PREMIER WATER & ENERGY TECHNOLOGY, INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-01-01
Business code	325900
Sponsor’s telephone number	9042681152
Plan sponsor’s address	11481 COLUMBIA PARK DRIVE WEST, JACKSONVILLE, FL, 32258

Signature of

Role	Plan administrator
Date	2024-05-15
Name of individual signing	SUSAN SURBER
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-01-01
Business code	325900
Sponsor’s telephone number	9042681152
Plan sponsor’s address	11481 COLUMBIA PARK DRIVE WEST, JACKSONVILLE, FL, 32258

Signature of

Role	Plan administrator
Date	2023-05-23
Name of individual signing	SUSAN M. SURBER
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-01-01
Business code	325900
Sponsor’s telephone number	9042681152
Plan sponsor’s address	11481 COLUMBIA PARK DRIVE WEST, JACKSONVILLE, FL, 32258

Signature of

Role	Plan administrator
Date	2022-05-24
Name of individual signing	AMANDA GEIST
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2022-05-24
Name of individual signing	THOMAS BRANDVOLD
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-01-01
Business code	325900
Sponsor’s telephone number	9042681152
Plan sponsor’s address	11481 COLUMBIA PARK DRIVE WEST, JACKSONVILLE, FL, 32258

Signature of

Role	Plan administrator
Date	2021-06-09
Name of individual signing	AMANDA GEIST
Valid signature	Filed with authorized/valid electronic signature
Role	Employer/plan sponsor
Date	2021-06-09
Name of individual signing	THOMAS BRANDVOLD
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2004-01-01
Business code	325900
Sponsor’s telephone number	9042681152
Plan sponsor’s address	11481 COLUMBIA PARK DRIVE WEST, JACKSONVILLE, FL, 32258

Signature of

Role	Plan administrator
Date	2020-06-11
Name of individual signing	AMANDA GEIST
Valid signature	Filed with authorized/valid electronic signature

Capabilities Statement Link	-
Phone Number	904-268-1152
Fax Number	904-268-6851
E-mail Address	mchrist@premierwater.com
WWW Page	http://www.premierwater.com
E-Commerce Website	https://premierwater.com
Contact Person	MELISSA CHRIST
County Code (3 digit)	031
Congressional District	05
Metropolitan Statistical Area	3600
CAGE Code	7N892
Year Established	1973
Accepts Government Credit Card	Yes
Legal Structure	Corporation
Ownership and Self-Certifications	-
Business Development Servicing Office	NORTH FLORIDA DISTRICT OFFICE (SBA office code 0491)
Capabilities Narrative	BOILER WATER TREATMENT; COOLING TOWER TREATMENT; SCALE & CORROSION INHIBITORS; CLOSED LOOP TREATMENT; TESTING & CONSULTING SERVICES FOR BOILER, COOLING & POTABLE WATER TREATMENT
Special Equipment/Materials	WATER SOFTENERS & RELATED EQUIPMENT; CHEMICAL TREATMENT EQUIPMENT INCLUDING METERS, PUMPS, CONTAINMENT UNITS, ETC.; LABORATORY TESTING; PURE WATER EQUIPMENT
Business Type Percentages	Manufacturing (50 %) Research and Development (10 %) Service (40 %)
Keywords	Algaecide, Boiler Treatment, Chemicals, Contractual Services, Controller, Cooling Treatment, Corrosion Inhibitor, EPA Registered, Equipment, Fungicide, Pump, Scale & Corrosion, Scale Inhibitor, Service, Water Treatment
Quality Assurance Standards	(none given)
Electronic Data Interchange capable	-

Current Principals

Name	Tracy Staples
Role	Secretary
Name	Thomas Brandvold
Role	President

SBA Federal Certifications

HUBZone Certified	No
Women Owned Certified	No
Women Owned Pending	No
Economically Disadvantaged Women Owned Certified	No
Economically Disadvantaged Women Owned Pending	No
Veteran-Owned Small Business Certified	No
Veteran-Owned Small Business Joint Venture	No
Service-Disabled Veteran-Owned Small Business Certified	No
Service-Disabled Veteran-Owned Small Business Joint Venture	No

Bonding Levels

Description	Construction Bonding Level (per contract)
Level	$0
Description	Construction Bonding Level (aggregate)
Level	$0
Description	Service Bonding Level (per contract)
Level	$0
Description	Service Bonding Level (aggregate)
Level	$0

NAICS Codes with Size Determinations by NAICS

Primary	Yes
Code	325998
NAICS Code's Description	All Other Miscellaneous Chemical Product and Preparation Manufacturing
Small	Yes
Code	221310
NAICS Code's Description	Water Supply and Irrigation Systems
Small	Yes
Code	424690
NAICS Code's Description	Other Chemical and Allied Products Merchant Wholesalers
Small	Yes
Code	541380
NAICS Code's Description	Testing Laboratories and Services
Small	Yes

Export Profile (Trade Mission Online)

Exporter	No
Export Business Activities	(none given)
Exporting to	(none given)
Desired Export Business Relationships	(none given)
Description of Export Objective(s)	(none given)

Performance History (References)

Name	References Given Upon Request