CN-370000-GC928-T1.pdf

DEP Contract No. GC928, Attachment C, Page 1 of 4

Attachment C

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

Contract No. GC928 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. GC928:

Conduct routine compliance inspections at the 147 facilities storage tank systems within Citrus and Hernando Counties, identified in Exhibit #1, by May 31, 2018.

Perform all re-inspections per Guidance Document A to confirm compliance within Citrus and Hernando 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.

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. GC928, 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. GC928, 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:

GC928 1 06/26/2017 Roger Ruiz

GC928-1

Citrus County Health Department

Glenn W. Bryant (352) 527-5307 Glenn.Bryant@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. GC928, 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

$95,286.58

Laurel Culbreth Danielle D. Henry Digitally signed by Danielle D. Henry DN: cn=Danielle D. Henry, o=Florida Department of Environmental Protection, ou=Southwest Florida Air Program, email=Danielle.D.Henry@dep.state.fl.us, c=US Date: 2017.06.29 11:31:29 -04'00'

06/29/2017

Roger Ruiz Roger Ruiz Digitally signed by Roger Ruiz Date: 2017.06.29 11:39:00 -04'00' 06/29/2017

Jennifer Vickers Jennifer Vickers Digitally signed by Jennifer Vickers Date: 2017.06.29 14:17:53 -04'00'

Glenn W. Bryant

Digitally signed by Glenn W Bryant DN: CN=Glenn W Bryant, C=US, OU=FL DOH EPH, E=glenn.bryant@flhealth.gov Reason: I agree to the terms defined by the placement of my signature in this document Location:

Date: 2017-06-29 10:48:54

Glenn W Bryant 06/29/2017

Fletcher Herrald Fletch Herrald Digitally signed by Fletch Herrald Date: 2017.06.29 14:51:56 -04'00'

37450300 GC928 37450104000 00 212001 100029 132500 JD $95,286.58

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