CN-370000-GC851-A4.pdf

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Attached to
Master Agreement FL|GC851|782ff1999b9e6918860fe3a17bdd4f35
Contract number
GC851
Issued by
Florida

About this file

This document is Amendment No. 4 to Contract No. GC851, a state contract between the Florida Department of Environmental Protection (Department) and Ellis & Associates, Inc. (Contractor). The original contract was effective February 28, 2014, and addresses petroleum contamination site response action services. This amendment modifies specific terms and conditions of the previously amended contract through four substantive changes and one attachment replacement.

The amendment revises subcontractor payment requirements, rate increase procedures, scrutinized companies certifications, and regulatory guidance references. Subcontractors and vendors must now be paid within thirty (30) working days of the Department's payment to the Contractor, with proportional payment if the Department pays less than full invoice amounts. Annual rate increase requests must be submitted in February with detailed justification, with the Department authorized to approve increases up to a maximum of five percent (5%) per year through formal contract amendment. If the contract value exceeds one million dollars, the Contractor must certify that neither it nor its affiliates are scrutinized companies as identified in Florida Statute Section 287.135, and the Department may terminate immediately for cause if false certifications are discovered or if the Contractor becomes listed on a scrutinized companies list during the contract term. Attachment E, the Subcontractor Utilization Report Form (V2.0), has been revised and must be completed and submitted with each invoice for payment, requiring Contractors to identify subcontractors, amounts to be paid per Section 376.3071(6), F.S., and appropriate business classifications.

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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 16:17:02 -04'00'

(see signature block)

Invoice Number:

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DEP Restated Agency Term Contract No. GC851 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. GC851 Attachment E (V2.0), Page 2 of 4

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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. GC851 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. GC851 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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