DEP Contract No. GC910, Attachment C Page 1 of 4

Attachment C

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

Contract No. GC910 Task No. 3 Amendment No. Date: June 24, 2019 Performance Period: Effective the date of execution of this Task Assignment or July 1, 2019, whichever is later, and shall remain in effect until June 30, 2020.

Description:

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

- Conduct routine compliance inspections for storage tank systems at the 598 facilities within Escambia, Santa Rosa, Okaloosa, Walton, Bay, Washington and Holmes Counties, identified in Exhibit #1, by May 31, 2020.

- Conduct additional inspection noted as Complaint Inspection on the Routine Compliance task list to clarify/verify registration at the facilities identified.

- Comply with the Revised Invoice Procedure (Page 2).

- Utilize the new Contractual Services Invoice Form for all monthly invoices (Guidance Document E) available on line at: https://floridadep.gov/waste/permitting-compliance-assistance/documents/e-contractual-services-invoice.

- Inspection staff to attend annual meeting Spring 2020.

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

https://floridadep.gov/waste/permitting-compliance-assistance/documents/f-level-effort-guidance

Contractors are to follow Scope of Work (Attachment A) and appropriate Guidance Documents attached to this Task Assignment via the following links:

Guidance Document A – Storage Tank System Program Violation List https://floridadep.gov/waste/permitting-compliance-assistance/documents/guidance-document-storage-tanks- program-violations

Guidance Document B – Florida Inspections Reporting for Storage Tanks (FIRST) User Requirements https://depedms.dep.state.fl.us/Oculus/servlet/shell?command=getEntity&[guid=11.3384454.1]&[profile=DW M

Guidance Document C1 – Instructions for Conducting Sampling During Aboveground Storage Tank Closure https://www.flrules.org/Gateway/reference.asp?No=Ref-07699

Guidance Document C2 – Instructions for Conducting Sampling During Underground Storage Tank Closure https://www.flrules.org/Gateway/reference.asp?No=Ref-07662

Guidance Document D1 – Compliance Verification Program Local Review Form https://floridadep.gov/sites/default/files/D1-Compliance%20Verification%20Program%20Review_30Jan17.docx

Guidance Document D2 – Contractual Review Form https://floridadep.gov/sites/default/files/D1- Compliance%20Verification%20Program%20Review_30Jan17.docx https://floridadep.gov/waste/permitting-compliance-assistance/documents/e-contractual-services-invoice https://floridadep.gov/waste/permitting-compliance-assistance/documents/e-contractual-services-invoice https://floridadep.gov/waste/permitting-compliance-assistance/documents/f-level-effort-guidance https://floridadep.gov/waste/permitting-compliance-assistance/documents/guidance-document-storage-tanks-program-violations https://floridadep.gov/waste/permitting-compliance-assistance/documents/guidance-document-storage-tanks-program-violations https://floridadep.gov/waste/permitting-compliance-assistance/documents/guidance-document-storage-tanks-program-violations https://depedms.dep.state.fl.us/Oculus/servlet/shell?command=getEntity&%5bguid=11.3384454.1%5d&%5bprofile=DWM https://depedms.dep.state.fl.us/Oculus/servlet/shell?command=getEntity&%5bguid=11.3384454.1%5d&%5bprofile=DWM https://www.flrules.org/Gateway/reference.asp?No=Ref-07699 https://www.flrules.org/Gateway/reference.asp?No=Ref-07662 https://floridadep.gov/sites/default/files/D1-Compliance%20Verification%20Program%20Review_30Jan17.docx https://floridadep.gov/sites/default/files/D1-Compliance%20Verification%20Program%20Review_30Jan17.docx https://floridadep.gov/sites/default/files/D1-Compliance%20Verification%20Program%20Review_30Jan17.docx

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

Guidance Document E – Contractual Services Invoice https://floridadep.gov/waste/permitting-compliance-assistance/documents/e-contractual-services-invoice

Guidance Document F – Level of Effort Guidance https://floridadep.gov/waste/permitting-compliance-assistance/documents/f-level-effort-guidance

Guidance Document G – Guidelines for Case Referrals https://floridadep.gov/sites/default/files/G-Guidance-Case-Referrals_30Jan17.docx

Guidance Document H – Contractual Service Payment Calculation https://floridadep.gov/waste/permitting-compliance-assistance/documents/h-contractual-service-payment-calculation

Guidance Document I – DEP Directive 923 Settlement Guidelines for Civil and Administrative Penalties https://floridadep.gov/sites/default/files/I-DEP-Directive-923_30Jan17.pdf

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

Contractor is to conduct routine inspection at facilities 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@FloridaDEP.gov 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’ (Guidance Document E) noting the quantity and location of inspections.

Invoice Procedure

Review of Inspections: The Payment Calculation Sheet shall be submitted by the Contractor to the Department at STR_Invoices@FloridaDEP.gov. The Department 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 Department 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 Department shall report via email to 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 Department will be directly submitted by the Contractor to the Department’s Contract Manager in accordance with the Payment Schedule.

Submission of invoice shall be via email to: STR_Invoices@FloridaDEP.gov. The email shall consist of a single PDF package. The order of documents in the complete PDF package shall be as follow:

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) https://floridadep.gov/waste/permitting-compliance-assistance/documents/e-contractual-services-invoice https://floridadep.gov/waste/permitting-compliance-assistance/documents/f-level-effort-guidance https://floridadep.gov/sites/default/files/G-Guidance-Case-Referrals_30Jan17.docx https://floridadep.gov/waste/permitting-compliance-assistance/documents/h-contractual-service-payment-calculation https://floridadep.gov/waste/permitting-compliance-assistance/documents/h-contractual-service-payment-calculation https://floridadep.gov/sites/default/files/I-DEP-Directive-923_30Jan17.pdf mailto:STR_Invoices@dep.state.fl.us mailto:STR_Invoices@FloridaDEP.gov mailto:STR_Invoices@FloridaDEP.gov

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

Required Signatures:

FDEP Contract No:

GC910

Task Assignment No:

Date: DEP Task Manager:

Roger Ruiz

Project: GC910-3

Contractor Name: Florida Department of Health in Escambia County Contractor Representative:

Gregory Berrian

Phone:

(850) 595-6700

Email:

gregory.berrian@flhealth.gov

FDEP Contract Manager:

Roger Ruiz

Phone:

850-245-8854

Email:

roger.ruiz@floridadep.gov

Task Description:

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 of this Task Assignment. Conduct additional inspections noted as Complaint Inspections on the Routine Compliance task list to clarify/verify registration information at the facilities identified.

Attend 2019 - 2020 training meeting.

Deliverables:

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.

Submit travel reimbursement forms, supporting receipts, and agenda for 2019-2020 training.

Performance Measures:

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.

Financial Consequences: 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.

Florida Department of Environmental Protection

TASK ASSIGNMENT FORM

mailto:roger.ruiz@floridadep.gov

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

Start Date: 07/01/2019 Completion Date: 06/30/2020

Total Task Value: $ 439,769

Signatures and Date:

Roger Ruiz Contract Manager, FDEP Signature Date

Griffin Kolchakian Budget Representative, FDEP Signature Date

Gregory Berrian Contractor, Contract Manager Signature Date

Teresa Booeshaghi Contract Authority, FDEP Signature Date

Encumbrance Information:

Budget Entity

Project

Grant

Org Code Category & Year

Fund Special Category

Object Code

EO Amount

37450300 GC910 37450104000 00 212001 100029 132500 JD $439,769

Total: $439,769

Florida Department of Environmental Protection

TASK ASSIGNMENT FORM

06/24/2019

Roger Ruiz Digitally signed by Roger Ruiz Date: 2019.06.25 12:03:23 -04'00'

Fletcher Herrald Digitally signed by Fletcher Herrald Date: 2019.06.26 10:46:21 -04'00'

Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2019.06.27 16:04:39 -04'00'