CTR059432_Amendment_6_Personnel.pdf

Form approved by CPO, Rev. 12-18-2018

CONTRACT

AMENDMENT

CONTRACT NO.: CTR059432

AMENDMENT NO.: 6

TITLE: Environmental Training, Curriculum Materials and Instruction

CONTRACTOR: P G Environmental LLC

ADEQ PROCUREMENT

1110 W. Washington Street

Phoenix, AZ 85007

602-771- 4776

THE PURPOSE OF THIS AMENDMENT IS TO:

1. Additional Key Personnel have been approved for use under this contract:

a. Kate Forsmark - PL 3

b. Tiffany Brackett - PL 3

c. James Ashby - PL 4

2. All other Terms and Conditions remain unchanged.

THE ABOVE REFERENCED AMENDMENT IS A

UNILATERAL ACKNOWLEDGEMENT OF

CONTRACTOR’S APPROVED CHANGED

REQUEST.

ARIZONA DEPARTMENT OF ENVIRONMENTAL QUALITY

The above referenced Amendment is hereby executed this 30th day of May, 2023 at Phoenix, Arizona.

Patricia Lorenzen

Procurement Officer

Available online at Arizona Procurement Portal (APP) eProcurement System https://app.az.gov https://app.az.gov/

14555 Avion Parkway Suite 125 Chantilly, VA 20151 Phone: 703-707-8258 Fax: 703-707-8259 www.pgenv.com

1113 Washington Ave. Suite 200 Golden, CO 80401 Phone: 303-279-1778 Fax: 303-279-1793 www.pgenv.com

Request for Addition of Personnel

May 26, 2023 Patricia Lorenzen Sr. Procurement Specialist ADEQ Procurement Unit 11110 W. Washington St.

Phoenix, AZ 85007

Ms. Lorenzen, PG Environmental respectfully requests the addition of the following technical personnel to Contract No. CTR056432:

Kate Forsmark - Environmental Scientist PL3 James Ashby – Environmental Scientist PL4 Tiffany Brackett – Environmental Scientist PL3

These PG personnel will be supporting the listed key personnel on the Sampling Training Development. The additional personnel requested are anticipated to support this contract and key personnel on future tasks. For your convenience, resumes are provided as attachments in the email.

If there is any additional information you may need to add these staff members please reach out to Taylor Mears, Taylor.Mears@pgenv.com, or to me at Martha.Williams@pgenv.com.

Regards, Martha K. Williams, Contracts Manager PG Environmental cc: Ana Machiche, AZDEQ Taylor Mears, PG Contracts Representative mailto:Taylor.Mears@pgenv.com mailto:Martha.Williams@pgenv.com

PART 3 of the Solicitation Documents

Template version 7.0 (28-JAN-2020)

SECTION 3-B: Offer Forms

Page 1 of 1 3 A v a i l a b l e o n l i n e a t : A P P . A Z . g o v

1 Name: Kate Forsmark How long with company? 2 years

Current position in company:

Environmental Scientist How long in position? 8 years

Contract “Area of Expertise” Number and

Name

Trainer

Position for the Services: Trainer, facilitator, and developer How much of time will be dedicated to the Services?

50 %

What primary functions will be assigned?

Supporting the planning process, developing the curriculum, conducting the training, knowledge assessment quizzes and feedback surveys

Describe person’s experience in performing services like those that are to be assigned:

Experienced water quality sampler who has expertise in numerous sampling methods for media such as groundwater, surface water, soil, air, and asbestos.

List person’s job-related training, license, certification and education, or other professional designations:

B.A – Environmental Science

M.S – Environmental Policy and Management (focus on Energy and

Sustainability)

NPDES CWA Inspector https://procure.az.gov/bso/

SECTION 3-B: Offer Forms

1 Name: Tiffany Brackett How long with company? 9 years in company:

Environmental Scientist How long in position? 16 years

Contract “Area of Expertise” Number and

Name

Trainer

Position for the Services: Developer, Trainer, and Facilitator How much of time will be dedicated to the Services?

50 %

What primary functions will be assigned?

Provide support for training curriculum development, develop training activities, and administer training, quizzes and feedback surveys.

Describe person’s experience in performing services like those that are to be assigned:

Environmental Scientist with nine years of stormwater related work experience that includes MS4; permit development, compliance assistance, training, and research. Ms. Brackett has direct experience working with ADEQ and has completed over 25 MS4 Audits in Arizona. Her training experience includes the development of handbooks, training materials, and presentations. Additional relevant experience includes working as an analytical chemist with responsibilities focused on water quality.

List person’s job-related training, license, certification and education, or other professional designations:

B.S. Environmental Conservation, Environmental Affairs

M.S. Natural Resource Administration and Management

U.S. EPA Clean Water Act Credentialed Inspector

OSHA – 10 Certification

SECTION 3-B: Offer Forms

1 Name: James Ashby How long with company? 15 years in company:

Environmental

Scientist/GIS/Computer Specialist How long in position? 24 years

Contract “Area of Expertise” Number and

Name

Training

Position for the Services: IT support for video and editing How much of time will be dedicated to the Services?

10%

What primary functions will be assigned?

Mr. Ashby will provide technical assistance with filming and editing the mocked up stormwater sampling videos. He may also provide light editing to the training presentation recording.

Describe person’s experience in performing services like those that are to be assigned:

Mr. Ashby is PG’s information technology specialist with experience recording environmental training videos. Additionally, he has project qualifications in remote geospatial and in-the-field wetlands assessment and restoration, drinking, storm water, and wastewater inspection, field sampling, and laboratory analyses.

He is a proficient presenter and instructor, having led classes and field courses in geology, a variety of other geospatial and environmental science technical topics, and has trained new compliance inspectors on field inspections.

List person’s job-related training, license, certification and education, or other professional designations:

M.S., Geology, Structural and Geophysics, University of New Mexico, 2005

B.S., Geology and Archaeology (Double Major), University of New Mexico, 1999