CN-370000-GC869-A3.pdf

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Attached to
Master Agreement FL|GC869|7febc843ad02a17711d3297fc15232e2
Contract number
GC869
Issued by
Florida

About this file

This document is Amendment No. 3 to Contract No. GC869 between the Florida Department of Environmental Protection (Department), an agency of the State of Florida, and Hydro-Logic Associates, Inc. (Contractor). The amendment modifies a previously established contract for petroleum contamination site response action services that was originally effective February 25, 2014.

The amendment updates several key contractual provisions, including subcontractor payment terms requiring payment within 30 working days of receipt of payment from the Department, guidelines for annual rate increase requests (limited to 5% per year), and scrutinized companies certification requirements. The contract relates to petroleum contamination site response services, with specific references to legal compliance under Florida Statutes. The amendment also updates attachments, including a revised Subcontractor Utilization Report Form and modifications to guidance documents and regulatory references related to site assessment, remedial options, implementation, and site closure procedures.

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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 15:54:12 -04'00'

(see signature block)

Invoice Number:

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DEP Restated Agency Term Contract No. GC869 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. GC869 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. GC869 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. GC869 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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