CN-370000-GC802-A4.pdf
PDF 471 KB Posted
- Contract number
- GC186
- Issued by
- Florida
About this file
This document is Amendment No. 4 to Contract No. GC802 between the Florida Department of Environmental Protection (Department), an agency of the State of Florida, and Ellis & Associates, Inc. (Contractor). The amendment modifies a previously established contract for petroleum contamination site response action services that was originally effective on February 28, 2014.
The amendment updates several key contract provisions, including subcontractor payment terms requiring payment within 30 working days of receipt of Department payment, rate increase request procedures allowing annual requests up to 5% with detailed justification, and scrutinized companies certification requirements. The contract pertains to petroleum restoration program services, with specific modifications to guidance documents, references, and subcontractor utilization reporting. A revised Subcontractor Utilization Report Form (Attachment E V2.0) is included, which requires contractors to report detailed information about subcontractors used during invoice periods, including their business classifications and payment amounts.
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Text version
Title References* Site
Assess.
Remedial Options and Design
RA
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 16:12:55 -04'00'
(see signature block)
Invoice Number:
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DEP Restated Agency Term Contract No. GC802 Attachment E (V2.0), Page 1 of 4
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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. GC802 Attachment E (V2.0), Page 2 of 4
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BUSINESS CLASSIFICATION CERTIFIED MBE NON-CERTIFIED MBE NON-PROFIT ORG.
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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.
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DEP Contract No.:
INDICATE THE ONE CATEGORY THAT BEST DESCRIBES EACH ORGANIZATION LISTED
DEP Restated Agency Term Contract No. GC802 Attachment E (V2.0), Page 3 of 4
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DEP Contract No.:
INDICATE THE ONE CATEGORY THAT BEST DESCRIBES EACH ORGANIZATION LISTED
BUSINESS CLASSIFICATION CERTIFIED MBE NON-CERTIFIED MBE NON-PROFIT ORG.
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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.
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DEP 55-217 (08/00)
DEP Restated Agency Term Contract No. GC802 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)
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