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Details ID: Rehabilitation Estimate: $377,000.00 Type: Tank Rehabilitation Owner: City of Kountze Location Hardin County, TX Map Code: Show Google Map Open Map On Google No Map Scope SCOPE OF WORK CITY OF KOUNTZE POPE STREET 150,000 GALLON EST REHABILITATION A. GENERAL The 150,000-gallon legged elevated water storage tank is approximately one hundred and ten (110’) feet tall. The tank is supported by four (4) cylindrical columns.

The American Rescue Plan Act Supplement funding stream is designed to help the state address its unique needs related to ATOD prevention efforts in the faith-based community. Funding of the American Rescue Plan Act Supplement will continue to ensure services are provided statewide.

PART IV: AMERICAN RESCUE PLAN ACT (ARPA) / MAINE JOBS & RECOVERY PLAN (MJRP) Does this request utilize ARPA/MJRP funds? O Yes - If Yes, please attach the approved Business Case(s). & No -If No, proceed to Part V. REV 11/18/2021 Page 2 of 3 Martha Verhille 3/16/2023 Procurement Justification Form (PJF) PART V: APPROVALS The signatures below indicate approval of this procurement request.

Describe the plan for future competition for the goods or services. N/A PART IV: AMERICAN RESCUE PLAN ACT (ARPA)/ MAINE JOBS & RECOVERY PLAN (MJRP) Does this request utilize ARPNMJRP funds? IZl Yes - If Yes, please attach the approved Business Case(s). No - If No, proceed to Part V. - -- -- --- - PART V: APPROVALS The signatures below indicate approval of this procurement request.