Attachment___6.0_Certificates_Licenses_2.pdf

PDF 8 MB Posted

Attached to
Master Agreement AZ|CTR067133
Contract number
CTR067133
Issued by
Arizona

About this file

This document is a Request for Proposal (RFP) No. BPM005267 issued by the Arizona Department of Environmental Quality (ADEQ) for Underground Storage Tank (UST) Inspections. The solicitation includes various attachments and supporting documentation, such as certificates and licenses for key personnel from Williams and Company Consulting Inc., including Troy Roberts, Nicholas Gassaway, and Randy Jaquez. The documents demonstrate multiple professional certifications related to UST services, including installation, retrofitting, decommissioning, and inspection across different jurisdictions and training providers.

The RFP appears to be seeking UST inspection services, with the offerors required to submit detailed documentation of their qualifications, including professional certifications from organizations like the International Code Council, Petroleum Equipment Institute, OSHA, and various state environmental agencies. The personnel have completed numerous specialized training courses, such as Arizona Online Class A/B/C Operator Course, UST Installation/Retrofitting, Decommissioning, Excavation Safety Training, and various compliance and safety certifications. While specific pricing terms are not directly evident in the provided documents, the comprehensive certification portfolio suggests a thorough and professionally qualified team capable of providing comprehensive UST inspection and related services.

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Text version

Request for Proposal

Solicitation No. BPM005267

UST Inspections

Arizona Department of Environmental Quality (ADEQ)

1110 W. Washington Street Phoenix, AZ 85007

Solicitation Attachment – References | Revision No. 1 | Revised 11-22

Attachment 10 – Experience and Capacity Response (Continued)

6.0 Certificates/Licenses

Submit copies of all applicable certificates and licenses that support Offeror’s ability to provide the proposed Materials or Services. At a minimum, this shall include all certifications and licenses referenced in the Solicitation Attachment - Organization Profile.

Certifications are listed under key personnel and copies of certificates relevant to Scope of work are included, as part of this response, under document: Attachment – 6.0 Certificates/Licenses

Troy Roberts Certificates

Main Office 1110 West Washington Street • Phoenix, AZ 85007

(602) 771-2300 www.azdeq.gov printed on recycled paper

Southern Regional Office 400 West Congress Street • Suite 433 • Tucson, AZ 85701

(520) 628-6733

Katie Hobbs Governor

January 23, 2023

Williams and Company Consulting Inc Attention: Troy Roberts 814 Pierce St Sioux City, IA 51101

RE: Approval - UST Service Provider Certification

Dear Mr. Roberts:

Your application for UST Service Provider Certification submitted to the Arizona Department of Environmental Quality (ADEQ) has been reviewed.

It has been determined that you have met the qualifications and certification requirements set forth in Arizona Administrative Code (A.A.C.) Title 18, Chapter 12, Article 8. The following identifies the category type, associated certification number and approval/expiration dates:

Installation and Retrofit INR0448 Approval Date 01.18.2023 Expiration Date 01.12.2025 Decommissioning D00387 Approval Date 01.23.2023 Expiration Date 01.20.2025

If you have any questions regarding this matter, please feel free to contact the Service Provider team by email at ServiceProvider@azdeq.gov or Jaimie Kollmorgan at (602) 771-4877 or by email at Kollmorgan.jaimie@azdeq.gov.

Sincerely, Jaimie Kollmorgan, GIT Leak Prevention Unit UST-Leaking UST Section Waste Programs Division

U.S. Environmental Protection Agency Office of Underground Storage Tanks

Certificate of Completion is herby granted to:

To certify successful completion of:

Troy Roberts

The Basic Underground Storage Tank Inspector Compliance Training

2/18/2019, 10:04:25 PM

Verified Candidate

USER DETAILS

Customer Name: Troy Roberts

Account Number: 9094959

CERTIFICATIONS

INITIAL CERTIFICATION CURRENT CERTIFICATION EXPIRATION CERTIFICATE NAME

01/19/2023 01/19/2025 UST Decommissioning

01/11/2023 01/11/2025 UST Installation/Retrofitting https://my.iccsafe.org/verify/9094959

Roberts

Nicholas Gassaway

Nicholas Gassaway

INR0483 04/03/2025

D00429 02/13/2025

3/22/23, 3:30 PM Certificate of Completion https://www.safetyunlimited.com/cdn/projects/certificate/print.asp?id=744567 1/1

Certificate of Completion

Safety Unlimited, Inc. hereby awards this Certificate of Completion for training hours in the amount as described below:

Student Name: Nicholas Gassaway Subject: OSHA 30 Hour Construction Safety (Non-Proctored) Credit Hours: 30 Certificate Number: 2301291434321 Date Awarded: 1/29/2023 Additional Information Training Provider: AdvanceOnline Solutions, Inc.

Temporary Certificate Information:

Certificates for the OSHA 10 and 30 Hour courses are immediately available to students when they complete their training. At this time, students are encouraged to print and save them.

Because certificates are provided from Advance Online they are not dynamically created on the Safety Unlimited, Inc. website as our customers are used to.

If you would like to access your temporary certificate from Advance Online navigate to this course under your student account. Click on the 'Review Lesson' link next to the lesson Name. On the new screen you have access to a download link for your certificate.

Safety Unlimited, Inc.

2139 Tapo St.

Suite 228 Simi Valley, CA 93063

(855) 784-2677

Jules Griggs Outreach Trainer

To verify the validity of this Certificate of Completion, please go to https://safetyunlimited.com/v https://safetyunlimited.com/v/?qc=aJhaaLi47vx0JjAdrTICIA%3D%3D&qi=ygj9ekaLr89mimzNWsLU1A%3D%3D

NICHOLAS GASSAWAY

UST Installation/Retrofitting

Given this day April 27, 2021

Certificate No. 9951402

UST Decommissioning Given this day February 13, 2023

Certificate No. 9951402

For successful completion of the

Bleeding Control Basic v. 1.0 Course

AMERICAN COLLEGE OF SURGEONS

COMMITTEE ON TRAUMA

AMERICAN COLLEGE OF SURGEONS

COMMITTEE ON TRAUMA

Presented on , by

Recognizes

Copyright © 2017 by the American College of Surgeons

28704377

Excavation Safety Training for Competent Persons (CPT) - Online (English)

Jun 23, 2022

28704377 f7b286

NICHOLAS GASSAWAY

Excavation Safety Training for Competent Persons (CPT) -

Online (English)

Jun 23, 2022

Randy Jaquez

Office of Underground Storage Tanks

Certificate of Completion is herby granted to:

To certify successful completion of:

Randy Jaquez

The Basic Underground Storage Tank Inspector Compliance Training

11/19/2019, 6:14:56 PM

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Text Field 3: Nicholas Gassaway
Text Field 4: 11-15-2022
Text Field 5: Joe Meier, Paramedic
Text Field 6: HonorHealth Trauma Services/Military Partnership

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