CN-370000-GC865-A3.pdf

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Attached to
Master Agreement FL|GC865|90b3092d46f93b11ff0fe89c4591407a
Contract number
GC865
Issued by
Florida

About this file

This document is Amendment No. 3 to Contract No. GC865 between the Florida Department of Environmental Protection (Department) and Golder Associates, Inc. (Contractor), effective February 28, 2014. The amendment modifies the existing contract for petroleum contamination site response action services, with the Florida Department of Environmental Protection acting as the contracting agency for the State of Florida.

The amendment updates several key contractual provisions, including subcontractor payment terms requiring payment within 30 working days of receipt of department payment, annual rate increase request procedures limited to 5% per year, and scrutinized companies certification requirements. The contract involves petroleum site restoration and environmental services, with specific provisions for subcontractor utilization, payment processes, and compliance with state regulations. The amendment also updates various guidance documents and references, including revising the Subcontractor Utilization Report Form (Attachment E) to Version 2.0, which provides a framework for reporting subcontractor involvement and 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 15:53:44 -04'00'

(see signature block)

Invoice Number:

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DEP Restated Agency Term Contract No. GC865 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. GC865 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.:

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DEP Restated Agency Term Contract No. GC865 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. GC865 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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