CN-370000-GC910-T1.pdf

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Master Agreement FL|GC910|deeb020febb39ddbf4bbea98b334cd8a
Contract number
GC910
Issued by
Florida

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Document Summary

This is a Task Assignment Notification Form under DEP Contract No. GC910 between the Florida Department of Environmental Protection (FDEP) and the Florida Department of Health in Escambia County. The document establishes the terms for routine compliance inspections of storage tank systems across seven counties in northwest Florida: Escambia, Santa Rosa, Okaloosa, Walton, Bay, Washington, and Holmes Counties. The performance period runs from July 1, 2017, through June 30, 2018, with task execution effective as of the contract execution date or July 1, 2017, whichever is later.

The contractor is required to conduct routine compliance inspections at 598 identified facilities and perform re-inspections to confirm compliance, with all routine inspections to be completed by May 31, 2018. Compensation occurs monthly on a fixed price basis with a total task value of $381,524.00, calculated at $510.40 per routine inspection according to Guidance Document H. The contract includes a 10 percent retainage on routine inspection costs, with reimbursement contingent upon meeting performance metrics: average days to return to compliance and percentage of facilities returned to compliance. Invoices are due by the 15th of the following month, with the final invoice due July 6, 2018. Performance must achieve completion milestones of 33 percent by four months, 66 percent by eight months, and 100 percent by twelve months. The contractor must comply with revised invoice procedures, utilize specified contractual services invoice forms, and follow enforcement guidance outlined in referenced Guidance Documents A through H.

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Attachment C

Florida Department of Environmental Protection Task Assignment Notification Form for ESCAMBIA COUNTY

Contract No. GC910 Task No. 1 Amendment No. ____ Date June 26, 2017

Performance Period: Effective the date of execution of this Task Assignment or July 1, 2017, whichever is later, and shall remain in effect until June 30, 2018.

Description:

The Contractor shall complete the following services in accordance with the requirements in DEP Contract No. GC910:

Conduct routine compliance inspections at the 598 facilities storage tank systems within Escambia, Santa Rosa, Okaloosa, Walton, Bay, Washington and Holmes Counties, identified in Exhibit #1, by May 31, 2018.

Perform all re-inspections per Guidance Document A to confirm compliance within Escambia, Santa Rosa, Okaloosa, Walton, Bay, Washington and Holmes Counties.

Comply with the Revised Invoice Procedure (Page 2)

Utilize the new Contractual Services Invoice Form for all monthly invoices (Guidance Document E)

Compensation will only occur for routine annual compliance inspections conducted at the facilities explicitly identified in the revised Payment Calculation Sheet (Guidance Document H)

The Enforcement County Contractors must perform all Enforcement Actions in accordance with Guidance Document F (Level of Effort). Guidance Document F available online at:

http://www.dep.state.fl.us/waste/categories/tanks/pages/compliance.htm.

All Guidance documents referenced in the Contract’s Scope of Work are available online at:

http://www.dep.state.fl.us/waste/categories/tanks/pages/compliance.htm.

Order of Inspection and Substitutions of facilities on Exhibit #1:

Contractor is to conduct routine inspection in order provided in Exhibit #1. Substitutions of facilities are authorized with sites listed on the substitution list on Exhibit #1. The Contractor wishing to substitute a facility shall email department at STR_Invoices@dep.state.fl.us stating the facility and reason for the substitution. The Department will notify via email authorizing the substitution. Copies of authorizations shall be retained by the Contractor for the remainder of the Contract.

Payment Schedule:

Compensation will occur on a monthly basis, per the fee schedule listed in Guidance Document H. Invoices are due no later than the 15th day of the month proceeding work activity. The twelfth month invoice will be due to the DEP District Office on the first business day of July. The Contractor must submit a signed ‘Contractual Services Invoice’ noting the quantity and location of inspections.

FDEP will determine levels of performance based on routine inspections completed before March 15, 2018 to allow for the ninety-day return to compliance rate to be determined by June 30, 2018. The DEP Contract Manager will advise the Contractor of the amount of retainage to be requested in its FINAL Invoice #13 by June 27, 2018 so the Contractor can submit its FINAL Invoice to the DEP Contract Manager by July 6, 2018.

DEP Contract No. GC910, Attachment C, Page 1 of 4 http://www.dep.state.fl.us/waste/categories/tanks/pages/compliance.htm http://www.dep.state.fl.us/waste/categories/tanks/pages/compliance.htm mailto:STR_Invoices@dep.state.fl.us

DEP Contract No. GC910, Attachment C, Page 2 of 4

Retainage Criteria:

1. Number of days to return to compliance for facilities receiving routine inspections

2. Percent of facilities returned to compliance for facilities receiving routine inspections.

Retainage reimbursement criteria for the amount retained per Paragraph 21 of the contract:

- Fifty percent (50%) of the amount retained will be returned to Contractor having an average return to compliance in less than 45 days for facilities receiving routine inspections

- Fifty percent (50%) of the amount retained will be returned to Contractor having an average return to compliance rate of 95% or higher for facilities receiving routine inspections

- Forty percent (40%) of the amount retained will be returned to Contractor having an average return to compliance rate between 45 and 60 days for facilities receiving routine inspections.

- Forty percent (40%) of the amount retained will be returned to Contractor having an average return to compliance rate of between 90% and up to 95% for facilities receiving routine inspections

- Thirty percent (30%) of the amount retained will be returned to Contractor having an average return to compliance rate between 61 days and 75 days for facilities receiving routine inspections.

- Thirty percent (30%) of the amount retained will be returned to Contractor having an average return to compliance rate of between 85% and up to 90% for facilities receiving routine inspections

- Twenty percent (20%) of the amount retained will be returned to Contractor having an average return to compliance rate between 76 days and 90 days for facilities receiving routine inspections.

- Twenty percent (20%) of the amount retained will be returned to Contractor having an average return to compliance rate of between 80% and up to 85% for facilities receiving routine inspections

NO retainage will be returned to Contractor having either: more than ninety (90) days as average time to return to compliance for facilities receiving routine inspections; or having an average of less than 80% of facilities receiving routine inspections returned to compliance.

Invoice Procedure

Review of Inspections: The Payment Calculation Sheet shall be submitted by the Contractor to the appropriate DEP District Office. The District will review in Florida Inspection Reporting of Storage Tanks (FIRST) each variable inspection listed on the Payment Calculation Sheet to ensure that the inspection is correctly invoiced. The District will ensure that each routine compliance inspection on the Payment Calculation Sheet is also listed on the task assignment facilities list. Upon completion of the review, the District shall report via email to the Permitting and Compliance Assistance Program’s Contract Manager and the Contractor that the review of the inspections has been completed and of any known contractual obligations that have not been met.

Invoice Submission: All invoices with verified and approved Payment Calculation Sheet by the appropriate DEP District Office will be directly submitted by the Contractor to the Permitting and Compliance Assistance Program’s Contract Manager in accordance with the Payment Schedule.

Submission of invoice shall be via email to: STR_Invoices@dep.state.fl.us.The email shall consist of a single PDF package. The order of documents in the complete PDF package shall be as follows:

1) Contractual Services Invoice

2) Verified Payment Calculation Sheet (please make sure the month of services rendered appears below the “Invoice Period”)

3) FIRST Report (Compliance and Activity by Date Range)

4) Tracking Form (Monthly percentage of Routine Inspections Completed) mailto:STR_Invoices@dep.state.fl.us

DEP Contract No. GC910, Attachment C, Page 3 of 4

TASK ASSIGNMENT FORM

Required Signatures: Adobe Signature

FDEP Contract No: Task Assignment No: Date: DEP Task Manager:

Project:

Contractor Name:

Contractor Representative: Phone: Email:

FDEP Contract Manager: Phone: Email:

Task Description:

Deliverables:

Performance Measures:

Financial Consequences:

GC910 1 06/26/2017 Roger Ruiz

GC910-1

Florida Department of Health in Escambia County

Greg Berrian 850-595-6700 gregory.berrian@flhealth.gov

Roger Ruiz 850-245-8854 roger.ruiz@dep.state.fl.us

Conduct routine compliance inspections at the facilities identified in Exhibit #1 (provided electronically).

Perform inspections for all reported complaints, discharges, installations and closures involving storage tank systems within the county or counties on Page 1.

Submit Contractual Services Invoice with verified Payment Calculation Sheet, along with FIRST Report (Compliance and Activity by Date Range) and Tracking Form (Monthly percentage of Routine Inspections Completed) Compensation will only occur for routine annual compliance inspections conducted at the facilities explicitly identified Exhibit 1 and variable inspections identified in supporting documentation.

The CONTRACTOR shall complete the following percentage of the required routine compliance inspections unless otherwise indicated in the Task Assignment:

(1) After four (4) months, thirty-three percent (33%) of inspections shall be completed.

(2) After eight (8) months, sixty-six (66%) of inspections shall be completed.

(3) After (12) months, one hundred percent (100%) of inspections shall be completed.

No payment will be made for deliverables deemed unsatisfactory by the Department. In the event that a deliverable is deemed unsatisfactory by the Department, the Contractor shall re-perform the services needed for submittal of a satisfactory deliverable, at no additional cost to Department, within thirty (30) days of being notified of the unsatisfactory deliverable.

If a satisfactory deliverable is not submitted within the specified time frame, the Department may, in its sole discretion: 1) assess liquidated damages if specified in the Contract or its attachments; 2) request from the Contractor agreement to a reduction in the amount payable; 3) suspend all Work until satisfactory performance is achieved, or 4) terminate the Contract for failure to perform.

DEP Contract No. GC910, Attachment C, Page 4 of 4

TASK ASSIGNMENT FORM

Schedule:

Start Date: Completion Date:

Fixed Price Cost: Cost Reimbursement not to exceed:

Total Task Value:

Signatures and Date:

1._________________________________ __________________________________ __________________ Task Manager, FDEP Signature Date

2._________________________________ __________________________________ __________________ Contract Manager, FDEP Signature Date

3. _________________________________ __________________________________ __________________ Budget Representative, FDEP Signature Date

4. _________________________________ __________________________________ __________________ Contractor, Contract Manager Signature Date

5. _________________________________ __________________________________ __________________ Contract Authority, FDEP Signature Date

Encumbrance Information:

Budget Entity

Project

Grant

Org Code Category & Year

Fund Special Category

Object Code

EO Amount

Total:

07/01/2017 06/30/2018

$381,524.00

Mark Gillman Mark Gillman Digitally signed by Mark Gillman Date: 2017.06.28 14:52:32 -05'00' Adobe Acrobat version: 2017.009.20044

Roger Ruiz Roger Ruiz Digitally signed by Roger Ruiz Date: 2017.06.28 15:56:44 -04'00'

Jennifer Vickers Jennifer Vickers Digitally signed by Jennifer Vickers Date: 2017.06.28 17:32:46 -04'00'

Greg Berrian Gregory Berrian Digitally signed by Gregory Berrian Date: 2017.06.28 10:51:48 -05'00'

John Truitt John Truitt Digitally signed by John Truitt Date: 2017.06.30 10:56:26 -04'00'

37450300 GC910 37450104000 00 212001 100029 132500 JD $381.524.00

NaN

FACILITY_ID NAME ADDRESS1 CITY SC1_STATE_ID ZIP5 DISTRICT COUNTY FACSTAT FACTYPE DEPCONOW LAST_ANNUAL_INSP_DATE MIN_TANK_INSTALL_INSP_DATE FAC_TOTAL_AST FAC_TOTAL_UST

9815339

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9805942

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9812027

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A FL 32502 NWD 17 OPEN C P 12/12/2014 1 0

8626136

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9813080

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A FL 32501 NWD 17 OPEN C P 12/16/2014 3/27/2012 1 0

8731591

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ESCAMBIA

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1201‐A

MIRACLE

STRIP PKY E

FORT

WALTON

BEACH FL 32548 NWD 46 OPEN V P 5/29/2015 2/4/2016 3 0

8630220

CITGO

PETROLEU

M CORP

BAYSHORE

DR NICEVILLE FL 32578 NWD 46 OPEN T P 5/29/2015 6/20/2006 10 0

8630426

OKALOOS

A CNTY

SCHOOL

BD‐BAKER

1369 14TH

STREET BAKER FL 32531 NWD 46 OPEN H P 5/29/2015 1 0

9601735

BAYOU

MECHANI

CAL

120 JOHN

KING RD

CRESTVIE

W FL 32536 NWD 46 OPEN C P 5/31/2015 1 0

9803772

FARM &

GARDEN

WORLD

LLC

7488 HWY

85 N

LAUREL

HILL FL 32567 NWD 46 OPEN C P 5/31/2015 1 0

9102203

EXXONM

OBILE

CHEM CO

DIV OF

EXXON

MOBIL

CORP

CHEMSTRA

ND RD

CANTON

MENT FL 32533 NWD 17 OPEN E P 6/1/2015 5 0

8507885

WEST

GATE

AIRPORT

LLC

AILERON

AVE

PENSACOL

A FL 32506 NWD 17 OPEN A P 6/3/2015 4/16/2010 2 0

8943523

WJLQ

RADIO 25 HWY 97

MENT FL 32533 NWD 17 OPEN C P 6/3/2015 1 0

9601445

WYCL FM

RADIO

TRANSMIT

TER SITE

BARRINEA

U PARK

SCHOOL RD MOLINO FL 32577 NWD 17 OPEN C P 6/3/2015 1 0

9501725

DESTIN

CENTRAL

OFF

245 MAIN

ST DESTIN FL 32315 NWD 46 OPEN C P 6/3/2015 1 0

9601451

US AIR

FORCE

EGLIN POL

YARD 762‐

700 RANGE

RD‐96

CEG/CEVC‐

BLDG 762 EGLIN AFB FL 32542 NWD 46 OPEN F P 6/4/2015 6/23/2009 7 0

9812335

EGLIN AFB

7TH

SPECIAL

FORCES

COMPOU

ND B‐

CEG/CEVC

700 RANGE

RD BLDG

592 EGLIN AFB FL 32542 NWD 46 OPEN F P 6/4/2015 1 0

8512327

REGAL AIR

DESTIN

LLC

AIRPORT

RD DESTIN FL 32541 NWD 46 OPEN I P 6/5/2015 4 0

8735683

FL DEPT

OF

CORRECTI

ONS‐

OKALOOS

A CI

LITTLE

SILVER RD

CRESTVIE

W FL 32536 NWD 46 OPEN G P 6/5/2015 6/16/2011 6 0

9810864

EMERALD

COAST

AVIATION

5545 JOHN

GIVENS RD

CRESTVIE

W FL 32539 NWD 46 OPEN C P 6/8/2015 2/17/2009 3 0

9800338

SANDESTI

N BEACH

HOTEL

SANDESTIN

BLVD S DESTIN FL 32541 NWD 66 OPEN C P 6/8/2015 1 0

9805525

SACRED

HEART

HOSPITAL

ON THE

EMERALD

COAST

7800 HWY

98 W DESTIN FL 32550 NWD 66 OPEN C P 6/8/2015 2 0

9805515

HARRIS

MEACHA

M X1027

1311 HWY

97A

WALNUT

HILL FL 32568 NWD 17 OPEN C P 6/9/2015 1 0

9811412

BENNING

ARMY REC

AREA‐

DESTIN

CALHOUN

AVE DESTIN FL 32541 NWD 46 OPEN F P 6/9/2015 5/26/2009 1 0

9601828

FL DEPT

OF

CORRECTI

ONS

SANTA

ROSA

5850 E

MILTON RD MILTON FL 32583 NWD 57 OPEN G P 6/9/2015 12/2/2008 6 0

9808658

REGIONAL

UTIL ‐

SANDESTI

N WWTP

ADMINSTR

ATION DR

MIRAMAR

BEACH FL 32550 NWD 66 OPEN C P 6/9/2015 1 0

8500468

BAILEYS

SERVICE

STATION

CHERRY ST

PANAMA

CITY FL 32401 NWD 3 OPEN A P 6/10/2015 11/30/2009 1 0

9601456

US AIR

FORCE

EGLIN ACC‐

728TH BLDG 1425 EGLIN AFB FL 32542 NWD 46 OPEN F P 6/10/2015 1 0

9805030

EMBASSY

SUITES

DESTIN

570 SCENIC

GULF DR DESTIN FL 32550 NWD 66 OPEN C P 6/10/2015 1 0

8942999

J & N

EQUIPME

NT INC

100 S

MYRICK ST

PENSACOL

A FL 32505 NWD 17 OPEN C P 6/11/2015 1 0

9807923

SEGERS

AERO

CORP

FAIRCHILD

RD

CRESTVIE

W FL 32539 NWD 46 OPEN C P 6/11/2015 6/1/2006 1 0

9803939

LEVEL 3

COMMUN

ICATIONS

LLC

3510 HWY

90 E

CRESTVIE

W FL 32536 NWD 46 OPEN C P 6/12/2015 1 0

8944795

H & T

CONTRAC

TORS LLC

6247 DA

LISA RD MILTON FL 32583 NWD 57 OPEN C P 6/12/2015 3 0

8630147

LA

FLORESTA

PERDIDA

INC

9410 S

PINEVILLE

RD

WALNUT

HILL FL 32568 NWD 17 OPEN C P 6/15/2015 1 0

8942938

ESCAMBIA

GRAIN

CORP

ARTHUR

BROWN RD

WALNUT

HILL FL 32568 NWD 17 OPEN C P 6/15/2015 3 0

9803399

WEST

FRASER

MCDAVID

LUMBER

MILL

CHAMPION

DR MCDAVID FL 32568 NWD 17 OPEN C P 6/16/2015 1 0

9811219

CENTURY

TOWN OF

ALGER RD CENTURY FL 32535 NWD 17 OPEN H P 6/16/2015 2 0

8626780

ESCAMBIA

CNTY

ROAD

DEPT‐

MCDAVID

4901 CAMP

RD MCDAVID FL 32535 NWD 17 OPEN I P 6/17/2015 7/14/2009 1 0

9202537

ESCAMBIA

CNTY‐

CENTURY

FAC

10 TEDDER

RD CENTURY FL 32535 NWD 17 OPEN I P 6/17/2015 2 0

9806905

LOWES

#1782

RASBERRY

RD

CRESTVIE

W FL 32536 NWD 46 OPEN C P 6/19/2015 1 0

9811190

OKALOOS

A CNTY ‐

FT

WALTON

BCH

HEALTH

DEPT

HOSPITAL

DR

FORT

WALTON

BEACH FL 32548 NWD 46 OPEN I P 6/19/2015 1 0

9102574

UP THE

CREEK

COUNTRY

STORE &

DELI

9857 N

HWY 87 MILTON FL 32570 NWD 57 OPEN A P 6/19/2015 1 0

8838439

PITTMANS

CANTON

MENT

BLDG

MATERIAL

HARDWA

RE

990 HWY

29 N

CANTON

MENT FL 32533 NWD 17 OPEN C P 7/22/2015 2 0

9805792

WAL‐

MART

SUPERCEN

TER #1222

PENSACOL

A BLVD

PENSACOL

A FL 32534 NWD 17 OPEN J P 7/23/2015 1 0

9809814

TEX

EDWARDS

CO INC

COPTER RD

PENSACOL

A FL 32514 NWD 17 OPEN C P 7/23/2015 12/18/2007 2 0

9805794

WAL‐

MART

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TER #1224

CREIGHTO

N RD

PENSACOL

A FL 32504 NWD 17 OPEN J P 7/24/2015 1 0

9805811

WAL‐

MART

SUPERCEN

TER #3484

2951 S

BLUE

ANGEL

PKWY

PENSACOL

A FL 32506 NWD 17 OPEN J P 7/24/2015 1 0

8520480

MEXICO

BEACH

CITY‐CITY

YARD

PO BOX

13425

MEXICO

BEACH FL 32410 NWD 3 OPEN H P 7/29/2015 2 0

8945017

PIRATES

COVE

MARINA

THOMAS

DR

PANAMA

CITY

BEACH FL 32408 NWD 3 OPEN V P 7/29/2015 11/30/2009 1 0

8629906

HOME

DEPOT

#6853

5309 N

DAVIS HWY

PENSACOL

A FL 32505 NWD 17 OPEN C P 7/30/2015 4/19/2007 1 0

8838663

SCENIC

HILLS

COUNTRY

CLUB

BURNING

TREE RD

PENSACOL

A FL 32514 NWD 17 OPEN C P 7/30/2015 2 0

9802590

LOWES

#438

AIRPORT

BLVD

PENSACOL

A FL 32504 NWD 17 OPEN C P 7/30/2015 1 0

9805299

LOWES

#1142

4301 W

FAIRFIELD

DR (SW

PENSACOL

A)

PENSACOL

A FL 32505 NWD 17 OPEN C P 7/30/2015 1 0

9808499

HOME

DEPOT

#6932

MOBILE

HWY

PENSACOL

A FL 32506 NWD 17 OPEN C P 7/30/2015 12/22/2006 1 0

9809789

LOWES OF

ENSLEY FL

777 WEST

NILE MILE

RD

PENSACOL

A FL 32534 NWD 17 OPEN C P 7/30/2015 1 0

9811218

KOTLARZ

ENT &

PLASTIC

FACIAL

SURGERY

6100 N

DAVIS HWY

PENSACOL

A FL 32504 NWD 17 OPEN C P 8/3/2015 4/6/2009 1 0

9801867

LYNN

HAVEN

CITY‐AWT

PLANT

1010 W

6TH ST

LYNN

HAVEN FL 32444 NWD 3 OPEN H P 8/3/2015 1 0

8508028

MEREDIT

H LUMBER

CO

8701 N

PALAFOX

ST

PENSACOL

A FL 32534 NWD 17 OPEN C P 8/4/2015 1 0

8518658

PANAMA

CITY

BEACH

CITY‐S

ARNOLD

SITE

110 S

ARNOLD

RD

PANAMA

CITY

BEACH FL 32413 NWD 3 OPEN H P 8/4/2015 6/10/2016 1 0

8945210

PENSACOL

A CITY ‐

OSCEOLA

GOLF

COURSE

TONAWAN

DA DR

PENSACOL

A FL 32506 NWD 17…

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