CN-370000-GC712-T14.pdf

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Attached to
Master Agreement FL|GC712|7de69a435766cd77d328ac15de954df9
Contract number
GC712
Issued by
Florida

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Contract Summary

This is a Task Assignment Notification Form (Attachment B) for Florida Department of Environmental Protection (FDEP) Contract No. GC 712, Task 14, dated June 26, 2015. The contract involves the FDEP and a contractor providing environmental compliance and inspection services in Sumter County, Florida. The performance period is effective from the execution date or July 1, 2015, through June 30, 2016. Key personnel include DEP Task Manager George Martin (407-897-4330) and Contractor Task Manager Glenn Bryant (352-527-5307).

The contractor shall conduct routine compliance inspections at 57 facilities with underground storage tank (UST) systems in Sumter County, as identified in Exhibit #1. Services include performing inspections per Guidance Document A, confirming compliance within the county, adhering to a revised invoice procedure, and submitting monthly invoices on the Contractual Services Invoice Form. Compensation is limited to routine annual compliance inspections at explicitly identified facilities listed on the Payment Calculation Sheet. Payment occurs monthly based on a fee schedule in Exhibit #1, with invoices due no later than the 15th of the month following work activity. The contractor must not conduct Discharge Prevention Response Certificate (DPRC) inspections. The total funding allocation is $33,588.96 for Fiscal Year 2015, drawn from Organization Code 37450305000, EO JD, Object Code 132500, Module 4562, Special Category IPTF 100029.

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Exhibit 1

FACILITY_ID NAME DISTRICT COUNTY FACSTAT FACSTAT EFF DATE FACTYPE DEPCONOW MIN TANK INSTALL INSP UST_COUNT AST_COUNT LAST ANN INSPECT ASSIGNMENT

9814243

PUBLIX

SUPER

MARKET

#1487

CD 60 OPEN 7/18/2014 C N 12/1/2014 0:00 1

C

9814292

GLOBAL

CONTRAC

TING

GROUP

LLC

CD 60 OPEN 8/26/2014 C N 4

C

9814334

SUMTER

GRAND

CD 60 OPEN 9/30/2014 C N 12/18/2014 0:00 1

C

9814376

BROOKDA

LE PLACE

OF

FREEDOM

POINTE AT

THE

VILLAGES

CD 60 OPEN 11/12/2014 C N 1/8/2015 0:00 1

C

9814441

SUMTER

CNTY

FAIRGROU

NDS

CD 60 OPEN 1/29/2015 I N 3/31/2015 0:00 1

C

9808427

PUBLIX

SUPER

MARKET

#1080

CD 60 OPEN 9/5/2006 C N 1/9/2007 0:00 1 8/21/2013

C

9810854

PUBLIX

SUPER

MARKET

#1155

CD 60 OPEN 11/6/2008 C N 12/10/2008 0:00 1 8/21/2013

C

9812603

PUBLIX

SUPER

MARKET

#1334

CD 60 OPEN 3/28/2011 C N 2/17/2012 0:00 1 8/21/2013

C

9811696

SUMTER

CNTY

SCHOOL

BD-SOUTH

SUMTER

HS

CD 60 OPEN 9/21/2009 C N 10/21/2009 0:00 1 9/13/2013

C

8521881

SUMTER

CNTY

SCHOOL

BD-N

SUMTER

INTER

CD 60 OPEN I N 6/30/2010 0:00 1 9/13/2013

C

8521882

SUMTER

CNTY

SCHOOL

BD-BUS

GARAGE

CD 60 OPEN I N 1 9/13/2013

C

9803559

CIRCLE K

#5941

CD 60 OPEN 2/6/2001 A N 4/8/2013 0:00 3 10/4/2013

C

9804505

THE

VILLAGES

REGIONAL

HOSPITAL-

CFHA

CD 60 OPEN 1/10/2002 C N 3/26/2007 0:00 3 10/8/2013

C

9806011

LOWES

#1685

CD 60 OPEN 7/29/2003 C N 1 10/8/2013

C

9812937

CENTRAL

SUMTER

UTIL-

WWTP (SC-

115U)

CD 60 OPEN 11/10/2011 H N 5/30/2012 0:00 1 10/8/2013

C

9813151

FREEDOM

POINTE AT

THE

VILLAGES

CD 60 OPEN 5/1/2012 C N 7/18/2012 0:00 2 10/9/2013

C

9810022

WINN-

DIXIE

STORE

#2320

CD 60 OPEN 1/25/2008 C N 5/19/2008 0:00 1 10/11/2013

C

8631414

FL DEPT

OF

CORRECTI

ONS -

SUMTER

CI

CD 60 OPEN G N 5/30/2008 0:00 5 10/14/2013

C

9813649

SUMTER

PLACE IN

THE

VILLAGES

CD 60 OPEN 4/23/2013 C N 6/25/2013 0:00 1 10/15/2013

C

9045657

CEMEX

CONSTRU

CTION

MATERIAL

S FL LLC

CD 60 OPEN C N 6/29/2006 0:00 1 10/18/2013

C

9810079

COLONY

SHELL

CD 60 OPEN 2/12/2008 A N 3/25/2008 0:00 2 10/28/2013

C

9103260

TWO

SISTERS

COUNTRY

STORE #2

CD 60 OPEN A N 3 11/6/2013

C

8631419

BUSHNELL

CENTRAL

OFFICE

CD 60 OPEN C N 1 11/12/2013

C

9803025

CIRCLE K

#2707562

CD 60 OPEN 8/2/2000 A N 4/26/2012 0:00 2 11/13/2013

C

8628417

PANA

VISTA

LODGE

INC

CD 60 OPEN A N 1 11/15/2013

C

8628245

VENTURA

RANCH

LLC

CD 60 OPEN M N 2 11/26/2013

C

9803079

SUMTER

ELECTRIC

CO-OP

HDQTRS

CD 60 OPEN 8/21/2000 C N 1 12/16/2013

C

8516868

SUMTER

ELECTRIC

CO-OP

CD 60 OPEN E N 6/3/2008 0:00 2 12/16/2013

C

8516842

KING

ORANGE

PETROLEU

M

CD 60 OPEN A N 4/13/2007 0:00 1 12/27/2013

C

8516877

COUNTRY

STORE

CD 60 OPEN A N 1 12/27/2013

C

8521888

JACKIE'S

MARKET

SUNOCO

CD 60 OPEN A N 5/29/2009 0:00 2 12/27/2013

C

9809408

RICHLOA

M STATE

FISH

HATCHERY

CD 60 OPEN 7/2/2007 G N 8/14/2007 0:00 1 12/27/2013

C

8516878

WILDWO

OD

TRAVEL

CENTER

#53

CD 60 OPEN A N 11/13/2006 0:00 7 1 1/7/2014

C

9806459

MUNNS

SALES &

SERVICE

INC

CD 60 OPEN 3/16/2004 C N 2 1/15/2014

C

9800899

CIRCLE K

#2705932

CD 60 OPEN 11/13/1998 A N 3/14/2008 0:00 1 1/22/2014

C

9401852

OUTOKU

MPU

STAINLESS

PIPE INC

CD 60 OPEN 10/10/1994 E N 12/31/2008 0:00 2 1/22/2014

C

8516837

CENTRAL

FLORIDA

TRANSPO

RT LLC

CD 60 OPEN C N 3/26/2007 0:00 2 5/2/2014

C

9806257

RAINEY

CONSTRU

CTION

CD 60 OPEN 12/2/2003 C N 5 5/12/2014

C

9805193

CENTURYL

INK

TARRYTO

WN POP

CD 60 OPEN 9/24/2002 C N 1 5/29/2014

9806682

XPRESS

MATERIAL

S LLC

CD 60 OPEN 7/1/2004 E N 2/15/2008 6/4/2014

C

8731713

SUNSHINE

FOOD

MART

#305

CD 60 OPEN A N 10/6/2010 1 6/20/2014

C

8631420

SUMTERVI

LLE FOOD

MART

CD 60 OPEN A N 3 6/27/2014

C

9812650

PROMISE

HOSPITAL

OF FL AT

THE

VILLAGES

CD 60 OPEN 4/20/2011 C N 6/7/2011 6/27/2014

C

8516843

FIVE

MOON

USA 2 LLC

CD 60 OPEN A N 6/10/2008 3 7/25/2014

C

9812956

SHERIFFS

ADMINIST

RATION

OFFICE

CD 60 OPEN 12/5/2011 I N 3/12/2012 7/25/2014

C

9812957

SUMTER

COUNTY

GOVERN

MENT

OFFICE

CD 60 OPEN 12/5/2011 I N 3/12/2012 7/25/2014

C

8631422

DIXIE

LIME &

STONE CO

CD 60 OPEN C N 8/18/2014

C

9201997

BUSHNELL

FOOD

MART

CD 60 OPEN A N 2 8/18/2014

C

9700098

TEXACO-

BUSHNELL

CD 60 OPEN 1/27/1997 A N 1 8/18/2014

C

9806211

WEAVER

AGGREGA

TE INC

CD 60 OPEN 11/6/2003 C N 8/18/2014

C

9810120

BEDROCK

RESOURCE

S LLC

CD 60 OPEN 2/25/2008 C N 4/14/2008 8/18/2014

C

9810921

AMERICA

N CEMENT

CO LLC

CD 60 OPEN 12/9/2008 E N 11/4/2009 8/18/2014

C

8628247

CAL-

MAINE

FOODS

INC

CD 60 OPEN C N 3/5/2009 9/8/2014

C

9700376

SUMTER

PRISON

SUBSTATI

ON

CD 60 OPEN 3/21/1997 C N 9/9/2008 9/8/2014

C

8516823

WILCO

TRAVEL

PLAZA

#4510

CD 60 OPEN A N 8/14/2008 7 9/19/2014

C

8521912

WILDWO

OD CITY -

CITY BARN

CD 60 OPEN C N 2 9/29/2014

C

9807556

WILDWO

OD CITY

CD 60 OPEN 8/23/2005 H N 2 9/29/2014

C

9807557

CITY OF

WILDWO

OD

CD 60 OPEN 8/23/2005 H N 1 9/29/2014

C

9813876

MARJAM

SUPPLY

CO

CD 60 OPEN 10/7/2013 C N 1 9/29/2014

C

9807631

WEBSTER

GAS LLC

CD 60 OPEN 9/19/2005 A N 1 10/20/2014

C

8628237

SHOP &

GO

SUPERETT

E #4

CD 60 OPEN A N 1 10/21/2014

C

9813096

WEBSTER

ELEMENT

ARY

SCHOOL

CD 60 OPEN 3/19/2012 C N 1 10/21/2014

9801847

CEMEX -

WILDWO

OD READY-

MIX

PLANT

CD 60 OPEN 8/2/1999 C N 1 10/27/2014

C

9802529

CONRAD

YELVINGT

ON DIST

INC

CD 60 OPEN 2/9/2000 C N 1 10/27/2014

C

9805926

C W

ROBERTS

CONTRAC

TING INC

CD 60 OPEN 7/11/2003 C N 1 10/27/2014

GC712_TA14_FE
Copy of exhibit
Sheet1

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