Attachment___6.0_Certificates_Licenses.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) issued by the Arizona Department of Environmental Quality (ADEQ) for Underground Storage Tank (UST) Inspections, with solicitation number BPM005267. The RFP includes various attachments related to the solicitation, with a focus on documenting the experience, capacity, and certifications of potential service providers. The documents contain certificates and training records for multiple individuals, including Troy Roberts, Nicholas Gassaway, and Randy Jaquez, who have completed various certifications related to UST inspections, decommissioning, and environmental safety.
The scope of work appears to involve Underground Storage Tank (UST) services, including installation, retrofitting, decommissioning, and inspection. The individuals documented have obtained numerous professional certifications from organizations such as the International Code Council (ICC), Petroleum Equipment Institute (PEI), U.S. Environmental Protection Agency, OSHA, and other state and national regulatory bodies. Their certifications cover areas like UST Installation/Retrofitting, UST Decommissioning, Excavation Safety, Hazardous Materials Handling, and Confined Space Entry. While specific pricing terms are not detailed in these documents, the comprehensive certification portfolio suggests a robust capability to perform technical environmental and underground storage tank services across multiple jurisdictions.
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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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