CN-370000-GC704-T15.pdf
PDF 405 KB Posted
- Contract number
- PL344
- Issued by
- Florida
About this file
This document is a Task Assignment Notification Form from the Florida Department of Environmental Protection (DEP) for Madison County, associated with Contract No. GC-704, Task No. 15. The contract involves a contractor performing environmental compliance and inspection services for various facilities in the Northwest District (NWD) of Florida, specifically in Jefferson County. The document is dated June 29, 2016, with a performance period effective from the date of execution until June 30, 2017.
The contract outlines specific services including conducting routine compliance inspections at 20 facilities, performing re-inspections, utilizing a new Contractual Services Invoice Form, and submitting monthly invoices with payment calculation sheets. Compensation will occur on a monthly basis according to a fee schedule in Exhibit #1, with invoices due by the 15th of the month preceding work activity. The total funding amount for this task assignment is $12,036.16, with various inspection types covered such as routine inspections, UST/AST system and piping installations and closures, complaints, discharges, and enforcement actions. The contractor is required to follow specific invoice procedures, including submitting detailed documentation to the appropriate District Office for review and approval.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CN-370000-PL344-A-1.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Date
Value Quantity 464.00$
CONTRACTUAL SERVICES INVOICE
Payment Calculations
Invoice No. Contract No. Task No. Invoice Period
Inspection Type Routine
List of Facilities (FAC. ID only) Attach FIRST spreadsheet
AST Piping Closure
AST System Closure
Complaint
Discharge
190.11$
570.34$
190.11$
UST System Install
UST Piping Install
Component Install
UST System Closure
UST Piping Closure
Component Closure
AST System Install
AST Piping Install
1,140.68$
380.23$
190.11$
760.45$
380.23$
190.11$
380.23$
190.11$
190.11$
190.11$
190.11$
Enforcement
Non-Compliance
TOTAL
Signature Date
FACILITY_ID NAME DISTRICT COUNTY FACSTAT FACTYPE ANNUAL_INSPECTIONC_TOTAL_UC_TOTAL_A ADDRESS1 CITY ZIP5 8518838 S&M FOOD MART NWD 33 OPEN A 2/28/2015 1 0 1546 N JEFFERSON ST MONTICELLO 32344 8509741 PIC N CHIC NWD 33 OPEN A 2/28/2015 3 0 1010 N JEFFERSON ST MONTICELLO 32344
9045876 MCI NWD 33 OPEN C 6/20/2015 1 0 821 OLD DRIFTON RD MONTICELLO 32344
9045675 RAJ FOOD STORE NWD 33 OPEN A 6/25/2015 1 0 700 E WASHINGTON ST MONTICELLO 32344 8509718 INTERSTATE 10 TRAVEL CENTRE NWD 33 OPEN A 6/25/2015 2 0 24 PAFFORD RD MONTICELLO 32336 8509733 GRANTS SERVICE CTR NWD 33 OPEN A 6/25/2015 2 0 1270 N JEFFERSON ST MONTICELLO 32344 8509757 THOMPSON GAS STATION NWD 33 OPEN A 6/25/2015 5 0 1210 N JEFFERSON ST MONTICELLO 32344
8509745 REAMS STORE NWD 33 OPEN A 6/26/2014 0 1 10075 S SALT RD LAMONT 32336
9200106 I‐10 PECAN HOUSE NWD 33 OPEN A 1/30/2015 0 3 323 S SALT RD MONTICELLO 32344 9300074 FL DEPT OF CORRECTIONS‐JEFFERSON C I NWD 33 OPEN G 2/13/2015 0 5 1050 BIG JOE RD MONTICELLO 32344 9301048 FAIRCHILD FL CONSTRUCTION CO NWD 33 OPEN C 2/28/2015 0 2 59 FAIRCHILD MONTICELLO 32344 9804079 XPO LOGISTICS FREIGHT, INC‐ NTH NWD 33 OPEN C 2/28/2015 0 1 285 INDUSTRIAL PARK MONTICELLO 32344 9805922 HARRIS WAUKEENAH X904 NWD 33 OPEN C 2/28/2015 0 1 1061 ST AUGUSTINE RD MONTICELLO 32344 9805944 HARRIS DISALVO X912 NWD 33 OPEN C 2/28/2015 0 1 310 N WAUKEENAH ST MONTICELLO 32344 8518811 JEFFERSON CNTY ROAD DEPT NWD 33 OPEN I 3/14/2015 0 2 1484 S JEFFERSON ST MONTICELLO 32344 9806672 JEFFERSON COUNTY HIGH SCHOOL NWD 33 OPEN C 3/14/2015 0 1 50 DAVID RD MONTICELLO 32344 8509747 AMERICAN ENERGY DISTRIBUTION CORP NWD 33 OPEN D 6/25/2015 0 4 383 YORK ST MONTICELLO 32344 9600783 JEFFERSON CNTY SCHOOL BD‐JAMES BOLAND NWD 33 OPEN I 6/25/2015 0 1 1780 S JEFFERSON ST MONTICELLO 32344 8509767 BOLAND TIMBER CO NWD 33 OPEN C 7/2/2015 0 1 12493 GAMBLE RD WACISSA 32361 9400135 WAUKEENAH FERTILIZER & FARM NWD 33 OPEN M 7/2/2015 0 1 9643 WAUKEENAH HWY MONTICELLO 32344
File details come from the government source that posted it. Updated .