CN-370000-GC704-T16.pdf
PDF 352 KB Posted
- Contract number
- GC704
- Issued by
- Florida
About this file
Document Summary
This is a Task Assignment Notification Form for the Florida Department of Environmental Protection (FDEP) under Indefinite Delivery Contract No. GC 704, Task No. 16, effective June 29, 2016, through June 30, 2017. The task involves compliance inspections and related services for 105 underground and aboveground storage tank facilities across Madison County, Florida, and surrounding counties including Taylor, Lafayette, Suwannee, and Dixie. The contractor's task managers are Timothy Dohaney (FDEP) and David Graham (Contractor), with oversight provided by the FDEP Contract Manager and the Contractor's Contract Manager.
The contract requires the contractor to conduct routine compliance inspections at identified facilities, perform all re-inspections per Guidance Document X, comply with the Revised Invoice Procedure, and submit monthly invoices using the Contractual Services Invoice Form. Payment is calculated on a monthly basis according to a detailed fee schedule, with specific unit costs established for inspection types including routine inspections ($464.00), UST system installations ($1,140.68), UST piping installations ($380.23), system closures, complaint investigations, discharge reviews, and enforcement actions. Invoices are due no later than the 15th of the month following work activity. Total contract funding of $63,189.84 is provided from appropriation code 3745030500 under IPTF 100029 for fiscal year 2016-2017. The contractor must submit a signed "Contractual Services Invoice" with verification documents, including a completed Payment Calculation Sheet, FIRST Report, and monthly tracking form documenting the percentage of routine inspections completed.
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Other files
| File | Type | Posted |
|---|---|---|
| CN-370000-GC704-T14.pdf | ||
| CN-370000-GC704-T5.pdf | ||
| CN-370000-GC704-T6CO1.pdf | ||
| CN-370000-GC704-T10.pdf | ||
| CN-370000-GC704-T3.pdf | ||
| CN-370000-GC704-A2.pdf | ||
| CN-370000-GC704-T13.pdf | ||
| CN-370000-GC704-CO001.pdf | ||
| CN-370000-GC704-T6.pdf | ||
| CN-370000-GC704-T15.pdf | ||
| CN-370000-GC704-T4.pdf | ||
| CN-370000-GC704-T12.pdf | ||
| CN-370000-GC704-A1.pdf | ||
| CN-370000-GC704.pdf | ||
| CN-370000-GC704-T7.pdf | ||
| CN-370000-GC704-T17.pdf | ||
| CN-370000-GC704-T11.pdf | ||
| CN-370000-GC704-T14CO1.pdf | ||
| CN-370000-GC704-T9.pdf | ||
| CN-370000-GC704-T1.pdf | ||
| CN-370000-GC704-CO2.pdf | ||
| CN-370000-GC704-T2.pdf | ||
| CN-370000-GC704-T7CO1.pdf |
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Text version
Date
Value Quantity 464.00$
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 9100620 M & M DISCOUNT BEVERAGE #2 NED 61 OPEN P 4/30/2014 1 0 11896 US 129 S LIVE OAK 32060 9812697 NEALKANTH FOOD INC NED 61 OPEN A 6/30/2014 1 0 407 HELVENSTON ST LIVE OAK 32064 9200986 JIFFY FOOD STORE #324 NED 34 OPEN A 11/10/2014 2 0 8083 W US 27 MAYO 32066 8510675 JIFFY FOOD STORE #301 NED 40 OPEN A 11/12/2014 1 0 712 E BASE ST MADISON 32340
8516951 JIFFY FOOD #310 NED 61 OPEN A 11/12/2014 1 0 23910 CR 250 LIVE OAK 32060
8516956 JIFFY FOOD STORE #304 NED 61 OPEN A 11/12/2014 1 0 307 N OHIO AVE LIVE OAK 32060 8516957 JIFFY FOOD STORE #305 NED 61 OPEN A 11/12/2014 1 0 807 SW IRVING AVE LIVE OAK 32064 8516959 JIFFY FOOD STORE #311 NED 61 OPEN A 11/12/2014 1 0 13354 US HWY 90 LIVE OAK 32060 8516960 JIFFY FOOD STORE #318 NED 61 OPEN A 11/12/2014 2 0 620 DUVAL ST NE LIVE OAK 32060 8841233 JIFFY FOOD STORE #321 NED 61 OPEN A 11/12/2014 2 0 24879 CR 247 OBRIEN 32071 9806710 CASEYS COVE & 99 CENT STORE NED 15 OPEN A 11/13/2014 2 0 4735 SW HWY 358 JENA 32359 8516913 FAST TRACK #435 NED 61 OPEN A 12/1/2014 3 0 2943 CR 1365 & I 95 WHITE SPRINGS 32096
8510706 FAST TRACK #429 NED 40 OPEN A 12/2/2014 1 0 408 E BASE ST MADISON 32340
8944328 FAST TRACK FOODS #297 NED 40 OPEN A 12/2/2014 1 0 551 W BASE ST MADISON 32340 8510669 FAST TRACK #411 NED 40 OPEN A 12/4/2014 1 0 2458 SW US HWY 221 GREENVILLE 32331
9600076 FAST TRACK #428 NED 40 OPEN A 12/4/2014 2 0 3907 SW SR 14 MADISON 32340
8516992 S&S #319 NED 61 OPEN A 12/5/2014 3 0 22634 HWY 129 OBRIEN 32071
9800606 S&S #345 NED 61 OPEN A 12/5/2014 3 0 9980 HWY 90 LIVE OAK 32060
9801267 S&S #346 NED 61 OPEN A 12/5/2014 3 0 10019 HWY 129 LIVE OAK 32060
8506562 CROSS CITY ONE LLC NED 15 OPEN A 12/7/2014 1 0 111 NE 205TH AVE CROSS CITY 32628 8731975 FAST TRACK #410 ‐ MADISON TANK & TUMMY NED 40 OPEN A 12/7/2014 2 0 6390 S SR 53 MADISON 32340
9800605 S&S #347 NED 61 OPEN A 12/7/2014 4 0 5595 US 27 BRANFORD 32008
8519029 LIVE OAK MGMT #8 NED 15 OPEN A 1/13/2015 2 0 2580 SE US HWY 19 OLD TOWN 32680 9046558 STOP & GO #3 NED 15 OPEN A 1/28/2015 2 0 27764 SE HWY 19 CROSS CITY 32680 8517121 WACO FOOD STORE #2 NED 62 OPEN A 2/13/2015 3 0 2717 S BYRON BUTLER PKY PERRY 32347 8517068 NOVED'S TRAVEL CENTER NED 62 OPEN A 2/16/2015 2 0 5220 HWY 19 S PERRY 32347 8837524 WACO FOOD STORE #10 NED 62 OPEN A 2/16/2015 2 0 1305 HWY 98 W PERRY 32347
8517127 WACO FOOD STORE # 19 NED 62 OPEN A 2/16/2015 3 0 24111 US 19 SALEM 32356
8943362 LIVE OAK MGMT #5 NED 61 OPEN A 2/20/2015 1 0 6669 US 129 N LIVE OAK 32060
9808365 HINTON OIL CO NED 61 OPEN A 2/20/2015 1 0 12970 US HWY 90 LIVE OAK 32060
8516987 HOWARD ST KEYLOCK NED 61 OPEN A 2/23/2015 1 0 320 HOWARD ST E LIVE OAK 32060 9503041 JOHNSON & JOHNSON #35 NED 61 OPEN A 2/28/2015 2 1 3790 US HWY 90 E WELLBORN 32094 8506563 DIXIE ONE STOP NED 15 OPEN A 3/9/2015 2 1 19232 SE HWY 19 CROSS CITY 32628 9200860 HUDSON JUFFY 1569 NED 15 OPEN A 3/10/2015 1 1 13835 NE HWY 349 OLD TOWN 32680
8519589 MADISON CNTY ROAD DEPT NED 40 OPEN I 3/14/2015 1 1 2060 NE ROCKY FORD ROAD MADISON 32340
8516995 FEAGLES STORE NED 61 OPEN A 3/16/2015 1 0 29434 US HWY 129 BRANFORD 32008
8517013 TIME SAVER NED 61 OPEN A 3/16/2015 1 0 403 SW HWY 27 BRANFORD 32008
9802866 READY FREDDY #5 NED 61 OPEN A 3/16/2015 1 0 528 WALKER AVE LIVE OAK 32060 8732860 MAHI MAHI DISCOUNT STOP NED 61 OPEN A 3/17/2015 1 0 3446 US HWY 129 NORTH LIVE OAK 32060
8518510 GATE #1136 NED 61 OPEN A 3/17/2015 2 0 2940 CR 136 WHITE SPRINGS 32096
9803207 BEELINE PETROLEUM INC NED 61 OPEN A 3/26/2015 2 0 6886 N US HWY 129 LIVE OAK 32060
8516991 S&S #325 NED 61 OPEN A 3/27/2015 3 0 17022 HWY 129 MCALPIN 32062
8839882 S&S #353 NED 61 OPEN A 3/27/2015 3 0 1089 SR 51 LIVE OAK 32060
8510709 TRI‐CNTY ELECTRIC CO‐OP NED 40 OPEN C 3/30/2015 2 0 2862 US HWY 90 W MADISON 32340 8625911 SNJ FOOD STORE NED 40 OPEN A 3/31/2015 2 0 13848 HWY 90 W GREENVILLE 32331 8516906 RALLY EXPRESS #103 NED 61 OPEN A 3/31/2015 2 0 404 SW HWY 27 BRANFORD 32008
8732362 ROCKYS SHADY GROVE NED 62 OPEN A 3/31/2015 2 0
3710 ALTON WENTWORTH
RD
SHADY GROVE 32347
8521177 RALLY #107 NED 61 OPEN A 3/31/2015 3 0 SR 136 & I‐75 WHITE SPRINGS 32096
8517035 HOWLANDS EXPRESS NED 61 OPEN A 5/18/2015 2 0 598 11TH ST LIVE OAK 32064
9045880 MCI NED 61 OPEN C 6/20/2015 1 0 18350 RAILROAD ST FALMOUTH 32060
8516986 LIVE OAK CHEVRON NED 61 OPEN A 6/24/2015 1 0 6647 N HWY 129 LIVE OAK 32060
8517052 221 GAS & GRILL NED 62 OPEN A 6/24/2015 1 1 3525 HWY 221 N PERRY 32347
9803365 MURPHY USA #6657 NED 61 OPEN A 6/24/2015 3 0 7000 US HWY 129 N LIVE OAK 32060 8517017 TAYLORS COUNTRY STORE NED 61 OPEN A 6/26/2015 2 0 15095 HWY 51 S LIVE OAK 32060
8521181 S&S #322 NED 61 OPEN A 6/29/2015 2 0 6674 US HWY 129 LIVE OAK 32060
8732084 FL DEPT OF CORRECTIONS‐CROSS CITY CI NED 15 OPEN G 0 4 568 NE 225TH ST CROSS CITY 32628
9046138 LURAVILLE CNTRY STORE NED 61 OPEN A 0 1 18001 SR 51 LIVE OAK 32060
9805804 WAL‐MART SUPERCENTER #2626 NED 61 OPEN J 0 1 6868 US HWY 129 LIVE OAK 32060
9807024 SUWANNEE VALLEY ELECTRIC‐SCOTT SUBSTATION GEN NED 61 OPEN E 0 1 15925 104TH ST LIVE OAK 32060
9812733 LIVE OAK WTP‐WELLFIELD NED 61 OPEN H 0 1 6683 CR795 LIVE OAK 32060
9804386 MAYO FERTILIZER CO INC NED 40 OPEN K 0 1 7344 US HWY 90 E LEE 32059
9814613 S & D CARRIERS NED 15 OPEN C 0 1 504 NE 162ND ST CROSS CITY 32628
9814996 DIXIE CNTY MIDDLE/HIGH SCHOOL NED 15 OPEN C 0 1 17924 SE HWY 19 CROSS CITY 32628
9814496 BRANFORD SCALEHOUSE NED 61 OPEN C 0 1 6733 US 27 BRANFORD 32008
8625986 FOLEY CELLULOSE LLC NED 62 OPEN C 3/5/2014 0 4 ONE BUCKEYE DR PERRY 32348 9501823 SUWANNEE CNTY PUBLIC WORKS NED 61 OPEN I 6/27/2014 0 3 606 NW SUWANNEE AVE BRANFORD 32008 9807416 TRIPLE V TRUCKING INC NED 15 OPEN C 11/10/2014 0 1 155 NE 223RD AVE CROSS CITY 32628 9810565 VANAERNAM TIMBER MGMT NED 15 OPEN C 11/10/2014 0 1 202 NE 86TH ST CROSS CITY 32328 9812018 BYRDS FUEL PLAZA NED 34 OPEN A 11/10/2014 0 3 11860 E US 27 BRANFORD 32008 9602210 FAA CTY ARSR‐4 NED 15 OPEN F 12/4/2014 0 1 11795 NE 351 HWY OLD TOWN 32680 9809372 OAK GROVE DAIRY NED 15 OPEN C 12/4/2014 0 1 652 NE 999 AVE OLD TOWN 32680 9400693 GULF COAST SUPPLY & MFTG LLC NED 15 OPEN C 12/5/2014 0 1 4020 SW 449TH ST HORSESHOE BEACH 32648 9500067 OLD CASTLE LAWN & GARDEN NED 15 OPEN C 12/5/2014 0 1 1963 SW HWY 351 CROSS CITY 32628 9811617 DIXIE CO‐SCHOOL BUS GARAGE NED 15 OPEN I 12/5/2014 0 1 72 NE 223RD AVE CROSS CITY 32628 9814058 HORSESHOE BEACH UTILITIES NED 15 OPEN H 12/5/2014 0 1 17187 SW HWY 351 HORSESHOE BEACH 32648 8519027 SUWANNEE LUMBER CO NED 15 OPEN C 12/7/2014 0 2 40 SW 10TH ST CROSS CITY 32628 8733912 BELLSOUTH TEL INC #31067 CSCYFLBA NED 15 OPEN C 12/7/2014 0 1 80 NE 210TH AVE CROSS CITY 32628 8733923 SOUTHERN BELL‐OLTWFLLN 31608 NED 15 OPEN C 12/7/2014 0 1 44 NE 77TH AVE OLD TOWN 32680 9806394 WAL‐MART SUPERCENTER #5172 NED 62 OPEN J 12/7/2014 0 1 1900 S JEFFERSON ST PERRY 32348 8519588 MADISON CNTY ‐ LAW ENFORCEMENT NED 40 OPEN I 1/28/2015 0 2 2308 W HWY 90 MADISON 32340 8837711 HOWLAND FEED MILL NED 61 OPEN C 1/30/2015 0 1 9282 97TH LN LIVE OAK 32060 9201331 LONGHORN PECAN STAND NED 40 OPEN A 2/13/2015 0 2 16912 US 19 LAMONT 32336
9812055 WARE OIL MARINE TANK NED 62 OPEN C 2/16/2015 0 1 2715 S BYRON BUTLER PKWY PERRY 32348
8517006 ROBERT B DEES INC NED 61 OPEN D 2/19/2015 0 6 116 N PALM ST LIVE OAK 32064 8517032 JIM HINTON OIL CO NED 61 OPEN D 2/19/2015 0 6 204 HAINES ST NE LIVE OAK 32060 8510684 JOHNSON & JOHNSON #6 NED 40 OPEN A 2/25/2015 0 4 2627 SE CR 255 LEE 32059 9807954 JOHNSON & JOHNSON INC NED 40 OPEN C 2/27/2015 0 1 1607 US HWY 90 E MADISON 32340
8510725 JOHNSON & JOHNSON #1 ‐ YELLOW PINE TRUCK STOP NED 40 OPEN A 2/28/2015 0 2 1407 E HWY 90 MADISON 32341
8734856 JOHNSON & JOHNSON #21 NED 62 OPEN A 2/28/2015 0 2 4099 S BYRON BUTLER PKWY PERRY 32347
8521873 FL DEPT OF TRANSPORTATION PERRY MAINT NED 62 OPEN G 3/9/2015 0 2 657 PLANTATION RD PERRY 32347 8506582 JIFFY STORE #1554 NED 15 OPEN A 3/10/2015 0 4 15958 SE HWY 19 CROSS CITY 32628 8837660 JIFFY STORE #1555 NED 15 OPEN A 3/10/2015 0 1 16319 SE HWY 19 CROSS CITY 32628 9814108 NEW MADISON CNTY MEMORIAL HOSPITAL NED 40 OPEN C 3/11/2015 0 1 224 NW CRANE AVE MADISON 32340 8625903 MADISON CNTY SCHOOL BD‐MAIN OFFICE NED 40 OPEN I 3/14/2015 0 2 210 NE DUVAL AVE MADISON 32340 9811077 MADISON CNTY CENTRAL SCHOOL NED 40 OPEN I 3/14/2015 0 1 2093 W US HWY 90 MADISON 32340 8732156 SUWANNEE CNTY SCHOOL BD‐BRANFORD NED 61 OPEN I 3/14/2015 0 1 405 N REYNOLDS ST BRANFORD 32008 8732163 SUWANNEE CNTY SCHOOL BD‐TRANSPORT NED 61 OPEN I 3/14/2015 0 1 1727 SW WALKER AVE LIVE OAK 32060 9805060 SUWANNEE AMERICAN CEMENT NED 61 OPEN E 3/16/2015 0 6 5117 US HWY 27 BRANFORD 32008 9808289 LOWES OF LIVE OAK #2462 NED 61 OPEN C 3/26/2015 0 1 208 72ND TRACE LIVE OAK 32064
8521868 MARTIN MARIETTA MATERIALS INC NED 62 OPEN E 3/29/2015 0 5 22500 NUTALL RISE RD PERRY 32347 8521970 GILMAN BUILDING PRODUCTS NED 62 OPEN E 3/29/2015 0 2 1509 S BYRON BUTLER PKY PERRY 32347 8943430 JRS AUCILLA RIVER STORE NED 62 OPEN A 3/29/2015 0 3 23485 US 98 PERRY 32347 9601594 RISING SUN BOAT CO NED 62 OPEN V 3/29/2015 0 1 21095 BEACH RD PERRY 32348 9801883 ECONFINA RESORT INC NED 62 OPEN C 3/29/2015 0 1 4705 ECONFINA RIVER RD LAMONT 32336 9202262 FL DEPT OF CORRECTIONS‐MADISON CI NED 40 OPEN G 3/30/2015 0 4 382 SW MCI WAY MADISON 32340
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