CN-310000-H1185-1.pdf

Appendix B Draft Sub-Recipient & Contractual Services Agreement Review Form

Bureau/Program Area: ____________________ Date Initiated: ______________

Sub-Recipient/Contract Manager: ____________________ Phone: ______________

Supervisors Signature: ________________________________________

Bureau Chief Signature: _______________________________________

Sub-Recipient/Contractor Name: _______________________________________

Program: Effective Dates:

Procurement Review (for Contractual Services Agreements only):

1st Review Signature: _____________________ Date Reviewed: _________________

2nd Review Signature: _____________________ Date Reviewed: ________________

First Legal Review (for all Agreements):

Attorney Signature: _______________________ Date Reviewed: ________________

Second Legal Review (only if Agreement was not recommended during first review):

Attorney Signature: _______________________ Date Reviewed: ________________

Mitigation 5/5/2025 Laura Dhuwe 850-879-0872

Atkins Realis USA Inc HMGP April 28, 2025 - June 30, 2025

Approved as to procurement sufficiency.

Mina Barekat Digitally signed by Mina Barekat Date: 2025.05.06 13:52:37 -04'00'

Caleb Keller Digitally signed by Caleb Keller Date: 2025.05.06 14:06:58 -04'00' 5/6/25

Approved for legal sufficiency.

Laura Dhuwe Digitally signed by Laura Dhuwe Date: 2025.05.05 16:06:00 -04'00'

AtkinsRealis USA Inc

H1185/TO #1 N/A 5/16/25

Laura Dhuwe 850-879-0872

HMGP / FMA

4/28/25 - 6/30/25 $834,390.00

Kristin Lentz Digitally signed by Kristin Lentz Date: 2025.05.19 12:54:26 -04'00'

Recommended

5/19/25

5/21/25

Approved for legal sufficiency.

5/21/25

5/21/25

Appendix D Sub-Recipient and Contractual Services Agreement General Information Sheet

Sub-Recipient/Contractor Name: _____________________ Agreement Amount: __________

FACTS/FLAIR Contract ID#: ____________ Agency Agreement #: _____________________

Bureau: _________________ Program Area: _________________

Sub-Grantee/Vendor Contact Name: ______________________ Title: _____________

Phone #: _________________ Email: ______________________________________

Sub-Recipient/Contractor Physical Address:

Sub-Recipient/Contractor Warrant/Remittance Address for Payments:

Grant/Contract Manager Name: ________________________

Agreement Beginning Date: _____________ Agreement Ending Date: _____________

Federal Employer ID# (FEID): _______________________________

FLAIR Fund ID# (state agencies only/29-digit account code): _____________________

Minority Vendor Code: ____ (choose one if applicable: H-Black, I-Hispanic, J-Asian, K-Native American, M-Woman)

Project ID #: __________________

Allocation of Program Funds:

Federal Share State Share Local Share Sub-recipient Reporting Requirements: QR (MO-Monthly, QR-Quarterly, NA)

Organization Level: ______________ CFDA#: ________ CSFA#: ________

DEM Grant #: _________ Fund: ________ Expansion Option: _________ $: ___________

DEM Grant #: _________ Fund: ________ Expansion Option: _________ $: ___________

DEM Grant #: _________ Fund: ________ Expansion Option: _________ $: ___________

Object Code: ___________ Category: _______ GAA Line Item: _________

For Modifications Only:

Modification #: ____

Amount of increase/decrease: _______________

(Revise the Allocation of Program Funds Section for changes to agreement amount)

Effect of Modification: ____________________________________________________

AtkinsRealis USA Inc $834,390.00

H1185 RFP-DEM-24-25-017

Mitigation Elevate Florida

E. Scott Tezak, PE Vice President 617-921-0995 Scott.Tezak@Atkinsrealis.com

4030 W Boy Scout Blvd, Suite 700, Tampa, FL 33607

Laura Dhuwe 4/28/25 6/30/25

59-0896138 31202750001317001000010515400

254828HM0002

$526,500.00 $208,597.50

31810505000 97.039

4828H 750001 94 526,500.00

4828J 750001 94 208,597.50

4030 W Boy Scout Blvd, Suite 700, Tampa, FL 33607

May 5, 2025

E. Scott Tezak PE Vice President AtkinsRéalis USA, Inc 4030 W Boy Scout Blvd, Suite 700 Tampa, FL 33607

RE: Task Order # One (1)

Contract Number: H1185 RFQ# DEM-24-25-017 Inspection & Assessment Services Contractors for Elevate Florida Description: Task Order # One (1) – Inspection Services for Elevate Florida Task Order Period of Performance: April 28, 2025 to June 30, 2025 Not To Exceed: Task Order # One (1) not to exceed $834,390.00 for Inspection Services Funding Source: HMGP (DR-4828, DR-4834) Contractor: AtkinsRéalis USA, Inc

Dear E. Scott Tezak:

This Task Order is in accordance with Contract number H1185 entered into by and between the State of Florida, Division of Emergency Management (FDEM), and AtkinsRéalis USA, Inc (AtkinsRéalis) an entity duly authorized to conduct business in the State of Florida.

AtkinsRéalis is hereby authorized to proceed with work to be performed between April 28, 2025 and June 30, 2025, and will be paid upon completion of deliverables for Inspection Services for Elevate Florida as outlined in the Scope of Work from the executed contract. Inspection Services as defined in the Task Order shall not exceed $834,390.00 for the Task Order Period of Performance.

The value of this Task Order does not guarantee AtkinsRéalis payment of that amount. AtkinsRéalis is not to exceed the Task Order value without an approved change order or amendment to this Task Order issued by FDEM. AtkinsRéalis must notify FDEM when there is less than 10 percent remaining on the total Task Order value.

Statement of Work

Inspection Services

The Contractor shall coordinate scheduling with the Project Management vendor prior to arrival at each property. Based on the Contractor's submitted proposal, the following table contains the preferred service regions for the Contractor. While this preference will be taken into consideration during inspection assignment, the Contractor may be asked to perform services outside of the preferred service regions when required.

Region 1 2 3 4 5 6 7 8 9 10 Preferred by Contractor X X X X X X X

The Contractor is authorized to provide the services outlined in the table below and will be assigned work for individual properties through the issuance of a Notice to Proceed (NTP). The actual amount invoiced and collected by AtkinsRéalis may not exceed the value listed below.

Inspection Type Unit Cost Structural Integrity Assessment $5,475.00

If the inspection requires entering the property and the resident or their authorized designee is not present at the property at the scheduled appointment time, the Contractor is required to wait a minimum of 20 minutes. Should the resident or designee fail to arrive within this timeframe, the Contractor may depart from the property and must promptly notify the assigned Case Manager. In such cases, the Contractor is authorized to submit a separate invoice to FDEM for a $150.00 no-show fee, distinct from any invoices related to assigned work.

Terms and Conditions

The Contractor shall adhere to all rules outlined in the Elevate Florida Inspect Guide, as provided in Attachment A to this Task Order. FDEM reserves the right to amend the Elevate Florida Inspector Guide and will provide an updated version via email as applicable.

Deliverables

The following deliverables for this Task Order include but are not limited to:

A. Deliverables as referenced in the Scope of Work from the executed contract.

a. Required Elevate Florida program forms outlined in the Elevate Florida Inspector Guide must be submitted where applicable.

B. Upload Elevation Certificates to FDEM’s Elevation Certificate Submissions Portal at https://florida.withforerunner.com/upload-elevation-certificates.

C. Additional reporting documents, as requested by Contract Manager and Task Order Manager, or designee.

D. Vendor will need to register for the Division’s Salesforce platform for submitting invoices and all required documentation to receive payment using the following link:

https://fdemportal.com/vendors.

E. Vendor will need to submit invoice(s) with all backup documentation in DEMES.

Please acknowledge concurrence of this by signing and returning to the Task Order Manager:

Laura Dhuwe Florida Division of Emergency Management 2555 Shumard Oak Blvd.

Tallahassee, FL 32399-7018

Alternate:

D’Ondra Denson Florida Division of Emergency Management 2555 Shumard Oak Blvd.

Tallahassee, FL 32399-7018

Accepted this _________ day of ___________________ 2025.

By: AtkinsRéalis

Print Name & Title

By: Division of Emergency Management

Print Name & Title

14th May

E. Scott Tezak, PE Vice President - Federal, Resilience

Digitally signed by E. Scott Tezak, PE DN: OU=Federal Business Unit, O=ArkinsRealis, CN=" E. Scott Tezak, PE", E= scott.tezak@atkinsrealis.com Date: 2025.05.14 13:59:33 -04'00'

Digitally signed by Kristin Lentz Date: 2025.05.22 12:53:40 -04'00'