CN-370000-GC928-A3.pdf
PDF 246 KB Posted
- Contract number
- GC928
- Issued by
- Florida
About this file
This document is Amendment No. 3 to Contract No. GC928, executed between the Florida Department of Environmental Protection (Department) and the Florida Department of Health, Citrus County Health Department, located at 3600 West Sovereign Path, Suite 195, Lecanto, Florida 34461 (Contractor). The amendment was signed on September 4, 2025, by the Contractor and September 5, 2025, by the Department. The original contract became effective July 1, 2017, and was previously amended on April 25, 2018, and March 19, 2019.
The amendment increases the maximum compensation amount of the Contract from $1,268,164.00 to $1,447,717.79, representing an increase of $179,553.79 to allow for additional services. The Contractor is responsible for performing compliance inspections within the jurisdictional and geographical boundaries of specified counties. Amendment No. 3 replaces Attachment E (Contractor Affidavit/Release of Claims Form) with Attachment E-1 (Revised Contractor Certification Release of Claims Form) and replaces Attachment F (Public Records Requirements) with Attachment F-1 (Revised Public Records Requirements). All other terms and conditions of the original Contract remain in effect, with the provisions of this Amendment controlling in the event of any inconsistencies.
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Text version
Contract No. GC928 Amendment No. 3
Rev. 6/18/2024
AMENDMENT NO. 3
TO CONTRACT NO. GC928
BETWEEN
FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION
AND
FLORIDA DEPARTMENT OF HEALTH, CITRUS COUNTY HEALTH DEPARTMENT
This Amendment to Contract No. GC928, as previously amended, (Contract) is made by and between the Florida Department of Environmental Protection (Department), an agency of the State of Florida, and, Florida Department of Health, Citrus County Health Department, 3600 West Sovereign Path, Suite 195, Lecanto, Florida, 34461 (Contractor), on the date last signed below.
WHEREAS, the Department entered into the Contract with the Contractor to perform compliance inspections within the jurisdictional (geographical) boundaries of the specified counties, effective July 1, 2017; and
WHEREAS, the Contract was subsequently amended on or about April 25, 2018, and again amended on or about March 19, 2019; and
WHEREAS, the parties wish to amend the Contract as set forth herein.
NOW THEREFORE, the parties agree as follows:
1. Paragraph 5 A. Compensation is hereby revised to increase the maximum compensation amount of the Contract from $1,268,164.00 to $1,447,717.79, an increase of $179,553.79, to allow for additional services.
2. Attachment E, Contractor Affidavit/Release of Claims Form is hereby deleted in its entirety and replaced with Attachment E-1 Revised Contractor Certification Release of Claims Form, as attached to this Amendment and hereby incorporated into the Agreement. All references to Attachment E shall hereinafter refer to Attachment E-1 Revised Contractor Certification Release of Claims Form.
3. Attachment F, Public Records Requirements, is hereby deleted in its entirety and replaced with Attachment F-1, Revised Public Records Requirements, as attached to this Amendment and hereby incorporated into the Agreement.
All references to Attachment F shall hereinafter refer to Attachment F-1, Revised Public Records Requirements.
4. All other terms and conditions of the Contract remain in effect. If and to the extent that any inconsistency may appear between the Contract and this Amendment, the provisions of this Amendment shall control.
The parties agree to the terms and conditions of this Amendment and have duly authorized their respective representatives to sign it on the dates indicated below.
Florida Department of Health, Citrus County Health Department
Florida Department of Environmental Protection
By: ______________________________ Title:
By: __________________________ Secretary or Designee
Date: ____________________________ Date: _________________________
List of attachments/exhibits included as part of this Contract:
9/4/25 9/5/25
Gayle Guidash Digitally signed by Gayle Guidash Date: 2025.09.04 10:11:36 -04'00'
Digitally signed by Mara Gambineri Date: 2025.09.05 15:18:18 -04'00'
Administrator
Contract No. GC928 Amendment No. 3
Rev. 6/18/2024
Specify Type / Letter Description
Attachment E-1 Revised Contractor Certification Release of Claims Form Attachment F-1 Revised Public Records Requirements
- REMAINDER OF PAGE INTENTIONALLY LEFT BLANK -
ATTACHMENT E-1
Rev. 4/15/2024
STATE OF FLORIDA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
Revised Contractor Certification / Release of Claims Form
This certification must be completed and signed by the Contractor when requesting final payment for a Florida Department of Environmental Protection (Department) authorized Task Assignment. Final payment for a Task Assignment will not be released until this form is accepted by the Department.
The undersigned certifies as follows:
1. I, am the of (name of person appearing) (title of person appearing) with the authority to (name of Contractor) make this statement on its behalf;
2. (”the Contractor”) entered into an (name of company or person)
Agreement with the Department to perform certain work under Task Assignment No. .
3. Contractor has completed the work in accordance with the aforementioned Task Assignment, including all attachments thereto.
4. All subcontractors have been paid in full.
5. Upon receipt by Contractor from Department of final payment under the aforementioned Task Assignment, Contractor releases Department from any and all claims of Contractor and any of its subcontractors and vendors that may arise under, or by virtue of, the Task Assignment, except those claims that may be specifically exempt and set forth under the terms of this Contract. Exemptions claimed must be attached to this affidavit and reference the Task Assignment number. Any exemptions not attached are waived.
(Signature of Authorized Contractor Representative)
Rev. 4/8/2024
STATE OF FLORIDA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
Public Records Requirements
1. Public Records Access Requirements.
a. If the Contract exceeds $35,000.00, and if the Contractor is acting on behalf of the Department in its performance of services under the Contract, the Contractor must allow public access to all documents, papers, letters, or other material, regardless of the physical form, characteristics, or means of transmission, made or received by the Contractor in conjunction with the Contract (Public Records), unless the Public Records are exempt from section 24(a) of Article I of the Florida Constitution and section 119.07(1), F.S.
b. The Department may unilaterally terminate the Contract if the Contractor refuses to allow public access to Public Records as required by law.
2. Additional Public Records Duties of Section 119.0701, F.S., If Applicable.
If the Contractor is a “contractor” as defined in section 119.0701(1)(a), F.S., the Contractor shall:
a. Keep and maintain Public Records required by the Department to perform the service.
b. Upon request, provide the Department with a copy of requested Public Records or allow the Public Records to be inspected or copied within a reasonable time at a cost that does not exceed the cost provided in Chapter 119, F.S., or as otherwise provided by law.
c. A Contractor who fails to provide the Public Records to the Department within a reasonable time may be subject to penalties under section 119.10, F.S.
d. Ensure that Public Records that are exempt or confidential and exempt from Public Records disclosure requirements are not disclosed except as authorized by law for the duration of the Contract term and following completion of the Contract if the Contractor does not transfer the Public Records to the Department.
e. Upon completion of the Contract, transfer, at no cost, to the Department all Public Records in possession of the Contractor or keep and maintain Public Records required by the Department to perform the service. If the Contractor transfers all Public Records to the Department upon completion of the Contract, the Contractor shall destroy any duplicate Public Records that are exempt or confidential and exempt from Public Records disclosure requirements. If the Contractor keeps and maintains Public Records upon completion of the Contract, the Contractor shall meet all applicable requirements for retaining Public Records. All Public Records stored electronically must be provided to the Department, upon request from the Department’s custodian of Public Records, in a format specified by the Department as compatible with the information technology systems of the Department.
These formatting requirements are satisfied by using the data formats as authorized in the Contract or Microsoft Word, Outlook, Adobe, or Excel, and any software formats the Contractor is authorized to access.
f. IF THE CONTRACTOR HAS QUESTIONS REGARDING THE APPLICATION OF
CHAPTER 119, F.S., TO THE CONTRACTOR’S DUTY TO PROVIDE PUBLIC
RECORDS RELATING TO THE CONTRACT, CONTACT THE DEPARTMENT’S
CUSTODIAN OF PUBLIC RECORDS AT:
Telephone: (850) 245-2118 Email: Public.Services@FloridaDEP.gov Mailing Address: Department of Environmental Protection
ATTN: Office of Ombudsman and Public Services Public Records Request 3900 Commonwealth Boulevard, MS 49 Tallahassee, Florida 32399
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