CN-370000-GC775-A3.pdf.crdownload

CRDOWNLOAD file 473 KB Posted Feb 25, 2014

Attached to: Master Agreement FL|GC775|1df6d6c9b1a4db999906e369812044ad
Contract number: GC775
Issued by: Florida

About this file

Written by GovTribe AI · Jul 15, 2025

This document is a Subcontractor Utilization Report Form associated with the Florida Department of Environmental Protection (DEP) Restated Agency Term Contract No. GC775. The document appears to be a reporting attachment for contractors working with the DEP, specifically focused on tracking subcontractor utilization and diverse business classifications. The form includes multiple pages designed to capture details about subcontractors, their business classifications, and their involvement in contract work.

The form provides a comprehensive framework for reporting subcontractor participation across various business categories, including minority-owned businesses, small businesses, non-profit organizations, and government agencies. It requires contractors to list subcontractor names, addresses, and payment amounts for each invoice period, with specific attention to diverse business classifications such as African American, Hispanic, Asian/Hawaiian, Native American, and women-owned businesses. The document references Florida Statutes, specifically Section 376.3071(6), and includes guidance on institutional controls, site assessment, remedial options, and site closure procedures related to environmental management.

Text of this file

Title References* Site

Assess.

Remedial Options and Design

Impl.

Site Closure

34.

Free Product Recovery Initiative Guidance Revised (1/15/08); Revised (5/23/17) 376, FS X X X

42.

Institutional Controls Procedures Guidance (June 2012) Updated March 2017

62-777, FAC; 62-780,

FAC; 62-782, FAC;

62-785, FAC; *62-770,

FAC; 5J-17, FAC; 319,

FS; 320, FS; 321, FS;

322, FS; 373, FS; 376,

FS; 403, FS

X X X X

60.

PRP Site Access Agreement

768.28, FS. X X X X

*All rule references include any subsequent replacement rules. Note, 62-770 and its predecessor 17-70 are now part of 62- 780, effective 6/12/13; Revised 2/2/17.

John Truitt Digitally signed by John Truitt Date: 2017.10.16 15:48:28 -04'00'

(see signature block)

Invoice Number:

F R

N A

M E

A N

P A

A S

/H A

W A

IIA

A S

/H A

W A

IIA

N A

E A

M E

A N

A M

E R

N W

O M

A N

DEP Restated Agency Term Contract No. GC775 Attachment E (V2.0), Page 1 of 4

N O

N -M

S M

A L

L B

U S

S S

(S T

A T

S M

A L

L B

U S

S S

(F E

D E

R A

G O

V E

R N

M E

N T

A L

A G

E N

C Y

N O

N -P

R O

O R

G A

A T

R M

O R

E M

Y O

F F

R S

R M

O R

E M

C O

M M

U N

S E

R V

E D

O T

H E

R N

O N

-P R

O F

N A

E A

M E

A N

A M

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N W

O M

A N

B O

A R

R M

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P .R

.I.D .E

A F

A N

A M

E R

P A

ATTACHMENT E (V2.0)

REVISED SUBCONTRACTOR UTILIZATION REPORT

FORM FOR COMMODITIES/SERVICES

DIRECTIONS:

Contractors working for the Florida Department of Environmental Protection (DEP) must complete and submit this attachment with each invoice submitted for payment. Questions regarding use of this form should be directed to the Procurement Section (MS93), Florida Department of Environmental Protection, 3900

Commonwealth Boulevard, Tallahassee, Florida 32399-3000, Phone 850/245-2361.

DEP Contract No.:

INDICATE THE ONE CATEGORY THAT BEST DESCRIBES EACH ORGANIZATION LISTED

BUSINESS CLASSIFICATION CERTIFIED MBE NON-CERTIFIED MBE NON-PROFIT ORG.

Task Assignment No. (if applicable):

Invoice Service Period:

LIST NAMES AND ADDRESSES OF

SUBCONTRACTORS UTILIZED

THIS INVOICE PERIOD

List Amount for Each Sub-contractor this Invoice Period to be Paid in Accordance with

Section 376.3071(6), F.S.

DEP Restated Agency Term Contract No. GC775 Attachment E (V2.0), Page 2 of 4

B O

A R

R M

O R

E M

P .R

.I.D .E

A F

A N

A M

E R

P A

A S

/H A

W A

IIA

N A

E A

M E

A N

A M

E R

N W

O M

A N

BUSINESS CLASSIFICATION CERTIFIED MBE NON-CERTIFIED MBE NON-PROFIT ORG.

N O

N -M

S M

A L

L B

U S

S S

(S T

A T

S M

A L

L B

U S

S S

(F E

D E

R A

G O

V E

R N

M E

N T

A L

A G

E N

C Y

N O

N -P

R O

O R

G A

A T

R M

O R

E M

Y O

F F

R S

R M

O R

E M

C O

M M

U N

S E

R V

E D

O T

H E

R N

O N

-P R

O F

Task Assignment No. (if applicable):

Invoice Service Period:

LIST NAMES AND ADDRESSES OF

SUBCONTRACTORS UTILIZED

THIS INVOICE PERIOD

List Amount for Each Sub-contractor this Invoice Period to be Paid in Accordance with

Section 376.3071(6), F.S.

A F

A N

A M

E R

P A

A S

/H A

W A

IIA

N A

E A

M E

A N

A M

E R

N W

O M

A N

DEP Contract No.:

INDICATE THE ONE CATEGORY THAT BEST DESCRIBES EACH ORGANIZATION LISTED

DEP Restated Agency Term Contract No. GC775 Attachment E (V2.0), Page 3 of 4

A F

A N

A M

E R

P A

A S

/H A

W A

IIA

N A

E A

M E

A N

A M

E R

N W

O M

A N

N O

N -M

S M

A L

L B

U S

S S

(S T

A T

S M

A L

L B

U S

S S

(F E

D E

R A

G O

V E

R N

M E

N T

A L

A G

E N

C Y

N O

N -P

R O

O R

G A

A T

DEP Contract No.:

INDICATE THE ONE CATEGORY THAT BEST DESCRIBES EACH ORGANIZATION LISTED

BUSINESS CLASSIFICATION CERTIFIED MBE NON-CERTIFIED MBE NON-PROFIT ORG.

R M

O R

E M

Y O

F F

R S

R M

O R

E M

C O

M M

U N

S E

R V

E D

O T

H E

R N

O N

-P R

O F

Task Assignment No. (if applicable):

Invoice Service Period:

LIST NAMES AND ADDRESSES OF

SUBCONTRACTORS UTILIZED

THIS INVOICE PERIOD

List Amount for Each Sub-contractor this Invoice Period to be Paid in Accordance with

Section 376.3071(6), F.S.

A F

A N

A M

E R

P A

A S

/H A

W A

IIA

N A

E A

M E

A N

A M

E R

N W

O M

A N

B O

A R

R M

O R

E M

P .R

.I.D .E

DEP 55-217 (08/00)

DEP Restated Agency Term Contract No. GC775 Attachment E (V2.0), Page 4 of 4

(Street Address)

(City, State, Zip Code)

(Phone Number)

SUBCONTRACTOR UTILIZATION REPORT FORM CERTIFICATION:

I certify that the information provided in the preceding page(s) is accurate as of the last day of the payment period identified on this form.

(Business Name)

(Signature) (Date)

Other files

File	Type	Posted
CN-370000-GC775-A2.pdf	PDF	Feb 25, 2014
CN-370000-GC775-CMC1.pdf	PDF	Feb 25, 2014
CN-370000-GC878-A4.pdf	PDF	Feb 25, 2014
CN-370000-GC775-A3.pdf	PDF	Feb 25, 2014
CN-370000-GC775-AR1.pdf	PDF	Feb 25, 2014
CN-370000-GC775-CMC.pdf	PDF	Feb 25, 2014
CN-370000-GC775.pdf.crdownload	CRDOWNLOAD file	Feb 25, 2014
CN-370000-GC775-A4.pdf	PDF	Feb 25, 2014
CN-370000-GC775-A5.pdf	PDF	Feb 25, 2014

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File details come from the government source that posted it. Updated Jul 15, 2025.