joyce stated that the Proof of call was placed in the Scripps treasure coast newspaper for publication.

Notice of Landowner’s Meeting
Notice is hereby given to all it may concern that the Annual Meeting of the Landowners of the Fellsmere Water Control District will be held Thursday May 12, 2022 at 10:00 a.m. At such meeting, one Supervisor will be elected. Each owner shall be entitled to one vote in person or by proxy in writing, duly signed for each acre of land owned by him in said District. The Department of Environmental Protection, at any such meeting, may represent the state, and shall have the right to vote for Supervisors or upon any matter to come before said meeting to the extent of acreage owned by the state in such District, provided such acreage is subject to assessment to water control district, which vote may be cast by any person designated by said Department.

Guardians may represent their wards, executors, administrators & personal representatives may represent estates or deceased persons and private corporations may be represented by their officers of duly authorized agents. The owners and proxy holders of District acreage who are present at a notice meeting shall constitute a quorum for the purpose holding such election. If a person decides to appeal any decision made by the Board, with respect to any matter considered at such meeting or hearing, she/he will need to ensure that a verbatim record of the proceedings is made which record includes the testimony and evidence upon which the appeal is to be based. Anyone who needs a special accommodation for this meeting may contact the district’s office at (772)571-0640 at least 48 hours in advance of meeting. There will be a meeting of the Board of Supervisors immediately following adjournment of the Landowners Meeting.

Board of Supervisors Richard Carnell
Greg Nelson Rodney Tillman

The Secretary stated that said call had been published according to law in the Vero Beach Press Journal and that she had received affidavit of publication, and the District Attorney Michael O’Haire reviewed the affidavit.
Upon motion duly made, seconded and unanimously carried, reading of the minutes of the previous Landowners Meeting of May 1, 2021 were waived as copies were circulated and adopted with no corrections noted. Joyce then read the roll call of the Landowners presented as follows:

Richard Carnell Proxy for:
Fellsmere Joint Venture	15,551
Bernard Egan Groves	2,008
Fellsmere Estates	14.98
In person	2
TOTAL	17,573.98

Chairman then stated the meeting was now in order to proceed with the nomination and election of one Supervisor for a three-year term, and called for nominations.
Richard Carnell was nominated for a three-year term. There being no further nominations made, the Secretary was instructed on motion duly made, seconded and unanimously carried to cast the entire vote of 17,573.98 acres in behalf of Richard Carnell for a three (3) year term.
Oath of Supervisor State of Florida Indian River County
I, Richard Carnell do hereby solemnly swear that I will honestly, faithfully and impartially perform the duties involving upon me in office as Supervisors of Fellsmere Water Control District to which office I have been elected, and that I will not neglect any of the duties imposed upon me, Chapter 6458 of laws of Florida (acts of 1913), and all amendments thereto.

Signature
Sworn to and subscribed before me this 12th day of May 2022.
Richard Carnell

Personally Known	Joyce Hertel		
Produced Identification	Notary Public		
State of Florida		My commission expires	
Treasurers Report:
The annual report of the Treasurer was given by Rodney Tillman. It was reported to the Landowners that the financial affairs of the district are in order. Mr. Tillman stated that according to the audit by Kmetz, Etwell, Graham and company CPA the District is in reporting compliance with Chapter 120.553.C of the rules of the Auditor General. Mr. Tillman brought to the Boards attention, the Statement of Revenue and Cash Disbursement” noting there was one posted on the Bulletin Board and in the district’s master file and website. This report has been approved and sent to the proper agencies. The report was ordered filed and spread upon the minutes.

Attorney’s Report:
Michael O’Haire has resigned and retired from the District Attorney so Richard Carnell has tried to contact Michael several times and has not received a call back. Richard has contacted Steve Henderson as a potential attorney and plan on calling Edward Beck Attorney and an attorney in Palm Bay that have knowledge with Special Districts. Richard will bring this information back to the Board at the July 14, Board Meeting with information.
The only other issue pending is to talk to Michael Tomkeiwicz attorney for the litigation FWCD vs. FDOT. If the District choses to appeal the decision, then this paperwork needs to be filed by May 16.

Annual Report of the Supervisors:
The Board deferred its’ report to that information included in the Engineers Report filed above.

The Landowners meeting adjourned at 10:17 a.m. and proceeded into the Supervisors Meeting.

LANDOWNER PROXY FELLSMERE
WATER CONTROL DISTRICT LANDOWNERS’ MEETING

KNOW ALL MEN BY THESE PRESENTS, that the undersigned, the fee simple owner of the lands described herein, hereby constitutes and appoints 	(“Proxy Holder”) for and on behalf of the undersigned, to vote as proxy at the meeting of the landowners of the Fellsmere Water Control District to be held on May 11, 2023 at 10:00 a.m. at the Offices 109 North Willow Street, Fellsmere, Florida 32948 and at any adjournments thereof, according to the number of acres of unplatted land and/or platted lots owned by the undersigned landowner which the undersigned would be entitled to vote if then personally present, upon any question, proposition, or resolution or any other matter or thing which may be considered at said meeting including, but not limited to the Board of Supervisors. Said Proxy Holder may vote in accordance with their discretion on all matters not known or determined at the time of solicitation of this proxy, which may be legally considered at said meeting.

This proxy is to continue in full force and effect from the hereof until the conclusion of the above noted landowners’ meeting and any adjournment or adjournments thereof, but may be revoked at any time by written notice of such revocation presented at the annual meeting prior to the Proxy Holder exercising the voting rights conferred herein.

Printed Name of Legal Owner

Signature of Legal Owner	Date

Parcel Description*	# of Acres

* Insert in the space above the street address of each parcel, the legal description of each parcel, or the tax identification number of each parcel. [If more space is needed, identification of Parcels owned may be incorporated by reference to an attachment hereto.]

Pursuant to section 298 Florida Statutes (2023), a fraction of an acre is treated as one (1) acre entitling the landowner to one vote with respect thereto.

TOTAL NUMBER OF AUTHORIZED VOTES:    
Please note that each eligible acre of land or fraction thereof is entitled to only one vote, for example, a husband and wife are together entitled to only one vote per their residence if it is located on one acre or less of real property.
If the Legal Owner is not an individual, and is instead a corporation, limited liability company, limited partnership or other entity, evidence that the individual signing on behalf of the entity has the authority to do so should be attached hereto. (e.g. bylaws, corporate resolution, etc.)

BALLOT #		

BALLOT

FELLSMERE WATER CONTROL DISTRICT
LANDOWNERS’ MEETING ELECTION OF BOARD SUPERVISORS
MAY 11, 2023

The undersigned certifies that he/she is the owner ( ) or duly authorized representative of lawful proxy of an owner (  ) of land in the Fellsmere Water Control District, constituting 	 acre(s) and hereby casts up to the corresponding number of his/her vote(s) for the following candidate/candidates to hold the above-named open position:

Name of Candidate	Number of Votes

Signature: 	

Printed Name: 	

Street Address or Tax Parcel Id Number for your Real Property:

May 11, 2023

Fellsmere Water Control District Treasurer's Report For Annual Landowners Meeting

The fund balance for the Fellsmere Water Control District at the close of Fiscal Year 2020/2021 (September 30, 2021) was $1,234,778.

The fund balance for the Fellsmere Water Control District at the close of Fiscal Year 2021/2022 (September 30, 2022) was $1,249,671.

The following table illustrates Fiscal Year 2021/2022 revenues and expenditures budgeted versus actuals:

	Budgeted	Actual	Percentage	
Revenue	$631,556	$699,850	111%	
Expenditures	$631,556	$684,957	109%	
Excess/(Shortfall)	$0	$14,893		

Special District Services, Inc.

RECEIVE ENGINEER’S REPORT

TO BE DISTRIBUTED UNDER SEPARATE COVER

AGENDA FELLSMERE
WATER CONTROL DISTRICT
109 North Willow Street Fellsmere, Florida 32948 REGUALR BOARD MEETING May 11, 2023
10:00 A.M.
Call to Order
Proof of Publication…	Page 18
Seat New Board Members
Administer Oath of Office & Review Board Member Responsibilities and Duties
Establish Quorum
Election of Officers
President
Vice President
Secretary/Treasurer
Assistant Secretaries
Additions or Deletions to Agenda
Comments from the Public
Approval of Minutes
March 9, 2023 Regular Board Meeting Minutes…	Page 19
Old Business
Discussion Regarding the Status of the FWCD Culvert Inventory and Needed Update
New Business
Discussion Regarding FDEP Buffer Preserve Permit 274-23	Page 22
Discussion of Corrective Quit Claim Deed…	Page 35
Discussion Regarding Health Insurance Options…	Page 38
Discussion Regarding Business Account Closure…	Page 61
Discussion Regarding District Consultants for Fiscal Year 2023/2024
Consider Approval of Proposal for Aquatic Maintenance – Future Horizons…	Page 64
Consider Resolution No. 2023-01 – Re-Designating Registered Agent & Office…	Page 67
Consider Resolution No. 2023-02 – Adopting a Fiscal Year 2023/2024 Proposed Budget…	Page 68
Consider Resolution No. 2023-03 – Levying Non-Ad Valorem Assessments…	Page 76
Administrative Matters
Financials…	Page 79
Water Quality Reports…	Page 89
Attorney
Manager
Board Members Comments

Public Notice
04/20/2023
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FELLSMERE WATER CONTROL DISTRICT NOTICE OF ANNUAL LANDOWNERS' MEETING & REGULAR BOARD MEETING NOTICE IS HEREBY GIVEN that the
Board of Supervisors (Board) of the Fellsmere Water Control District (District) will hold an Annual Landowners' Meeting on May 11, 2023, at 10:00 a.m. in the District Offices located at 109 North Willow Street, Fellsmere, Florida 32948. The primary purpose of the Landowners' Meeting is to elect one (1) Supervisor to the District Board of Supervisors. Each Landowner may vote in person or by written proxy and is entitled to cast one vote per acre of land owned within the respective District. Copies of proxy forms and the Agendas for this meeting may be obtained from the District's website or by contacting the District Manager at (772) 345-5119 and/or toll free at 1-877-737- 4922 at least five (5) days prior to the date of this meeting. Immediately following the Annual Landowners' Meeting, a Regular Board Meeting will be held. The purpose of the Regular Board Meeting is for the Board to address any business which may lawfully & properly come before the Board. The meetings are open to the public and will be conducted in accordance with the provisions of Florida law. There may be occasions when Board Members or District Staff may participate by speaker telephone. A copy of the Agendas for the meetings may be obtained from the District's website (www.fellsmerewatercontroldistrict.org) or by contacting the District Manager at (772) 345-5119. Any person requiring special accommodations at these meetings because of a disability or physical impairment should contact the District Manager's Office at least forty-eight (48) hours prior to the meetings. If you are hearing or speech impaired, please contact the Florida Relay Service by dialing 7-1-1, or 1-800-955-8771 (TTY) / 1-800-955-8770 (Voice), for aid in contacting the District Manager's Office.
Each person who decides to appeal any decision made by the Board with respect to any matter considered at the meetings is advised that person will need a record of proceedings and that accordingly, the person may need to ensure that a verbatim record of the proceedings is made, including the testimony and evidence upon which such appeal is to be based. FELLSMERE WATER CONTROL DISTRICT www.fellsmerewatercontroldistrict.org PUBLISH: ST. LUCIE NEWS TRIBUNE 04/20/23 & 04/27/23 TCN5671975

FELLSMERE WATER CONTROL DISTRICT REGULAR BOARD MEETING
MARCH 9, 2023

CALL TO ORDER

The Regular Board Meeting of the Fellsmere Water Control District (“District”) of March 9, 2023, was called to order at 10:00 a.m. in the District office located at 109 North Willow Street, Fellsmere, Florida 32948.

PROOF OF PUBLICATION

Proof of publication was presented that showed notice of the Regular Board Meeting had been published in the St. Lucie News Tribune on February 27, 2023, as legally required.

ESTABLISH A QUORUM

Mr. Sakuma stated that the attendance of Supervisors Greg Nelson, Richard Carnell and Rodney Tillman constituted a quorum and it was in order for the meeting to proceed.

Also in attendance were: District Manager Frank Sakuma of Special District Services, Inc.; District Engineer George Simons, P.E. of Carter Associates; and District Attorney Jonathan Johnson of Kutak Rock LLP (by phone).

ADDITIONS OR DELETIONS TO AGENDA

There were no additions or deletions to the agenda.

COMMENTS FROM THE PUBLIC

There were no comments from the public.

APPROVAL OF MINUTES

September 8, 2022, Annual Meeting
The September 8, 2022, Annual Meeting minutes were approved on a motion made by Mr. Carnell, seconded by Mr. Tillman and the motion passed unanimously.

OLD BUSINESS

There were no Old Business matters to come before the Board.

NEW BUSINESS

Discussion Regarding the Status of the FWCD Culvert Inventory and Needed Update

Both items under New Business were considered at the same time. Action taken by the Board is provided under No. 2 below.

Consider Approval for the Conversion of the FWCD Stormwater Model from ICPR 3 to ICPR 4

Mr. Simons explained the need for an update to the culvert inventory and answered questions from the Board about historical information and what may be gained by having an updated inventory and converting to ICPR 4. He estimated about 30 days of field time and 20 days of office time to accomplish. After further discussion, a motion was made by Mr. Tillman, seconded by Mr. Carnell and passed unanimously directing the District Manager to circulate a proposal from the District Engineer to all Supervisors, and if no objection is made by any Supervisor, to authorize the President to enter into an agreement to update the District Culvert Inventory and convert the stormwater model to ICPR 4.

ADMINISTRATIVE MATTERS

Financials

Mr. Sakuma noted the report for the Board was included in the Board package. He highlighted the insurance increase and noted other districts under management had seen similar increases.

Water Quality Report

Mr. Simons presented the water quality report and answered questions from the Board Supervisors.

Attorney

Attorney Jonathan Johnson of Kutak Rock LLC introduced himself to the Board and advised of several items related to sovereign immunity and conflict of interest moving through the legislative session.

Manager

Mr. Sakuma brought several administrative items forward:

Spray Truck: the truck is not being used and is not intended to be used by the District. After discussion the Board recommended the truck be sold as surplus;

Culvert Failures: owners of several failed culverts have been notified to either correct the failed culverts or risk their removal or replacement by the District. After discussion, it was determined to come up with a process for replacing those failed culverts by the District;

Staff cost of living adjustment: the approved budget included a cost of living adjustment for staff, but was not implemented. After discussion, a motion was made by Mr. Carnell, seconded by Mr. Tillman and passed unanimously directing the District Manager to adjust staff pay with a 3% cost of living increase retroactive to October 31, 2022, the beginning of the fiscal year;

Surplus Property: the City of Fellsmere is interested in obtaining the vacant lot owned by the District, and the Board asked for staff to move forward with any required action to facilitate offering the parcel to the City;

99th Street Canal Maintenance Access: the access along a section of the canal adjacent to 99th Street is too tight for the excavator to access. Staff was asked by the Board to research the

District records to determine if a survey exists which could help determine if the maintenance area could be increased in size to allow access.

AT&T: after meeting with ATT, a reduced cost of internet and phone service is being implemented.

Cellular Phone: Mr. Sakuma recommended the Board authorize a cell phone for staff in the field and advised of a proposal from AT&T for about $76.00 per month (plus taxes). After discussion, a motion was made by Mr. Tillman, seconded by Mr. Carnell and passed unanimously authorizing a cellular phone for District employee Rob Vereen.

BOARD MEMBER COMMENTS

Mr. Carnell led a brief discussion about how a permit holder would be treated if the holder was in bankruptcy and still allowed to conduct business.

ADJOURNMENT

There being no further business to come before the Board, Mr. Nelson adjourned the meeting at 11:39
a.m. There were no objections.

Secretary/Assistant Secretary	President/Vice-President

FELLSMERE WATER CONTROL DISTRICT

c/o Special District Services, Inc., 2501A Burns Rd., Palm Beach Gardens, FL 33410 District Engineer: George Simons; P.E. georges@carterassoc.com (772) 562-4191 District Manager: B. Frank Sakuma, Jr. CDM bsakuma@sdsinc.org (772) 571-0640 772-571-0203 fax

Application for Utilities and Connection to District or Use of Facilities

DATE: 5 - I -2 0 2 3 	Permit#    274-23	
APPLICANT INFORMATION:	Name: Robert Yero
Bureau Chief

(leave blank if unknown)

FL Department of Environmental Protection
District 3 Administration
1800 Wekiwa Cir
Apopka, FL 32712 robert.yero@FloridaDEP.gov Office: 407-553-4357

Authorized Agent and Title: Telephone Number:

See contact info above	 See contact info above	

PROPOSED CONNECTION USE OF: (check appropriate box or boxes)	NON-Refondable Culvert connection to District canal for irrigation or drainage.		$250.00
Pump connection to District canal for irrigation or drainage.		$400.00 Culve,t and /or control structure in District canal for crossing and/or water storage. $250.00 UTILITIES:	$250.00 to $1,000.00
Plus additional Engineering or Legal Review costs
Circle one or more: Electric, Telephone, Gas, Cable, Water, Sewer, Other (specify)

LOCATION: TRACT# 	

SECTION	TOWNSHlP 	

RANGE 	

CANAL#_

Other appropriate description: See Longitude and Latitude on Attachment	_ Property I.D. Parcel No.
Attach drawing to show details (include acreage to be served) See Attached

DETAILS OF PROPOSED CONSTRUCTION: (Give diameter and length of culvert, diameter and rated capacity of pump; IJeight and width of riser or other details on water control structure including cross sections.) See Attachment

Special Conditions: (for District use only)

Estimated date of Construction: May  l 5, 2 0 2 3
Estimated date of Completion: July 31 , 2 0 2 3 		_

As the Applicant for pe,mit, I represent and agree that as a permit condition, the use of, or construction within, the right-of-way of the Fellsmere Water Control District will be in accordance with the details of the approved sketch and/or permit conditions shown hereon, supporting this Application; and if any changes are required, all changes are required to be cleared with the District and additional hourly rate charges will apply to changes as well as violations. (Conditions on back)

Signed:			Date: )  /  1/  2:J
Appfant
(For District's Use Only)

Application approved by:		District Manager FWCD Application Approved By: 	 Carter Associates, District Engineer

Page 22

Scope of Work
Culvert and Low Water Crossing (LWC) Installations
St Sebastian River Preserve State Park
Florida Department of Environmental Protection Division of Recreation and Parks (DRP)
2023/24 Budget Year

CONTACT:
Florida Park Service
St Sebastian River State Park 1000 Buffer Preserve Dr Fellsmere, FL 32948

DEP Project Manager:
Justin Teall
Office: 321-953-5005
Cell: 552-327-1128
Email: justin.teall@floridadep.gov

Alternate Contact:
Jason DePue, District 3 Biologist Cell: (321) 299-4038
Email: Jason.Depue@floridadep.gov

F4 Tech Contact:
Jeff Vowell
Cell: (850) 933-6558
Email: jvowell@thinkf4.com

PROJECT LOCATION:
This project is located within the Park (See Figure 1), which is just north of Fellsmere, FL 32948.

GENERAL PROJECT DESCRIPTION AND GOALS:
The goal of this project is to install culverts and LWC’s at various locations within the Park, to improve access for management and fire control, and to provide a more natural hydrologic regime within the Park.
EQUIPMENT SPECIFICATIONS:
Any mobilization/transportation fees or other costs must be included in this amount. Bidder should list the primary type of equipment to be used. A Bidder may be removed from consideration if, in the judgment of the Project Manager or designee, the listed equipment does not meet the needs of the project.

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Once equipment is agreed upon, no substitutions will be made unless approved by the Project Manager.

Please provide pictures of equipment you intend to use.

PROJECT TIMELINE:
Targeted Start Date: The Contractor will begin work within 14 days of contract execution.
Targeted End Date: The project will be completed by June 30, 2023.
Blackout Days/Dates/Hours: None

GENERAL INFORMATION AND REQUIREMENTS
The Subcontractor shall furnish all labor, equipment, and materials needed for the project within its bids.
The Subcontractor shall follow all applicable safety procedures and guidelines outlined by OSHA.
The Subcontractor is responsible for complying with all federal, state, and local laws, statues, rules, etc.
The Subcontractor shall be responsible for all tasks according to the scope of work.
All equipment used by the selected Subcontractor will be clean (free of soil and plant debris) upon arrival at the project site and free of exotic plant seeds/stems. Equipment will be inspected by the Project Manager or designee and entry denied if equipment cleanliness is deemed unsatisfactory.
The Subcontractor shall use appropriate methods to minimize damage to desirable groundcover and vegetation in and around the project area.
The Subcontractor shall be on the lookout for cultural and historical resources such as shell material or battle artifacts in the soil. Stop work and notify the Project Manager immediately if any such material is found.
The Subcontractor shall leave existing roads open and clear of fallen debris, equipment, or other obstructions.
The Subcontractor shall leave all park roads and any other landowner roads and all other structures that are used on the project in equal or better condition than when they move onto the property. Final payment will not be released until all damages are corrected to FDEP’s satisfaction.
Maps of all project areas will be provided by the Project Manager to the Subcontractor. These maps will include boundaries, roads, trails, and other related information.
The Subcontractor shall coordinate with the Project Manager or his designee to finalize project logistics and establish a mutually agreeable work schedule.

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The Subcontractor shall notify the Project Manager or his designee before entering the site to begin work.
The Subcontractor must always have a designated Crew Supervisor onsite.
The Subcontractor shall notify the F4 Tech Project Manager if on-site conditions change such that resource damage or safety concerns exist.
The Subcontractor shall notify the F4 Tech Project Manager if key personnel changes are pending or have occurred.
Interactions with the public shall be directed to the F4 Tech Project Manager.
All wildlife (including venomous snakes), plants, and cultural resources are protected in state parks and should not be collected or intentionally harmed. Areas known to have listed species will be flagged and must be avoided. The Subcontractor will avoid direct impact to any threatened or endangered species.
The Subcontractor shall work cooperatively with Park Staff to resolve issues regarding safety or environmental concerns.
No garbage shall be left on site by the Subcontractor.
All work must be completed, reviewed, and accepted by the Project Manager or designee, and the final invoice received, no later than two weeks after completion of this project. The Subcontractor will be paid upon acceptance and completion of work described herein.
Insurance requirements are found in Exhibit B.
The Subcontractor shall comply with all written park rules unless expressly exempted from them in writing.
The Subcontractor is responsible for ensuring that all employees maintain professional behavior and appearance while working on FDEP managed lands.
A kickoff meeting involving the Contractor, Subcontractor(s), and FDEP staff will be held on site.
The Subcontractor shall not be compensated by the FDEP for anything not outlined in this scope of work.
The Subcontractor will use Best Management Practices (BMPs) for all silviculture related work. The BMP Manual can be found at https://www.fdacs.gov/Forest- Wildfire/Silviculture-Best-Management-Practices

V. GENERAL PROJECT SPECIFICATIONS:

The SUBCONTRACTOR shall provide and maintain adequate erosion and turbidity control during all construction activities – this will avoid adverse environmental impacts to on-site and off-site wetlands and drainage systems. The SUBCONTRACTOR shall

3

implement BMPs at all times during construction of this project. Prior to construction in ditches, streams, and wet areas, the Contractor shall install staked hay bales, filter cloth, or other turbidity reduction measures immediately down stream of disturbed areas as necessary to minimize impacts to water quality.

The SUBCONTRACTOR will ensure that upland buffers adjacent to wetlands remain natural, vegetated, and undisturbed, unless otherwise associated with a Park authorized silviculture operation.

Required clearing and grubbing for LWC construction should be limited to within the final 10 ft width of the project site whenever possible. Stumps and other vegetation can be cut flush with ground wherever the remaining below-ground material will not preclude the installation of fabric and rock to the proper depth. All vegetative material such as tree stems, branches and stumps shall be mulched onsite or removed from the construction corridor as per specifications herein.

The SUBCONTRACTOR shall coordinate the temporary storage of aggregate materials with the DRP Project Manager at the beginning of the project. Following construction, all project materials temporarily stored on site must be removed.

The SUBCONTRACTOR shall notify all parties at least four (4) days in advance of scheduling the final inspection.

VII. INSTALLATION OF LWCs and Culverts (Figure 2)
General Crossing Specifications:
All LWC’s will be graded and smoothed where necessary to remove existing ruts and washouts, and bring the road up to grade with the adjacent landscape
All LWC’s will use HP-370 Geotextile or equivalent as an underlayment prior to adding the aggregate(s)
All LWC installations will include “staples” for the Geotextile fabric where the LWC is underwater during construction. These staples can be purchased at the time/place of purchasing the Geotextile fabric
The overall height of LWC’s will not exceed 12’’ above the graded base/fill
All LWC’s are marked with blue flagging at both the beginning and the end
All Culverts will be corrugated Galvalume. Culvert ends will be overlain with HP-370 Geotextile fabric (or equivalent) and 8-12” diameter rip rap. Multiple culverts at a single crossing will be spaced at a distance of ½ the diameter of the culverts
All culvert installations will be covered with a minimum 6” of compacted fill, overlain with 6” of 2-3” aggregate, then in-filled with ½ - 1” aggregate for trafficability
Multiple culverts will be spaced apart at ½ the culvert diameter and the fill between the culverts must be compacted
All culvert installation sites should result in a minimum 15’ wide drivable surface
Where necessary, trees will need to be cleared for installation

4

Detailed Crossing Specifications:
Site 1:
Install one (1) 150’ long LWC
This installation will include:
Smoothing and grading the substrate as much as possible, then install HP-370 Geotextile fabric (or equivalent)
The Geotextile fabric will be overlain with 4-6” aggregate to a depth of approximately 10”, then in-filled with ½-1” aggregate for trafficability. The total height of the LWC must not exceed 12”
Site 2:
Install one (1) 36” diameter galvalume culvert – 30’ long
The culvert will be installed at the elevation of the channel as much as possible. This channels will need to cleared in both directions (for a total of 50’) to improve culvert performance
This culvert will be placed at an angle (approximately 30°), with a total causeway of 60’
Culvert ends will be overlain with HP-370 Geotextile fabric (or equivalent), then the entire culvert installation will be covered with 6” of compacted soil, then capped with a minimum 6” of 2-3” aggregate and in-filled with ½ - 1” aggregate for trafficability
DITCH CROSSINGS: Ditch crossings will be installed according to VII.a.v.,above. Site 3 – Ditch #2
Install one (1) 36” diameter galvalume culvert – 20’ long Site 4 – Ditch #3
Install one (1) 36” diameter galvalume culvert – 20’ long Site 5 – Ditch #4
Install one (1) 36” diameter galvalume culvert – 20’ long Site 6 – Ditch #5
Install one (1) 36” diameter galvalume culvert – 20’ long Site 7 – Ditch #6
Install two (2) 36” diameter galvalume culvert – 20’ long Site 8 – Ditch #7
Install one (1) 36” diameter galvalume culvert – 20’ long Site 9 – Ditch #8
Install two (2) 36” diameter galvalume culvert – 20’ long

5

Site 10 – Ditch #9
Install one (1) 60’ long LWC (Ditch #9)
This installation will include:
Smoothing and grading ditch substrate as much as possible then install HP - 370 Geotextile fabric (or equivalent)
The Geotextile fabric will be overlain with 4-6” aggregate to a depth of approximately 10”, then in-filled with ½-1” aggregate for trafficability. The total height of the LWC must not exceed 12”.

*The Park requests a stockpile of aggregates to be located at an area specified by the Park

6

Figure 1 - Location Map

7

Figure 2 - Project Area Maps

8

Figure 2 - Continued

9

Figure 2 - Continued

10

ATTACHMENT A

PRICE SHEET
CULVERT AND LOW WATER CROSSING INSTALLATIONS ST SEBASTIAN RIVER STATE PARK

CONTRACTOR SHALL NOT ALTER THE PRICE SHEET IN ANY WAY
Price quoted shall not contain any Federal or State sales or use taxes. The Contractor recognizes that the State of Florida, by virtue of its sovereignty, is not required to pay taxes on services, goods and/or equipment purchased incident to such service. Quoted price shall include all necessary items to complete the project.

Site	Deliverables	Price per Site	
1	Install one (1) 150’ LWC As Per Specifications	$	
2	Install one (1) 36”X30’ Diameter Galvalume Culvert
As Per Specifications	$	
	Sub-Total Price	$	
	Ditch Site Deliverables	Price per Site	
3	Install one (1) 36”X20’ Galvalume Culvert As Per Specifications	$	
4	Install one (1) 36”X20’ Galvalume Culvert As Per Specifications	$	
5	Install one (1) 36”X20’ Galvalume Culvert As Per Specifications	$	
6	Install one (1) 36”X20’ Galvalume Culvert As Per Specifications	$	
7	Install two (2) 36”X20’ Galvalume Culvert As Per Specifications	$	
8	Install one (1) 36”X20’ Galvalume Culvert As Per Specifications	$	
9	Install two (2) 36”X20’ Galvalume Culvert As Per Specifications	$	
10	Install one (1) 60’ LWC As Per Specifications	$	
	Sub-Total Price	$	
	Price/Ton of 2-3” Aggregates	$	
	Price/Ton of ½ -1” Aggregates	$	
Total Project Price:	$	

11

ALL JOBS SHALL BE QUOTED, OR THE QUOTE WILL BE REJECTED. THE QUOTE WILL BE AWARDED TO THE RESPONSIVE, RESPONSIBLE CONTRACTOR THAT SUBMITS THE LOWEST TOTAL QUOTED PRICE.

BY SIGNING BELOW, I ATTEST THAT I HAVE READ THE ENTIRE REQUEST FOR QUOTE AND AGREE TO FURNISH THE SERVICES AT THE PRICE QUOTED ABOVE.

Name of Respondent/Company 	

Title 	

Address 	

City/State/Zip 	

Telephone	

Fax/Email	

Signature of Company Owner or Officer 	

Date 	

Describe Equipment to Be Used Below:

12

Prepared By and Return To: Richard M. Carnell, Jr., Esq. Fellsmere Joint Venture LLC 1900 Old Dixie Hwy.
Fort Pierce, FL 34946

SPACE ABOVE THIS LINE FOR RECORDING DATA

CORRECTIVE QUIT CLAIM DEED

THIS CORRECTIVE QUIT CLAIM DEED IS BEING RECORDED TO CORRECT THAT CERTAIN SPECIAL WARRANTY DEED DATED MARCH 9, 2018, AND RECORDED MARCH 16, 2018 IN OR BOOK 3100, PAGE 1055 OF THE PUBLIC RECORDS OF INDIAN RIVER COUNTY, FLORIDA. THE LEGAL DESCRIPTION IS CORRECTED TO CLARIFY AND PROVIDE A FULL METES AND BOUNDS DESCRIPTION OF THE STRIP OF LAND CONVEYED.

THIS CORRECTIVE QUIT CLAIM DEED, executed this    day of May, 2023, by FELLSMERE WATER CONTROL DISTRICT, a quasi-public body existing under Chapter 298 of the Florida Statutes, whose mailing address is Post Office 438, Fellsmere, Florida 32948, (“Grantor”) to FELLSMERE JOINT VENTURE LLC, a Florida limited liability company, whose mailing address is 7735 County Road 512, Fellsmere, Florida 32948, (“Grantee”):

(Wherever used herein the terms “Grantor” and “Grantee” include all the parties to this instrument and their heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations and public bodies. The use of the singular number shall include the plural, and the plural the singular, the use of any gender shall include all genders.)

W I T N E S S E T H

That the said Grantor, for and in consideration of the sum of $10.00 in hand paid by the said Grantee, the receipt whereof is hereby acknowledged, does hereby remise, release and quit- claim unto the said Grantee forever, all the right, title, interest, claim and demand which the Grantor has in and to the following described lot, piece or parcel of land, situate, lying and being in Indian River County, State of Florida, more particularly described as follows:

See Exhibit “A” attached hereto

TO HAVE AND TO HOLD the same, together with all of the tenements, and appurtenances thereto belonging or in anywise appertaining, and all the estate, right, title, interest, lien, equity and claim whatsoever of the Grantee, either in law or in equity, to the only proper use, benefit and behoof of the said Grantee.

[Signatures appear on next page]

1

IN WITNESS WHEREOF the said Grantor has caused these presents to be executed in its name, the day and year first above written.

Signed, sealed and delivered in the presence of:

FELLSMERE WATER CONTROL DISTRICT
a quasi-public body existing under Chapter 298 of the Florida Statutes

Printed Name 	

By: 	
Gregory P. Nelson, President

Printed Name 	
Attest:

Rodney Tillman, Supervisor

STATE OF FLORIDA COUNTY OF INDIAN RIVER

The foregoing instrument was acknowledged before me this    day of May, 2023, by Gregory P. Nelson, President of FELLSMERE WATER CONTROL DISTRICT, who is personally known to me.

Notary Public, State of Florida My Commission Expires

STATE OF FLORIDA COUNTY OF INDIAN RIVER

The foregoing instrument was acknowledged before me this    day of May, 2023, by Frank Sakuma, as Manager of FELLSMERE WATER CONTROL DISTRICT, who is personally known to me.

Notary Public, State of Florida My Commission Expires

2

EXHIBIT “A”
A PARCEL OF LAND LYING IN FELLSMERE FARMS COMPANY’S SUBDIVISION OF UNSURVEYED LANDS IN TOWNSHIP 31 SOUTH, RANGE 37 EAST, ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 2, PAGES 1 AND 2, OF THE PUBLIC RECORDS, OF ST. LUCIE COUNTY, FLORIDA, SAID PROPERTY NOW LYING AND BEING IN INDIAN RIVER COUNTY, FLORIDA, AND BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS:
A STRIP OF LAND 107 FEET WIDE OFF THE NORTH SIDE OF TRACTS 100 THROUGH 113, INCLUSIVE, AND A STRIP OF LAND OFF THE NORTH SIDE OF TRACT 114 THAT IS 107 FEET WIDE ON THE WEST AND 76.5 FEET WIDE ON THE EAST, AND A STRIP LAND OFF THE NORTH SIDE OF TRACT 115 THAT IS 76.5 FEET WIDE ON WEST AND 50 FEET WIDE ON THE EAST, AND A STRIP OF LAND BEING THE NORTH 270 FEET OF THE WEST 36.5 FEET OF TRACT 100, THE SOUTHERLY LINE OF SAID STRIP BOUNDED BY THAT SPECIAL WARRANTY DEED RECORDED IN OFFICIAL RECORDS BOOK 3100, PAGE 1055, OF THE PUBLIC RECORDS, OF INDIAN RIVER COUNTY, FLORIDA.

TOGETHER WITH:
A STRIP OF LAND LYING NORTH OF TRACTS 100 THROUGH 107, AND A PORTION OF TRACT 108, AND SOUTHERLY OF THE FOLLOWING DESCRIBED LINE AS IT APPEARS IN THAT SPECIAL WARRANTY DEED RECORDED IN OFFICIAL RECORDS BOOK 1649, PAGE 2289 AND IN THAT QUIT CLAIM DEED RECORDED IN OFFICIAL RECORDS BOOK 3100, PAGE 1098; COMMENCING AT THE NORTHEAST CORNER OF TRACT 122, AS SHOWN IN THE PLAT OF FELLSMERE FARMS COMPANY’S SUBDIVISION OF UNSURVEYED TOWNSHIP 31 SOUTH, RANGE 36 EAST, ACCORDING TO THE PLAT THEREOF, RECORDED IN PLAT BOOK 2, PAGE 9, OF THE PUBLIC RECORDS OF ST. LUCIE COUNTY, FLORIDA, SAID PROPERTY NOW LYING AND BEING IN INDIAN RIVER COUNTY, FLORIDA, ALSO BEING THE INTERSECTION OF THE WEST RIGHT OF WAY LINE OF THE LATERAL “S” CANAL WITH THE SOUTH RIGHT OF WAY LINE OF THE MAIN CANAL, AS SHOWN ON SAID PLAT; THENCE NORTH 89⁰49’41” WEST, ALONG THE NORTH LINE OF SAID TRACT 122, A DISTANCE OF 120.00 FEET; THENCE NORTH 00⁰30’41” EAST, ON THE NORTHERLY PROJECTION OF THE WEST LINE OF THE EAST 120 FEET, OF SAID TRACT 122, A DISTANCE OF 20.01 FEET; THENCE SOUTH 89⁰50’37” EAST, A DISTANCE OF 251.64 FEET TO A POINT ON THE COMMON RANGE LINE BETWEEN RANGE 36 EAST AND RANGE 37 EAST; THENCE SOUTH 89⁰49’35” EAST AND INTO PROPERTY AS CONTAINED AND SHOWN ON SAID PLAT BOOK 2, PAGES 1 AND 2, A DISTANCE OF 93.33 FEET, TO THE WEST LINE OF TRACT 100, ALSO BEING THE EAST RIGHT OF WAY LINE OF THE LATERAL “S” CANAL; THENCE NORTH 00⁰30’11” EAST, ALONG THE WEST LINE OF SAID TRACT 100, AND THE EXTENSION THEREOF, A DISTANCE OF 96.87 FEET TO THE POINT OF BEGINNING OF THE FOLLOWING DESCRIBED LINE; THENCE SOUTH 89⁰28’21” EAST ALONG THE WESTERLY EXTENSION OF AND SOUTHERLY TOE OF EXISTING LEVEE AND NORTHERLY EDGE OF EXISTING GRADED ROADWAY; A DISTANCE OF 4877.36 FEET, TO A POINT OF CURVATURE; THENCE SOUTHEASTERLY ON A CURVE BEING CONCAVE TO THE SOUTHWEST, HAVING A DELTA ANGLE OF 89⁰13’19”, A RADIUS OF 75.00 FEET, AND AN ARC DISTANCE OF 116.79 FEET, TO POINT OF TANGENCY; THENCE SOUTH 00⁰15’02” EAST, A DISTANCE OF 11.80 FEET, TO A POINT ON THE CURRENT SOUTH RIGHT OF WAY LINE OF THE MAIN CANAL; THENCE SOUTH 89⁰50’56” EAST, ALONG SAID SOUTH RIGHT OF WAY LINE, A DISTANCE OF 231.14 FEET; THENCE NORTH 03⁰54’17” EAST, ALONG A LINE NEAR THE WEST TOP OF SLOPE OF AN EXISTING IRRIGATION DITCH, A DISTANCE OF 149.06 FEET; THENCE SOUTH 89⁰04’41” EAST, ALONG A LINE NEAR THE NORTH TOP OF SLOPE OF AN EXISTING DRAINAGE DITCH, A DISTANCE OF 229.34 FEET, TO THE POINT OF TERMINUS OF SAID STRIP OF LAND.

THE ABOVE DESCRIBED PROPERTY CONTAINS 27.47 ACRES MORE OR LESS.

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share the cost for covered health care services. NOTE: Information about the cost. of this p an (call,ed the premium) will be provided separately. This is only·a summary. For more info11mationabout your coverage, or to get a copy of the complete terms of coverage, www.floridablue.com/p'lancontracts/group For generalldefinitionsof common terms, suchas aHowed amount, balanoebill'ing, coinsurance, copayment, deductible, provider,or other undertinedterms see the Glossary. You can view the Glossary at www.floridablue.com/planoontracts/groupor call 1-B00-352-2583to request a copy..

What is the overall deductibfe?

Are there services covered before y,cn.1 meet y,our deductible?
Are there other dedudibles for specifi,c services?
What is the out-of­ poc'tet limit for this pl:an?
What is not inc:ludedin the out-of-pocket limit?

Will you pay less if you
use a network e_rovidef?

Do you need a referral toI

In-Network: $250 Per Personl$750 Famiily.Out-of-Network:$1,000Per Person/$3,000Family.

Yes.Preventive care.

No.

In-Network: $2,000 Per Person/$4,000 Family. Out-Of-Network: $5,000 Per Person/$10,000Family.
Premium, balance-billled charges,and health care his plan doesn't cover.
Yes.See https:/Jprovidersearch.floridablue..com/pr ovidersearchlpub/index.htm or call 1- 800-352-2583 for a list of network e_roviders.
N
0

Generally, you must pay all of the costs fromproviders up to the deductiibleamount before this plan beginslo pay. If you have other tamilly members on the Q@!l. each famil:y member must meet their own individual deductible until the total amount of deductible expenses paid by all family members meetsthe overall family deductible.
Thisplan covers some items and servfoes even if you haven't y,et met the deductible amount. But a copayment or coinsurancemay apply. For example, this planoovers certain preventiveservices without cost sharing and before you meet your deductible..See a list of covered preventiveservices at www.healthcare.gov/coverage/preventive-care-bene its/.

Youdon't have to meet doouctibles for speoific services.

The out-of-pocket limit is tile most you could pay in a year for covered services. If you have otherfarnily membersin this plan, they have fo meet their own out-of-podket l1imitsuntil the overa'IIfamiily out-of-pocket limit has been met.
Even though you pay theseexpenses, they don,c't ounttoward the out-of...,pocket 'limit Thisplanuses a provider network. You will pay less if you use a provider in the plan's
network. You will pay the most if you use anout-of-network provider, andyou might receiive
a lHII from a provider for the difference between the providefs charge and what your plan pays (balancebilling).Be aware your network provider might use an out-of-metworf< provider for some seivices (suchas labwork}.Check with your provider before you get s,ervices.
Youcan see thespeci'alist youchoose witt10ut a refenral.

see a specialist?	'	·

.

1 of 7
. .	PaSgBeCI3D8: 269,9023

All copayment and coinsurance costs showninhischart are after your deductiblehas been met, iifa deduclible·applies.

Common

i	What yOU Will Pay

Limitations, Exceptions, & Other Important

Medical Event

Services You May Need

f-- -- --NetworkProvider--  - -1□ut-of-Netwo,rk P-roviider-I

lnformati,on

If y,ou visit a health care provider's office or clinic

least}

(You wiU pay the

Pnimai,rycarevisit to treat an injuryor illness

S cialist visit

--

1
Value Choice Provider: INo Charge, Deductible does 11ot
apply/ Primary Care Visits: $1a
Copay IPerVisit/Virtual Visits: No Charge, Deductible does not aovl
Value Choice Speciallist: $,20
,per Visit/ Specialist: $25
Copay per Visit/ Virtual VIBits:
$25 Cooav oer Visit

I (Y c:iu wrn pay- the most)

Deductible -t 50% Goinsuranoef Virtual Visiits:Not Covered

Deductible + 50% Coinsuranoe/ Virtual Visits: Not Covered

1

Physicianadminist.ered drugs may have higher cost share..Virtual Viisit seJVices are only covered for In-Network provideliS.

Physicianadministereddrugs may have higher cost share.Virtual Visit services are only covered for In-Networkproviders.
Physician admi111istered drugs may have highe

If you have a test

Preventivecare/screening/ immunization

Diagnostic test (x-ray, blooo work)

Imaging (Cl/PET scans,
MRls)

No Oharg:e.,Deductible does not I
apply

Value Choice SpeciaUst: $20
per Visit! !Independent Cliinical Lab: No Charge, Deductible does nol apply/ Independent Diagnostic Testing Center: $50 Cooav per Visit

$75 Copay per Visit

50% Coiinsura111oe

De<luct bfe + 50%
Coinsurance

Deductible+ 50% Coinsurance

cost share. You may have to pay for servkes that aren't preventive. Ask youir pmovider if he services needed are preventive. Jhen check what vour plan will oov for.

Tests performed inhospitals may have higher cost share.

Tests performed inhospitals may have higher cost share.Prior Aulhorizati:onmay be required. Your benefils/servioes may be denied.

2of7
PaSgBeC3ID9: 2699023

Cammon

_ _ _ _ - -- _Wh t_You Will Pay	.  .	.

Mediical Event
If you need drugs

Services You May Need

Network Provider	-	-, o,ut•of-Networ:kP-r-ovider	Limitat1ons, Exceptions,&  Other lmportan (You will  y	 the least			(You will p y the most) :		Information
Up to 30 day supply for retail, 90 day supply

to treat your illness or condition

$10	per Prescription at
Generic drugs		retail, $25 Copay per Prescription by mail

50% Coi11surance

for mail order. Responsible Rx programs such as Prior Authorization may apply. See Medication quide for more information.

More information about prescription drug coverage is available at https://www.flolidabl ue.com/members/to
ols­

$30 Copay per Prescription at
Preferred brand drugs	retail, $75 Copay ver
Prescriotion by mail
$,50 Copay per Prescription at Non-prefermd brand drugs	retail, $125	per
Prescription by mail
Specialty drugs are subjed to

50% Coi11surance
50% Coi11surrance Specialty drugs are

Up to 30 day supply for retail1, 90 day suppl fo:r mail order.

Up to 30 day supJjly for retail, 90 day suppl;y for mail order.

resouroes/pharmac y/medication-guide

If you have outpatient surgery

Specialty drugs

Facility fee (e.g., ambulatory surgery oenter)

Physicia11/surgeon fees

the cost share based on applicable drug tier.

Ambulatory Surgical Center:
$75 Copay per VisiU Hospital ODtion 1:$100 Cooav oer Visit
Ambulatory Surgical Center:
$25 Copay per Visit/ Hospital:
$50 Copay per Visit

subject to the cost share based on the applicable drug tier.

Deductible+ 50% Coinsuranoe
Ambulatory Surgical' Genter: Deductibl.e + 50% Coinsurance/ Hospital:
$50 Cooov oer Visit

Up to 30 day supply for retail. Not covered through Mail Order.

Option 2 hospitals may have a higher cost
share.

---none ---

Emeruencv room care	$100 Co	rVisit

$100 Cooov per Visit

----non----

If you need immediate medical attention

Emergency medica:I fransoortation

Urgent care

Facility fee (e.g., hospital
room·

Deductible+ 10% Coinsurance
Value Choice Provider: No Charge, Deductible does not apply - Visits 1-2;$30	per mmaining Visit/ Urgent Care Visits: $30 Copay per Visit
HospitaI Option 1: $250 Copay rAdmission

In-NetworkDeductible+
10% Coinsuranee

Deductible+ $30
per Visit

Deductible+ 50%
Coinsurance

---noni:::-e---

---none ---

lnpalient Rehab Servioes limited to 21 days. Ootion 2 hosDitals rnav have a higher cost

m

Farr more information about limitations and exceptions, see the plan or policy document at www.floridablue.oom/plancontracts/group
3 of7
PaSgBeGI4D0: 2699023

■

Common

_	What Youilll Pay	. .	.	.

Servkes You May Need

Netw•ork Provider	I Out-of-Network Provider	L1m1tations,Exceptions,&  Other Important

Medical Event

(You wm e  Y the least)	'. (You win pay the most.)

share.

Information

If y,ou need mental health, behavioral health, or substance abuse services

Phvsician/sum.eon fees

Outpatient services

!Inpatient sen,ices

Office v1isits

$5-0 P	ver Vis it
$25 Copay per Visiit/ Specialist Virtual Visits: No Charge, Deductible does not apply/ Hospital Opt t $100 Copay per
Visit
Phys:iaianServices:$,50
per Vilsit I Hospital Opt 1: $250 per Admission

$25	on initial:V,isit

$50 fqpay_ oer Visit

Deduotible + 50% Coinsurance/Specialist Virtual \!1isits: Nati Coveired

Physician Services: $50
per Visit/ Hospital: Deductibl:e+50% Coinsurance
Deductible + 50% Coinsurance

-----inon e---
Mental Healtt1 Services limitedto 20 visits. Option 2 hosp,ita11s may have a highercost share. Virtual:Visit services are only covered for In-Network prov1iders.
Mental Health Services limited to 30 days. Pirior Aulhoriization may be required. Your benefits/services may be denied. Option 2 lhosoitals mav lhave a hi!'.lher oost share. Maternity care rnay include tests and services described elsewhere in the SBC (i.e.
ultrasound.

If you are pregnant I Childbirth/delivery
rofossional services Chiildbirth/delivery facility services
Home health care

Rehabilitation services	I
I you need help recovering or have

$50.	per Visit
Hospitall Option 1: $250 Co:pay
Admission
Deductible+ 10% Coinsurance

I

$25 CopayVisit

$50 Qllimy per Visit
Deductillle + 50% Coinsurance Deductible +50% Coinsurance

Deductible+ 50% Coinsurance

----:non e---
Option 2 hospitals may have a higher oost share.
Coverag:e limitedto 20 visits.
Coverage limitedto 35 visits, including 26 manipulations. Services performed in hospital rnay have higher oost share. Prior Authorization may be required. Your benefits/services mav be denied.

other special health needs

Halbilitattonservices Skilled nursing care

'Not Covered
Deductible+ 10% Coinsurance

Not Covered Deductible -1- 50% Coinsurance
Deductible -1- 50%

Not Covered
Coverage limitedto- 60 days. Exclludesvehicle modifications, home

Durable medical equipment	I Deductible + 10% Coinsurance
Hospice servi:ces	I Deductible+ 10% Coinsurance

Coinsurance Deductible + 50%

modifications, exercise,bathroom equipment and replacement of DME due to use/aqe.
---none----

for more info:rmationabout !'imitations andexcepti:ons, see the plan or policy document at www.floridablue.aom/planoontracts/group
4of7
PaSgBeC4ID1: 2699023

What You Will Pay

Common	.	[

1	•	•	•	•

Medical Event

Services You May Need	I	Network Provider	-	Out-of-Network Provider·  L1m1tat1ons,Exceptions,&  Other Important
I	(You will pay the least)	(You will pay the most} :	Information

Coinsurance

If y,ourchild needs
dental or eye care

Not Covered Not Cove:red Not Covered

Not Covered Not Covered Not Covered

Not Covered Not Covered Not Covered

Chiildren's e e exam Chil:dren's  lasses
CM!dren's dental check-u

Excluded Services & Other Covered Services:

Services Your Pl	!an Generally poes NOT Coyer (C:!le? your policy or	document for more information and a list of any_ot er excluded services.}	
Acupuncture	Hearing aids		••	Pediatric gl.asses	
Bariatric surgery
Cosmetic surgery
Dental care (AduU)
Habilitation services	lnferitility treatment
Long-term care
Pediatric dental check-up
Pediatric eye exam	Private-duty nursing
Routine eye care (Adult)
Routine fo,oct are unless for treatment of diabetes
Weight loss programs	

Other Covere	·dServices (Limitati	·ons may apply to these sewices. This isn't a_pomp!ete _list.Please see your plan document.)	
Chiropractic care - Limited to 35 visits	Most cov,erage provided outslide the United	Non-emergency care	,when traveling outside the	
	States. See www.floridablue.com.	U.S.	

Your Rights to Continue Coverage: There are agencies that can help ifyou want to continue your coverage after it ends. lhe contact information for those agencies is: State Department of Insurance at 1-877-693-5236, the Department of Labo.rs EmployeeBenefits Seourity Administration at 1-866-444-EBSA (3272) or www.dol.gov/agencies/ebsaor the Department of Health and Human Services, Center for Consumer Informationand 11nsuranceOv,ersight, at 1-877-267-2323 x61565,or www.cciio.cms.gov.Other coverage options may be available to you too, including buying individual insurance coverage through the Healttl_hnsurance Marketplace. For more information about the Marketplace, visit www.HealthCare.gov or call 1-800-318-2.596.
Your Grievance and Appeals Rights=There ar:e agencies that can help if you have a complaint against your plan for a denial:of a claim. This complaint is called a grievance or -	For more information about your irights, look at the explanalion of benefits you will receive for that medical claim. Your plan doouments also provide complete informationto submit a claim, . or a grievance for any reason to your plan.For more information about your rights, this notice, or assistance, contact the insurer at 1-800-352-2583. You may also contact your State Department of Insurance at 1-,877-693-52.36 or the Department of Labor's Employee Benefits Secu ity Administration at 1-86'6-444-EBSA {3272) orwww.dol.gov/ebsa/healthreformFor group health coverage subject to ERIS,Acontactyour employee services department. For non-feder,agl overnmental group healthplans and church plans that are group health plans contact your employee services department. You may also contact the state insuranoedepartment at 1-877-693-5236. Additionally, a consumer assistance program can help you file your appeal. Contact U.S. Department of Labor Employee Benefits Secur1fy .Administratiion at 1-866-4-USA-DOL(866-487-2365} or www.dol.gov/ebsa/heallhreform

For more information about limitations arid exceptions, see the plan or policy document at www.floridablue.com/plancontracts/group

Al

Sof 7
PaSBgCeID4:22.699023

Does M1is plan provide Minimum Essential Coverage? Yes
MinimumEssential Coveragegenerally includes plans, heallthinsuranceavailable through the Marketplace or otherindividua:Imarket policies,Medicare, Medicaid, CHIP, TiRl'CARE, and certain other coverage.If you are eli:gibie·for certain types of Minimum Essential Coverage, you may not be eligible for the premium tax credit

Does his plan meet the Minimum Value Standards? Yes
:If your plandoesn't meetthe MinimumValue Standards, youmay be eligiible for a premiumtaxcredit to helpyou pay for a plan throughthe Markefplaoe.

--------To see examples of how this plan might cover costs fora sample medical situation, see the next section.--------

For more informationabout.limitations andexceptions, see the planor policy document atwww.floridablue.com/plancontraots/group
6 of 7
PaSgBeCI4D3: 2699023

About these Coverage Examples:

This is not a cost estimator. Treatments shownare just examptesof how this plan might cover medical care. Youractual costs will be different depending on the actual care you receive, the prices your providers charge, and many other factors. Focus on the cost sharing amounts,dedu ibles, copayments and coinsurance) and	eluded services unde,rtheplan. Use this i forrnation to compare the portion of costs you might pay under different health plans.Pleasen te these coverag;eexamples are based onlself-only coverage.

Peg i;s Having a Baby
(9 months of in-networkpre-natal care and a
hospital delivery)

Managing Joe's type 2 Diabetes
(a year of routine in-network care of a well­
controlled condition)

care)

(in-network emergency room visit and follow up

imp

's S

Mia	le Fracture

The plan'soverall deductible
Specialist C.opayment
Hospital (facility) Copayment
Other No Charge

$250
$25
$250
$0

The plan's overall deductib1le
Specialist Copayment
Hospital {facility) Copayment
Othe:r Coinsurance

$250
$25
$250 10%

The plan's overall deductible
Specialist Copayment
Hospital {facility) Co·payment
Other Comment

$250
$.25
$250
$100

This EXAMPLE event includes services like: Specialist office visits (prenatal care) Childbirth/DeliveryProfessional SeJVices Childbirth/DeliveryFacility Services
Diagnostic tests (u/flasounds and bfood work)

Total Exame:le Cost
In this example, 'Mia would pav:

$2.,800

Specialist visit (anesthesia)

This EXAMPLE event inclludes services llike: Primary care physicianoffice vis'its (including disease education)
Diagnostic tests (blood work)
PrescripUon c:lrugs
Durable medical equipment (glucose meter)

Thi1s EXAMPLE event includes services like: Emergency room care (including medical supplies)
Diagnosbc test (x-ray)
Durable medical equipment (crutches)
Rehabilitationservices (physical therapy)

 	

 Total Example Cost		$12,700	 Total Exam le Cost	

$5,600

In this example, Peg would 1	In this examl]'le, Joe would :
_:	 

What isn't covered
Limits or exolusions

I

What isn1covered 	

The total Peg would f	is

$60
$360

Limits o,erxclusions
The total Joe would pay is

20
$1,220

What isn't covered
Limits or,exclusions
lhe total Mia would l!av is

$0
$·62.0

Note: These numbers assume the patient does not participate :inthe p1lan's wellness program. If you participate i11 the plan's wellness program, you may be·able·to reduce your oosts. For more information about the wellness program, please oontact: www.floridablue.com.

Deductibles
Co ments Coinsurance

$250-
$,300
$70

I

	Cost Sharing_			

Cost Sharing	

	Cost Sharing_

Deduc-tibles Copayments

I	$0
$300

Deductibles
 Copayments

$0
$1,200 

$

Coinsurance 			$0 	Coinsura11ae		$0 

.

.--.
.r:
CZ

7 of 7

Page 44

SBCID: 2699023

I

ction.1557 Notificati.on.: Discrimiuarioo is Against

theLa w

"":/-le comply with applicable Federal cii;:il rights laws and do not discriminate on the basis of :race., color, national arig:in, age. disability. or sex.. Vle do not  elude people or treat them differently because of ,ace, color. national orii age, disability, or sex..

Vl e provide:
Free aids and services to people with disabilities to communicate effectively '.vith us. such as:
Qualified.sign language interpreters
Written information in other formats (large print, audio: accessible electronic formats, other formats)
Free language services to people-whose primary language is not English. such as:
Qualified interpreters
Information 1mtten in other languages

If you need thes·e senrices, contact:
Health and vision coverage: 1-800-352-2583
Dental life, and disability coverage: 1-888-223-4892
FederalEmployeeProgram:  1-800-333-2227

lfyou bclie\.-e that \'\>-e have failed to provide thes,e services or discriminate on the basis of race. color. :national origin,, disability, age sex, gender identity or sexual orientation, you can fi.le a grievance with:

Health and visi0n c;overage {including FEP
memb rs):
Section 1557 Coordinato,:-
4800 Deerwo.odCampus Parlcway. DCC 1-7
Jacksonville. FL 32246
1-800-477-3736 x29070
1-800-955-8770 (TTY)
Fax: 1-904-301-1580
sectionl 557coordinator@Jloridablue.com

Dental, life, and disability coverage:
Civil Rights Coordinator 17500 Chenal Parkway Little Rock, AR 72223 1-800-260-0331
l-800-955-8770 (TTY)
civ-ilrightscoordioator@fdife.com

Health insurance is offered by Florida Blue. HMO coverage is offered by Florida Blue HMO, an affiliate of Florida Blue. Dental insurance is offered by Florida Combined Life Insurance Company, Inc., an affiliate of Blue Cross and Blue Shield of Florida, Inc. These companies are lndependentlicelflsees of the Blue Cross and Blue Shield Association.
Page 45

You can file a grievance in person orb}'· mail.	o.r email If you need help filing a grievance,. the Section 1557 Coordinator is available to help you. You can also file a civil.rights complaint \\'1th the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through. the Office for Civil Rights Complaint Portal, available at https://ocrportalhhs:.gov/ocr/portalllobby.jsf; by mail or phone at:

lJ.S. Department of Health and Human Services
200 Independence Avenue, s,v
Room 509F, HHH Building Washingto D.C.. 20201
1-800-368-1019
l-800-537-7697 (IDD)
Complaint forms are available at http://,,..·ww.hhs.g0v/ocr/office/filef"mdex.html

A'IENCION: Sihabla espadol. tiene a su disposici.&n servicios gratuitos de asistencia linguistica. Llame al 1-800-352-2583 (TTY: 1-
877-955-8773). FEP: Llam.e al 1-800-333-2227
ATANSYON: Si w pale Kreyol ayisyen, ou ka resevwa yon ed gratis nan lang paw. Rele 1-800-352-2583 (pou moun ki pa tande
byen: 1-800-955-8770). FEP Rele 1-800-333-2227
CHU Y: N u	b noi Ti&g Vi t, c6 djch v-i). trg giup ngon ngu mi n phidanh cho b	Hay g9i sB 1-800-352-2583 (ITY: 1-800- 955-8770). FEP: G9i s& 1-800-333-2227
ATEN<;AO: Se voce fa.la portugues, utilize os serrii;os linguis:ticos gratuitos disponiveis. Ligue para 1-800-352-2583 (TTY: l-800-
955-8770). FEP: Ligue para 1-800-333-2227

$± □:

! J {i.ffl	t:f:lx,	fltiJJ;l.i€, 1	UjJJJ H'J O  fti:l-800-352.,2583  (TTY: 1-800-955-8770)0 FEP: tl

1-800-333-2227
ATTENTION: Si vous padez franc;ais,,des services d'aide linguistique: vous soot proposes gratuitement. Appelez le 1-800-352-2583
(ATS: 1-800-955-8Tl0). FEP: Awelez le 1-800-333-2227

Health insurance is offered by Florida Blue. HMO coverage is offered by Florida Blue HMO, an affiliate of Florfda Blue. Dental insurance is offered by Florida Combined Life
Insurance Company, Inc.,.an affiliate of Blue Cross and Btue Shield of Florida, Inc. These companies .are lndependeot Licensees of the Blue Cross and Blue Shield Association.

m4j\l

Page 46

-

PAUNAWA: Kung nagsasalita ka11g Tagalog. maaari kang gumamit ng mga s:erl>isyo ng tulong sa wilca nang walang ba::rad_
Tumawagsa 1-800-352-2583 (TTY: 1-800-955-8770). FEP: Tumawag sa 1-800-333-2227
BHM:MAIDIE: EcJIH BiiI rnBop.me:ua pycCKoM aJLil...-e. TO B I	nocI}IIlHEI 6ecmra.Tm.Ie  ycJI}'I"KrrepeBO,!l;a.  3eomrre 1-800-352-2583
(T eramr: l-800-955-8770)_ FEP: 3BoHHie 1-800-333-2227
.0778-559-008-1 : ,J lu1,,, J) 3852-253-00S-l f-9.).) µl	.0l,...,Jt.p _J3)_;ti h.1cWI uL..£. d.§_· m fol	l'.l1 ::il;.
.7222-333-008-1 e5JJ l
ATTENZIONE: Qualora fosse l'italiano la lingua padata, sono disponibili dei sen'l.Zi di assistenzalingnistica gr-atuiti Chia.mare il
numero 1-800-352-2583 (ITY: 1-800-955-8:770). FEP: chiamareit numero 1-800-333-2227
ACHTIJNG: Wenn Sie Deutsch sprechen,, stehen Ihnen kostenlos sprachliche Hilfsdien.stleistungen z.ur V ecfiigung. Rufuummer. +1-
800-352-25'83 (TIY: +1-800-955-8770). FEP: R.ufuummer+l-800-333-2227
2.k e! Ol A}§	ttAl:::	¥-.	Oi 7q	A·H:II .A.	Si01 §<S't9	£,t	W CL 1-800-352-2583 (TTY: 1-800-955-
8770) 2.1-tr AI2. FEP: 1-800-333-2227£	S:!"'6t'GJ Al2.
UVlAGA: Jezeli mo'wisz·po polsku,, mozes.z skoczystac z bezplatnej pomocy j kowrj. Za:dzwo.n pod nu.mer 1-800-352-2583 (TIY: 1-800-955-8770). FEP: Zadzwon pod numer 1-800-333-2227.
ijllat(: oit1 rl	".l°l'?Lrt1 "ll(tdl 1. rt'\ fot: C tal.lit:tl -M l?l cu ri l l1-ue <§lt(1W:lB.
1ot b:U 1-800-352-2583 (TTY: 1..:800-955-8770). 'IBPl: at!sit l-&00-333-2227
l.li:::mir:il'H]illtJftfl1lfl'lna ,wai11.11·i0il·i'1i il'n-•tlaLlrS;m1·m'l'll11l,rfl 'iil11fiil .nn11f11 11lnnR l-800-352-2583 (TTY: l-S00-955-8710)11h FEP fo'i1-S.00-333- 2227
5i $I	: B:$: g	2= h	-g-, :1m*3lO"J §Jg :ti:a: llJffl l \t.: t.:(:t	9 c	1-800-352-2583  (TTY:1-800-955-8770)  °1
7:,	a:3	(:"'("	< t	L ,., FEP: i-800-333-2227
- Y- j,1,1,;..w (.)JI J::i u 'J "l.D	"';\< ts" Jli. o J .J.1 :
_.;jj i..Jl!Ll 1-8-00-3-33-2227 "	l,I :FEP - fa LJJ!W l-800-352-2583 (ITY: l-800 955-8170) o.fa.,1. 'lJ

Baa	akoninzin:Dine bizaad bee yanilti'go,. saad bee aka ana,vo\ t'aajiik'eh. mi holQ. Kojf .hodillnih. 1-800-352-2583 (TTY: 1-800- 955-8770). FEP igii ei kojf hodiilnih 1-S00-333-2127.
Health insurance is offered by Florida Blue. HMO coverage is offered by Florida Blue HMO, an affiliate. of Florida Blue. Dental insurance fs offered by Florida Combined life Insurance Company, Inc., an affiliate of Blue Cross and Blue Shield of Florida, Inc. Thes;e companies are Independent Licensees of the Blue Cross and Blue ShieM Association.

BlueOptions 14001	Coverage Period: 06(01/2023 - 05/31/2024
All Copay
Summary of Be·nefits and Govera.ge: What tlhis PlanCovers & What You Pay For Covered Services Coverage for: Individual and/orFamily If!!!! Type: PPOIEPO
The Summa1rryof Benefits and Coverage (SBC) document will help you ,choosea health plan. The SBC shows you how you and the plan would share the cost for covered health care se·FVices. NOTE: Information about the cost of tMs p!an (called the premium) will be provided separately.
This is only a summary. For more information about your coverage, or fo get a copy of the oomple,teterms of ooverage, www.floridablue.com/plancontracts/group For general definitionsof oommon terms, such as allowed amount, balance billing, coinsurance, copayment, deductible, provider, or other underlined terms see the Glossary. You can view the Glossary at www.floridablue.com/plancontractslgroupor call 1-800-352-2583 to request a copy.

What is the overall deductible?

Are there seivioes covered before you meet your deductible?
Are there other dedluctibfesfor specific se:rvices?
What is the out-ot­ pocket limit for this plan?
What is not included in the out-of-pocket limit?

Will you pay less if you use a network Qrovider?

Do you need a referral toI see a specialist?

In-Network: $250 Per Perrson/$750 Family. Out-of-Network: $1,000Per P,erson/$3,000Family.

Yes. Preventiv,e care.

No.

In-Network: $2A50 Per Person/$4,900 Family. Out-Of-Network:$5,AOD Per Person/$10,8001 FamHy.
Premium, balance-billed chairges, and health care this plan doesn't cover.
Yes.See https://providersearch.floridablue.oomlpr ovidersearch/pub/index.htm or caH1-
80 352-2583 for a list of network
Qroviders.
N
0
·

Generally, you must pay all of the costs from providers up to the deductible amount before this plan begins to pay. If you hav,e otherfamify members on the plan, each fami1ly member must meet their own individual deductiible until the total amount of deductible expenses paid by all family members meets the overall family deductible.
This plan covers some items and servi,ees even if you haven't yet met the deductible amount. But acopayment or coinsurancemay apply.For exampl,e, this plan covers certain preventive services without cost sharing and before you meet your deductible. See a list of covered preventive se:rvi,ces at www.healthcare.gov/coverage/preventive-care-benefits/.

You don't have to meel deductibles for specific services.

The out-of-pocket lirni1t is the most you could pay in a year for covered seNices. If you havie other family members in this plan, they have to meet their own out-of-pocket limits until the overall familly out-of-pocket limit has been met.
Even though you pay these expenses, they don't count toward the out-of::00cket limit.
lhis 1:>lan usesa provider network. You will pay less irf you usea provider in the plan's network. You willl pay the most if you use an out-of-netwonkprovider,,and you might receive a billl from a provider for the difference between the provide s charge and what your plan pays (balance billing). Be aware your network provider might use an out-Of-network provider for some services (suchas lab work). Check with your provider before you get services.
You can see the specialist you choose without a referral.

A!II copayment and coinsurancecosts shown in lhis chart are after your deducUb!e has been met, if a deductible applies.

If you visit a health care provider's office or clinic	

Primaliy care visit to treat an injuiy or illness	Value ChoiceProvider: No Charge, Deduotible does not apply/ Primary Care Visits: $10
per Visit/ Virtual Visits: No Charge, Deductible does not
avvl	
Deductible + 50% Coinsurance/ Virtual Visits: Not Covered	
Physioianadministereddrugs may have higher cost share.. Virtual Vi1sit smvioes are only covered for In-Network providers.	
	
S ialist visit	Value ChoiceSpecialist: $20
per Visiit/ Specialist: $25 Copay per Visit/ Virtual Visits:
$25 Covav oer Visit	Deductible + 50% Coinsurance/ VirtuaI Visits: Not Covered	Physician administered drugs may havehigher cost share..Virtual Visit se1Vices are only covered for In-Network providers.	
	
Preventiv,e care/screening'/ imrnuniization	
No Charge, Deductible does not I
apply	
50% Coinsurance	Physicianadminis,tered drugs may havehigher cost share.oumay have to payforservices that aren't preventive..Ask your provider if the
services needed are preventive. Then check what vour olan will vav for..	

If you have a test	

Diagnostic test (x-ray,blood work}	Value ChoiceSpecial	list: $20	

Deductible -150% Coinsuranoe	

Tests performed in hospirtals may have higher oost share.	
		per Visit/ Independent
Clinical Lab: No Charge,	I Deductible does not apply/
Independent Diagnostic Testing Gelller: $50 Cooav oer Visit			
	Imaging (CT/PET scans,
MRls)	Physician Office: $25 Copay per Visit/Independent Diagnostic	I
Testing Center: $75 Copay per
Visit	
Deductible+ 50% Coinsuranoe	Tests Iperformedin hospitals may have higher
cost shaire.Prior Authorizationmay be
required. Your benefits/services may be
denied.	

What _You Will Pay

  Common 	.	.	1	. .	.	,	.
Medical Ev,ent	SeMces You May Need	I	Netwo,rk Provider	Out-o-f-Netwo-rk Provider! L1m1tat1ons,Except1ons1,&   Other Important

== -----=
If you need drugs

L_I_(You will pay the least)	 (	pay	t _m )  1	information

_

Preventive: No Charge,

I

to beat your iHness or
condi1Uon	Generic drugs More information

I

about prescription drug cov-erage is available at
https://www.floridabl Preferred branddrugs ue.com/members/to

Deductible does not apply (retail/mail order)/ Condition Care Rx: $4 Copay per Prescription (retail)/ All Other Generic: $10 Copay per Prescription ,(retail
Condition Care Rx:$15 Copay per Prescriptiion (retail)/ AJII Other Preferired Brand: $30 Copay pes Pres riJ)tion ( retaiI

Not Covered

Not Covered

Up to 30 day supply for retail, 90 day supply for mail order at 2 times the retail amount Respo11sible Rx programs such as Prior Authorization may appl'y.See Medication guide for more information.

Up to 30 day supply for retail, 90 day supply for mail'order at 2imes the retail amourd.

ols­
resources/pharmac y/medicalion-guide

If you have
outpatient surgery

Non-prefened brand drugs Special.tydrugs
Facility fee e.g., ambulatory suirgery center)

Physicianlsurgeonfees

$50 COipay oer Prescription retail
$150 Copay per Prescription retail
Ambulatory Surgical Center:
$100 Copay per Visit/ HospiraI
o tion 1: $200 Co, a	er Visit
N'o Charge, Deduct1ibl'e·does not apo'lv

Not Covered

Not Covered

Deductible -t- 50% Coinsuranoe
No Charge, Deductible does not aool

Up to 30, day supply for retail, 90 day supply for mail order at 2irnes the retail amount. Up to 30 day supply for retail. Not covered throuQh Mail Order.
Option 2 hospitals may have a higher oost share.
---none---

If you need
immediate medical

Emeraencv room care Elramnsel.r!gQe._nrctJyitimoDedical

I $100 Copay !Per Visit	I $100 Cooav oor Visit Deductible + 10% Coinsurance	 J ln-NetwonkDeductible -½

I

10% Coinsurance
Value Choice Provider: No

---noneH----
---nonei-:----

attention

1:f you have a

Ur9.ent care

Faciliity fee (e.g., hospital

Charge, Deductible does not apply - Visiits 1-2;$30	per remaining VisiU Urgent Care Visits: $30 _9opa'l oer Vi,sit

Hospital Option 1: $250 Copay

Deductible¼ $30 Copay per Visit

Deauotible + 50%

---nonei-:----

Inpatient Rehab Services limited to 30 days. ln patient Habilitation Services limited to 30

hospital stay

room}

per Day / $750 maximum

Coinsurance

1
days..Option 2 hospita cost share.

1ls may have a higher

For more infonnaUon about limitations and exceptions, see the plan or policy document at www;floridablue.corn/ip'lancontracts/gmuip
3 of 7

.

.	PaSgBeC5ID1: 26936111

Common
Medical Event

Services You May Need

Network Provider	rout-o-,f--N-1e_tw_o_rk Provider-:

What You WHI Pay

(You will pay the least)	i (You Will pay the most)

limitations,.Exceptions, & Other Important
Information

Physician/surgeon fees	I

No Charge, Deductibl:edoes not	No Charge, Deductible		 lilone

	a  I		does not a···
No Charge, Deductibledoes not apply/ Specialist Virtual Visits:

No Charge, Deductible does not

Deduclille +50%

vrtu I V-i 1	·	QM'	redI	1

If you need mental

j Outpatient services

apply/ Hospital.Opt 1:No

Coinsurance/Specialiist	.	1 .  a	1s1s sv1ces are on  cove·	or n-

health, behavioral 1
health, or
substance abuse

Charge, Deduotibledoesno:t a	I

V1rtuaIVIs·Its:N· ot G overied 1

Physician Services.:No

Network providers..

services

Inpatient services

Office visits

No Charge, Deductible does not apply

I

I $25 Copay on inilial Visil

Charge,Deductible does I notapply/ Hosp.ital:No Charge after Deductible
Deductible + 50% Coinsurance

Prior Authorizationmay be required. Your benefits/seJVicesmay be denied..

Matemitycare may include tests and servi.ces described elsewhere in the SBC (i.e.
ultrasound.

If you are pregnant I Childbirth/delivety
nofessional services

No Charge, Deductible does not apply

No Charge, Deductible does not appl ·

I	none

Ohildb:irth/deliveryfacility services

Hospital Option 1: $250 oer Dav I $750 maximum

Deductible + 50%	I

I

Coinsurance

Option 2 hospitalsmay havea higher cost share.

If you need help recovering or have other speci1al health needs

Horne health care	I Deductible+ 10%,Q_oinsurance

Rehabilitation services	$25 Copay per Visit

Habilitationseli\lices	$25 Copay 1per Visit

Skilled nursing care	I Deductible + 10% Coinsurance I

Deductible+ 50% Coinsurance

Deductible + 50% Coinsurance

Deductible+50% Coinsurance

Deductible + 50% Coinsurance

Coverage limitedto 60visils.
Coverage limitedto 35 visits, including 35 manipulations. Services pertormedin hospital may have higher cost share. Prior Authorizationmay be required.Your benefits/servicesma be denied.
Coverage l'imitedto 35 viiSits. Services performed in hospital may have higher cost share. Prior Authorizationmay be required.
 Your benefits!services ma bedenied.	 Coverage limitedto 60 days.

Fol'moreinformationabout limitaf!ionsand exceptions, see theplan or poUcy document at www.floridablue.com/planoontracts/group
4of7
PSaBgCeID5: 22693611

		
Durable medical  ment	
Deductible+ 10% Coinsurance	Deductible + 50%
Coinsurance	Excludes vehiole modifica ions, home modifications, exercise, bathroom equipment
and replacement of □MEdue to use/age.	
		HosQ.ice services	Deductible + 10% Coinsurance	Deductible + 50°/
Coinsurance	---111on1H-e---	

If your child needs I
dental or eye care	Children's eye exam	No Charge,Deductibledoes not
acml	Not Covered	One exam per calendar year.	
					
	Children's glasses	No Charge, Deductibte does not aool	Not Covered	One pair per cal'.endar year. Additional cost
shares rnav aoolv for Non-Collection Frame.	
	Children's dental check-up	No Charge, Deductib1!edoes not aopl	Not Covered	Coverage includes preventiive cleanings once
er 6 months,and 1 set of bitewinq x-ravs.	
Excluded Services & Other Covered Services:

Services Your Plan Generally Does NOT Cover (Che	,ck your policy or plan document for more informati	:on_and a list of any other excluded services.)	
Acupuncture	•	Hearing aids	•	Routine eye care (Adult)
Bariatric surgery	•	Infertility treatment	•	Routine foot care unless medically necessary
Cosmetic surgery	•	Long-term care	•	Weight loss programs
Dental care (Adult)	•	Private-duty nursing	

Other Cov	,eredServices (Umitations may apply to these services. This_isn't a_complete list. Please see your l!!fill document.)	
Chiropractic care - limited to 35 visits	•	Most coverage provided outside the United	•	Non-emergency care when trave,ling outside the
Stat.es. See www.floridabl11e.oom.	U.S.	

Your Rights to Continue Coverage: There are agencies that can help if you want to cont1inueyour coverage after it ends. The contact informationfor those agencies is: State Department of Insurance at 1-877-693-5236, the Department of Labor's Employee Benefits Security Administration at 1-866-444-EBSA (3272) or www.dol.gov/agencies/ebsaor the Department of Health and Human Services, Center for Consumer Informationand Insurance Oversight, at 1-877-267-2323 x61565 or www.ociio.cms.gov.Other coverage options may be available to you too, including buying individual insurance coverage through the Health Insurance Marketplace. For more informationabout the Mar1<etplace, visit www.HealthCare.gov or call 1-800-3118-2596.

Your Grievance and Appeals Rights: There are agencies that can help if you have a complaint against your plan for a denial of a claim. This complaint is called a grievanceor appeal. For more informaliion about your rigMs, look at the explanation of benefits you will receive for that medical claim. Your plan documents also provide complete infonnation to submit a claim, .	or a grievance for any reason to your plan. for more information about your rights, this notice, or assistance,

For more information about limitations and exceptions, see the plan or policy document at www.floridablue.com/plancontracts/group
5of 7

--	-

er:,:

jOO

L	PaSgBeC5ID3: 2693611

l<i'l\;:

contact the insurer at 1..S00-352-2583. You may also contact your State Department of Insuranceat 1-877-693-5236 or the Department of Labor's Employee Benefits Security Administrationat 1-.866-444EBSA (3272) or www.dol.gov/ebsa/healthrefonn For grouphealth coverage subject to ERISA contaot youremployee services department. For non-federal governmental group health plans and church plans that are group healih plans contact your employee services department. You may also contact the stale insurance department at 1-.877-693-5236. Additionally, a consumer assistanceprogram can help you file your .Contact U.S.Department of Labor Employee Benefits Securily Administrationat 1-.866-4-USA-DOL (866-487 2365) or www.dol.gov/ebsa/healthreform

Does this plan provide Minimum Essential Coverage? Yes
MinimumEssential Coverage generally includes plans, hea'lth insuranceavailable through theMarketplace or other individual market policies, Medicare, Medicaid, CHIP, TRICARE, and certainother coverage. If you are eligible for certain types of Minimum:Essential Coverage, you may not be eligible for the (!remium tax credit.

Does this plan meet the Minimum Value Standards? Yes
If your plan doesn't meet the Minimum Value Standards, you may be eligible·for a premium tax credit to help you pay for a plan through lbe Marketplace.
--------Tosee examples of how this plan might coveroosls for a sample medical situation, see the next section.---------

for more information aoout limitations and exceptions, see the plan or policy document at www.floridablue.com/plancontraots/group

6of7

PSaBgCeID5: 4269·3611

About these Coverage Examples:

This is not a cost estimator. Treatments shown are just examp!es of how this plan might cover medical care. Your actual:costs will be different depending on the actual care you receive, the prices your providers charge, and many other factors. Focus on the cost sharing amounts,dedu  ib!es copayments and coinsurance) and	eluded services under the plan. Use this i formalion to compare the portion of costs you might pay under different health plans. Please n te dnese coverage examples are based onlse1f-onl,y coverage.

Peg is Having a Baby
(9 months of in-network pre-natal care and a
hospital delivery)

Managing Joe's type 2 Diabetes
(a year of routine in-network care of a welli­ controlled condition)

Mia's Simple Fracture
(in-networkemergency room visit and follow up care)

The plan's overall deductible
Specialist Copavment
Hosp'ital (facility) Copayment
Other No Charge

$250
.$25
$.250
$0

The plan's overall deductible
Special!ist Copayment
Hospital facility} Copayment
Other Coinsurance

$250
$25
$250 10%

The plan's overall deductible

Spec:ialist Copayment

Hospital (facility) Copayment
Other CoR!Y,ment

$250
$25
$250
$100

This EXAMPLE e·vent includes services like: Specialis office visits (prenatal care) Childbirth/Delivery Professional Services Childbirth/DeliveryFacility SeJVices
Diagnostic tests {ultrasounds and blood work)'
Specialist visit ,(anesthesia)

This EXAMPLE event includes services like: Primary care physician office visits (including disease education)
Diagnosticests(blood work)
Prescription drugs
Durable medical equipment (glucose meter)

This EXAMPLE event includes servfces like: Emergency room care (including medical supplies)

Durable medi,cal equipment

Diagnostictest (x-ray)
(crutches)

Total ExamJ!le Cost
In this example, Miia would pay:

$2,800

Rehabilitation seivices (physical therapy)

Total Exam_ele Cost
lln this example·, P·eg._w_o_u_ld_.	..

$12,700

 Total ExamJ!le Cost	

e, Joe

---

In this exampl	would p- ay:

$5,600

Deductibles	$0	Deductibles	 			$0 	Deductibles	$250	
Gopa ments	$300	Copayments		$1,100	Copaymen s	$300	
		Coinsuranee	 		$0 	CoinstJrance	$70	

Cost Sharing_

	Cost Shanna	

	Cost Sharing

What isn't covered
Limits or exclusions

!

$60

Coinsurance	$0

I

The total Peg w,ou,d  1  is

$360

The total Joe would pay is

$1,120

Limits or exdusions
The to_tal Mia would P,_ay is

.	$0
$620

Note: These numbersassume the patient does not participate in the plan's wellness program.. If you participate in the plan's wellness program, you may be able to reduce your co,sts. For more information about the wellness program, please contact: www. loridabtue.com.

What isn't covered
Limits ornxdusions

!

$20

What isn't covered

Rr.ln·?nQ:IR11

mi	Page 55

7 of7

1557 Noti:6f:a,tion: Discrimination is Agaiast tbe Law

Section

We comply \\;th applicable Federal civil rights laws and do not discriminate on the bas.is of race_. color, national origin,, age, disability, or sex_ \¥ e do not exclude people or treat them differently because of race= color,.national ori age, disability, or sex..

We provide.:
·  Free aids and s•erv-ices to people , -ith disabilities to communicate effectively with ns,. such.as:
Qualified sign language intei:p:cete£s
Written information in other fonnats (large print, audio. accessible electronic formats. other formats)
Free language serrices to people whose primaiy language is not English, such as:
Qualified interpreters
.Information written in other languages

If you need these s.ecvices, contact:
Health and vision coverage: 1-800-352-2583
· Dental lif and disabilit}r coverage: 1-888-223-4892
,,  Federal Employee Program: 1-&00-333-2227

If you believe that we have failed to pmvide these services or discriminate on the basis of race,. color, national origin, disability, age, s	gender identity or sexual orientation. you can file a grievance l\ith:

Bealtk aad vision coverage (including FEP
-members):
Section 1557 Coordinator-
4800 Deerwood Campus Pad.--way, DCC 1-7
Jaclcsonville, FL 32246
1-800-477-3736  x29070
1-800-955-8770 ('ITY)
Fax: 1-904-301-1580
section.1557coo.-dinato,r@jloridablu.e.com

DentaJ!, life, an.d dis31bility cm,erage:
Cil--il Rights Coordinator l 7500 Chenal:Parbvay Little Rocle, AR 72223
l-800-260--0331
l-800..955-8770 (TTY)
dvilrigbtscoordinator@Jfclife.com

Health insurance is offered by Florida Blu:e. HMO coverage is offered by Florida Blue HMO, an affiliate of Florida Blue. Dental insurance is offered by Florida Combined Life Insurance Company, Inc., an affiliate of Blue Cross and Blue Shield of flo.rida, Inc. These companies are Independent Licensees of the Blue Cross and Blue Shi,eld Association.

Page 56

You can file a grievance in person or by mail. fa	or email_If you need help filll!g a grievance, the Section 1557 Comdmator is available to help you. You can also file a civil rights complaint with the U_S_ Depanment of Health and Human Sen,ices. Office for Civil Rights, electronically through. the Office for C:iivil Rights Complaint Portal, a"vauable at h.ttp.s://ocrportalhhs_gov/ocriportalllobby.js( by mail or phone at:

U.S. Department of Health and Human Services
200 Independence A,-enue,, SW Room 509F. HHH Building Washington, D.C_20201
1 800-36&--1019
l-&00-537-7697 (IDD)
Complaint forms are available at http:/Av"\\1"\V1ihs..gov/ocr/office/filefmdex.html

ATENC]ON: Siha.b1a espaiiol tieoe a su disposici6n servicios gratuitos de asistencia linguistic11!.. Llame al l-800-352-2583 (TTY: 1-
877-955-8773)_ FEP: Llame al 1-800-333-2227
ATANSYON: Si wpale Kceyol ayisyen, ou ka resev"'\va yon ed gratis nan lamg paw_ Rele 1-800-352-2583 (pou monnki pa tande byen: 1-800-955-8770). FEP: R.ele 1-800-333-2227
CHUY: N u b noi Ti&g Viet, c6 dich YIJ. trq giup ngon nguami&i.phi danh cho ban.. Hay goi s6 1-800-352-2583 (TTY: 1-800- 955-8770)_ FEP: GQi.s6 l-S00-333-2227
A1EN<;Ao: Sevoce faJ:a portugnes, ntilize OS se.ni-i.;:os linguisticos gratuitos disponiveis. Ligue para l-800-352-2583 (TTY: 1-800- 955-8770)_ FEP: Ligne para 1-800-333-2227
}tt  : O J ,00,Eij tj:tx 1 1 1:iJP.JJsfl !J -;;:;mlIJJ.ll ii O fflj I-800-352-2583 (TIY:1-800-955-8770)., FEP:	, 1-800-333-2227
ATTENTION: Si vous padez fram;:ais, des.services d'aide lmguistique vous sont proposes gratuitement_ Appelez le 1-800-352-2583
(ATS: l-8:00-955-8770)_ FEP: Appelezle 1-800-333-2217

Health insurance is offered by Florida Blue. HMO coverage is offered by Florida Blue HMO, an affiliate of Florida Blue. Dental insurance is offered by Florida Combined Life
1lnsuran,ce Company, Inc., an affiliate of Blue Cross and Blue Shield of Florida, Inc.. These companies are Independent Licensee.s of the Blue Cross and B.1:ue Shield Association.
..	r.fl	Page 57

Jr.-:oF

PALWA'WA: Kung nagsasalit.a ka ng Tagalog. maaari kang gum.am.it ng mga seibisyo ng tu.long sa w'.ik:a nang ,1.ralang bayad. Tumawags-a l-800-352-2583 (TIT: 1-800-955-8770).FEP: Tuma,;,,.-ag sa  1-800-333-2227
BHHr.vIAHI1E: Ec.m B&l rmmpme Ra pycCK,OM ,Il&IKe,. IO BaM ,llOCijlIH},l 6ecr:rJia'FHLle YCJIYI'H nepeBO,llcl!.  3BOHm'e 1-800-352-2583
(:re:.teTa!HII: 1-800-955-8770)_ FEP: lBoHXIe 1-800-3,33-2227
.0778-559-008-1 : 1J 1-.i11.&i. _;) 3852-253-008-1 ri J._.,ji _iJ'L:;,..J diJ!,;u .......,lil WJ	al.s 1s ,Lllfa,uil:i}S: J;.
.7222-333-008-1 t9Y·J.-;5J
ATTENZIONE: Qualora fosse l'italiano la lingua padata, sono disponibili dei se.rvizi di assistenza linguistica g:rntuiti  Chiamare il
numero 1-800-352-2583 (TIY:1-800-955-8770). FEP: chiamare i1nwnero 1-800-333-2227
ACIITUNG: \Venn SieDeutsch spmchen,, -stehen Umenkostenlos spcachlich.eHilfsdienstlei"stungen zurVerfiigung. Rufunmmer: +1-
800-352-2583  (ITY:  +1-800-9S5-&770). FEP: Rufimmmer+l-800-333-2227
QI= e.!' ot At§o Al:::. Sj2- Oi Al	A-Jt:JJA -¥fi 01§"5 "T  ;;:;uu.1-soo-352-2ss3(TTY: 1-so0--955_
8770)£	2J"8"t AI 2.. FEP: 1-800-133-2227 .£	i>t AI .2..
UW"AGA: Jezeli mcl\viszpopolsku,, mozeszskorzystacz bezplatnej pomocy j kowej. Zadz von pod numer 1-800-352-2583 (ITY: 1-800-955-8770). FRP: Zadzwon pod numer 1-800-333-2227.
ij oll: art rti\ -'J'r?Lrt1 11.tl:<iril el, rll (;t; C-!i: fll l ,N, tl.l ii.cu rUU l 1-lll C! Ci.b..t.l ­
{s1crf. &?1 1-&00-352-2583 (TTY: l-800-955-8770). FEP: 1ot h: l 1-800 333--2227
U'l:;fllfr:i!1iJl1l1J'ilinln1nll'1:)illffnJ1'HltitJsm,i1vm ;n11-1.in11'111,R' l'ilaii'i!ft,mmumi'hm  1-880-352-2583 (TTY: l-S00-955-8770) ura FEP 'im 1-800-.333--
2227

Ji J Iij: 84= a	n	-%, AA1J 0): 1tti flJff,ltl
C,	;}s	C-:C «:'.' f <t	L )o  FEP: l-&00-333.,2227

t::Jt -ro l-800-352-2583  (TTY: 1-800-955-8770)

..IJ:!!	WLl" .J..:. o I_; 4j	.	ts-"	}ii o j	_jJ :
-	;yW 1-800-333-2227 .._;W 1-J :FEP -	1.-800-352-2583 (TTY: 1-800-955-8770) .._J
Baa akoninzm: Dine bizaad bee yanilti'go, saacf bee aka ana.wo·. t'aajlik'e na holq-. Kojf hodf"dnih l-800-352-2583 (TTY: l-800- 955-8770)_FEP igii eikojf hodiilnih 1-800-333-2227.

Health insurance is offered by Florida Blue. HMO coverage is offered by Florida Blue HMO, an affiliate of Florida Blue. Dental insurance is offered by Florida Combined Life
Insurance Company, t11c.1 an -affiliate•of Blue Cross and Blue Shield of Florida, Inc. These companies are Independent License,es of the Blue Cros.s and Blue Shield Association.

Group Proposal For: FELLSMERE WATER CONTROL DISTRICT
Quote Number: 1Rl-99'160

Proposal Expiration Date: 06/0112023 Coverage Effective Date: 06/01/2023

0-14	0	$413.34		
15	0	$450.09	
16	0	$464.13	
17	0	$478.18	
18	0	$493.31	
19	0	$508.44	
20	0	$524.11	
21	0	$540.32	
22	0	$540.32	
23	0	$540.32	
I	24	0	$540.32	
I	25	0	$542.48	
26	0	$553.29	
27	0	$566.26	
28	0	$587.33	
29	0	$604.62	
30	0	$61'3.26	
31	0	$626.23	
32	0	$639.20	
33	0	$647.30	
34	0	$655.95	
35	0	$660.27	
36	0	$664.591	
37	0	$668.92	
38	0	$673.24	
39	0	$681.88	
40	0	$690.53	
41	0	$703.50	
42	0	$715.92	
43	0	$733.21	
44	0	$754.83	
45	0	$780.22	
46	.	0	$810.48	
47	0	$844.52	
48	0	$883.42	
49	0	$921.79	
50	0	$965.01	
51	0	$11,007.70	
52	0	$1,054.70	
53	0	$1,102.25	
54	0	$1,153.58	
55	0	$1,204.91	
56	0	$1,260.57	
57	0	$1,316.76	

'

I
I

Group Proposal For: FEtLSMERE WATER CONTROL DISTRICT

$1,376.74

,Quote Number: Rl-99160

Proposal Expiration Date: 06/0112023 Coverage Effective Date: 06/01/2023

	59	-
60
61
62
63
64	1
0
0
0
0
a	$1.406 4!5
$1,466.43
$1,518.30
$1,552.34
$1,595.02
$1,620.96	

				

65+	0	$1,620.96	

1 Florida Blue HSA. Plans: Non- Embed:ded Deduclib:le- Deductible is shared for all indiviiduals on p1an. Embedded Deductible- Deductible must be met by.each indi\ti.dual on lhe plan \JP to1he fa11Jily a!,flounl Embedded Ou.t of Pock.et - Each individual on the plan will not pay more than Ille ind'ividual OOP amounl.
z  The Out-of-Pocket Max:imum is the most a;member will pay for covered health care servkes during your pla11's beilllefit period and In.eludes. Deductible, Coinsurance, a111d Copays.
3 If a Deductib,le is present, it doesn't apply to P,reventive or Condition Care Rx Generic and Brand prescription drugs. Review the B.enefit S,ummary for theiplan to de-te:rmine if the
,deductible applies to a111.y other prescription draugs..
4  Condition Care Rx Lists areavailable inrtiihe M'edication Guide.
,. Preventive M:edical Services a111d Prevenliive Prescription Drugs are cov,ered at 1 OD% in accordance wi lil the Affordable Care Act.
Certain services on BlueOptions ancll BlueSelecl may be subject lo an Exclusive.Se:rvi:ce Provider arra111,gement. Exclusive Provi:der Services: If Ifie member does not 1reoeive ca.re,from an Exclusive Prnvider for pharmacy and/or benefit se.rvmces, they will have to pay the full cosl (except in certain situations, sucht as emerg;encies).
'" The benefit summary is only a partial description of the D1ar:iy !benefits and s,ervfces provided or autnodzed by Florida Blue/florida Blmr HMOIFHCP.
·• Benefit cost shares provided' are on'ly In-Network values unless otherwise specified.

FELLSMERE WATER CONTROL DISTRICT

May 11, 2023
Bank of America
Small Business Correspondence PO Box 672050
Dallas, TX 75267

ACCOUNT CLOSURE LETTER

RE:	Business Card Account Number 4339-9300-1490-3647

To whom it may concern,

The Fellsmere Water Control District (District) requests the above account be closed and final statement be provided to the District. Our records indicate the authorized signers on this account are “Jerry Tillman” and “Joyce Hertel”, both of whom are no longer employed by the District.

Please govern yourselves accordingly.

Greg Nelson, President
Fellsmere Water Control District Board of Supervisors

Richard Carnell, Vice President
Fellsmere Water Control District Board of Supervisors

Enclosures

BANK OF AMERICA

ECEI
APR 2171l?

Business Card

FELLSMERE WATER CONTROL 4339 9300 1490 3647
March 16, 2023 - April 15, 2023	Company Statement

Account Information:
www.bankofamerica.com

Mail Billing Inquiries to: BANK OF AMERICA
PO BOX 660441
DALLAS, TX 75266-0441

Mail Payments to: BUSINESS CARD PO BOX 15796
WILMINGTON, DE 19886-5796

Customer Service:
1.800.673.1044, 24 Hours

Outside the U.S.:
1.509.353.6656, 24 Hours

For Lost or Stolen Card:
1.800.673.1044, 24 Hours

Payment lnfonnation
New Balance Total ,	$0.00
Minimum Payment Due	$0.00
Payment Due Date	05/11/23
Minimum Payment Warning: If you make only the minimum payment each period, you will pay more in interest and it will take you longer to pay off your balance.

Account Summary

Previous Balance	$549.00
Payments and Other Credits .............,....... -$549.00 Balance Transfer Activity .........,	$0.00
Cash Advance Activity .............,	$0.00
Purchases and Other Charges	$0.00
Fees Charged	$0.00
Finance Charge 	$0.00
New Balance Total .,.............................,	$0.00

Credit Limit .................	$25.000
Credit Available ........~.	$25,000.00
Statement Closing Date	04/15/23
Days in Billing Cycle ,	31

Business Offers:
www.bankofamerlca.com/mybusrnesscenler

Transactions
Posflng  Transaction
Date	Date	Description	Reference Number	Amount

FELLSMERE WATER CONTROL
Account Number: 3647

Payments and Other Credits 04/12	04/10	PAYMENT-THANKYOU
TOTAL PAYMENTS AND OTHER CREDITS FOR THIS PERIOD

10215300000000599248865	-549.00
-$549.00

0054900 0000000 0000000 4339930014903647

, , , ,111,,1111,I I, 1ll 111111,1I•I' 1111111111111II, hII, hihI, •h11
BUSINESS CARD PO BOX 15796
WILMINGTON, DE 19886-5796

Account Number: 433993001490 3647
March 16, 2023 - April 15, 2023

New Balance Total ............,	$0.00
Minimum Payment Due	$0.00
Payment Due Date	05/11/23

Enter payment amount

1111	1	1 1 1

11	1	11 1

1 1 1	$

I ,I 1 11,I 1 11 I•I ii I•I'I11

111111I1 1111111 ,I

1111 11 11

FELLSMERE WATER CONTROL	dNDD102'12
2501 BURNS RD
PALM BEACH GARDENS. FL 33410-5207

For change of addrssslphone number, see reverse side.

Mail this coupon along with your check payable to:
BUSINESS CARD,
or make your payment onllne ,1t
www.bankofamerica.com

A

B--NK  OF AMERICA

Finance Charge Calculation

FELLSMERE WATER CONTROL
4339 9300 1490 3647
March 16, 2023 - April 15, 2023
Page 3 of 4

Your Annual Percentage Rate (APR) is the annual interest rate on your account.
Annual
Percentage Rate

Balance Subject to Interest Rate

Finance Charges by
Transaction Type

PURCHASES CASH

9.99% V
28.99% V

$0.00
$0.00

$0.00
$0.00

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moves up as you take additional steps to help protect your account.

Visit the Security Center in Business Advantage 360, our online and mobile banking platform, to see your security level today. To learn more, scan this code or visit bofa.com/SecurityCenter.
When you use the QRC feature certainInformationIs collected from your mobile device for businesspurposes. Apple, the Apple logo, and IPhoneare trademarks of Apple Inc.,registeredIn the U.S. and other countries.
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Mobile Banking requiresthat you download the Mobile Banklngapp and Is only available for select mobile devices. Message anddata rates may apply.

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BANK OF AMERICA BUSINESS ADVANTAGE

FUTURE HOR ZONS, INC.
PO Box 1115 Hastings, FL 32145

-----

3878 Prospect Ave Suite 13 R1v1era Beach, FL 33404

April 20, 2023

QUOTATION

TO:	Fellsmere Water Control District Attn: Frank

bsakuma	sdsinc.org 772-345-5119

We are pleased to offer you the following options:
******************************************************************************
D scription	Price
******************************************************************************
Option 1:

Apply State and Federal approved aquatic herbicides to emergent and floating aquatic plants in 57 miles of District canals (see attached map)
·		using invert application equipment. Future Horizons, Inc. will fumfah all labor (certified applicators), chemicals and invert application equipment

Option 2:
Apply Fellsmere Farms aquatic herbicides to emergent and floating aquatic plant in 57 miles of District canal ( ee attached map) using Future Horizons Inc. invert application equipment and certified applicators. Di trict will purchase all chemicals, needed to
treat canals.

46,895.00

$25 j90.00

* Chemical costs are based on an increa ed rates of Weedar 64 for the 2023 season
(3.0 gallons), Glypho ate (12 gallons) and Invert Oil (12 gallons per tank).

**Future Horizon chemical costs are ba ed on u ing 2023 prices. If District chemicals are u ed, part of chemical co t wiU be ba ed on 2022 price . However, invert oil will need to be purchased at 2023 price .

Quote is only 200d for thirty (30) days from date.

F  TURE HORIZO  S	C.

Robert D. Blackbum, r. CEO

P (800) 682-1187	F (904) 692-1193	E mfo@futurehonzonsmc com	w www futurehonzonsmc com

The District has glyphosate and Weedar 64 stored in the Fellsmere warehouse that was not used in the 2022 application. The IVOID (invert oil) stored cannot be used because it has separated. In 2022, Future Horizons treated the District canals using their glyphosate and Weedar 64 and gave them credit for the chemicals used on the final invoice. If Futures is awarded the bid, he would suggest we use the same procedure in 2023. If this chemical is not used soon, it will separate and loose effectiveness. Because the 2022 application was not successful on parrot’s feather (milfoil), we have increased the rate of Weedar 64 to be applied in 2023. This increased rate should increase the effectiveness of the application on this plant.

Page 66

RESOLUTION 2023-01

A RESOLUTION OF THE BOARD OF SUPERVISORS OF THE FELLSMERE WATER CONTROL DISTRICT RE-DESIGNATING A REGISTERED AGENT AND REGISTERED OFFICE OF THE DISTRICT, AND PROVIDING FOR AN EFFECTIVE DATE.

Whereas, the Fellsmere Water Control District (the “District”) is a local unit of special- purpose government created and existing pursuant to Chapter 298, Florida Statutes, being situated entirely within Indian River County, Florida; and

Whereas, the District is statutorily required to designate a registered agent and a registered office location for the purposes of accepting any process, notice, or demand required or permitted by law to be served upon the District in accordance with Section 189.014(1), Florida Statutes.

NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF SUPERVISORS OF THE FELLSMERE WATER CONTROL DISTRICT:

SECTION 1. Jonathan T. Johnson is hereby designated as the Registered Agent for the Fellsmere Water Control District.

SECTION 2.  The District’s Registered Office shall be located at the office of Kutak Rock LLP – Tallahassee, 107 W. College Avenue, Tallahassee, Florida 32301, Phone (850) 692-7301, e-mail: Jonathan.Johnson@KutakRock.com.
SECTION 3. In accordance with Section 189.014, Florida Statutes, the District’s Secretary is hereby directed to file certified copies of this Resolution with Indian River County, and the Florida Department of Economic Opportunity.

SECTION 4.  This Resolution shall become effective immediately upon adoption.

Passed and adopted this 11th day of May, 2023.

ATTEST:	FELLSMERE WATER CONTROL DISTRICT

Secretary/Assistant Secretary	President/Vice-President

RESOLUTION NO. 2023-02

A RESOLUTION OF THE BOARD OF SUPERVISORS OF THE FELLSMERE WATER CONTROL DISTRICT APPROVING A PROPOSED BUDGET FOR FISCAL YEAR 2023/2024 AND PROVIDING AN EFFECTIVE DATE.

WHEREAS, the Board of Supervisors (“Board”) of the Fellsmere Water Control District (“District”) is required by Chapter 298, Florida Statutes, to approve a Proposed Budget for each fiscal year; and,

WHEREAS, the Proposed Budget including the Assessments for Fiscal Year 2023/2024 has been prepared and considered by the Board.

NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF SUPERVISORS OF THE FELSLMERE WATER CONTROL DISTRICT THAT:

Section 1.  The Proposed Budget including the Assessments for Fiscal Year 2023/2024 attached hereto as Exhibit “A” is approved and adopted.

Section 2.  A Public Hearing is hereby scheduled for 	, 2023 at 11:00 a.m. at 109 North Willow Street, Fellsmere, Florida 32948, for the purpose of receiving public comments on the Proposed Fiscal Year 2023/2024 Budget.

PASSED, ADOPTED and EFFECTIVE this 11th day of May, 2023.

ATTEST:	FELLSMERE WATER
CONTROL DISTRICT

By:			By:		 Secretary/Assistant Secretary			President/Vice-President

Fellsmere
Water Control District

Proposed Budget Fiscal Year 2023/2024
October 1, 2023 - September 30, 2024

CONTENTS

PROPOSED BUDGET

PROPOSED MAINTENANCE BUDGET

DETAILED PROPOSED BUDGET

DETAILED PROPOSED MAINTENANCE BUDGET

ASSESSMENT COMPARISON

PROPOSED BUDGET
FELLSMERE WATER CONTROL DISTRICT FISCAL YEAR 2023/2024
OCTOBER 1, 2023 - SEPTEMBER 30, 2024

REVENUES	FISCAL YEAR 2023/2024
BUDGET	
Tax Revenue	600,462	
Revenue Other	0	
Interest Income	1,800	
TOTAL REVENUES	$	602,262	
		
ADMINISTRATIVE EXPENDITURES		
Contingency	0	
Salaries and Wages	0	
Payroll Taxes - Admin	0	
State Retirement - Admin	0	
Workers Comp - Admin	0	
Group Med/Life Insurance - Admin	0	
Legal and Professional	10,000	
Management Fees	72,000	
Audit Fees	15,000	
Engineering	24,000	
Website Management	3,000	
Office Supplies	2,500	
Miscellaneous	0	
Postage	150	
Insurance - Admin	13,500	
Transportation - Admin	2,500	
Sundry	0	
Licenses/Permits	0	
Memberships	2,790	
Legal Advertising	1,800	
Maintenance Buildings & Grounds	2,300	
Utilities	4,000	
Telephone	4,500	
Payroll Processing Fee	0	
Payroll Expenses	0	
Property Taxes	900	
Property Appraiser Fees	0	
Annual Assesment Roll	500	
Reserve	2,160	
TOTAL ADMINISTRATIVE EXPENDITURES	161,600	
		
TOTAL MAINTENANCE EXPENDITURES	404,635	
		
TOTAL EXPENDITURES	$	566,235	
		
BALANCE	$	36,027	
		
Tax Collector Fee	(12,009)	
Discounts For Early Payments	(24,018)	
		
EXCESS/ (SHORTFALL)	$	-	
		
Carryover From Prior Year		
		
NET EXCESS/ (SHORTFALL)	$	-	

PROPOSED MAINTENANCE BUDGET
FELLSMERE WATER CONTROL DISTRICT FISCAL YEAR 2023/2024
OCTOBER 1, 2023 - SEPTEMBER 30, 2024

	FISCAL YEAR 2023/2024
BUDGET	
MAINTENANCE EXPENDITURES		
Contract Services		
Aerial Spraying	45,000	
Contract/Mechanical - Lease	61,000	
Canal/Ditch Spraying	94,000	
Canal/Ditch Mowing	37,600	
Water Testing	2,200	
Chemical Control		
Equipment R & M/Supplies	0	
Gas & Oil - Chemical	0	
Insurance	0	
Chemicals Used		
Rodeo	0	
Invert Blend	0	
Chemicals Miscellaneous	0	
Ditch Maintenance		
Equipment R & M	1,000	
Supplies/Services	2,500	
Gas & Oil - Maint.	4,500	
Insurance - Maint.	0	
Transportation - Maint.	5,000	
Contingency	58,675	
Ditch Maintenance-Personnel		
Labor/Equipment Operations	56,860	
Payroll Taxes - Maint.	5,000	
State Retirement - Maint.	9,200	
Workers Comp - Maint.	2,300	
Group Med/Life Insurance - Maint.	19,800	
TOTAL MAINTENANCE EXPENDITURES	404,635	

DETAILED PROPOSED BUDGET
FELLSMERE WATER CONTROL DISTRICT FISCAL YEAR 2023/2024
OCTOBER 1, 2023 - SEPTEMBER 30, 2024

REVENUES	FISCAL YEAR 2021/2022
ACTUAL	FISCAL YEAR 2022/2023
BUDGET	FISCAL YEAR 2023/2024
BUDGET	

COMMENTS	
Tax Revenue	629,094	600,462	600,462	Expenditures Less Interest & Carryover/.94	
Revenue Other	70,743	2,055	0		
Interest Income	1,813	9,208	1,800	Interest Projected At $150.00 Per Month	
TOTAL REVENUES	$	701,650	$	611,725	$	602,262		
					
ADMINISTRATIVE EXPENDITURES					
Contingency	7,935	98,373	0	Moved to Ditch Maintenance	
Salaries and Wages	85,457	0	0	To Be Removed	
Payroll Taxes - Admin	9,212	0	0	To Be Removed	
State Retirement - Admin	11,780	0	0	To Be Removed	
Workers Comp - Admin	1,193	0	0	To Be Removed	
Group Med/Life Insurance - Admin	35,620	0	0	To Be Removed	
Legal and Professional	82,471	66,429	10,000	Decrease	
Management Fees	19,666	0	72,000	As Per Agreement	
Audit Fees	3,895	0	15,000	Need To Advertise For 2022/2023 Audit	
Engineering	15,351	0	24,000	Increase	
Website Management	2,191	0	3,000	Increase	
Office Supplies	13,789	6,859	2,500	Decrease	
Miscellaneous	462	0	0	No Change From 2022/2023 Budget	
Postage	0	0	150	Increase	
Insurance - Admin	12,440	10,186	13,500	Increase	
Transportation - Admin	9,925	10,000	2,500	Decrease	
Sundry	2,517	7,350	0	To Be Removed	
Licenses/Permits	200	425	0	To Be Removed	
Memberships	3,692	2,790	2,790	No Change From 2022/2023 Budget	
Legal Advertising	366	446	1,800	Increase	
Maintenance Buildings & Grounds	7,205	10,157	2,300	Security Alarm/Pest Control/Landscape Maint	
Utilities	11,159	2,336	4,000	FPL/Water	
Telephone	4,642	7,485	4,500	Phones/Internet/Firewall/Mobile(1)	
Payroll Processing Fee	756	0	0	To Be Removed	
Payroll Expenses	12,656	0	0	To Be Removed	
Property Taxes	809	802	900	Increase	
Property Appraiser Fees	0	1,800	0	Moved to Annual Assessment Roll	
Annual Assesment Roll	0	0	500	Moved from Property Appraiser Fee	
Reserve	0	0	2,160		
TOTAL ADMINISTRATIVE EXPENDITURES	355,389	225,438	161,600		
					
TOTAL MAINTENANCE EXPENDITURES	319,911	386,287	404,635		
					
TOTAL EXPENDITURES	$	675,300	$	611,725	$	566,235		
					
BALANCE	$	26,350	$	-	$	36,027		
					
Tax Collector Fee	(1,800)	0	(12,009)	Two Percent Of Total Assessment Roll	
Discounts For Early Payments	0	0	(24,018)	Four Percent Of Total Assessment Roll	
					
EXCESS/ (SHORTFALL)	$	24,550	$	-	$	-		
					
Carryover From Prior Year	0	0		Carryover Balance From Prior Years	
					
NET EXCESS/ (SHORTFALL)	$	24,550	$	-	$	-		

DETAILED PROPOSED MAINTENANCE BUDGET
FELLSMERE WATER CONTROL DISTRICT FISCAL YEAR 2023/2024
OCTOBER 1, 2023 - SEPTEMBER 30, 2024

	FISCAL YEAR 2021/2022
ACTUAL	FISCAL YEAR 2022/2023
BUDGET	FISCAL YEAR 2023/2024
BUDGET	

COMMENTS	
MAINTENANCE EXPENDITURES					
Contract Services					
Aerial Spraying	61,853	36,900	45,000	Single Treatment Estimate	
Contract/Mechanical - Lease	64,776	189,824	61,000	Estimate for New Lease	
Canal/Ditch Spraying	33,692	0	94,000	Two Times Per Year Estimate	
Canal/Ditch Mowing		0	37,600	Two Times Per Year Estimate	
Water Testing	1,748	1,800	2,200	Increase	
Chemical Control					
Equipment R & M/Supplies	2	1,286	0	To Be Removed/Included in Contract Services	
Gas & Oil - Chemical	3,943	2,275	0	To Be Removed/Included in Contract Services	
Insurance	0	969	0	To Be Removed/Included in Contract Services	
Chemicals Used					
Rodeo	4,087	35,730	0	To Be Removed/Included in Contract Services	
Invert Blend	1,545	4,132	0	To Be Removed/Included in Contract Services	
Chemicals Miscellaneous	39,991	3,127	0	To Be Removed/Included in Contract Services	
Ditch Maintenance					
Equipment R & M	27,976	1,072	1,000	Decrease	
Supplies/Services	7,146	5,000	2,500	Decrease	
Gas & Oil - Maint.	3,700	4,500	4,500	No Change From 2022/2023 Budget	
Insurance - Maint.	3,124	2,187	0	To Be Removed	
Transportation - Maint.	8,074	7,028	5,000	Decrease	
Contingency			58,675	Moved from Administration	
Ditch Maintenance-Personnel					
Labor/Equipment Operations	14,430	52,879	56,860	CPI Adjustment (3% of Actual)	
Payroll Taxes - Maint.	1,255	5,000	5,000	No Change From 2022/2023 Budget	
State Retirement - Maint.	7,303	9,200	9,200	No Change From 2022/2023 Budget	
Workers Comp - Maint.	1,025	1,728	2,300	Increase	
Group Med/Life Insurance - Maint.	34,241	21,650	19,800	Decrease - Health Plan Change	
TOTAL MAINTENANCE EXPENDITURES	319,911	386,287	404,635		

Fellsmere Water Control District Assessment Comparison

Fiscal Year 2022/2023
	Assessment*	

Fiscal Year 2023/2024
	Projected Assessment*	

	Area	  Assessment	Acres	Total		 Assessment	Acres	Total	

West	$	12.50	10,857.25	$  135,715.63	$	12.50	10,857.25	$  135,715.63	
East	$	29.00	16,025.75	$  464,746.75	$	29.00	16,025.75	$  464,746.75	
Total			$  600,462.38			$  600,462.38	

* Assessments Include the Following : 4% Discount for Early Payments
1% County Tax Collector Fee
1% County Property Appraiser Fee

 Community Information:	 West Acres	10,857.25
 East Acres	16,025.75	
Total	26,883.00

5/4/2023 1 27 PM	V

RESOLUTION 2023-03

A RESOLUTION OF THE BOARD OF SUPERVISORS OF THE FELLSMERE WATER CONTROL DISTRICT LEVYING NON-AD VALOREM ASSESSMENTS FOR THE FELLSMERE WATER CONTROL DISTRICT FOR THE FISCAL YEAR BEGINNING OCTOBER 1, 2023, AND ENDING SEPTEMBER 30, 2024.

WHEREAS, the Fellsmere Water Control District (the “District”) is a local unit of special-purpose government created and existing pursuant to Chapter 298, Florida Statutes, being situated entirely within Indian River County, Florida; and

WHEREAS, within the District certain costs of administration, operation, repairs and maintenance are being incurred; and

WHEREAS, the Board of Supervisors of District No. 1 (“Board”) finds that the total General Fund Operations Assessments for the District during Fiscal Year 2023/2024 will amount to $	; and

WHEREAS, the Board finds that the costs of administration, operation, repairs and maintenance provide special and peculiar benefit to parcels within the District; and

WHEREAS, the Board finds that the assessments on the affected parcels of property to pay for the special and peculiar benefits is fairly and reasonably apportioned, in proportion to the benefits received;

NOW, THEREFORE BE IT RESOLVED BY THE BOARD OF SUPERVISORS OF FELLSMERE WATER CONTROL DISTRICT:

SECTION 1.  There is hereby levied for the fiscal year of 2023-2024, a Non-Ad Valorem Assessment of the rate of $12.50 per acre against all land in the Fellsmere Water Control District located westerly of Lateral U and County Road 512 and a Non Ad Valorem Assessment of the rate of $ 29.00 per acre on all lands located easterly of Lateral U in order to maintain and preserve the ditches, drains and drainage works of this District and to repair and restore the same whenever needed, as well as, for the purpose of defraying the current expenses of this District. The said Non-Ad Valorem shall be equal and uniform in amount upon each acre of land assessed separately westerly of Lateral U/ County Road 512 and separately east of Lateral U/ County Road 512 and the minimum Non-Ad Valorem Assessment shall be not less than a one-acre rate established. The minimum Non-Ad Valorem assessment shall apply to any one parcel separately assessed.

SECTION 2. The collection and enforcement of the aforesaid assessments on parcels shall be by the Tax Collector serving as agent of the State of Florida in Indian River County (Tax Collector) and shall be at the same time and in like manner as ad valorem taxes and subject to all ad valorem tax collection and enforcement procedures which attend the use of the official annual tax notice under Section 290.021 Florida Statutes.

SECTION 3.  The said assessment levies on assessable lands within the District to be levied upon, are hereby certified to the Indian River County Property Appraiser, to be extended on the Indian River County Tax Roll and shall be collected by the Tax Collector in the same manner and time as Indian River County taxes. The proceeds therefrom shall be paid to the District.

SECTION 4.  Be it further resolved, a copy of this Resolution shall be transmitted to the proper officials so that its purpose and effect may be carried out in accordance with the law.

PASSED AND ADOPTED this 11th day of May, 2023.

ATTEST:	FELLSMERE WATER CONTROL DISTRICT

Secretary/Assistant Secretary	President/Vice-President

EXHIBIT "A" MAINTENANCE ASSESSMENT ROLL

Fellsmere Water Control District

Financial Report For April 2023

FELLSMERE WATER CONTROL DISTRICT MONTHLY FINANCIAL REPORT
APRIL 2023

RE9ENUES	
Annual Budget
10/1/22 - 9/30/23	

Actual ASr-23	Year To Date Actual
10/1/22 - 4/30/23	
Ta[ 5evenue	600,462	13,300	609,810	
5evenue Other	2,055	0	3,388	
,nterest ,ncome	9,208	500	3,752	
Total Revenues	$	611,725	$	13,800	$	616,950	
				
EXPENDITURES				
Contract Services				
Aerial Spraying	36,900	0	0	
Contract/Mechanical	189,824	0	59,605	
Canal/Ditch Spraying	0	0	18,800	
Water Testing	1,800	0	525	
				
Chemical Control				
(Tuipment 5 & M/Supplies - Chemical Control	1,286	0	0	
Gas & Oil - Chemical Control	2,275	0	2,659	
,nsurance - Chemical Control	969	0	0	
				
Chemicals Used				
5odeo	35,730	0	0	
,nvert %lend	4,132	0	0	
Chemicals Miscellaneous	3,127	0	0	
				
Ditch Maintenance				
/aEor/(Tuipment Operations - Ditch Maintenance	52,879	4,246	29,725	
3ayroll Ta[es - Ditch Maintenance	5,000	325	2,274	
State 5etirement - Ditch Maintenance	9,200	506	5,384	
Workers Comp - Ditch Maintenance	1,728	0	0	
Group Med//iIe ,nsurance - Ditch Maintenance	21,650	1,801	12,896	
(Tuipment 5 & M - Ditch Maintenance	1,072	0	19,612	
Supplies/Services - Ditch Maintenance	5,000	0	0	
Gas & Oil - Ditch Maintenance	4,500	0	0	
,nsurance - Ditch Maintenance	2,187	1,387	1,387	
Transportation - Ditch Maintenance	7,028	733	2,108	
				
Administrative				
Contingency	98,373	0	0	
				
/egal and 3roIessional	66,429	0	1,607	
Management Fees	0	6,000	42,000	
/egal	0	0	0	
Audit Fees	0	0	0	
(ngineering	0	0	23,199	
WeEsite Management	0	250	1,750	
				
OIIice Supplies	6,859	581	1,207	
Miscellaneous - General Admin	0	191	1,411	
3ostage	0	75	141	
				
,nsurance - General Admin	10,186	0	16,123	
Transportation - General Admin	10,000	0	0	
Sundry	7,350	0	0	
/icenses/3ermits	425	0	175	
MemEerships	2,790	0	1,500	
/egal Advertising	446	0	539	
Maintenance %uildings and Grounds	10,157	140	1,100	
Utilities	2,336	603	1,956	
Telephone	7,485	0	3,416	
3roperty Ta[es	802	0	863	
3roperty Appraiser Fees	1,800	0	1,800	
3ayroll 3rocessing Fee	0	134	933	
%ank Service Charges	0	0	11	
Total E[Senditures	$	611,725	$	16,972	$	254,706	
				
EXCESS/ SHORTFALL 	$	-	$	 3,172 	$	362,244	
				
%ond 3ayments	0	0	0	
				
Balance	$	-	$	 3,172 	$	362,244	
				
Ta[ Collector Fee	0	0	 1,500 	
Discounts For (arly 3ayments	0	 12 	 21,930 	
				
NET EXCESS/ SHORTFALL 	$	-	$	 3,184 	$	338,814	

Bank Balance As Of 4/30/23	$	1,598,327.65	
Accounts Payable As Of 4/30/23	$	7,822.44	
Accounts Receivable As Of 4/30/23	$	-	
Designated For Contingency As Of 4/30/23	$	300,000.00	
Other Assets As Of 4/30/23	$	-	
Available Funds As Of 4/30/23	$	1,290,505.21	

Note:
Deferred Inflow Pension As Of 9/30/22: $106,570 - Deferred Outflow Pension As Of 9/30/22: $53,137

Fellsmere Water Control District
Expenditures
October 2022 through April 2023

	Date		Num		Name		Memo		Amount	
Expenditures
4000 Contract Services
4003 Contract/Mechanical										
	10/14/2022		33056853		Caterpillar Financial Services Corporatio		wheeled hydraulic e[cavator payment		53,621 35	
	12/15/2022		33677118		Caterpillar Financial Services Corporatio		wheeled hydraulic e[cavator payment		5,983 73	
Total 4003 Contract/Mechanical									59,605 08	
4004 Canal, Ditch Spraying	
10/19/2022		
16401		
A 4uality %ushog Services ,nc		
right oI way mowing and hedge clearing		
18,800 00	
Total 4004 Canal, Ditch Spraying									18,800 00	
4005 Water Testing	
03/02/2023		
2335535219		
Pace Analytical Services LLC		
water sample 2/8/23		
525 40	
Total 4005 Water Testing									525 40	
Total 4000 Contract Services									78,930 48	
4030 Chemical Control										
4033 Gas & Oil	
10/06/2022		
1604923		
Como Oil		
Iuel		
2,658 78	
Total 4033 Gas & Oil									2,658 78	
Total 4030 Chemical Control									2,658 78	
4100 Ditch Maintenance										
4111 Labor-Equip Oper										
	10/17/2022		P5 10/21/22				Payroll 10/1/22 - 10/14/22 - salaries		2,061 38	
	11/01/2022		P5 11/04/22				Payroll 11/4/2022 10/17/22 - 10/30/22 - salaries		2,061 38	
	11/15/2022		P5 11/04/22				Payroll 11/18/2022 10/31/22 - 11/11/22 - salaries		2,061 38	
	11/29/2022		P5 12/02/22				Payroll 12/02/2022 11/12/22 - 11/25/22 - salaries		2,061 38	
	12/12/2022		P5 12/16/22				Payroll 12/16/2022 11/26/22 - 12/09/22 - salaries		2,061 38	
	12/28/2022		P5 12/30/22				Payroll 12/30/2022 12/10/22 - 12/23/22 - salaries		2,061 38	
	01/10/2023		P5 12/30/22				Payroll 12/30/2022 12/10/22 - 12/23/22 - salaries		2,061 38	
	01/24/2023		P5 01-27-23				Payroll 01/27/23 01/09/23 -01/22/23 - salaries		2,061 38	
	02/06/2023		P5 02/10/23				Payroll 02/10/23 01/23/23 -02/05/23 - salaries		2,061 38	
	02/22/2023		P5 02/24/23				Payroll 02/24/23 02/05/23 -02/18/23 - salaries		2,061 38	
	03/06/2023		P5 03/10/23				Payroll 02/24/23 02/05/23 -02/18/23 - salaries		2,061 38	
	03/20/2023		P5 03/24/23				Payroll 03/24/23 03/04/23 -03/17/23 - salaries		2,803 46	
	04/03/2023		P5 04/05/23				Payroll 04/05/23 03/18/23 -03/31/23 - salaries		2,123 22	
	04/18/2023		P5 04/21/23				Payroll 04/21/23 04/01/23 -04/14/23 - salaries		2,123 22	
Total 4111 Labor-Equip Oper									29,725 08	
4121 Payroll Taxes										
	10/17/2022		P5 10/21/22				Payroll 10/1/22 - 10/14/22 - E5 SS&MED liab		157 70	
	11/01/2022		P5 11/04/22				Payroll 11/4/2022 10/17/22 - 10/30/22 - E5 SS&MED liab		157 69	
	11/15/2022		P5 11/04/22				Payroll 11/18/2022 10/31/22 - 11/11/22 - E5 SS&MED liab		157 70	
	11/29/2022		P5 12/02/22				Payroll 12/02/2022 11/12/22 - 11/25/22 - E5 SS&MED liab		157 69	
	12/12/2022		P5 12/16/22				Payroll 12/16/2022 11/26/22 - 12/09/22 - E5 SS&MED liab		157 70	
	12/28/2022		P5 12/30/22				Payroll 12/30/2022 12/10/22 - 12/23/22 - E5 SS&MED liab		157 69	
	01/10/2023		P5 12/30/22				Payroll 12/30/2022 12/10/22 - 12/23/22 - E5 SS&MED liab		157 70	

Fellsmere Water Control District
Expenditures
October 2022 through April 2023

	Date		Num		Name		Memo		Amount	
	01/24/2023		PR 01-27-23				Payroll 01/27/23 01/09/23 -01/22/23 - ER SS&MED liab		157 69	
	02/06/2023		PR 02/10/23				Payroll 02/10/23 01/23/23 -02/05/23 - ER SS&MED liab		157 70	
	02/22/2023		PR 02/24/23				Payroll 02/24/23 02/05/23 -02/18/23 - ER SS&MED liab		157 69	
	03/06/2023		PR 03/10/23				Payroll 02/24/23 02/05/23 -02/18/23 - ER SS&MED liab		157 70	
	03/20/2023		PR 03/24/23				Payroll 03/24/23 03/04/23 -03/17/23 - ER SS&MED liab		214 46	
	04/03/2023		PR 04/05/23				Payroll 04/05/23 03/18/23 -03/31/23 - ER SS&MED liab		162 43	
	04/18/2023		PR 04/21/23				Payroll 04/21/23 04/01/23 -04/14/23 - ER SS&MED liab		162 43	
	04/18/2023		PR 04/21/23				Payroll 04/21/23 04/01/23 -04/14/23 - EE FED W+ liab		0 00	
Total 4121 Payroll Taxes									2,273 97	
4122 State Retirement										
	10/17/2022		PR 10/21/22				Payroll 10/1/22 - 10/14/22 - FRS ER expense		245 51	
	10/18/2022				FL Div Retirement		October retirement contribution		614 70	
	11/01/2022		PR 11/04/22				Payroll 11/4/2022 10/17/22 - 10/30/22 - FRS ER expense		245 51	
	11/15/2022		PR 11/04/22				Payroll 11/18/2022 10/31/22 - 11/11/22 - FRS ER expense		245 51	
	11/18/2022				FL Div Retirement		1ovember retirement contribution		614 70	
	11/29/2022		PR 12/02/22				Payroll 12/02/2022 11/12/22 - 11/25/22 - FRS ER expense		245 51	
	12/12/2022		PR 12/16/22				Payroll 12/16/2022 11/26/22 - 12/09/22 - FRS ER expense		245 51	
	12/28/2022		PR 12/30/22				Payroll 12/30/2022 12/10/22 - 12/23/22 - FRS ER expense		245 51	
	01/10/2023		PR 12/30/22				Payroll 12/30/2022 12/10/22 - 12/23/22 - FRS ER expense		245 51	
	01/24/2023		PR 01-27-23				Payroll 01/27/23 01/09/23 -01/22/23 - FRS ER expense		245 51	
	02/06/2023		PR 02/10/23				Payroll 02/10/23 01/23/23 -02/05/23 - FRS ER expense		245 51	
	02/22/2023				FL Div Retirement		February retirement contribution		614 70	
	02/22/2023		PR 02/24/23				Payroll 02/24/23 02/05/23 -02/18/23 - FRS ER expense		245 51	
	03/06/2023		PR 03/10/23				Payroll 02/24/23 02/05/23 -02/18/23 - FRS ER expense		245 51	
	03/20/2023		PR 03/24/23				Payroll 03/24/23 03/04/23 -03/17/23 - FRS ER expense		333 89	
	04/03/2023		PR 04/05/23				Payroll 04/05/23 03/18/23 -03/31/23 - FRS ER expense		252 88	
	04/18/2023		PR 04/21/23				Payroll 04/21/23 04/01/23 -04/14/23 - FRS ER expense		252 88	
Total 4122 State Retirement					5,384 36	
4124 Group Med, Life Ins.						
	10/01/2022		%lue Cross %lue Shield	health insurance October	1,859 08	
	10/06/2022		aflac		52 32	
	10/17/2022	PR 10/21/22		Payroll 10/1/22 - 10/14/22- health insurance	-28 95	
	11/01/2022	PR 11/04/22		Payroll 11/4/2022 10/17/22 - 10/30/22- health insurance	-28 95	
	11/01/2022		%lue Cross %lue Shield	health insurance 1ovember	1,859 08	
	11/04/2022		aflac		78 48	
	11/15/2022	PR 11/04/22		Payroll 11/18/2022 10/31/22 - 11/11/22- health insurance	-28 95	
	11/29/2022	PR 12/02/22		Payroll 12/02/2022 11/12/22 - 11/25/22- health insurance	-28 95	
	12/01/2022		%lue Cross %lue Shield	health insurance December	1,859 08	
	12/07/2022		aflac	AFLAC December 2022	52 32	
	12/12/2022	PR 12/16/22		Payroll 12/16/2022 11/26/22 - 12/09/22- health insurance	-28 95	
	12/28/2022	PR 12/30/22		Payroll 12/30/2022 12/10/22 - 12/23/22- health insurance	-28 95	
	01/01/2023		%lue Cross %lue Shield	health insurance -anuary	1,859 08	
	01/05/2023		aflac	AFLAC -anuary 2023	52 32	
	01/10/2023	PR 12/30/22		Payroll 12/30/2022 12/10/22 - 12/23/22- health insurance	-28 95	

Fellsmere Water Control District
Expenditures
October 2022 through April 2023

	Date		Num		Name		Memo		Amount	
	01/24/2023		PR 01-27-23				Payroll 01/27/23 01/09/23 -01/22/23- health insurance		-28 95	
	02/03/2023				aflac		AFLAC February 2023		52 32	
	02/03/2023				Blue Cross Blue Shield		health insurance February		1,859 08	
	02/06/2023		PR 02/10/23				Payroll 02/10/23 01/23/23 -02/05/23- health insurance		-28 95	
	02/22/2023		PR 02/24/23				Payroll 02/24/23 02/05/23 -02/18/23- health insurance		-28 95	
	03/01/2023				Blue Cross Blue Shield		health insurance March		1,859 08	
	03/06/2023		PR 03/10/23				Payroll 02/24/23 02/05/23 -02/18/23- health insurance		-28 95	
	03/20/2023		PR 03/24/23				Payroll 03/24/23 03/04/23 -03/17/23- health insurance		-28 95	
	04/01/2023				Blue Cross Blue Shield		health insurance April		1,859 08	
	04/03/2023		PR 04/05/23				Payroll 04/05/23 03/18/23 -03/31/23- health insurance		-28 95	
	04/18/2023		PR 04/21/23				Payroll 04/21/23 04/01/23 -04/14/23 - health insurance		-28 95	
Total 4124 Group Med, Life Ins 									12,896 02	
4131 Equipment R & M										
	10/05/2022		E101G0021810		.elly Tractor		wheeled excavator 9/14-10/11		10,414 00	
	10/27/2022		E101G0021915		.elly Tractor		rental return transport		1,200 00	
	12/01/2022		S91485815		.elly Tractor		repair wiring harness		5,379 23	
	12/23/2022		S91487974		.elly Tractor		trouble shoot grease lines		2,147 03	
	01/12/2023		17PC8395369		Ring Power		parts		165 08	
	01/26/2023		S91491129		.elly Tractor		trouble shoot hydraulic hoses/lines		306 89	
Total 4131 Equipment R & M									19,612 23	
4136 Insurance	
04/15/2023		
648550		
Guardian		
vision, life, and dental 4/15/23 - 4/14/23		
1,386 86	
Total 4136 Insurance									1,386 86	
4137 Transportation										
	10/31/2022		Oct-2022		Rob 9ereen reimbursement 		mileage for October 560 6 miles # 0 625		350 38	
	11/30/2022		11-22		Rob 9ereen reimbursement 		mileage for 1ovember 2022 275 miles # 0 625		171 88	
	12/22/2022		12-22		Rob 9ereen reimbursement 		mileage for December 2022 233 miles # 0 625		145 63	
	01/31/2023		-anuary 2023		Rob 9ereen reimbursement 		mileage for -anuary 2023 558 8 miles # 0 655		366 01	
	02/28/2023		Feb-23		Rob 9ereen reimbursement 		mileage for February 2023 520 miles # 0 655		340 60	
	04/03/2023		Mar 2023		Rob 9ereen reimbursement 		mileage for March 2023 558 8 miles # 0 655		366 01	
	04/30/2023		April 2023		Rob 9ereen reimbursement 		mileage for April 2023 560 6 miles # 0 655		367 19	
Total 4137 Transportation									2,107 70	
Total 4100 Ditch Maintenance									73,386 22	
5000 · General Admin										
5018 · Bank Service Charges										
	10/31/2022						Service Charge		2 00	
	11/30/2022						Service Charge		2 00	
	12/31/2022						Service Charge		2 00	
	01/31/2023						Service Charge		2 00	
	02/28/2023						Service Charge		3 00	
Total 5018 · Bank Service Charges									11 00	
5079 · Postage										
	01/31/2023		2023-0081		Special District Services		FedE; - December 2022		62 80	

Fellsmere Water Control District
Expenditures
October 2022 through April 2023

	Date		Num		Name		Memo		Amount	
	02/28/2023		2023-0189		Special District Services		postage - -anuary 2023		2 94	
	03/31/2023		2023-0298		Special District Services		postage - February 2023		0 60	
	04/30/2023		2023-0405		Special District Services		FedEx - March 2023		74 69	
Total 5079 · Postage									141 03	
5003 · Miscellaneous										
	10/31/2022		2022-1680		Special District Services		travel September 2022		134 38	
	11/30/2022		2022-1784		Special District Services		travel October 2022		175 00	
	12/31/2022		2022-1994		Special District Services		travel 1ovember 2022		25 63	
	01/31/2023		2023-0081		Special District Services		Travel - December 2022		170 00	
	02/28/2023		2023-0189		Special District Services		travel - -anuary 2023		91 70	
	03/15/2023		4339 9300 1490 3647		Bank of America		February 2023		549 00	
	03/31/2023		2023-0298		Special District Services		conference calls February 2023		27 99	
	03/31/2023		2023-0298		Special District Services		travel - February 2023		45 85	
	04/30/2023		2023-0405		Special District Services		travel - March 2023		191 26	
Total 5003 · Miscellaneous									1,410 81	
5002 · Website management										
	10/31/2022		2022-1680		Special District Services		website fee October 2022		250 00	
	11/30/2022		2022-1784		Special District Services		website fee 1ovember 2022		250 00	
	12/31/2022		2022-1994		Special District Services		website fee December 2022		250 00	
	01/31/2023		2023-0081		Special District Services		website fee -anuary 2023		250 00	
	02/28/2023		2023-0189		Special District Services		website fee -anuary 2023		250 00	
	03/31/2023		2023-0298		Special District Services		website fee February 2023		250 00	
	04/30/2023		2023-0405		Special District Services		website management April 2023		250 00	
Total 5002 · Website management									1,750 00	
5091 · Payroll processing fee										
	10/17/2022		PR 10/21/22				Payroll 10/1/22 - 10/14/22 - payroll fee		66 65	
	11/01/2022		PR 11/04/22				Payroll 11/4/2022 10/17/22 - 10/30/22 - payroll fee		66 65	
	11/15/2022		PR 11/04/22				Payroll 11/18/2022 10/31/22 - 11/11/22 - payroll fee		66 65	
	11/29/2022		PR 12/02/22				Payroll 12/02/2022 11/12/22 - 11/25/22 - payroll fee		66 65	
	12/12/2022		PR 12/16/22				Payroll 12/16/2022 11/26/22 - 12/09/22 - payroll fee		66 65	
	12/28/2022		PR 12/30/22				Payroll 12/30/2022 12/10/22 - 12/23/22 - payroll fee		66 65	
	01/10/2023		PR 12/30/22				Payroll 12/30/2022 12/10/22 - 12/23/22 - payroll fee		66 65	
	01/24/2023		PR 01-27-23				Payroll 01/27/23 01/09/23 -01/22/23 - payroll fee		66 65	
	02/06/2023		PR 02/10/23				Payroll 02/10/23 01/23/23 -02/05/23 - payroll fee		66 65	
	02/22/2023		PR 02/24/23				Payroll 02/24/23 02/05/23 -02/18/23 - payroll fee		66 65	
	03/06/2023		PR 03/10/23				Payroll 02/24/23 02/05/23 -02/18/23 - payroll fee		66 65	
	03/20/2023		PR 03/24/23				Payroll 03/24/23 03/04/23 -03/17/23 - payroll fee		66 65	
	04/03/2023		PR 04/05/23				Payroll 04/05/23 03/18/23 -03/31/23 - payroll fee		66 65	
	04/18/2023		PR 04/21/23				Payroll 04/21/23 04/01/23 -04/14/23 - payroll fee		66 65	
Total 5091 · Payroll processing fee									933 10	
5017 · Management Fee										
	10/31/2022		2022-1680		Special District Services		October 2022 management fee		6,000 00	
	11/30/2022		2022-1784		Special District Services		1ovember 2022 management fee		6,000 00	
	12/31/2022		2022-1994		Special District Services		December 2022 management fee		6,000 00	

Fellsmere Water Control District
Expenditures
October 2022 through April 2023

	Date		Num		Name		Memo		Amount	
	01/31/2023		2023-0081		Special District Services		-anuary 2023 management fee		6,000 00	
	02/28/2023		2023-0189		Special District Services		February 2023 management fee		6,000 00	
	03/31/2023		2023-0298		Special District Services		March 2023 management fee		6,000 00	
	04/30/2023		2023-0405		Special District Services		April 2023 management fee		6,000 00	
Total 5017 · Management Fee									42,000 00	
5015 · Engineeering										
	11/14/2022		9009-300		Carter Associates, Inc		October 2022		4,775 00	
	11/30/2022		9009-301		Carter Associates, Inc		1ovember 2022		2,357 50	
	12/31/2022		9009-302		Carter Associates, Inc		December 2022		4,768 13	
	01/31/2023		9009-303		Carter Associates, Inc		-anuary 2023		3,148 75	
	02/28/2023		9009-304		Carter Associates, Inc		February 2023		1,646 25	
	03/31/2023		9009-305		Carter Associates, Inc		March 2023		6,503 88	
Total 5015 · Engineeering									23,199 51	
5013 · Legal & Professional										
	02/28/2023		3196586		.utak Rock		February 2023		867 50	
	03/31/2023		3209855		.utak Rock		March 2023		739 50	
Total 5013 · Legal & Professional									1,607 00	
5014 · Insurance										
	10/01/2022		16805		Egis Insurance Advisors		policy WC100122939 10/1/22 - 10/1/23		2,220 32	
	10/01/2022		16959		Egis Insurance Advisors		policy 100122939 10/1/22 - 10/1/23		13,245 00	
	10/11/2022		17484		Egis Insurance Advisors		policy 012896090 11/14/22 - 11/14/23 Storage tank liability		566 10	
	12/20/2022		65137		Preferred Gov Insurance Trust		workers comp audit 21/22		92 00	
Total 5014 · Insurance									16,123 42	
5053 · Prop Appraiser Fees	
10/01/2022		
6 2022		
Indian River County Property Appraiser		
property appraiser fees		
1,800 00	
Total 5053 · Prop Appraiser Fees									1,800 00	
5074 · Property Taxes										
	12/01/2022		31-37-00-00009-0001-		IRC Tax Collector		property tax		546 47	
	12/01/2022		31-37-00-00009-0010-		IRC Tax Collector		property tax		201 28	
	12/01/2022		31-37-00-00004-0020-		IRC Tax Collector		property tax		114 85	
Total 5074 · Property Taxes									862 60	
5076 · Licenses, Permits	
10/03/2022		
85969		
Dept of Economic Opportunity		
Special District fee 2022/2023		
175 00	
Total 5076 · Licenses, Permits									175 00	
5077 · Memberships	
12/19/2022		
489		
FASD		
FASD memebership		
1,500 00	
Total 5077 · Memberships									1,500 00	
5078 · Advertising										
	10/01/2022		0005044206		Treasure Coast 1ewspaper		F< 22/23 Mtg Schedule		155 61	
	11/30/2022		0005126124		Treasure Coast 1ewspaper		1otice of Special Board Mtg		131 67	
	01/03/2023		0005310848		Treasure Coast 1ewspaper		1otice of Reg Board Mtg		126 54	
	02/27/2023		0005388005		Treasure Coast 1ewspaper		1otice of Reg Board Mtg		124 83	
Total 5078 · Advertising									538 65	

Fellsmere Water Control District
Expenditures
October 2022 through April 2023

	Date		Num		Name		Memo		Amount	
5082 · Maint Bldg & Grounds										
	10/01/2022		10/01/2022		+errera Lawn Care		monthly lawn care		140 00	
	11/01/2022		11/01/2022		+errera Lawn Care		monthly lawn care		140 00	
	11/22/2022		49408837		Stark Exterminators		interior and exterior service		40 00	
	12/01/2022		12/01/2022		+errera Lawn Care		monthly lawn care December 2022		140 00	
	01/01/2023		01/01/2023		+errera Lawn Care		monthly lawn care -anuary 2023		140 00	
	01/18/2023		50074828		Stark Exterminators		interior and exterior service		40 00	
	02/01/2023		02/01/2023		+errera Lawn Care		monthly lawn care February 2023		140 00	
	03/01/2023		03/01/2023		+errera Lawn Care		monthly lawn care March 2023		140 00	
	03/17/2023		50813432		Stark Exterminators		interior and exterior service		40 00	
	04/01/2023		04/01/2023		+errera Lawn Care		monthly lawn care April 2023		140 00	
Total 5082 · Maint Bldg & Grounds									1,100 00	
5083 · Utilities										
	10/06/2022		85682-24037 1022		FPL		85682-24037 9/7/22-10/6/22		191 38	
	11/04/2022		85682-24037 1122		FPL		85682-24037 10/6/22-11/4/22		177 18	
	11/30/2022		9204519517		City of Fellsmere		water usage and stormwater fee		26 90	
	12/06/2022		85682-24037		FPL		85682-24037 11/4/22 - 12/6/22		176 32	
	12/29/2022		9204519517		City of Fellsmere		water usage and stormwater fee		49 78	
	01/06/2023		85682-24037		FPL		85682-24037 12/6/22 - 01/06/23		160 35	
	01/30/2023		9204519517		City of Fellsmere		water usage and stormwater fee		7 34	
	02/06/2023		85682-24037		FPL		85682-24037 01/06/23 - 02/06/23		168 87	
	02/24/2023		9204519517		City of Fellsmere		water usage and stormwater fee		30 22	
	03/07/2023		85682-24037 0323		FPL		85682-24037 02/06/23 - 03/07/23		162 43	
	03/21/2023		326232638		AT & T		account # 326232638		186 18	
	03/28/2023		9204519517		City of Fellsmere		water usage and stormwater fee		15 54	
	04/06/2023		85682-24037 0423		FPL		85682-24037 03/07/23 - 04/06/23		194 15	
	04/07/2023		4506418709		AT&T (831-001-2595 734)		AT&T business services		172 48	
	04/10/2023		287326384239;0418202		AT&T (287326384239)		wireless 04/04/23 - 04/10/23		130 34	
	04/21/2023		326232638		AT & T		account # 326232638		106 29	
Total 5083 · Utilities									1,955 75	
5086 · Telephone										
	10/19/2022		831-000-9619 913		AT&T (831-000-9619 913)		acct# 831-000-9619 913 (9/19/22 - 10/18/22)		484 41	
	11/19/2022		6605105708		AT&T (831-000-9619 913)		acct# 831-000-9619 913 (10/19/22 - 11/18/22)		484 11	
	11/19/2022		7081925702		AT&T (831-000-9619 920)		11/19/22 - 12/18/22		8 95	
	12/19/2022		4775875706		AT&T (831-000-9619 913)		acct# 831-000-9619 913 (11/19/22 - 12/18/22)		484 11	
	12/19/2022		4785875704		AT&T (831-000-9619 920)		12/19/22 - 01/18/23		130 73	
	01/19/2023		4856936708		AT&T (831-000-9619 920)		01/19/23 - 02/18/23		115 30	
	01/19/2023		4846936700		AT&T (831-000-9619 913)		acct# 831-000-9619 913 (01/19/23 - 02/18/23)		486 77	
	02/19/2023		1201396701		AT&T (831-000-9619 913)		acct# 831-000-9619 913 (02/19/23 - 03/18/23)		484 11	
	02/19/2023		9509356708		AT&T (831-000-9619 920)		02/19/23 - 03/18/23		126 56	
	03/19/2023		1135386703		AT&T (831-000-9619 913)		acct# 831-000-9619 913 (03/19/23 - 04/18/23)		484 11	
	03/19/2023		4402647709		AT&T (831-000-9619 920)		03/19/23 - 04/18/23		126 56	
Total 5086 · Telephone									3,415 72	
5090 · Office Supplies										

Fellsmere Water Control District
Expenditures
October 2022 through April 2023

	Date		Num		Name		Memo		Amount	
	10/31/2022		2022-1680		Special District Services		copies - September 2022		38 85	
	10/31/2022		2022-1680		Special District Services		FedEx September 2022		31 40	
	10/31/2022		2022-1680		Special District Services		meeting books - September 2022		24 00	
	10/31/2022		2022-1680		Special District Services		charge back for USPS		53 24	
	11/30/2022		2022-1784		Special District Services		copies - October 2022		4 35	
	11/30/2022		2022-1784		Special District Services		FedEx October 2022		77 10	
	12/31/2022		2022-1994		Special District Services		copies - November 2022		113 55	
	12/31/2022		2022-1994		Special District Services		meeting books - November 2022		28 00	
	01/31/2023		2023-0081		Special District Services		copies - December 2022		6 45	
	01/31/2023		2023-0081		Special District Services		meeting books - December 2022		20 00	
	01/31/2023		2023-0081		Special District Services		WD-40, office supplies, holiday gift card		165 65	
	02/28/2023		2023-0189		Special District Services		copies - January 2023		4 95	
	02/28/2023		2023-0189		Special District Services		office supplies January 2023		48 98	
	03/31/2023		2023-0298		Special District Services		copies - February 2023		9 30	
	04/06/2023		1NVP-3YMC-3HRJ		Amazon Capital Services		Otterbox Defender phone case		35 43	
	04/14/2023		1F6Y-GRMW-1KKF		Amazon Capital Services		24 pack of master locks keyed alike for gates		424 51	
	04/14/2023		17Y4-FPL1-4KD4		Amazon Capital Services		toner cartridge for Brother machine		63 47	
	04/30/2023		2023-0405		Special District Services		copies - March 2023		30 08	
	04/30/2023		2023-0405		Special District Services		Meeting books March 2023		28 00	
Total 5090 · Office Supplies									1,207 31	
Total 5000 · General Admin									99,730 90	
Total Expenditures									254,706.38	

FELLSMERE WATER CONTROL DISTRICT TAX COLLECTIONS 2022-2023

#	

ID#	

PAYMENT FROM	

DATE	

FOR	

Tax Collect Receipts	

Interest Received	

Commissions Paid	

Discount	

Net From Tax Collector	O & M Assessment Income (Before Discounts & Fee 	O & M Assessment Income (After Discounts & Fee 	
									$600,462.00	$600,462.00	$600,462.00	
									$564,434.28	$564,434.28	$564,434.28	
1		Paid to Indian River County Prop Appraiser	10/06/22	Fees			$	(1,800 00)		$	(1,800 00)		$	(1,800 00)	
2	1	Indian River County Tax Collector	11/04/22	NAV Taxes/Interest	$	17,186 64	$	2 20	$	(331 22)	$	(737 23)	$	16,120 39	$	17,188 84	$	16,120 39	
3	2	Indian River County Tax Collector	11/10/22	NAV Taxes	$	25,967 33		$	(418 78)	$  (1,035 89)	$	24,512 66	$	25,967 33	$	24,512 66	
4	3	Indian River County Tax Collector	11/18/22	NAV Taxes	$	14,993 00			$	(599 72)	$	14,393 28	$	14,993 00	$	14,393 28	
5	4	Indian River County Tax Collector	11/30/22	NAV Taxes	$	100,514 00			$  (4,020 57)	$	96,493 43	$  100,514 00	$	96,493 43	
6	5	Indian River County Tax Collector	12/09/22	NAV Taxes	$	36,147 92			$  (1,445 36)	$	34,702 56	$	36,147 92	$	34,702 56	
7	6	Indian River County Tax Collector	12/16/22	NAV Taxes	$	312,651 76		$	(750 00)	$ (12,443 28)	$	299,458 48	$  312,651 76	$  299,458 48	
8	7	Indian River County Tax Collector	12/22/22	NAV Taxes/Interest	$	7,877 23	$	5 35		$	(235 44)	$	7,647 14	$	7,882 58	$	7,647 14	
9	8	Indian River County Tax Collector	12/30/22	NAV Taxes	$	6,834 04			$	(204 58)	$	6,629 46	$	6,834 04	$	6,629 46	
10	9	Indian River County Tax Collector	01/13/23	NAV Taxes/Interest	$	4,747 84	$	29 65		$	(121 33)	$	4,656 16	$	4,777 49	$	4,656 16	
11	10	Indian River County Tax Collector	01/27/23	NAV Taxes	$	7,414 23			$	(149 64)	$	7,264 59	$	7,414 23	$	7,264 59	
12	Int - 1	Indian River County Tax Collector	01/27/23	Interest		$  121 92			$	121 92	$	121 92	$	121 92	
13	11	Indian River County Tax Collector	02/10/23	NAV Taxes	$	30,675 87			$	(612 48)	$	30,063 39	$	30,675 87	$	30,063 39	
14	12	Indian River County Tax Collector	02/24/23	NAV Taxes	$	7,552 25			$	(153 35)	$	7,398 90	$	7,552 25	$	7,398 90	
15	13	Indian River County Tax Collector	03/10/23	NAV Taxes	$	6,293 00			$	(62 93)	$	6,230 07	$	6,293 00	$	6,230 07	
16	14	Indian River County Tax Collector	03/24/23	NAV Taxes	$	17,495 54			$	(96 86)	$	17,398 68	$	17,495 54	$	17,398 68	
17	15	Indian River County Tax Collector	04/28/23	NAV Taxes	$	13,250 49			$	(11 60)	$	13,238 89	$	13,250 49	$	13,238 89	
18	Int - 2	Indian River County Tax Collector	04/28/23	Interest		$	49 70			$	49 70	$	49 70	$	49 70	
19									$	-			
20									$	-			
21									$	-			
22									$	-			
					$	609,601 14	$  208 82	$	(3,300 00)	$ (21,930 26)	$	584,579 70	$  609,809 96	$  584,579 70	

$	609,601 14
$	208 82

$  584,579 70

Note: $600,462 is 2022/2023 Budgeted assessments before discounts and fees 

$  (609,809 96)

$  (584,579 70)

$564,434 28 is 2022/2023 Budgeted

$	-	$	-	assessments after discounts and fees 

March 02, 2023

REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC.

Pace Analytical Services, LLC 3610 Park Central Blvd N Pompano Beach, FL 33064

Frank Sakuma Felllsmere WCD
10807 SW Tradition Square Port Saint Lucie, FL 34987

RE:	Project:	Quarterly SW
Pace Project No.:	35777944

Dear Frank Sakuma:
Enclosed are the analytical results for sample(s) received by the laboratory on February 08, 2023. The results relate only to the samples included in this report. Results reported herein conform to the applicable TNI/NELAC Standards and the laboratory's Quality Manual, where applicable, unless otherwise noted in the body of the report.

The test results provided in this final report were generated by each of the following laboratories within the Pace Network:
Pace Analytical Services - Ormond Beach
Pace Analytical Services - South Florida
If you have any questions concerning this report, please feel free to contact me. Sincerely,

David Hernandez david.hernandez@pacelabs.com (205)614-6630
Project Manager

Enclosures

(954)582-4300

Page 1 of 21

CERTIFICATIONS

Pace Analytical Services, LLC 3610 Park Central Blvd N Pompano Beach, FL 33064
(954)582-4300

Project:
Pace Project No.:

Quarterly SW 35777944

Pace Analytical Services Ormond Beach
8 East Tower Circle, Ormond Beach, FL 32174 Alaska DEC- CS/UST/LUST
Alabama Certification #: 41320
Colorado Certification: FL NELAC Reciprocity Connecticut Certification #: PH-0216 Delaware Certification: FL NELAC Reciprocity Florida Certification #: E83079
Georgia Certification #: 955
Guam Certification: FL NELAC Reciprocity Hawaii Certification: FL NELAC Reciprocity Illinois Certification #: 200068
Indiana Certification: FL NELAC Reciprocity Kansas Certification #: E-10383
Kentucky Certification #: 90050
Louisiana Certification #: FL NELAC Reciprocity Louisiana Environmental Certificate #: 05007 Maine Certification #: FL01264
Maryland Certification: #346 Massachusetts Certification #: M-FL1264 Michigan Certification #: 9911
Mississippi Certification: FL NELAC Reciprocity

Missouri Certification #: 236 Montana Certification #: Cert 0074 Nebraska Certification: NE-OS-28-14 New Hampshire Certification #: 2958 New Jersey Certification #: FL022 New York Certification #: 11608
North Carolina Environmental Certificate #: 667 North Carolina Certification #: 12710
North Dakota Certification #: R-216 Ohio DEP 87780
Oklahoma Certification #: D9947 Pennsylvania Certification #: 68-00547 Puerto Rico Certification #: FL01264 South Carolina Certification: #96042001 Tennessee Certification #: TN02974 Texas Certification: FL NELAC Reciprocity
US Virgin Islands Certification: FL NELAC Reciprocity Virginia Environmental Certification #: 460165
West Virginia Certification #: 9962C Wisconsin Certification #: 399079670
Wyoming (EPA Region 8): FL NELAC Reciprocity

Pace Analytical Services South Florida
3610 Park Central Blvd N, Pompano Beach, FL 33064	Florida Certification #: E86240

SAMPLE SUMMARY

Pace Analytical Services, LLC 3610 Park Central Blvd N Pompano Beach, FL 33064
(954)582-4300

Project:
Pace Project No.:

Quarterly SW 35777944

Lab ID	Sample ID	Matrix	Date Collected	Date Received		
35777944001	BRIDGE	Water	02/08/23 10:12	02/08/23 16:30		

REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC.

Page 3 of 21

SAMPLE ANALYTE COUNT

Pace Analytical Services, LLC 3610 Park Central Blvd N Pompano Beach, FL 33064
(954)582-4300

Project:
Pace Project No.:

Quarterly SW 35777944

Lab ID	Sample ID	Method

Analysts

Analytes
Reported	Laboratory

  

35777944001	BRIDGE

EPA 6010 SM 9222D
SM 2520B Modified SM 2540D
SM 5210B EPA 300.0
EPA 350.1
EPA 351.2
EPA 353.2
EPA 365.1
EPA 365.4 FLDEP SOP 10/03/83

AME AMG LTP RMB MCD RMS RMB CLL MRC KW1 CLL
RMB

1	PASI-O
1	PASI-O
1	PASI-SF
1	PASI-O
1	PASI-O
1	PASI-O
1	PASI-O
1	PASI-O
3	PASI-O
PASI-O
PASI-O
PASI-O

PASI-O = Pace Analytical Services - Ormond Beach
PASI-SF = Pace Analytical Services - South Florida

REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC.

Page 4 of 21

ANALYTICAL RESULTS

Pace Analytical Services, LLC 3610 Park Central Blvd N Pompano Beach, FL 33064
(954)582-4300

Project:
Pace Project No.:

Quarterly SW 35777944

Sample: BRIDGE	Lab ID: 35777944001	Collected: 02/08/23 10:12  Received: 02/08/23 16:30  Matrix: Water

Field Data

Analytical Method:
Pace Analytical Services - Ormond Beach

6010 MET ICP

Analytical Method: EPA 6010 Preparation Method: EPA 3010
Pace Analytical Services - Ormond Beach

Iron	0.82	mg/L	0.040	0.025	1	02/09/23 05:56 02/10/23 04:38 7439-89-6

9222D Fecal Coliform

Analytical Method: SM 9222D Preparation Method: SM 9222D
Pace Analytical Services - Ormond Beach

Fecal Coliforms	66.0 CFU/100 mL	2.0	2.0	2	02/08/23 17:58 02/09/23 16:02

Salinity by Conductivity

Analytical Method: SM 2520B Modified
Pace Analytical Services - South Florida

Salinity	7.0 U	ppt	7.0	7.0	1	02/19/23 11:04

2540D Total Suspended Solids

Analytical Method: SM 2540D
Pace Analytical Services - Ormond Beach

Total Suspended Solids	5.0 U	mg/L	5.0	5.0	1	02/14/23 21:22	PP

5210B BOD, 5 day

Analytical Method: SM 5210B
Pace Analytical Services - Ormond Beach

BOD, 5 day	2.0 U	mg/L	2.0	2.0	1	02/09/23 13:35 02/14/23 15:44

300.0 IC Anions 28 Days

Analytical Method: EPA 300.0
Pace Analytical Services - Ormond Beach

Chloride	219	mg/L	25.0	12.5	5	02/14/23 06:37 16887-00-6

350.1 Ammonia

Analytical Method: EPA 350.1
Pace Analytical Services - Ormond Beach

Nitrogen, Ammonia	0.070	mg/L	0.050	0.035	1	02/09/23 21:55 7664-41-7

351.2 Total Kjeldahl Nitrogen

Analytical Method: EPA 351.2 Preparation Method: EPA 351.2
Pace Analytical Services - Ormond Beach

Parameters	Results	Units

PQL

MDL

DF	Prepared	Analyzed	CAS No.	Qual

Field pH	7.49	Std. Units	1	02/08/23 10:12		
Field Temperature	19.4	deg C	1	02/08/23 10:12		
Field Specific Conductance	1061.0	umhos/cm	1	02/08/23 10:12		
Oxygen, Dissolved	6.23	mg/L	1	02/08/23 10:12	7782-44-7	
Turbidity	5.47	NTU	1	02/08/23 10:12		

Nitrogen, Kjeldahl, Total	0.66	mg/L	0.50	0.20	1	02/10/23 14:32	02/19/23 15:24	7727-37-9	

353.2 Nitrogen, NO2/NO3 unpres

Analytical Method: EPA 353.2
Pace Analytical Services - Ormond Beach

Nitrogen, NO2 plus NO3	0.20	mg/L	0.050	0.015	1	02/09/23 07:12		
Nitrogen, Nitrate	0.20	mg/L	0.050	0.025	1	02/09/23 07:12	14797-55-8	
Nitrogen, Nitrite	0.025 U	mg/L	0.050	0.025	1	02/09/23 07:12	14797-65-0	

Date: 03/02/2023 11:41 AM

REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC.

Page 5 of 21

ANALYTICAL RESULTS

Pace Analytical Services, LLC 3610 Park Central Blvd N Pompano Beach, FL 33064
(954)582-4300

Project:
Pace Project No.:

Quarterly SW 35777944

Sample: BRIDGE	Lab ID: 35777944001	Collected: 02/08/23 10:12  Received: 02/08/23 16:30  Matrix: Water

365.1 Orthophosphate as P

Analytical Method: EPA 365.1
Pace Analytical Services - Ormond Beach

Orthophosphate as P	0.032	mg/L	0.0040	0.0038	1	02/08/23 20:37

365.4 Phosphorus, Total

Analytical Method: EPA 365.4 Preparation Method: EPA 365.4
Pace Analytical Services - Ormond Beach

Phosphorus, Total (as P)	0.077 I	mg/L	0.10	0.070	1	02/10/23 14:32 02/19/23 15:24 7723-14-0
Un-ionized Ammonia, Ammonium	Analytical Method: FLDEP SOP 10/03/83
Pace Analytical Services - Ormond Beach

Parameters	Results	Units

PQL

MDL

DF	Prepared	Analyzed	CAS No.	Qual

Nitrogen, Ammonium	0.069	mg/L	0.050	0.035	1	03/02/23 07:25	7764-41-7	N2	
Nitrogen, Ammonia (Unionized)	0.020 U	mg/L	0.020	0.020	1	03/02/23 07:25			

Date: 03/02/2023 11:41 AM

REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC.

Page 6 of 21

QUALITY CONTROL DATA

Pace Analytical Services, LLC 3610 Park Central Blvd N Pompano Beach, FL 33064
(954)582-4300

Project:
Pace Project No.:

Quarterly SW 35777944

QC Batch:
QC Batch Method:

895279
SM 9222D

Analysis Method: Analysis Description:

SM 9222D
9222D MBIO Fecal Coliform

Laboratory:	Pace Analytical Services - Ormond Beach
Associated Lab Samples:	35777944001

METHOD BLANK:  4924283
Associated Lab Samples:	35777944001

Matrix: Water

Parameter	Units

Blank Result

Reporting Limit

MDL

Analyzed

Qualifiers

Fecal Coliforms	CFU/100 mL	1.0 U	1.0

1.0

02/09/23 16:02

Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.

Date: 03/02/2023 11:41 AM

REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC.

Page 7 of 21

QUALITY CONTROL DATA

Pace Analytical Services, LLC 3610 Park Central Blvd N Pompano Beach, FL 33064
(954)582-4300

Project:
Pace Project No.:

Quarterly SW 35777944

QC Batch:
QC Batch Method:

892944
EPA 3010

Analysis Method: Analysis Description:

EPA 6010
6010 MET

Laboratory:	Pace Analytical Services - Ormond Beach
Associated Lab Samples:	35777944001

METHOD BLANK:  4909873
Associated Lab Samples:	35777944001

Matrix: Water

Parameter	Units

Blank Result

Reporting Limit

MDL

Analyzed

Qualifiers

Iron	mg/L	0.025 U	0.040

0.025

02/10/23 03:27

LABORATORY CONTROL SAMPLE:		4909874		
				Spike		LCS			LCS			% Rec		
Parameter		Units		Conc.		Result			% Rec			Limits	Qualifiers		
Iron		mg/L		2.5			2.6			103		 
80-120		

MATRIX SPIKE & MATRIX SPIKE DUPLICATE:	4909875
MS	
MSD	4909876		
35777678001	Spike	Spike	MS	MSD	MS	MSD	% Rec	Max	
Parameter	Units	Result	Conc.	Conc.	Result	Result	% Rec	% Rec	Limits	RPD RPD	Qual	
Iron	mg/L		1300 ug/L	2.5		2.5		3.8		3.9		102		104	75-125	1		20			

Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.

Date: 03/02/2023 11:41 AM

REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC.

Page 8 of 21

QUALITY CONTROL DATA

Pace Analytical Services, LLC 3610 Park Central Blvd N Pompano Beach, FL 33064
(954)582-4300

Project:
Pace Project No.:

Quarterly SW 35777944

QC Batch:
QC Batch Method:

895470
SM 2520B Modified

Analysis Method: Analysis Description:

SM 2520B Modified Salinity Conductivity

Laboratory:	Pace Analytical Services - South Florida
Associated Lab Samples:	35777944001

METHOD BLANK:  4925471
Associated Lab Samples:	35777944001

Matrix: Water

Parameter	Units

Blank Result

Reporting Limit

MDL

Analyzed

Qualifiers

Salinity	ppt	7.0 U	7.0

7.0

02/19/23 11:02

LABORATORY CONTROL SAMPLE:		4925472		
Spike		
LCS		
LCS		
% Rec		
Parameter		Units		Conc.		Result		% Rec		Limits	Qualifiers		
Salinity		ppt		35		36.9		105		 
90-110		
SAMPLE DUPLICATE:  4925473												

Parameter

Salinity		
Units ppt		35777944001
Result

7.0 U		Dup Result

7.0 U		
RPD			Max RPD	

5		
Qualifiers		
SAMPLE DUPLICATE:  4925474				
35779098001		
Dup					
Max					
Parameter		Units		Result		Result		RPD			RPD			Qualifiers		
Salinity		ppt		34.3		34.4			0			5				

Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.

Date: 03/02/2023 11:41 AM

REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC.

Page 9 of 21

QUALITY CONTROL DATA

Pace Analytical Services, LLC 3610 Park Central Blvd N Pompano Beach, FL 33064
(954)582-4300

Project:
Pace Project No.:

Quarterly SW 35777944

QC Batch:
QC Batch Method:

894283
SM 2540D

Analysis Method: Analysis Description:

SM 2540D
2540D Total Suspended Solids

Laboratory:	Pace Analytical Services - Ormond Beach
Associated Lab Samples:	35777944001

METHOD BLANK:  4917906
Associated Lab Samples:	35777944001

Matrix: Water

Parameter	Units

Blank Result

Reporting Limit

MDL

Analyzed

Qualifiers

Total Suspended Solids	mg/L	5.0 U	5.0

5.0

02/14/23 21:22

LABORATORY CONTROL SAMPLE:	4917907		
		Spike	LCS	LCS	% Rec		
Parameter	Units	Conc.	Result	% Rec	Limits	Qualifiers	
Total Suspended Solids		mg/L		
99.7	93.0		93		90-110			
SAMPLE DUPLICATE:  4917908				
35777989002	
Dup				
Max			
Parameter		Units		Result	Result		RPD		RPD		Qualifiers	

Total Suspended Solids	mg/L

10.5

11.0

5	10 PP

SAMPLE DUPLICATE:

4917909

35777653003

Dup

Max

Parameter	Units
Total Suspended Solids	mg/L

Result

80.0

Result

100

RPD

RPD	Qualifiers
22	10 J(D6)

Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.

Date: 03/02/2023 11:41 AM

REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC.

Page 10 of 21

QUALITY CONTROL DATA

Pace Analytical Services, LLC 3610 Park Central Blvd N Pompano Beach, FL 33064
(954)582-4300

Project:
Pace Project No.:

Quarterly SW 35777944

QC Batch:
QC Batch Method:

893026
SM 5210B

Analysis Method: Analysis Description:

SM 5210B
5210B BOD, 5 day

Laboratory:	Pace Analytical Services - Ormond Beach
Associated Lab Samples:	35777944001

METHOD BLANK:  4910190
Associated Lab Samples:	35777944001

Matrix: Water

Parameter	Units

Blank Result

Reporting Limit

MDL

Analyzed

Qualifiers

BOD, 5 day	mg/L	2.0 U	2.0

2.0

02/14/23 14:52

LABORATORY CONTROL SAMPLE:	4910192						
		Spike	LCS	LCS	% Rec		
Parameter	Units	Conc.	Result	% Rec	Limits	Qualifiers	
BOD, 5 day		mg/L		
198	172		87		85-115			
SAMPLE DUPLICATE:  4910193				
35777748001	
Dup				
Max			
Parameter		Units		Result	Result		RPD		RPD		Qualifiers	

BOD, 5 day	mg/L

590

589	0	20

Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.

Date: 03/02/2023 11:41 AM

REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC.

Page 11 of 21

QUALITY CONTROL DATA

Pace Analytical Services, LLC 3610 Park Central Blvd N Pompano Beach, FL 33064
(954)582-4300

Project:
Pace Project No.:

Quarterly SW 35777944

QC Batch:
QC Batch Method:

893917
EPA 300.0

Analysis Method: Analysis Description:

EPA 300.0
300.0 IC Anions

Laboratory:	Pace Analytical Services - Ormond Beach
Associated Lab Samples:	35777944001

METHOD BLANK:  4915413
Associated Lab Samples:	35777944001

Matrix: Water

Parameter	Units

Blank Result

Reporting Limit

MDL

Analyzed

Qualifiers

Chloride	mg/L	2.5 U	5.0

2.5

02/14/23 03:43

LABORATORY CONTROL SAMPLE:		4915414		
				Spike		LCS			LCS			% Rec		
Parameter		Units		Conc.		Result			% Rec			Limits	Qualifiers		
Chloride		mg/L		50			49.0			98		 
90-110		

MATRIX SPIKE & MATRIX SPIKE DUPLICATE:	4917151
MS	
MSD	4917152		
35777835005	Spike	Spike	MS	MSD	MS	MSD	% Rec	Max	
Parameter	Units	Result	Conc.	Conc.	Result	Result	% Rec	% Rec	Limits	RPD RPD	Qual	
Chloride	mg/L		15.2	50		50		63.9		65.5		97		101	90-110	3		20			

Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.

Date: 03/02/2023 11:41 AM

REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC.

Page 12 of 21

QUALITY CONTROL DATA

Pace Analytical Services, LLC 3610 Park Central Blvd N Pompano Beach, FL 33064
(954)582-4300

Project:
Pace Project No.:

Quarterly SW 35777944

QC Batch:
QC Batch Method:

893278
EPA 350.1

Analysis Method: Analysis Description:

EPA 350.1
350.1 Ammonia

Laboratory:	Pace Analytical Services - Ormond Beach
Associated Lab Samples:	35777944001

METHOD BLANK:  4911714
Associated Lab Samples:	35777944001

Matrix: Water

Parameter	Units

Blank Result

Reporting Limit

MDL

Analyzed

Qualifiers

Nitrogen, Ammonia	mg/L	0.035 U	0.050

0.035

02/09/23 21:04

LABORATORY CONTROL SAMPLE:

4911715

Spike

LCS

LCS

% Rec

Parameter	Units
Nitrogen, Ammonia	mg/L

Conc.
1

Result

1.0

% Rec

Limits	Qualifiers
100	90-110

MATRIX SPIKE & MATRIX SPIKE DUPLICATE:	4911717
MS	
MSD	4911716		
35776887001	Spike	Spike	MS	MSD	MS	MSD	% Rec	Max	
Parameter	Units	Result	Conc.	Conc.	Result	Result	% Rec	% Rec	Limits	RPD RPD	Qual	
Nitrogen, Ammonia	mg/L		18.2	1		1		19.1		19.1		87		82	90-110	0		 
20 J(M1)	

MATRIX SPIKE & MATRIX SPIKE DUPLICATE:	4911718
MS	
MSD	4911719		
35777029001	Spike	Spike	MS	MSD	MS	MSD	% Rec	Max	
Parameter	Units	Result	Conc.	Conc.	Result	Result	% Rec	% Rec	Limits	RPD RPD	Qual	
Nitrogen, Ammonia	mg/L		0.035 U	1		1		0.99		1.0		99		100	90-110	0		20			

Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.

QUALITY CONTROL DATA

Pace Analytical Services, LLC 3610 Park Central Blvd N Pompano Beach, FL 33064
(954)582-4300

Project:
Pace Project No.:

Quarterly SW 35777944

QC Batch:
QC Batch Method:

893260
EPA 351.2

Analysis Method: Analysis Description:

EPA 351.2
351.2 TKN

Laboratory:	Pace Analytical Services - Ormond Beach
Associated Lab Samples:	35777944001

METHOD BLANK:  4911583
Associated Lab Samples:	35777944001

Matrix: Water

Parameter	Units

Blank Result

Reporting Limit

MDL

Analyzed

Qualifiers

Nitrogen, Kjeldahl, Total	mg/L	0.20 U	0.50

0.20

02/19/23 14:56

LABORATORY CONTROL SAMPLE:		4911584		
				Spike		LCS			LCS			% Rec		
Parameter		Units		Conc.		Result			% Rec			Limits	Qualifiers		
Nitrogen, Kjeldahl, Total		mg/L		20			19.2			96		 
90-110		

MATRIX SPIKE & MATRIX SPIKE DUPLICATE:	4911586
MS	
MSD	4911585						
35778015001	Spike	Spike	MS	MSD	MS	MSD	% Rec	Max	
Parameter	Units	Result	Conc.	Conc.	Result	Result	% Rec	% Rec	Limits	RPD RPD	Qual	
Nitrogen, Kjeldahl, Total	mg/L		51.9	20		20		71.6		71.4		98		97	90-110	0		20			

MATRIX SPIKE & MATRIX SPIKE DUPLICATE:	4911588
MS	
MSD	4911587		
35778015002	Spike	Spike	MS	MSD	MS	MSD	% Rec	Max	
Parameter	Units	Result	Conc.	Conc.	Result	Result	% Rec	% Rec	Limits	RPD RPD	Qual	
Nitrogen, Kjeldahl, Total	mg/L		51.5	20		20		73.3		73.2		109		109	90-110	0		20			

Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.

QUALITY CONTROL DATA

Pace Analytical Services, LLC 3610 Park Central Blvd N Pompano Beach, FL 33064
(954)582-4300

Project:
Pace Project No.:

Quarterly SW 35777944

QC Batch:
QC Batch Method:

892936
EPA 353.2

Analysis Method: Analysis Description:

EPA 353.2
353.2 Nitrate + Nitrite, Unpres.

Laboratory:	Pace Analytical Services - Ormond Beach
Associated Lab Samples:	35777944001

METHOD BLANK:  4909843	Matrix: Water

Associated Lab Samples:	35777944001		

Parameter		
Units		Blank Result		Reporting Limit		
MDL		
Analyzed		
Qualifiers	
Nitrogen, Nitrate		mg/L		0.025 U		0.050		0.025		02/09/23 07:03			
Nitrogen, Nitrite		mg/L		0.025 U		0.050		0.025		02/09/23 07:03			
Nitrogen, NO2 plus NO3		mg/L		0.015 U		0.050		0.015		02/09/23 07:03			

LABORATORY CONTROL SAMPLE:

4909844

Spike

LCS

LCS

% Rec

Parameter	Units
Nitrogen, Nitrite	mg/L
Nitrogen, NO2 plus NO3	mg/L

Conc.
1
2

Result

0.97
2.1

% Rec

Limits	Qualifiers
97	90-110
103	90-110

MATRIX SPIKE & MATRIX SPIKE DUPLICATE:	4909846
MS	
MSD	4909845		
35777921002	Spike	Spike	MS	MSD	MS	MSD	% Rec	Max	
Parameter	Units	Result	Conc.	Conc.	Result	Result	% Rec	% Rec	Limits	RPD RPD	Qual	
Nitrogen, Nitrite	mg/L		0.025 U	1		1		0.84		0.85		84		85	90-110	1		
20 J(M1)	
Nitrogen, NO2 plus NO3	mg/L		0.85	2		2		2.6		2.6		87		88	90-110	1		20 J(M1)	

MATRIX SPIKE & MATRIX SPIKE DUPLICATE:	4909848
MS	
MSD	4909847		
35777999002	Spike	Spike	MS	MSD	MS	MSD	% Rec	Max	
Parameter	Units	Result	Conc.	Conc.	Result	Result	% Rec	% Rec	Limits	RPD RPD	Qual	
Nitrogen, Nitrite	mg/L		0.025 U	1		1		0.86		0.87		86		87	90-110	0		
20 J(M1)	
Nitrogen, NO2 plus NO3	mg/L		0.015 U	2		2		1.8		1.8		90		90	90-110	0		20	

Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.

QUALITY CONTROL DATA

Pace Analytical Services, LLC 3610 Park Central Blvd N Pompano Beach, FL 33064
(954)582-4300

Project:
Pace Project No.:

Quarterly SW 35777944

QC Batch:
QC Batch Method:

892879
EPA 365.1

Analysis Method: Analysis Description:

EPA 365.1
365.1 Orthophosphate as P

Laboratory:	Pace Analytical Services - Ormond Beach
Associated Lab Samples:	35777944001

METHOD BLANK:  4909286
Associated Lab Samples:	35777944001

Matrix: Water

Parameter	Units

Blank Result

Reporting Limit

MDL

Analyzed

Qualifiers

Orthophosphate as P	mg/L	0.0038 U	0.0040

0.0038

02/08/23 20:11

LABORATORY CONTROL SAMPLE:		4909287		
				Spike		LCS		LCS			% Rec		
Parameter		Units		Conc.		Result		% Rec			Limits	Qualifiers		
Orthophosphate as P		mg/L		0.1		0.098			98		 
90-110		

MATRIX SPIKE & MATRIX SPIKE DUPLICATE:	4909289
MS	
MSD	4909288		
35777834002	Spike	Spike	MS	MSD	MS	MSD	% Rec	Max	
Parameter	Units	Result	Conc.	Conc.	Result	Result	% Rec	% Rec	Limits	RPD RPD	Qual	
Orthophosphate as P	mg/L		0.59	0.1		0.1		0.68		0.68		97		96	90-110	0		20			

MATRIX SPIKE & MATRIX SPIKE DUPLICATE:	4909291
MS	
MSD	4909290		
35777826002	Spike	Spike	MS	MSD	MS	MSD	% Rec	Max	
Parameter	Units	Result	Conc.	Conc.	Result	Result	% Rec	% Rec	Limits	RPD RPD	Qual	
Orthophosphate as P	mg/L		0.65	0.1		0.1		0.74		0.74		93		89	90-110	1		
20 J(M1)	

Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.

QUALITY CONTROL DATA

Pace Analytical Services, LLC 3610 Park Central Blvd N Pompano Beach, FL 33064
(954)582-4300

Project:
Pace Project No.:

Quarterly SW 35777944

QC Batch:
QC Batch Method:

893262
EPA 365.4

Analysis Method: Analysis Description:

EPA 365.4
365.4 Phosphorus

Laboratory:	Pace Analytical Services - Ormond Beach
Associated Lab Samples:	35777944001

METHOD BLANK:  4911594
Associated Lab Samples:	35777944001

Matrix: Water

Parameter	Units

Blank Result

Reporting Limit

MDL

Analyzed

Qualifiers

Phosphorus, Total (as P)	mg/L	0.070 U	0.10

0.070

02/19/23 15:28

LABORATORY CONTROL SAMPLE:

4911595

Spike

LCS

LCS

% Rec

Parameter	Units
Phosphorus, Total (as P)	mg/L

Conc.
4

Result

3.9

% Rec

Limits	Qualifiers
97	90-110

MATRIX SPIKE & MATRIX SPIKE DUPLICATE:	4911597
MS	
MSD	4911596		
35778015001	Spike	Spike	MS	MSD	MS	MSD	% Rec	Max	
Parameter	Units	Result	Conc.	Conc.	Result	Result	% Rec	% Rec	Limits	RPD RPD	Qual	
Phosphorus, Total (as P)	mg/L		0.088 I	4		4		4.0		4.0		98		98	80-120	1		20			

MATRIX SPIKE & MATRIX SPIKE DUPLICATE:	4911599
MS	
MSD	4911598		
35778015002	Spike	Spike	MS	MSD	MS	MSD	% Rec	Max	
Parameter	Units	Result	Conc.	Conc.	Result	Result	% Rec	% Rec	Limits	RPD RPD	Qual	
Phosphorus, Total (as P)	mg/L		0.10	4		4		4.1		4.0		99		99	80-120	0		20			

Results presented on this page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result.

QUALIFIERS

Pace Analytical Services, LLC 3610 Park Central Blvd N Pompano Beach, FL 33064
(954)582-4300

Project:
Pace Project No.:

Quarterly SW 35777944

DEFINITIONS

DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit.
TNTC - Too Numerous To Count
MDL - Adjusted Method Detection Limit. PQL - Practical Quantitation Limit.
RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and
bias for a specific analyte in a specific matrix. S - Surrogate
1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is a combined concentration.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate
RPD - Relative Percent Difference NC - Not Calculable.
SG - Silica Gel - Clean-Up
U - Indicates the compound was analyzed for, but not detected.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration.
Reported results are not rounded until the final step prior to reporting. Therefore, calculated parameters that are typically reported as "Total" may vary slightly from the sum of the reported component parameters.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute.

ANALYTE QUALIFIERS

I U
J(D6)

J(M1) N2 PP

The reported value is between the laboratory method detection limit and the laboratory practical quantitation limit. Compound was analyzed for but not detected.
Estimated Value. The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory
control limits.
Estimated Value. Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery.
The lab does not hold NELAC/TNI accreditation for this parameter but other accreditations/certifications may apply. A complete list of accreditations/certifications is available upon request.
The mass of dried residue obtained did not meet the test method requirements based on volume used.

QUALITY CONTROL DATA CROSS REFERENCE TABLE

Pace Analytical Services, LLC 3610 Park Central Blvd N Pompano Beach, FL 33064
(954)582-4300

Project:

Pace Project No.:

Quarterly SW 35777944

Lab ID	
Sample ID	
QC Batch Method	
QC Batch	
Analytical Method	Analytical Batch	
35777944001	BRIDGE					
35777944001	BRIDGE	EPA 3010	892944	EPA 6010	893036	
35777944001	BRIDGE	SM 9222D	895279	SM 9222D	895281	
35777944001	BRIDGE	SM 2520B Modified	895470			
35777944001	BRIDGE	SM 2540D	894283			
35777944001	BRIDGE	SM 5210B	893026	SM 5210B	893974	
35777944001	BRIDGE	EPA 300.0	893917			
35777944001	BRIDGE	EPA 350.1	893278			
35777944001	BRIDGE	EPA 351.2	893260	EPA 351.2	894723	
35777944001	BRIDGE	EPA 353.2	892936			
35777944001	BRIDGE	EPA 365.1	892879			
35777944001	BRIDGE	EPA 365.4	893262	EPA 365.4	894724	
35777944001	BRIDGE	FLDEP SOP 10/03/83	898500			

LJ0#:35777944
111111111111111111111
35777944

CHAIN-OF-CUSTODY/ Analytical Request Document
The Chain-of-Custody is a LEGAL DOCUMENT All relevant fields must be completed accurately

Section C

Company:	Fellsmere WCD	Report Toe	Joyce Hartel	
Ad<lress-	P.O. Box 438	Copy To:		

R uncu 1.Jm:nl mronnat1on:	-------	Required Project Information:	Invoice Information:	Page:	1	Of	1
AUerrtiorr	Joyce Hartel
Company Name: Fellsmere WCD	R ul;llpfy Agency

Project Name:	Quarterly SW	Pace Project Manager:	Vicky Rickman	State/ Location	
Project Number:		Pace Profile#:	4640		FL	

Fellsmere, FL 32948		 Address:	PO Box 438 Fellsmere FL 32948	 o NPDES	 o GROUND WATEF	o DRINKING WATER Email To:	Purchase Order No:	Pace Quote:		□ UST	□ RCRA	 fl(oTHER	 AJ
Phone:	772.571.0640	[Fax 772.571.0203
Requested Due DatefTAT:  Standard TOT

Sec. tion D	2	-

Requested Analysis FiltP.red.(Y/Nl

.	-

Required Client lnfonmation	MATRIX	cooe	;	g	COLLECTED	2	Preservatives	>	y
Drinking Water  OW	g
::: :water ::	.1	M	Z

SAMPLE ID

Prnduct	P	COMPOSITE	COMPOSITE	5	g:	:,::	:,::
SoiVSoHd	SL	i	/!,	START	END/GRAB	O  (J)	J,.c.	':§ U.

E

Oil	OL	,n  -  1--- --+--- ----t I-  a::	,n	::::,	.£'.
Wipe	WP	w  w	:	-	C:	..Q

(A-Z 0-9 / -)	Air	AR	8  g::	a5 <	(J	,2	(3

:ll

=it	I'	other	OT	ut-	f- L..	"Joca	N	z	-
.,,	Sample IDs MUST BE UNIQUE	T,ss,e	TS	x  w	w  o	o	c	c	u	>.	gi

-==	ii	u oM	ZrJ: a;<	-	J--:
L1J	g-	()	(D:5--+0Mu,M

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1	BRIDGE	WT  G	·, .o/r-73  I /Ji7	8  5  1  1	1	1-1_: 1.j_'--1-.l_: 1 .J-.1'.....11	:..1-1--'-1-<	
2						
3						
4						
5						
6						

!=	:,; ;Ji	DATE	TIME	DATE	TIME  ;Ji ,.  :::, :,:: :,:: :,:: Z  z	:a, O	g g	,!  ,!	o	a::	Pace Project No/lab 1.0.
.....:. -I---I-- ......-I---I	I

1	I
8
9
10
11
12
ADDITIONAL COMMENTS	RELINQUISHED BY/ AFFILIATION	DATE	TIME	ACCEPTED BY/ AFFILIATION	DATE	TIME	SAMPLE CONDITIONS
-	\_J/lflJ  A«l-iA/ 1PAl-t:s	17_)(2.:s j4;--, i"ti\"{'.\1rrJlrkiJ J  1'1-IA--i ("/'J	  ,j r .B:.:)·

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Page 20 of 21
Page 108

f( - ,	V	,	'	•	I

SAMPLER NAME AND SfGNkTURE	-	-	-	-	-	c

1

l	=..:.-,,	0 1 0
PRINT Name of SAMPLER:	JimNorton	.s.	-0	i
a..	a,--i9m -o._,.-

1MM/DDNYl:	./	-f\'L	f--	a:: u -  u u, O -  <n c -

SIGNATURE of SAMPLER:	-  -Q.	- ;r7=	DATE Signed	-,	-7 ?	ilJ	l5 .,	-	g	_1§
•important Note: By signing this form you are accepting Pace's NET 30 day payment terms and agreeing Lo late charges or 1 5% per month for any invoices not paid within 30 days	F-ALL-Q-020rev 07, 15-May-2007

Version: 3 / Effective Date: 12/29/2021 / Issued by: Ormond Beach

W0#:35777944	rm (SCUR)

(-Pace

Proje Project Mana!
Clie

P": VHR	Due Date: 02/20/23
CLIENT: 36-FELLS"

Date and Initials of person:

'.'""c<5J

Examining contents,
Labet		 		\,_

Therm-:imeter Used: y  .!\:C)J

Date:2  '	l23 Time: \ 650 	Initials: 2,, \26. 

StaleorOrigin;r------	□ For WV projects, all containers verified to 6 °C
Cooler#1Temp.'co.y  (Visual)-  0.1 (Correction factor) 0 .3 (Actuaf)	0	Samplesonice,coolingprocesshasbegun
Cooler #2Temp.•C	(Visual) 	(Correction Factor) 	(Actual)	□ Samples on ice. cooling prooess has begun

Cooler #3 Temp.'C	(Visual)
Cooler #4 Temp.'C	(Visual)

----(Correction Factor)	(Actual)	□ Samples on ice, cooling process has begun
	(Correction Factor)	(Actual)	□ Samples on ice, cooling process has begun

Cooler #5Temp.•c	(Visual) 	(Correction Factor)	(Actual)	□ Samples on ice, cooling process has begun
Cooler #6 Temp.'C	(V1Sual)	(Correction Factor)	(Actual)	□ Samples on ice, cooling process has begun

Recheck for OOT •c 	(Visual)	(Correction Factor)	(Actual) Time:	Initials: 

,--  

Courier:	□ Fed Ex	□ UPS	D USPS

D Client	D Commercial fo'Pace	C] Other	 _

Shipping Method:		D First Overnight D Priority Overnight	D Standard Overnight	D Ground D Other.	

D International Priority

Billing:

Tracking#

□ Recipient	□ Sender	D Third Party	D Credit Card	D Unknown
:,,......

Custody Seal on Cooler/Box Present:	DYes	-

Seals intact: D Yes D No -	Ice: @1ue

Melted  None	\

Packing Material: 0Bubble Wrap	□Bubble Bags	[}lone	OO!her-=-----==::::--- Samples shorted to lab (If Yes, complete)	Shorted Date: c&-'6--A3
,,,,..--	Comments:

Shorted Time: \]	\  0

.,	5pS-r-
aty: L

 Chain of Cuslody Filled Out	
 Relinquished Signature & Sampler Name COC
 Sam !es Arrived within Hold Trme	 Rush TAT requested on COC
Sufficient Volume Correct Containers Used

Al containers nee ing acid/base preservation have been checked.
All Containers needing preservation are found to be in compliance with EPA recommendation:	( )\
	Exceptions: Vials, Mlcrob1o ?d&G,P 
 Headspace in VOA Vials? ( >6mm):		  Trip Blank Present:	□Yes

No tA
□ No

Preservafion lnfonnation:
Preservative:.	 _
Lot #/Trace#:.	  -=--------
Date:	llme:.	 _
Initials:

Comments/ Resolution (use back for additional comments)::	

Oualtrax Document ID: 33786	Page 1 of 1

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