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2016-65 DEP AGREEMENT NO.NF014
STATE OF FLORIDA
GRANT AGREEMENT
PURSUANT TO
ENVIRONMENTAL PROTECTION AGENCY GRANT AWARD(S)
THIS AGREEMENT is entered into between the STATE OF FLORIDA DEPARTMENT OF
ENVIRONMENTAL PROTECTION, whose address is 3900 Commonwealth Boulevard, Tallahassee, Florida
32399-3000 (hereinafter referred to as the"Department")and the CITY OF CLERMONT whose address is 685 W.
Montrose Street, Clermont, Florida 34711, (hereinafter referred to as "Grantee"), a local government, to provide
financial assistance for Clermont West Lake Wetlands Project.
WHEREAS, the Department is the recipient of federal financial assistance from the U.S. Environmental
Protection Agency(EPA);and,
WHEREAS, the Department was awarded funding by the EPA pursuant to Grant Agreement No. C9-
99451515-0
9-
99451515-0 also known as"31915"or"319(h)";and,
WHEREAS, the Grantee has been determined to be a subrecipient of federal financial assistance from the
EPA;and,
WHEREAS, the Grantee is responsible for complying with the appropriate federal guidelines in
performance of its activities pursuant to this Agreement.
NOW, THEREFORE, in consideration of the promises and the mutual benefits to be derived herefrom,the
Department and the Grantee do hereby agree as follows:
1. The Grantee does hereby agree to perform in accordance with the terms and conditions set forth in this
Agreement, Attachment A, Grant Work Plan, and all attachments and exhibits named herein which are
attached hereto and incorporated by reference.
2. This Agreement shall begin upon execution by both parties and remain in effect until 9/30/19, inclusive.
The Grantee shall be eligible for reimbursement for work performed on or after the date of execution
through the expiration date of this Agreement. The Grantee may claim allowable project expenditures made
on or after October 1, 2014 for purposes of meeting its match requirement as identified in paragraph 3.
This Agreement may be amended to provide for additional services if additional funding is made available
by EPA and/or the Legislature.
3. A. As consideration for the satisfactory completion of services rendered by the Grantee under the
terms of this Agreement,the Department shall pay the Grantee on a cost reimbursement basis up to
a maximum of$412,060 towards the total estimated project cost of$915,688. The parties hereto
understand and agree that this Agreement requires at least a 55%match on the part of the Grantee.
Therefore, the Grantee is responsible for providing $503,628 through cash or third party in-kind,
towards the work funded under this Agreement. All match shall meet the federal requirements
established in 40 CFR Part 30, 40 CFR Part 31 and OMB Circulars A-87(2 CFR 225),A-122(2
CFR 230) and A-21 (2 CFR 220), as applicable. It is understood that any additional funds
necessary for the completion of this project are the responsibility of the Grantee.The Grantee will
report those expenditures to the Department in the Final Report as required under Task 5 in
Attachment A.
B. Prior written approval from the Department's Grant Manager shall be required for changes within
approved deliverable budget categories. Changes less than 10%of the total approved deliverable
budget will require a formal change order to the Agreement. Changes greater than 10%of the total
DEP Agreement No.NF014,Page 1 of 15
approved deliverable budget and/or changes that transfer funds from one deliverable to another or
that increase or decrease the total funding amount will require a formal amendment to the
Agreement.
C. The Grantee shall be reimbursed on a cost reimbursement basis for all eligible project costs, upon
the completion, submittal and approval of the deliverables identified in Attachment A.
Reimbursement shall be requested, utilizing Attachment B, Payment Request Summary Form,
in accordance with the schedule in Attachment A. Each payment request must be accompanied by
Attachment C, MBE/WBE Procurement Reporting Form. Failure to provide Attachment C
shall result in a delay in processing the payment until such time as the appropriate information is
provided to the Department. To be eligible for reimbursement, costs must be in compliance with
laws,rules and regulations applicable to expenditures of State funds, including,but not limited to,
the Reference Guide for State Expenditures. All bills for amounts due under this Agreement shall
be submitted in detail sufficient for a proper pre-audit and post-audit thereof. A final payment
request should be submitted to the Department no later than sixty (60) days following the
completion date of the Agreement,to assure the availability of funds for payment. Each payment
request submitted shall document all matching funds and/or match efforts (i.e. in-kind services)
provided during the period covered by each request. The final payment request shall not be
processed until the match requirement has been met.
D. The State Chief Financial Officer requires detailed supporting documentation of all costs under a
cost reimbursement agreement. In accordance with the Attachment D, Contract Payment
Requirements, the Grantee shall comply with the minimum requirements set forth therein. The
Payment Request Summary Form shall be accompanied by supporting documentation and other
requirements as follows:
i. Contractual (Subcontractors) - Reimbursement requests for payments to subcontractors
must be substantiated by copies of invoices with backup documentation identical to that
required from the Grantee. Subcontracts which involve payments for direct salaries shall
clearly identify the personnel involved, salary rate per hour, and hours/time spent on the
project. All multipliers used (i.e. fringe benefits, overhead, and/or general and
administrative rates) shall be supported by audit. If the Department determines that
multipliers charged by any subcontractor exceeded the rates supported by audit, the
Grantee shall be required to reimburse such funds to the Department within thirty (30)
days of written notification. Interest on the excessive charges shall be calculated based on
the prevailing rate used by the State Board of Administration. For fixed price (vendor)
subcontracts,the following provisions shall apply:
a. The Grantee may award, on a competitive basis, fixed price subcontracts to
consultants/contractors in performing the work described in Attachment A.
Invoices submitted to the Department for fixed price subcontracted activities
shall be supported with a copy of the subcontractor's invoice and a copy of the
tabulation form for the competitive procurement process (Invitation to Bid or
Request for Proposals)resulting in the fixed price subcontract.
b. The Grantee may request approval from the Department to award a fixed price
subcontract resulting from procurement methods other than those identified in
the paragraph above. In this instance, the Grantee shall request the advance
written approval from the Department's Grant Manager of the fixed price
negotiated by the Grantee. The letter of request shall be supported by a detailed
budget and Scope of Services to be performed by the subcontractor. Upon
receipt of the Department Grant Manager's approval of the fixed price amount,
the Grantee may proceed in finalizing the fixed price subcontract.
DEP Agreement No.NF014,Page 2 of 15
subrecipient's, accounting system cannot comply with this requirement, the Grantee, or
subrecipient, shall establish a system to provide adequate fund accountability for each
project it has been awarded.
ii. If the Department finds that these funds have been commingled, the Department shall
have the right to demand a refund,either in whole or in part,of the funds provided to the
Grantee under this Agreement for non-compliance with the material terms of this
Agreement. The Grantee, upon such written notification from the Department shall
refund,and shall forthwith pay to the Department,the amount of money demanded by the
Department. Interest on any refund shall be calculated based on the prevailing rate used
by the State Board of Administration. Interest shall be calculated from the date(s) the
original payment(s) are received from the Department by the Grantee to the date
repayment is made by the Grantee to the Department.
iii. In the event that the Grantee recovers costs, incurred under this Agreement and
reimbursed by the Department, from another source(s), the Grantee shall reimburse the
Department for all recovered funds originally provided under this Agreement: Interest on
any refund shall be calculated based on the prevailing rate used by the State Board of
Administration. Interest shall be calculated from the date(s)the payment(s)are recovered
by the Grantee to the date repayment is made to the Department by the Grantee.
1. The federal funds awarded under this Agreement must comply with The Federal Funding
Accountability and Transparency Act(FFATA)of 2006:.The intent of the FFATA is to empower
every American with the ability to hold the government accountable for each spending decision.
The end result is to reduce wasteful spending in the government. The FFATA•legislation requires
that information on federal awards (federal financial assistance and expenditures) be made
available to the public via a single, searchable website, which is www:USASpending.gov. Grant
Recipients awarded a new Federal grant greater than or equal to $25,000 awarded on or after
October 1, 2010 are subject to the FFATA. The Grantee agrees to provide the information
necessary,over the life of this Agreement,for the Department to comply with this requirement.
J. The table below identifies the funding supporting this Agreement and EPA Grants providing the
funds.
EPA Grant Number CFDA Program Title Funding
Amount
C9-99451515-0 66.460 . Nonpoint' Source Implementation' $412,060
Grants "
Total Funding:. $412,060
4. The State of Florida's performance and obligation to pay under this Agreement is contingent upon an annual
appropriation by the Legislature. The parties hereto understand that this Agreement is not a commitment of
future appropriations. . .
5. A. Progress Reports shall be submitted to the Department's Grant Manager no later than twenty(20)
days following the completion of the quarterly reporting period. Each Progress Report shall be
submitted on Attachment E, Progress Report Form, and shall describe the work performed
during the reporting period, problems encountered, problem resolution, schedule updates and
proposed work for the next reporting period: The Final Project Report shall be submitted no later
than the completion date of the Agreement. The Department's Grant Manager shall have thirty
(30)calendar days to review the required reports and deliverables submitted by the Grantee. Final
payment, up to ten (10) percent of the total Agreement amount identified in paragraph 3.A., may
DEP Agreement No.NF014,Page 4 of 15
be withheld until all work is completed, all deliverables have been submitted, match requirements
have been met and the Final Project Report has been received and approved.
B. A draft comprehensive final report must be submitted electronically in Microsoft Word format in
accordance with the schedule outlined in Attachment A. The Department will review the draft
final report and provide comments for inclusion in the final report within thirty (30) days. One
electronic copy in Adobe.pdf format or Microsoft Word format, of a comprehensive final report
must be submitted in accordance with the schedule and submission requirements outlined in
Attachment A. The Grantee's final report shall include an accounting of all project expenses, a
report of all matching funds contributed on behalf of the Grantee, and a statement acknowledging
that the project has been supported by a grant from the U.S. Environmental Protection Agency.
The following language shall be included on the cover page of the final project report:
"This project and the preparation of this report was funded in part by a Section 319
Nonpoint Source Management Program Implementation grant from the U.S.
Environmental Protection Agency through an agreement/contract with the Nonpoint
Source Management Section of the Florida Department of Environmental Protection. The
total cost of the project was$915,688,of which$412,060 or 45 percent was provided by
the U.S.Environmental Protection Agency."
Additionally, all other final deliverables required by this Agreement(such as booklets,pamphlets,
videos, scientific papers, etc.) which were funded in whole or in part by federal sources shall
include the language below to acknowledge the federal government's participation in the project.
"This (booklet,pamphlet,video,paper,etc.as appropriate)was funded in part by a
Section 319 Nonpoint Source Management Program Implementation grant from the U.S.
Environmental Protection Agency through an agreement/contract with the Nonpoint Source
Management Section of the Florida Department of Environmental Protection."
C. The Grantee agrees to provide a copy of any draft report and/or final report to the Department
before making,or allowing to be made,a press release,publication,or other public announcement
of the project's outcome. This shall not be construed to be a limitation upon the operation and
applicability of Chapter 119,Florida Statutes.
D. The Grantee agrees to comply with the requirements of EPA's Program for Utilization of Small,
Minority,and Women's Business Enterprises in procurement under this Agreement.
i. The Grantee accepts the Minority Business Enterprise/Women's Business Enterprise
(MBE/WBE)"Fair Share"goals and objectives negotiated with EPA as follows:
Florida Fair Share Goals
Industry Goal
Equipment
Supplies 9%MBE and 3%WBE
Services
Construction
ii. If the Grantee does not want to rely on the applicable State's MBE/WBE goals, the
Grantee agrees to submit proposed MBE/WBE goals based on availability of qualified
minority and women-owned businesses to do work in the relevant market for construction,
services, supplies and equipment. "Fair Share"objectives must be submitted to the EPA
Grants Management Office, 61 Forsyth Street, Atlanta, GA 30303 within thirty (30)
calendar days of award and approved by EPA no later than thirty (30) calendar days
thereafter. Copies of all correspondence with EPA shall also be forwarded to the
Department's Grant Manager.
DEP Agreement No.NF014,Page 5 of 15
iii. The Grantee agrees to ensure, to the fullest extent possible, that at least the applicable
"Fair Share"objectives of Federal funds for prime contracts or subcontracts for supplies,
construction, equipment or services are made available to organizations owned or
controlled by socially and economically disadvantaged individuals, women and
Historically Black Colleges and Universities.
iv. The Grantee agrees to include in its bid documents the applicable"Fair Share"objectives
and require all of its prime contractors to include in their bid documents for subcontracts
the negotiated"Fair Share"percentages.
v. The Grantee agrees to follow the six good faith efforts or positive efforts stated in 40
C.F.R.33,as appropriate,and retain records documenting compliance.
vi. The Grantee agrees to submit a report documenting MBE/WBE utilization under federal
grants in conjunction with the required payment request form(see paragraph 3.C).
vii. If race and/or gender neutral efforts prove inadequate to achieve a"Fair Share"objective,
the Grantee agrees to notify the Department and EPA in advance of any race and/or
gender conscious action it plans to take to more closely achieve the "Fair Share"
objective.
viii. In accordance with Section 129 of Public Law 100-590, the Small Business
Administration Reauthorization and Amendment Act of 1988, the Grantee agrees to
utilize and to encourage any prime contractors under this Agreement to utilize small
businesses located in rural areas to the maximum extent possible. The Grantee agrees to
follow the six affirmative steps stated in six good faith efforts stated in 40 C.F.R. 33, as
appropriate,in the award of any contracts under this Agreement.
E. In accordance with the policies set forth in EPA Order 1000.25 and Executive Order 13423,
Strengthening Federal Environmental,Energy and Transportation Management(January 24,2007)
and/or 40 CFR 30.16, the Grantee agrees to use recycled paper and double sided printing for all
reports which are prepared as a part of this Agreement and delivered to the Department. This
requirement does not apply to reports which are prepared on forms supplied by EPA. This
requirement does not apply to invoices and their documentation, which are required to be single
sided. This requirement applies even when the cost of recycled paper is higher than that of virgin
paper.
F. Any State agency or agency of a political subdivision of a State which is using appropriated
Federal funds shall comply with the requirements set forth in Section 6002 of the Resource
Conservation and Recovery Act (RCRA) (42 U.S.C. 6962). Regulations issued under RCRA
Section 6002 apply to any acquisition of an item where the purchase price exceeds $10,000 or
where the quantity of such items acquired in the course of the preceding fiscal year was$10,000 or
more. RCRA Section 6002 requires that preference be given in procurement programs to the
purchase of specific products containing recycled materials identified in guidelines developed by
EPA. These guidelines are listed in 40 CFR 247.
6. Each party hereto agrees that it shall be solely responsible for the negligent or wrongful acts of its
employees and agents. However, nothing contained herein shall constitute a waiver by either party of its
sovereign immunity or the provisions of Section 768.28,Florida Statutes.
7. A. The Department may terminate this Agreement at any time in the event of the failure of the
Grantee to fulfill any of its obligations under this Agreement. Prior to termination,the Department
shall provide thirty(30)calendar days written notice of its intent to terminate and shall provide the
Grantee an opportunity to consult with the Department regarding the reason(s)for termination.
DEP Agreement No.NF014,Page 6 of 15
B. The Department may terminate this Agreement for convenience by providing the Grantee with
thirty(30)calendar days written notice.
8. 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 Grantee shall re-perform the services needed
for submittal of a satisfactory deliverable, at no additional cost to the Department, within ten (10) days of
being notified of the unsatisfactory deliverable. If a satisfactory deliverable is not submitted within the
specified timeframe, the Department may, in its sole discretion, either: 1) terminate this Agreement for
failure to perform,or 2)the Department Grant Manager may,by letter specifying the failure of performance
under this Agreement,request that a proposed Corrective Action Plan(CAP)be submitted by the Grantee to
the Department. All CAPs must be able to be implemented and performed in no more than sixty(60)days.
A. A CAP shall be submitted within ten (10) calendar days of the date of the letter request from the
Department. The CAP shall be sent to the Department Grant Manager for review and approval.
Within ten (10) calendar days of receipt of a CAP, the Department shall notify the Grantee in
writing whether the CAP proposed has been accepted. If the CAP is not accepted, the Grantee
shall have ten (10) calendar days from receipt of the Department letter rejecting the proposal to
submit a revised proposed CAP. Failure to obtain the Department approval of a CAP as specified
above shall result in the Department's termination of this Agreement for cause as authorized in this
Agreement.
B. Upon the Department's notice of acceptance of a proposed CAP, the Grantee shall have ten (10)
calendar days to commence implementation of the accepted plan. Acceptance of the proposed
CAP by the Department does not relieve the Grantee of any of its obligations under the Agreement.
In the event the CAP fails to correct or eliminate performance deficiencies by Grantee, the
Department shall retain the right to require additional or further remedial steps,or to terminate this
Agreement for failure to perform. No actions approved by the Department or steps taken by the
Grantee shall preclude the Department from subsequently asserting any deficiencies in
performance. The Grantee shall continue to implement the CAP until all deficiencies are
corrected. Reports on the progress of the CAP will be made to the Department as requested by the
Department Grant Manager.
C. Failure to respond to a Department request for a CAP or failure to correct a deficiency in the
performance of the Agreement as specified by the Department may result in termination of the
Agreement.
The remedies set forth above are not exclusive and the Department reserves the right to exercise other
remedies in addition to or in lieu of those set forth above,as permitted by the Agreement.
9. If the Grantee materially fails to comply with the terms and conditions of this Agreement, including any
Federal or State statutes,rules or regulations,applicable to this Agreement,the Department may take one or
more of the following actions.
A. Temporarily withhold cash payments pending correction of the deficiency by the Grantee.
B. Disallow(that is,deny both use of funds and any applicable matching credit for)all or part of the
cost of the activity or action not in compliance.
C. Wholly or partly suspend or terminate this Agreement.
D. Withhold further awards for the project or program.
DEP Agreement No.NF014,Page 7 of 15
E. Take other remedies that may be legally available.
F. Costs of the Grantee resulting from obligations incurred by the Grantee during a suspension or
after termination of the Agreement are not allowable unless the Department expressly authorizes
them in the notice ofsuspension or termination. Other Grantee costs during suspension or after
termination which are necessary and not reasonably avoidable are allowable if the following apply.
i. The costs result from obligations which were properly incurred by the Grantee before the
effective date of suspension or termination,are not in anticipation of it,and in the case of
termination,are noncancellable.
ii. The cost would be allowable if the Agreement were not suspended or expired normally at
the end of the funding period in which the termination takes place.
G. The remedies identified above, do not preclude the Grantee from being subject to debarment and
suspension under Executive Orders 12549 and 12689.
10. The Department shall have the right to demand a refund, either in whole or part, of the funds provided to
the Grantee for noncompliance with the terms of this Agreement.
11. A. The Grantee shall maintain books, records and documents directly pertinent to performance under
this Agreement in accordance with generally accepted accounting principles consistently applied.
The United States Environmental Protection Agency, the Comptroller General of the United
States, the Department of Environmental Protection, the State, or their authorized representatives
shall have access to such records for audit purposesduring the term of this Agreement and for five
(5)years following Agreement completion. In the event any work is subgranted or subcontracted,
the Grantee shall similarly require each subgrantee and subcontractor to maintain and allow access
to such records for audit purposes.
B. The Grantee agrees that if any litigation, claim, or audit is started before the expiration of the
record retention period established above,the records shall be retained until all litigation,claims or
audit findings involving the records have been resolved and final action taken.
C. Records for real property and equipment acquired with Federal funds shall be retained for five (5)
years following final disposition:
12. A. In addition to the requirements of the preceding paragraph, the Grantee shall comply with the
applicable provisions contained in Attachment.F, Special Audit Requirements, attached hereto
and made a part hereof Exhibit 1 to Attachment F summarizes the funding sources supporting
the Agreement for purposes:of assisting the Grantee in complying with the requirements of
Attachment F. A revised copy of Exhibit 1 must be provided to the Grantee for each amendment
which authorizes a funding increase or decrease. If the Grantee fails to receive a revised copy of
Exhibit 1, the Grantee shall notify the Department's Grant Manager to request a copy of the
updated information.
B. The Grantee is hereby advised that the Federal and/or Florida Single Audit Act Requirements may
further apply to lowertier transactions thatmay be a result of this Agreement. The Grantee shall
consider the type of financial assistance(federal and/or state)identified in Attachment F,Exhibit
l when making its determination. For federal financial assistance, the Grantee shall utilize the
guidance provided under OMB Circular A-133, Subpart B, Section .210 for determining
whether the relationship represents that of a subrecipient or vendor. For state financial assistance,
the Grantee shall utilize the form entitled "Checklist for Nonstate Organizations
Recipient/Subrecipient vs Vendor Determination" (form number DFS-A2-NS) that can be found
under the"Links/Forms"section appearing at the following website:
DEP Agreement No.NF014,Page 8 of 15
httm://apps.fldfs.com/fsaa
The Grantee should confer with its chief financial officer,audit director or contact the Department
for assistance with questions pertaining to the applicability of these requirements.
13. A. The Grantee may subcontract work under this Agreement without the prior written consent of the
Department's Grant Manager. The Grantee shall submit a copy of the executed subcontract to the
Department within ten (10) days after.execution. Regardless of any subcontract, the Grantee is
ultimately responsible for all work performed under this Agreement. The.Grantee agrees to be
responsible for the fulfillment of all work elements included in any subcontract and agrees to be
responsible for the payment of all monies due under any subcontract. It is understood and agreed
by the Grantee that the Departmentshall not.be liable to any subcontractor for any expenses or
liabilities incurred under the subcontract and that the Grantee shall be solely liable to the
subcontractor for all expenses and liabilities incurred under the"subcontract.
B. The Grantee agrees to comply with the procurement requirements contained in 40 C.F.R.31.36 for
its selection of subcontractors.
C. The Department of Environmental Protection supports diversity in its procurement program and
requests that all subcontracting opportunities afforded by this Agreement embrace diversity
enthusiastically. The award of subcontracts should reflect the full diversity of the citizens of the
State of Florida. A list of minority-owned firms that could be offered subcontracting opportunities
may be obtained by contacting the Office of Supplier Diversity at(850)487-0915.
14. A. - The Grantee certifies that no Federally-appropriated funds have been paid or will be paid, on or
after December 22,' 1989, by oron behalf of the Grantee, to any person for influencing or
attempting to influence an officer or employee of an agency,a Member of Congress,an officer or
employee of Congress,or an employee of a Member of Congress,in connection with the awarding,
renewal, amending or modifying of any Federal contract, grant, or cooperative agreement. If any
non-Federal funds are used for lobbying activities as described above, the Grantee shall submit
Attachment G, Standard Form-LLL, "Disclosure of Lobbying Activities" and shall file
quarterly updates of any material changes. The Grantee shall require the language of this
certification to be included in all_subcontracts, and all subcontractors shall certify and disclose
accordingly. 140 CFR 341
B. In accordance with Section 216.347;Florida Statutes,the Grantee is hereby prohibited from using
funds provided by this Agreement for the purpose of lobbying the Legislature,the judicial branch
or a state agency.
C. Pursuant to the Lobbying Disclosure Act of 1995,any organization described in Section 501(c)4 of
the Internal Revenue Code of 1986 shall not be eligible for subgrants under this Agreement,unless
such organization warrants that it does not, and will not, engage in lobbying activities prohibited
by the Act as a special condition of the subgrant. This restriction does not apply to loans made
pursuant to approved revolving loan programs or to contracts awarded using proper procurement
procedures.
D. The Grantee's Chief Executive Officer shall certify that no funds provided under this Agreement
have been used to engage in the lobbying of the Federal Government or in litigation against the
United States unless authorized under existing law. The Grantee shall'submit Attachment H,
"Lobbying and Litigation Certificate" to the Department within ninety (90) days following the
completion of the Agreement period.
DEP Agreement No.NF014,Page 9 of 15
15. The Grantee shall comply with all applicable federal, stateand local rules and regulations in performing
under this Agreement. The Grantee acknowledges that this requirement includes, but is not limited to,
compliance with all applicable federal, state and local health and safety;rules and regulations. The Grantee
further agrees to include this provision in all subcontracts issued as a result of this Agreement.
16. Anynotices between the parties shall be considered delivered when posted by Certified Mail,return receipt
requested, or overnight courier service, or delivered in person to the Grant Managers at the addresses
below.
17. The Department's Grant Managers (which•may also be referred to as the Department's Project Managers)
for this Agreement are identified below.
Connie Becker
Florida Department of Environmental Protection
Division of Water Restoration Assistance
3900 Commonwealth Boulevard,MS#3570
Tallahassee,Florida 32399-3000 •
Telephone No.: (850)245-2945
E-mail Address: Connie.L.Becker@dep.state.fl.us
18. The Grantee's Grant Manager(which may also be referred to as the Grantee's Project Manager) for this
Agreement is identified below.
James Kinzler
City of Clermont
685 W.Montrose Street
Clermont,Florida 34711
Telephone No.: 352-241-7356
E-mail Address: JKinzler@clermontfl.org
19. To the extent required by law, the Grantee will be self-insured against,or will secure and maintain during
the life of this Agreement, Workers' Compensation Insurance for all of its employees connected with the
work of this project and, in case any work is subcontracted, the Grantee shall require'the subcontractor
similarly to provide Workers' Compensation Insurance for all of its employees unless such employees are
covered by the protection afforded by the Grantee. Such self-insurance program or insurance coverage
shall comply fully with the Florida Workers'Compensation law. In case any class of employees engaged in
hazardous work under this Agreement is not protected under Workers'Compensation statutes,the Grantee
shall provide, and cause each subcontractor to provide, adequate insurance satisfactory to the Department,
-for the protection of his employees not otherwise protected.
20. A. The Grantee shall secure and maintain Commercial General Liability insurance including bodily
injury and property damage. The minimum limits of liability shall be,$100,000 each occurrence
and $300,000 aggregate. This insurance will provide coverage for all claims that may arise from
the services and/or operations completed under this Agreement whether such services and/or
operations are by the Grantee or anyone directly or indirectly employed by him. Such insurance
shall include the State of Florida as an Additional Insured for the entire length of the Agreement.
B. The Grantee shall secure and maintain Commercial Automobile Liability insurance for all claims
which-may arise from the services and/or operations under this Agreement, whether such services
and/or operations are by the Grantee or by anyone directly, or indirectly employed by him. The
minimum limits of liability shall be as follows:
DEP Agreement No.NF014;Page 10 of 15
•
•
$300,000 Automobile Liability Combined Single Limit for Company Owned Vehicles, if
applicable
$300,000 Hired and Non-owned Liability Coverage
C. All insurance policies shall be with insurers licensed or eligible to do business in the State of
Florida. The Grantee's current certificate of insurance shall contain a provision that the insurance
will not be canceled for any reason except after thirty(30)days written notice(with the exception
of non-payment of premium which requires a 10 day notice) to the Department's Procurement
Administrator.
21. The Grantee covenants that it presently has no interest and shall not acquire any interest which would
conflict in any manner or degree with the performance of services required.
22. Reimbursement for equipment purchases costing $1,000 or more is not authorized under the terms and
conditions of this Project Agreement.
23. The Department may at any time,by written order designated to be a change order,make any change in the
Grant Manager information or task timelines within the current authorized Agreement period. All change
orders are subject to the mutual agreement of both parties as evidenced in writing. Any change, which
causes an increase or decrease_in the Grantee's cost or time, shall require formal amendment to this
Agreement.
24. The Hotel and Motel Fire Safety Act of 1990 (Public Law 101-391) establishes a number of fire safety
standards which must be met for hotels and motels. The Grantee acknowledges that Federal funds may not
be used to sponsor a conference,meeting,or training seminar held in a hotel or motel which does not meet
the requirements of the Hotel and Motel Fire Safety Act of 1990.
25. If the Grantee's project involves environmentally-related measurements or data generation, including the
development of models that may be used in regulatory decisions,the Grantee shall develop and implement
quality assurance practices consisting of policies, procedures, specifications, standards,and documentation
sufficient to produce data of quality adequate to meet project objectives and to minimize loss of data due to
out-of-control conditions or malfunctions. All sampling and analyses performed under this Agreement must
conform with the requirements set forth in Chapter 62-.160,Florida Administrative Code, and the Quality
Assurance Requirements for Department Agreements,attached hereto and made part hereof as Attachment
1,Quality Assurance Requirements. '
26. A. No person,on the grounds of race,creed, color, national origin, age, sex, or disability, shall be
excluded from participation in;be denied the proceeds or benefits of;or be otherwise subjected to
discrimination in performance of this Agreement.'
B. An entity or affiliate who has been placed on the discriminatory vendor list may not submit a bid
on a contract to provide goods or services to a public entity, may not submit a bid on a contract
with a public entity for the construction or repair of a publicbuilding or public work, may not
submit bids on leases of real property to a public entity, may not award or perform work as a
contractor, supplier, subcontractor,or consultant under contract with any public entity, and may
not transact business with any public entity. The Florida Department of Management Services is
responsible for maintaining the discriminatory vendor list and posts the list on its'website.
Questions regarding the discriminatory vendor list may be directed to the Florida Department of
Management Services,Office of Supplier Diversity.at(850)487-0915.
27. In accordance with Executive Order 12549, Debarment and Suspension (2 CFR 180 and 1532), the
Grantee agrees and certifies that neither it,nor its principals,is presently debarred,suspended,proposed for
debarment,declared ineligible,or voluntarily excluded from participation in this transaction by any Federal
department or agency; and,that the Grantee shall not knowingly enter into any lower tier contract,or other
DEP Agreement No.NF014,Page 11 of 15
covered transaction,with a person who is similarly debarred or suspended from participating in this covered
transaction,unless authorized in writing by EPA to the Department. The Grantee shall include the language
of this section in all subcontracts or lower tier agreements executed to support the Grantee's work under this
Agreement.
28. The Environmental Protection Agency and Department reserve a royalty-free, nonexclusive, and
irrevocable license to reproduce, publish or otherwise use, and to authorize others to use, for government
purposes:
A. The copyright in any work developed under a grant, subgrant, or contract under a grant or
subgrant.
B. Any rights of copyright to which a grantee, subgrantee or a contractor purchases ownership with
grant support.
29. The Grantee agrees to comply with, and include as appropriate in contracts and subgrants, the provisions
contained in Attachment J,Contract Provisions,attached hereto and made a part hereof. In addition,the
Grantee acknowledges that the applicable regulations listed in Attachment K,Regulations,attached hereto
and made a part hereof,shall apply to this Agreement.
30. Land acquisition is not authorized under the terms of this Agreement.
31. As applicable, Department personnel shall be given access to and may observe and inspect work being
performed under this Agreement,including by any of the following methods:
A. Grantee shall provide access to any location or facility on which Grantee is performing work, or
storing or staging equipment,materials or documents;
B. Grantee shall permit inspection of any facility, equipment, practices, or operations required in
performance of any work pursuant to this Agreement;and
C. Grantee shall allow and facilitate sampling and monitoring of any substances, soils, materials or
parameters at any location reasonable or necessary to assure compliance with any work or legal
requirements pursuant to this Agreement.
32.
A. Grantee shall comply with Florida Public Records law under Chapter 119, F.S. Records made or
received in conjunction with this Agreement are public records under Florida law, as defined in
Section 119.011(12), F.S. Grantee shall keep and maintain public records required by the
Department to perform the services under this Agreement.
B. This Agreement may be unilaterally canceled by the Department for refusal by the Grantee to
either provide to the Department upon request, or to allow inspection and copying of all public
records made or received by the Grantee in conjunction with this Agreement and subject to
disclosure under Chapter 119,F.S.,and Section 24(a),Article I,Florida Constitution.
C. If Grantee meets the definition of"Contractor" found in Section 119.0701(1)(a), F.S.; [i.e., an
individual,partnership,corporation,or business entity that enters into a contract for services with a
public agency and is acting on behalf of the public agency],then the following requirements apply:
i. Pursuant to Section 119.0701,F.S.,a request to inspect or copy public records relating to
this Agreement for services must be made directly to the Department. If the Department
does not possess the requested records, the Department shall immediately notify the
Grantee of the request, and the Grantee must provide the records to the Department or
DEP Agreement No.NF014,Page 12 of 15
allow the records to be inspected or copied within a reasonable time. If Grantee fails to
provide the public records to the Department within a reasonable time, the Grantee may
be subject to penalties under s. 119.10,F.S.
ii. Upon request from the Department's custodian of public records, Grantee shall provide
the Department with a copy of the requested records or allow the records to be inspected
or copied within a reasonable time at a cost that does not exceed the cost provided in
Chapter 119,Florida Statutes,or as otherwise provided by law.
iii. Grantee shall identify and ensure that all 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 Agreement term and following completion of the
Agreement if the Grantee does not transfer the records to the Department.
iv. Upon completion of the Agreement, Grantee shall transfer, at no cost to Department, all
public records in possession of Grantee or keep and maintain public records required by
the Department to perform the services under this Agreement. If the Grantee transfers all
public records to the Department upon completion of the Agreement, the Grantee shall
destroy any duplicate public records that are exempt or confidential and exempt from
public disclosure requirements. If the Grantee keeps and maintains public records upon
completion of the Agreement, the Grantee shall meet all applicable requirements for
retaining public records. All records that are stored electronically must be provided to
Department, upon request from the Department's custodian of public records, in a format
that is accessible by and compatible with the information technology systems of
Department.
D. IF THE GRANTEE HAS QUESTIONS REGARDING THE
APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO
THE GRANTEE'S DUTY TO PROVIDE PUBLIC RECORDS
RELATING TO THIS AGREEMENT, CONTACT THE
DEPARTMENT'S CUSTODIAN OF PUBLIC RECORDS by
telephone at (850) 245-2118, by email at ombudsmanna,dep.state.fl.us, or at
the mailing address below:
Department of Environmental Protection
ATTN: Office of Ombudsman and Public Services
Public Records Request
3900 Commonwealth Blvd, Mail Slot 49
Tallahassee, FL 32399
33. Grantee certifies that it and any of its affiliates are not scrutinized companies as identified in Section
287.135,F.S.In addition,Grantee agrees to observe the requirements of Section 287.135,F.S.,for
applicable sub-agreements entered into for the performance of work under this Agreement. Pursuant to
Section 287.135,F.S.,the Department may immediately terminate this Agreement for cause if the Grantee,
its affiliates,or its subcontractors are found to have submitted a false certification;or if the Grantee,its
affiliates,or its subcontractors are placed on any applicable scrutinized companies list or engaged in
prohibited contracting activity during the term of the Agreement. As provided in Subsection 287.135(8),
F.S.,if federal law ceases to authorize these contracting prohibitions then they shall become inoperative.
DEP Agreement No.NF014,Page 13 of 15
34. This Agreement, and any Amendments or Change Orders thereto, may be executed in two or more
counterparts, each of which together shall be deemed an original, but all of which together shall constitute
one and the same instrument."In the event that any signature is delivered by facsimile transmission or by e-
mail delivery of a ".pdf' format data file, such signature'shall create a valid and binding obligation of the
party executing (or on whose behalf such signature is executed) with the same force and effect as if such
facsimile or".pdf'signature page were an original thereof.
35. This Agreement has been delivered in the State of Florida and shall be construed in accordance with the
laws of Florida. Wherever possible,each provision of this Agreement shall be interpreted in such manner
as to be effective and valid under applicable law,but if any provision of this Agreement shall be prohibited
or invalid under applicable law,,such•provision shall be ineffective to the extent of such prohibition or
invalidity, without invalidating the remainder of such provision or the remaining provisions of this
Agreement. Any action hereon Or in connection herewith shall be brought in Leon County,Florida.
36. This Agreement represents the entire agreement of the parties. Any alterations, variations, changes,
modifications or waivers of provisions of this Agreement shall only be valid when they have been reduced
to writing, duly signed by each of the parties hereto, and attached to the original of this Agreement,unless
otherwise provided herein.
THIS PAGE INTENTIONALLY LEFT BLANK
DEP Agreement No.NF014,Page 14 of 15
IN WITNESS WHEREOF, the parties have caused this Agreement to be duly executed, the day and year
last written below.
CITY OF CLERMONT STATE OF FLORIDA DEPARTMENT OF
ENVIRONMENTAL PROTECTION
By: By:
T. e:* Go'L L. S ' �©r Secretary or designee
Date• la. ROO Date: 194 /! 6
(101.4..")
Connie Becker,DEP Grant Manager
76<7 ir;11..4.C1
DEP Reviewer
FEID No.: 59-6000290
*For Agreements with governmental boards/commissions: If someone other than the Chairman signs this
Agreement,a resolution,statement or other document authorizing that person to sign the Agreement on behalf of the
governmental board/commission must accompany the Agreement.
List of attachments/exhibits included as part of this Agreement:
Specify Letter/
Type Number Description(include number of pages)
Attachment A Grant Work Plan(6 Pages)
Attachment B Payment Request Summary Form and Instructions(3 Pages)
• Attachment C MBE/WBE Procurement Reporting Form and Instructions(7 Pages)
Attachment D Contract Payment Requirements(1 Page)
Attachment E Progress Report Form(1 Page)
Attachment F Special Audit Requirements(5 Pages).
Attachment G- Disclosure of Lobbying Activities(2 Pages)
Attachment H Lobbying and Litigation Certificate(I Page)
Attachment I Quality Assurance Requirements(5 Pages)
Attachment J Contract'Provisions(4 Pages)
Attachment K Regulations(1 Page)'
DEP Agreement No.NF014,Page 15 of 15
ATTACHMENT A
GRANT WORK PLAN
PROJECT TITLE: Clermont West Lake Wetlands
PROJECT LOCATION: The Project will be located in the Downtown Redevelopment Area, which is
located within the City of Clermont in Lake County, Florida. Project coordinates are latitude: 28.55695
and longitude: -81.77217.
PROJECT BACKGROUND:- In May 2015,the City of Clermont(Grantee)completed a comprehensive
Stormwater Master Plan(SWIM)in order to identify and prioritize opportunities to improve water resource
management within the City and promote positive environmental and economic benefits for the local area.
Drainage improvements in the Downtown Redevelopment Area were identified as one of the top priorities
in the City.
PROJECT DESCRIPTION: The.Grantee will install eight Low Impact Development.(LID)bio-retention
swales for the existing streets that flow into the larger West Lake Wetlands project area. The swales will
run through downtown from West Avenue to 7th Street along Osceola Street. A public educational
component providing interactive environmental education for the areas will be included as part of this
project. Signage will be installed along the swales and within the wetlands park that educates the public
about water quality and stormwater Best Management Practices.
TASKS and DELIVERABLES:
Task 1: Construction
Task Description: The Grantee will construct approximately 8 Low Impact Development (LID) bio-
retention swales for the existing streets that flow into the larger West Lake Wetlands project area,running
through downtown from West Avenue to 7th Street along Osceola Street. These 8 bioretention swales will
be developed over an acre of land within downtown Clermont: The grant and matching funds will be used
for the following elements in accordance with the final design(s) and required permits which will be
submitted to the Department's Grant Manager upon request:
• Construction of 8 biorentention swales
• Construction of stormwater planters
• Installation of native plantings
Deliverable la: Construction completed to date as described in this task, as evidenced by these interim
deliverables: 1)signed acceptance of thecompleted work by the Grantee,2)Contractor's Application and
Certification for Payment,3) Dated color photographs of on-going work representing time period covered
in payment request. These interim deliverables must be submitted 14 days prior to each payment request
and may be submitted no more frequently than quarterly.
Performance Standard: The Department's Grant Manager will review each submitted interim
deliverable to verify that it meets the specifications in the Grant Work Plan and this task description and
that;.work is beingperformed in accordance with the Grantee's construction contract documents and
specifications. Upon review and written acceptance of each quarterly interim deliverables submittal by the
Department's Grant Manager,the Grantee may proceed with payment request submittal for costs associated
with that quarterly submittal period under this task.
Contractor's Application and Certification for Payment should include the following supporting
documentation:
DEP Agreement NF014,Attachment A, Page 1 of 6
1. An itemized summary of the materials,labor,and/or services utilized during the period for
which payment is being requested.
2. The summary should identify the nature of the work performed;the amount expended for
such work; the name of the person/entity providing the service or performing the work;
proof of payment of the invoices; and evidence of all work conducted for which a request
for payment is being made.
3. Evidence may include references to any drafts or partially-complete designs, surveys,
environmental documents and/or permit applications,drawings,and specifications(which
must be made available upon request); and documentation demonstrating partial
completion of construction activities.
Deliverable ib: Construction of 8 Low Impact Development(LID)bio-retention swales for the existing
streets that flow into the larger West Lake Wetlands project area, constructed as described in this task, as
evidenced by these final deliverables: 1)Dated color photographs of the construction site(s)prior to,during,
and immediately following completion of the construction task; 2)written verification that the grantee has
received record drawings and any required final inspection report(s) for the project; 3) signed acceptance
of the completed work by the Grantee; and 4) signed statement from a Florida Licensed Professional
Engineer indicating construction has been completed in accordance with the design.
Performance Standard: The Department's Grant Manager will review the final deliverables to verify that
they meet the specifications in the Grant Work Plan and this task description and that work is being
performed in accordance with the Grantee's construction contract documents and specifications. Upon
review and written approval by the Department's Grant Manager of all final deliverables under this task,
the Grantee may proceed with payment request submittal.
Payment Request Schedule: Grantee may submit a payment request for cost reimbursement no more
frequently than once per quarter. The outlined Interim Deliverable(s)and/or Final Deliverable(s)must have
been submitted and accepted in writing by the Department's Grant Manager prior to payment request
submittal.
Task 2: Quality Assurance Project Plan
Task Description: The Grantee will prepare,submit,and receive approval on a Quality Assurance Project
Plan (QAPP) prior to commencement of any monitoring associated with the project. The QAPP must
specify the sampling procedures, locations, instruments, and parameters to be sampled. The Grantee will
use the format provided by the Department's Grant Manager, if applicable.
Deliverable 2a: Draft QAPP submitted electronically in Word format to the Department's Grant Manager.
Upon request,the Grantee will provide a paper copy of the Draft QAPP to the Department's Grant Manager.
Performance Standard: The Department's Grant Manager will review the draft QAPP for compliance
with this Agreement and the quality assurance requirements, to ensure sufficient monitoring is planned to
measure project effectiveness, and provide comments to the Grantee as needed, prior to Final QAPP
submittal.
Deliverable 2b Final Department-approved QAPP submitted electronically in Word format to the
Department's Grant Manager. Upon request,the Grantee will provide a paper copy of the Final QAPP to
the Department's Grant Manager.
Performance Standard: The Department's Grant manager will review the Final QAPP to ensure that draft
comments have been incorporated and the Final QAPP is in compliance with this Agreement and the quality
assurance requirements.Upon review and written approval by the Department's Grant Manager of the Final
QAPP,the Grantee may proceed with payment request submittal and match documentation.
DEP Agreement NF014,Attachment A, Page 2 of 6
•
Task 3: Monitoring
Task Description: The Grantee will conduct monitoring in accordance with the Department-approved
QAPP for this project(see Task 2).
Deliverables: Summary of completed monitoring activities(dates completed,sampling conducted and any
not conducted and why, monitoring results along with interpretation of those results(as expected or not as
expected)submitted electronically,along with the final laboratory report and sampling logs(must also have
field and weather data)to the Department's Grant Manager. Upon request,the Grantee will provide a paper
copy or copies to the Department's Grant Manager. These deliverables must be submitted 14 prior to each
payment request and may be submitted no more frequently than quarterly.
Performance Standard: The Department's Grant Manager will review the monitoring results for
completion and compliance with QAPP requirements. Upon review and written acceptance by the
Department's Grant Manager of all deliverables under this task, the Grantee may proceed with payment
request submittal.
Additional Financial Consequence: Costs for any monitoring that is not completed as outlined in the
Department-approved QAPP may be discounted if included in the payment request.
Payment Request Schedule: Grantee may submit a payment request for cost reimbursement upon
completion of the task and Department approval of all associated task deliverables.
Task 4: Public Education
Task Description: The Grantee will provide public education information about the project and its
environmental benefits in the following formats: 1)Development and installation of approximately 6 signs
providing information on the project and its benefits to the environment. The signs will be located along
the trails and sitting areas within the park with good visibility to the public;and 2)development and release
of at least two press releases providing information on the project construction schedule and the benefits it
is providing.
Deliverable 4a: 1)Copy of draft sign(s)text and graphics submitted to the Department's Grant Manager
for review and approval prior to final printing and installation;and 2)Draft materials for two press releases
submitted to the Department's Grant Manager for review and approval prior to distribution. Deliverables
should be submitted as electronic copies unless otherwise requested by the Department's Grant Manager.
Performance Standard: The Department's Grant Manager must approve draft materials prior to public
distribution.The Department's Grant Manager will review the draft deliverables and provide comments to
the Grantee as needed.
Deliverable 4b: 1) Dated photograph(s) of installed signs as approved. 5) Copies of press releases and
release dates. Deliverables should be submitted as electronic copies unless otherwise requested by the
Department's Grant Manager.
Performance Standard: The Department's Grant manager will review the final deliverables to ensure the
draft comments have been taken into consideration. Upon review and written acceptance by the
Department's Grant Manager of all deliverables under this task, the Grantee may proceed with payment
request submittal and match documentation.
Payment Request Schedule: Grantee may submit a payment request for cost reimbursement upon
completion of the task and Department approval of all associated task deliverables.
Task 5: Final Report
Task Description: The Grantee will prepare a Final Report summarizing the results of the project,
including all tasks in the Grant Work Plan.The Final Report must include at a minimum:
DEP Agreement NF014,Attachment A, Page 3 of 6
e '
• Project location and background, project description and timeline, grant award amount and
anticipated benefits.
• Financial summary of actual costs versus the budget,along with any changes required to the budget.
Include any match provided, along with other related project work performed outside of this
Agreement to identify the overall project cost.
• Discussion of project schedule versus actual completion, including changes required to the
schedule, unexpected site conditions and adjustments, significant unexpected delays and
corrections,and/or other significant deviations from the original project plan.
• Summary of activities completed as well as those not completed and why, as well as a brief
summary of any additional phases yet to be completed.
• Photo documentation of work performed (before, during and after), appropriate figures (site
location,site plan[s].etc.),appropriate tables summarizing data/information relevant to Grant Work
Plan tasks,and appropriate attachments relevant to the project.
• Discussion of whether the anticipated benefits have been/will be realized(e.g., why a BMP did or
did not exceed the expected removal efficiency)
• Summary of monitoring activities completed and any not completed and why, monitoring results,
and an interpretation of data based on planned versus realized results.
Deliverable 5a: An electronic copy of the draft Final Report in Word format submitted to the Department's
Grant Manager for review prior to submission of the Final Report. Upon request,the Grantee will provide
a paper copy of the draft Final Report.
Performance Standard: The Department's Grant Manager will review the submitted draft Final Report
to verify that it meets the specifications in the Grant Work Plan and this task description, and provide any
comments to the Grantee for incorporation into the Final Report.
Deliverable 5b: An electronic copy of the Final Report,with all suggested changes incorporated, in Word
or PDF format submitted to the Department's Grant Manager for review and approval. Upon request,the
Grantee will provide a paper copy of the Final Report.
Performance Standard: The Department's Grant manager will review the Final Report to ensure that
draft comments have been taken into consideration and the Final Report is in compliance with this
Agreement.
Payment Request Schedule: Grantee may submit a payment request for cost reimbursement upon
completion of the task and Department approval of all associated task deliverables.
PROJECT TIMELINE AND BUDGET DETAIL TABLES:
PROJECT TIMELINE: The tasks must be completed by the end of each task timeline and all deliverables
must be received by the designated due date. For the 319(h)grant funded and required match funded tasks,
if there are any conflicts between the completion dates in the task timeline below and the 319 grant end
date,09/30/2019,then the grant end date is controlling.
Task/ Deliverable
Task End
Deliverable Task or Deliverable Title Task Start Date Date Due Date/
No. Frequency
1 Construction Execution 06/15/2018
la Interim Deliverables Quarterly
l b Final Deliverables 06/15/2018
DEP Agreement NF014,Attachment A,Page 4 of 6
2 QAPP Execution 08/15/2017
2a Draft QAPP 06/15/2017
2b Final QAPP 08/15/2017
3 Monitoring UponQapAprooval of 12/15/2018 12/15/2018
4 Public Education Execution 06/15/2018
4a Draft Public Education 12/15/2017
4b Final Public Education 06/15/2018
5 Final Report Execution 3/31/2019
5a Draft final report 01/31/2019
5b Final Report 03/31/2019
BUDGET DETAIL BY TASK:
Task Category 319 Grant Match
No. Funding Funding
Contractual $386,374 $500,000
1
Total for Task $386,374 $500,000
Contractual $0 $0
2A
Total for Task $N/A $0
Contractual $0 $0
2B
Total for Task $0 $0
Contractual $18,314 $0
3
Total for Task $18,314 $0
Contractual $0 $3,628
4A
Total for Task $0 $3,628
Contractual $7,372 $0
4B
Total for Task $7,372 $0
Contractual $0 $0
5A
Total for Task $0 $0
Contractual $0 $0
5B
Total for Task $0 $0
Total: $412,060 $503,628
DEP Agreement NF014,Attachment A,Page 5 of 6
Total Project Cost: $915,688
Percentage Match: 45% 55%
BUDGET SUMMARY for CONTRACT:
Category Totals 319 Grant Match
Funding Funding
Contractual $412,060 $503,628
Total: $412,060 $503,628
Total Project Cost: $915,688
Percentage Match: 45% 55%
DEP Agreement NF014,Attachment A, Page 6 of 6
ATTACHMENT B
PAYMENT REQUEST SUMMARY FORM
Payment Request No. DEP Agreement No. Date
Performance Period(Start date-End date):
Deliverables completed to support payment request(attach additional pages as needed):
Task/Deliverable Task Budget
Number(s): Amount: $ -
Grantee:
(Name&Mailing
Address)
Grantee Contact:
(Name&Phone)
GRANT EXPENDITURES SUMMARY SECTION
TOTAL TOTAL
CUMULATIVE MATCHING CUMULATIVE
CATEGORY OF EXPENDITURE AMOUNT OF THIS PAYMENT FUNDS FOR THIS MATCHING
(As authorized) REQUEST REQUESTS REQUEST FUNDS
Salaries/Wages $ - $ - $ - $ -
Fringe Benefits $ - $ - $ - $ -
Indirect Cost $ - $ - $ - $ -
Contractual(Subcontractors) $ - $ - $ - $ -
Travel $ - $ - $ - $ -
Equipment(Direct Purchases) $ - $ - $ - $ -
Rental/Lease of Equipment $ - $ - $ - $ -
Miscellaneous/Other Expenses $ - $ - $ - $ -
Land Acquisition $ - $ - S - $ -
,
TOTAL AMOUNT $ $ $ $
TOTAL BUDGET $ $
(ALL TASKS)
Less Total Cumulative Payment
Requests of: $ $
TOTAL REMAINING $ $
(ALL TASKS)
GRANTEE CERTIFICATION
Complete Grantee's Certification of Payment Request on Page 2 to certify that the amount being requested for
reimbursement above was for items that were charged to and utilized only for the above cited grant activities.
DEP Agreement No.NF014,Attachment B,Page 1 of 8
Grantee's Certification of Payment Request
I, ,on behalf of
(Print name of Grantee's Grant Manager designated in the Agreement)
,do hereby certify for
(Print name of Grantee)
DEP Agreement No. and Payment Request No. that:
El The disbursement amount requested is for allowable costs for the project described in Attachment A of the Agreement.
E.All costs included in the amount requested have been satisfactorily purchased,performed,received,and applied toward completing
the project;such costs are documented by invoices or other appropriate documentation as required in the Agreement.
El The Grantee has paid such costs under the terms and provisions of contracts relating directly to the project;and the Grantee is not in
default of any terms or provisions of the contracts.
Check all that apply:
❑ All permits and approvals required for the construction,which is underway,have been obtained.
❑ Construction up to the point of this disbursement is in compliance with the construction plans and permits.
❑ The Grantee's Grant Manager relied on certifications from the following professionals that provided services for this project during
the time period covered by this Certification of Payment Request,and such certifications are included:
Professional Service Provider(Name/License No.) Period of Service(mm/dd/yy—mm/dd/yy)
Grantee's Grant Manager's Signature Grantee's Fiscal Agent Signature
Print Name Print Name
Telephone Number Telephone Number
DEP Agreement No.NF014,Attachment B,Page 2 of 8
INSTRUCTIONS FOR COMPLETING
PAYMENT REQUEST SUMMARY FORM
PAYMENT REQUEST NO.: This is the number of your payment request,not the quarter number.
DEP AGREEMENT NO.: This is the number on your grant agreement.
DATE: This is the date that you are submitting the payment request.
PERFORMANCE,PERIOD: This is the beginning and ending date of the performance period for the Task/Deliverable that the
request is for(this must be within the timeline shown for the Task/Deliverable in the Agreement).
TASK/DELIVERABLE NO.: Identify the number of the Task/Deliverable that you are requesting payment for and/or claiming
match for(must agree with the current Grant Work Plan). Note: If payment request includes more than one Task/Deliverable,
additional pages should identify each Task/Deliverable Number,its corresponding budget amount,and the amount requested.
TASK BUDGET AMOUNT: List the Task budget amount as identified in the Grant Work Plan for the corresponding
Task/Delverable. Note: If payment request includes more than one Task/Deliverable, additional pages should identify each
Task/Deliverable Number,its correspondingbudget amount,and the amount requested.
GRANTEE: Enter the name of the Grantee's agency and the address to which you want the state warrant sent.
GRANTEE CONTACT: List the name and telephone number for the Grantee's grant manager or other point of contact regarding
the payment request submittal.
GRANT EXPENDITURES SUMMARY SECTION:
"AMOUNT OF THIS REQUEST" COLUMN: Enter by authorized category of expenditure the amount for which you are
requesting'reimbursement for this task. This must agree with the currently approved budget in the current Grant Work Plan of your
grant Agreement. Do not claim expenses in a budget category that does not have an approved budget. Do not claim items that are
not specifically identified in the current Grant Work Plan. Enter the column total on the "TOTAL AMOUNT" line. Enter the
amount of all Tasks on the "TOTAL BUDGET(ALL TASKS)" line. Enter the total cumulative amount of this request and all
previous payments on the "LESS TOTAL CUMULATIVE PAYMENT REQUESTS OF" line. Deduct the "LESS TOTAL
GUM ULA TI VEPA YMENT REQUESTS OF"from the"TOTAL BUDGET(ALL TASKS)"for the amount to enter on the"TOTAL
REMAINING(ALL TASKS)"line.
"TOTAL CUMULATIVE PAYMENT REQUESTS"COLUMN: Enter the cumulative amounts that have been requested to
date for reimbursement by budget category.-The final request should show the total of all requests; first through the final request
(this amount cannot exceed the approved budget amount forthat budget category for the Task(s)you are reporting on). Enter the
column total on the"TOTAL PAYMENT REQUEST"line. Do not enter anything in the shaded areas.
"MATCHING FUNDS"COLUMN: Enter the amount to be claimed as match for the performance period for the Task(s)you are
reporting on. This needs to be shownunder specific budget categories according to the currently approved Grant Work Plan. Enter
the total on"the "TOTAL AMOUNT" line for this column. Enter the match budget amount on the "TOTAL BUDGET (ALL
TASKS)" line for this column. Enter the total cumulative amount of this and any previous match claimed on the "LESS TOTAL
CUMULATIVE PAYMENTS OF" line for this column. Deduct the "LESS TOTAL CUMULATIVE PAYMENTS OF" from the
"TOTAL BUDGET(ALL TASKS)"for the amount to enter on the"TOTAL REMAINING(ALL TASKS)"line.
"TOTAL CUMULATIVE MATCHING FUNDS" COLUMN: Enter the cumulative amounts you have claimed to date for
match by budget category: Put thetotal of all on the line titled"TOTAL PAYMENT REQUEST." The final request should show
the total of all claims,first claim through the final claim,etc. Do not enter anything in the shaded areas.
GRANTEE'S CERTIFICATION: Check all boxes that apply. Identify any licensed professional service providers that certified
work or services completed during the period included in the request for payment.Must be signed by both the Grantee's Grant
Manager as identified in the grant agreement and the Grantee's Fiscal Agent.
Documentation for match claims must meet the same requirements as those expenditures for reimbursement.
DEP Agreement No.NF014,Attachment B,Page 3 of 8
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Instructions for Completing Request for Payment - Part II
Include the Grantee Name,Payment Request No.,and DEP Agreement Number. List vendor invoices that are
associated with the Project by Task/Deliverable.
1 Invoice Amount: Amount of Invoice being submitted for reimbursement.
2 Local Share or Other Funding or Amount Not Requested: Portion of invoice paid for by Grantee.
Requested Amount: Subtract Grantee's Local Share or Other Funding or Amount Not Requested (2)from Invoice
3 Amount(1).
Deliverable Number: Must identify completed deliverable(s)for each invoice. If invoice covers multiple
deliverables,that invoice would be listed multiple times,a line item for each deliverable with any portion not
4 applicable to that Task/Deliverable identified under(2).
Submittal Instructions
Instructions for E-mailing:
The program now accepts reimbursement requests electronically. When scanning please be sure that the minimum scan
resolution must be 300 DPI (dots per inch). When reimbursement requests are sent electronically,please do not also
send a hard copy by postal mail.
Remit Payment Request by E-mail to the Department's Grant Manager
Be sure the E-mail payment request includes the following:
Subject: Project Number_Disbursement Number: example—LP14025_Disb_1
Attachments:
1) Attachment B Payment Request Summary
2) Request for Payment Part II Reimbursement Detail
3) Copies of invoices
4) Other supporting documentation,as needed
For questions or concerns regarding these forms or if you would like the payment request forms listed above in
electronic format please contact the Department's Grant Manager.
DEP Agreement No.NF014,Attachment B,Page 8 of 8
• OMB CON1ROL NO. 2030-0020
ATTACHMENT C APPROVED: 06/30/2014
APPROVAL EXPIRES: 06/30/2017
U.S. ENVIRONMENTAL PROTECTION AGENCY
MBEIWBE UTILIZATION UNDER FEDERAL GRANTS
AND COOPERATIVE AGREEMENTS
FOR COOPERATIVE AGREEMENTS OR OTHER FEDERAL FINANCIAL ASSISTANCE WHERE THE COMBINED TOTAL OF FUNDS BUDGETED FOR PROCURING SUPPLIES,
EQUIPMENT,CONSTRUCTION OR SERVICES EXCEED$150,000.
PART 1:PLEASE REVIEW INSTRUCTIONS BEFORE COMPLETING
1A.FEDERAL FISCAL YEAR(Oct 1-Sep 30) SB.REPORT TYPE
20 ElAnnual ElLast Report(Project completed)
1C:REVISION OF A PRIOR YEAR REPORT?QNo QYes,Year
IF YES,BRIEFLY DESCRIBE THE REVISIONS YOU ARE MAKING:
2A.EPA FINANCIAL ASSISTANCE OFFICE ADDRESS(ATTN:DBE COORDINATOR) 3A.RECIPIENT NAME AND ADDRESS
2B.EPA DBE COORDINATOR 3B.RECIPIENT REPORTING CONTACT
Name: Name:
Email: Address:
Phone: Phone:
Fax: Email:
4A.FINANCIAL ASSISTANCE AGREEMENT ID NUMBER 4B. FEDERAL FINANCIAL ASSISTANCE PROGRAM TITLE OR CFDA NUMBER:
(SRF State Recipients,refer to Instructions for Completion of blocks 4A,5A and 5C)
5A.TOTAL ASSISTANCE AGREEMENT AMOUNT 58.If NO procurements and NO accomplishments were made this reporting
EPA Share: $ period(by the recipients,sub-recipients,loan recipients,and prime contractors),
CHECK and SKIP to Block No.7. (Procurements are all expenditures through
Recipient Share:$ contract,order,purchase,lease or barter of supplies,equipment,construction,
or services needed to complete Federal assistance programs. Accomplishments,
�N/A(SRF Recipient) in this context,are procurements made with MBEs and/or WBEs.) 0
5C. Total Procurements This Reporting Period(Only include amount not reported in any prior reporting period)
Total Procurement Amount$
(Include total dollar values awarded by recipient,sub-recipients and SRF loan recipients,including MBE/WBE expenditures.)
5D. Were sub-awards issued under this assistance agreement? Yes Q No 0
Were contracts issued under this assistance agreement? Yes 0 No 0
5E. MBE/WBE Accomplishments This Reporting Period
Actual MBE/WBE Procurement Accomplished(Include total dollar values awarded by recipient,sub-recipients,SRF loan recipients and Prime Contractors.)
Construction Equipment Services Supplies Total
$MBE: 0.00
$WBE: 0.00
6.COMMENTS:(If no MBE/WBE procurements,please summarize how certified MBEs/WBEs were notified of the opportunities to compete for the procurement dollars
entered in Block SC and why certified MBEs/WBEs were not awarded any procurements during this reporting period.)
7.NAME OF RECIPIENT'S AUTHORIZED REPRESENTATIVE TITLE
8.SIGNATURE OF RECIPIENT'S AUTHORIZED REPRESENTATIVE DATE
EPA FORM 5700-52A available electronically at http://www.epa.gov/osbp/pdfs/5700 52a.adf
DEP Agreement No.NF014,Attachment C,Page 1 of 7
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Instructions: If at the time of award,the combined total of funds
budgeted for procurements in any category is less
A. General Instructions: than or equal to $150,000 and is maintained below
the threshold, no DBE report is required to be
submitted.
MBE/WBE utilization is based on 40 CFR Part 33.
The reporting requirement reflects the class
deviation issued on November 8, 2013, clarified on Recipients are required to report 30 days after the
January 9, 2014 and modified on December 2, end of each federal year, per the terms and
2014.EPA Form 5700-52A must be completed conditions of the financial assistance agreement.
annually by recipients of financial assistance
agreements where the combined total of funds Last reports are due October 30th or 90 days after
budgeted for procuring supplies, equipment, the end of the project period, whichever comes
construction or services exceeds$150,000.This first.
reporting requirement applies to all new and
existing:awards and voids all previous reporting MBE/WBE program requirements, including
requirements. reporting, are material terms and conditions of the
financial assistance agreement.
In determining whether the$150,000 threshold
is exceeded for a particular assistance B. Definitions:
agreement,the analysis must focus on funds
budgeted for procurementunder the supplies,
equipment, construction,services or"other" Procurement is the acquisition through contract,
categories, and include funds budgeted for order, purchase, lease or barter of supplies,
procurement under sub-awards or loans equipment, construction or services needed to
accomplish Federal assistance programs.
Reporting will also be required in cases where the
details of the budgets of sub-awards/loans are not A contract is a written agreement between an EPA
clear at the time of the grant awards and the recipient and another party(also considered
combined total of the procurement and sub- "prime contracts") and any lower tier agreement
awards and/or loans exceeds the$150,000 (also considered "subcontracts")for equipment,
threshold. services, supplies, or construction necessary to
complete the project. This definition excludes
written agreements with another public agency.
When reporting is required, all procurement This definition includes personal and professional
actexceeds
tare reportable, not just the portion which services, agreements with consultants, and
$150,000. purchase orders.
If at the time of award the budgeted funds exceed A minority business enterprise(MBE) is a business
$150,000 but actual expenditures fall below, a concern that is(1)at least 51 percent owned by
report is still required. one or more minority individuals, or, in the case of
a publicly owned business, at least 51 percent of
the stock is owned by one or more minority
DEP Agreement No.NF014,Attachment C,Page 3 of 7
•
individuals; and (2) whose daily business efforts for utilizing MBEs and WBEs must be
operations are managed and directed by one or documented. Such documentation is subject to
more of the minority owners. In order to qualify EPA review upon request:
and participate as an MBE prime orsubcontractor
for EPA recipients under EPA's DBE Program, an 1. Ensure DBEs are made aware of contracting
entity must be properly certified as required by 40 opportunities to the fullest extent practicable
CFR Part 33, Subpart B. through outreach and recruitment activities.
For Indian Tribal, State and Local and
U.S. citizenship is required. Recipients shall Government recipients, this will include placing
presume that minority individuals include Black DBEs on solicitation lists and soliciting them
Americans, Hispanic Americans, Native Americans, whenever they are potential sources.
Asian Pacific Americans, or other groups whose
members are found to be disadvantaged by the 2. Make information on forthcoming
Small Business Act or by the Secretary of opportunities available to DBEs and arrange
Commerce under section 5 of Executive order time frames for contracts and establish delivery
11625. The reporting contact at EPA can provide schedules, where the requirements permit, in a
additional information. way that encourages and facilitates
participation by DBEs in the competitive
A woman business enterprise(WBE) is a business process.This includes, whenever possible,
concern that is, (1) at least 51 percent owned by
posting solicitations for bids or proposals for a
one or more women, or, in the case of a publicly
minimum of 30 calendar days before the bid or
owned business, at least 51 percent of the stock is proposal closing date.
owned by one or more women and (2) whose daily
business operations are managed and.directed by 3. Consider in the contracting process whether
one or more of the women owners. In order to firms competing for large contracts could
qualify and participate as a WBE prime or subcontract with DBEs. For Indian Tribal, State
subcontractor.for EPA recipients under EPA's DBE and local Government recipients,this will
Program, an entity must be properly certified as include dividing total requirements when
required by 40 CFR Part 33,Subpart B. economically feasible into smaller tasks or
quantities to permit maximum participation by
DBEs in the competitive process.
Business firms which are 51 percent owned by
minorities or women, but are in fact not managed 4. Encourage contracting with a consortium of
and operated by minorities or females do not DBEs when a contract is too large for one of
qualify for meeting MBE/WBE procurement goals. these firms to handle individually.
U.S. Citizenship is required.
5. Use the services and assistance of the SBA and
Good Faith Efforts the Minority.Business Development Agency of
the Department of Commerce.
A recipient is required to make the following good 6. If the prime contractor awards subcontracts,
faith efforts whenever procuring construction, require the prime contractor to take the steps
equipment, services, and supplies under an EPA in paragraphs (a)through (e) of this section.
financial assistance agreement. These good faith
DEP Agreement No.NF014,Attachment C,Page 4 of 7
•
C. Instructions for Part I: 5A. Provide the total amount of the Assistance
Agreement which includes Federal funds plus
1A. Specify Federal fiscal year this report covers. recipient matching funds and funds from other
The.Federal fiscal year runs from October 1st sources.
through September 30th(e.g November 29,2014
falls within Federal fiscal year 2015) *For SRF recipients only: SRF recipients will not
enter an amount in 5a. SRF recipients should check
1B. Specify report type. Check the annual the "N/A" box.
reporting box. Also indicate if the project is
completed. 5B. Self-explanatory.
1C. Indicate if this is a revision to a previous year 5C. Provide the total dollar amount of ALL
and provide a brief description of the revision you procurements awarded this reporting period by the
are making. recipient,sub-recipients, and SRF loan recipients,
including MBE/WBE expenditures, not just the
2A-B. Please refer to your financial assistance portion which exceeds$150,000. For example:
agreement for the mailing address of the EPA Actual dollars for procurement from the procuring
financial assistance office for your agreement. office; actual contracts let from the contracts
office; actual goods, services, supplies, etc., from
other sources including the central purchasing/
The "EPA DBE Reporting Contact" is the DBE procurement centers).
Coordinator for the EPA Region from which your
financial assistance agreement was originated. For
a list of DBE Coordinators please refer to the EPA *NOTE:To prevent double counting on line 5C, if
OSBP website at http://epa.gov/osbp/dbe_cord.
any amount on 5E is for a subcontract and the
prime contract has already been included on Line
5C in a prior reporting period,then report the
3A-B. Identify the agency, state authority, amount going to MBE or WBE subcontractor on
university or other organization which is the line 5E, but exclude the amount from Line 5C. To
recipient of the Federal financial assistance and the include the amount on SC again would result in
person to contact concerning this report. double counting because the prime contract, which
includes the subcontract, would have already been
4A. Provide the Assistance Agreement number reported.
assigned by EPA. Aseparate report must be
submitted for each Assistance Agreement. *For SRF recipients only: In 5c please enter the
total annual procurement amount under all of your
*For SRF recipients: In box 4a list numbers for ALL SRF Assistance Agreements.The figure reported in
OPEN Assistance Agreements being reported on this section is not directly tied to an individual
this form. Assistance Agreement identification number. (SRF
state recipients report state procurements in this
section)
4B. Refer back to Assistance Agreement
document for this information.
DEP Agreement No.NFO I4,Attachment C,Page 5 of 7
•
•
5D. State whether or not sub-awards and/or 2. Check either the MBE or WBE column. If a
subcontracts have been issued under the financial firm is both an MBE and WBE, the recipient may
assistance agreements by indicating"yes" or"no". choose to count the entire procurement towards
EITHER its MBE or WBE accomplishments. The
5E. Where requested, also provide the total recipient may also divide the total amount of the
dollar amount of all MBE/WBE procurement procurement(using any ratio it so chooses) and
awarded during this reporting period by the count those divided amounts toward its MBE and
recipient-:sub-recipients, SRF loan recipients, and WBE accomplishments. If the recipient chooses to
prime contractors in the categories of construction, divide the procurement amount and count portions
equipment,services and supplies.These amounts toward its MBE and WBE accomplishments, please
include Federal funds plus recipient matching funds state the appropriate amounts under the MBE and
and funds from other sources. WBE columns on the form. The combined MBE
and WBE amounts for that MBE/WBE contractor
must not exceed the"Value of the Procurement"
6. If there were no MBE/WBE accomplishments reported in column#3
this reporting period, please briefly how certified
MBEs/WBEs were notified of the opportunities to
compete for the procurement dollars entered in 3. Dollar value of procurement.
Block 5C and why certified MBEs/WBEs were not
awarded any procurements during this reporting 4. Date of procurement, shown as month, day,
period. year. Date of procurement is defined as the date
the contract or procurement was awarded, not the
7. Name and title of official administrator or date the contractor received payment under the
designated reporting official. awarded contract or procurement, unless payment
occurred on the date of award. (Where direct
purchasing is the procurement method,the date
8. Signature, month, day, and year report of procurement is the date the purchase was
submitted. made)
D. Instructions for Part II: 5. Using codes at the bottom of the form,
identify type of product or service acquired through
For each MBE/WBE procurement made under this this procurement (e.g., enter 1 if construction, 2 if
financial assistance agreements during the supplies, etc.).
reporting period, provide the following
information: 6. Name, address, and telephone number of
MBE/WBE firm.
1. Check whether this procurement was made
by the recipient, sub-recipient/SRF loan recipient,
or the prime contractor.
DEP Agreement No.NF014,Attachment C,Page 6 of 7
**This data is requested to comply with provisions mandated by: statute or regulations (40 CFR Parts 30, 31, and
33 and/or 2 CFR Parts 200 and 1500); OMB Circulars; or added by EPA to ensure sound and effective assistance
management. Accurate, complete data are required to obtain funding, while no pledge of confidentiality is
provided.
The public reporting and recording burden for this collection of information is estimated to average I hour per
response annually. Burden means the total time,effort, or financial resources expended by persons to
generate,maintain, retain, or disclosure or provide information to or for a Federal agency. This includes the
time needed to review instructions; develop, acquire, install, and utilize technology and systems for the
purposes of collecting,validating, and verifying information, processing and maintaining information, and
disclosing and providing information; adjust the existing ways to comply with any previously applicable
instructions and requirements;train personnel to be able to respond to a collection of information; search data
sources; complete and review the collection of information; and transmit or otherwise disclose the
information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a currently valid OMB control number.
Send comments on the Agency's need for this information, the accuracy of the provided burden estimates, and
any suggested methods for minimizing respondent burden, including through the use of automated collection
techniques to the Director, OPPE Regulatory Information Division, U.S. Environmental Protection Agency(2136),
1200 Pennsylvania Avenue, NW,Washington, D.C. 20460. Include the OMB Control number in any
correspondence. Do not send the completed form to this address.
DEP Agreement No.NF014,Attachment C,Page 7 of 7
ATTACHMENT D
Contract Payment Requirements
Florida Department of Financial Services,Reference Guide for State Expenditures
Cost Reimbursement Contracts
Invoices for cost reimbursement contracts must be supported by an itemized listing of expenditures by category
(salary, travel, expenses, etc.). Supporting documentation must be provided for each amount for which
reimbursement is being claimed indicating that the item has been paid. Check numbers may be provided in lieu of
copies of actual checks. Each piece of documentation should clearly reflect the dates of service. Only expenditures
for categories in the approved contract budget should be reimbursed.
Listed below are examples of the types of documentation representing the minimum requirements:
(1) Salaries: A payroll register or similar documentation should be submitted. The payroll register
should show gross salary charges, fringe benefits, other deductions and net pay. If an
individual for whom reimbursement is being claimed is paid by the hour, a document
reflecting the hours worked times the rate of pay will be acceptable.
(2) Fringe Benefits: Fringe Benefits should be supported by invoices showing the amount paid on behalf of
the employee (e.g., insurance premiums paid). If the contract specifically states that
fringe benefits will be based on a specified percentage rather than the actual cost of fringe
benefits,then the calculation for the fringe benefits amount must be shown.
Exception: Governmental entities are not required to provide check numbers or copies
of checks for fringe benefits.
(3) Travel: Reimbursement for travel must be in accordance with Section 112.061, Florida Statutes,
which includes submission of the claim on the approved State travel voucher or
electronic means.
(4) Other direct costs: Reimbursement will be made based on paid invoices/receipts. If nonexpendable property
is purchased using State funds,the contract should include a provision for the transfer of
the property to the State when services are terminated. Documentation must be provided
to show compliance with Department of Management Services Rule 60A-1.017, Florida
Administrative Code,regarding the requirements for contracts which include services and
that provide for the contractor to purchase tangible personal property as defined in
Section 273.02,Florida Statutes,for subsequent transfer to the State.
(5) In-house charges: Charges which may be of an internal nature (e.g., postage, copies, etc.) may be
reimbursed on a usage log which shows the units times the rate being charged. The rates
must be reasonable.
(6) Indirect costs: If the contract specifies that indirect costs will be paid based on a specified rate,then the
calculation should be shown.
Contracts between state agencies, and or contracts between universities may submit alternative documentation to
substantiate the reimbursement request that may be in the form of FLAIR reports or other detailed reports.
The Florida Department of Financial Services, online Reference Guide for State Expenditures can be found at this
web address: http://www.fldfs.com/aadir/reference guide.htm
DEP Agreement No.NF014,Attachment D,Page 1 of 1
ATTACHMENT E
PROGRESS REPORT FORM
DEP Agreement No.: NF014
Grantee Name:
Grantee Address:
Grantee's Grant Manager: Telephone No.:
Reporting Period:
Project Number and Title:
Provide the following information for all tasks and deliverables identified in the Grant
Work Plan: a summary of project accomplishments for the reporting period; a comparison
of actual accomplishments to goals for the period; if goals were not met, provide reasons
why; provide an update on the estimated time for completion of the task and an
explanation for any anticipated delays and identify by task.
NOTE: Use as many pages as necessary to cover all tasks in the Grant Work Plan.
The following format should be followed:
Task 1:
Progress for this reporting period:
Identify any delays or problems encountered:
This report is submitted in accordance with the reporting requirements of DEP Agreement No.
NF014 and accurately reflects the activities associated with the project.
Signature of Grantee's Grant Manager Date
DEP Agreement No NF014,Attachment E,Page 1 of 1
•
ATTACHMENT F
SPECIAL AUDIT REQUIREMENTS
The administration of resources awarded by the Department of Environmental Protection (which may be referred to
as the "Department", "DEP", "FDEP" or "Grantor", or other name in the contract/agreement) to the recipient
(which may be referred to as the "Contractor", Grantee"or other name in the contract/agreement) may be subject
to audits and/or monitoring by the Department of Environmental Protection,as described in this attachment.
MONITORING
In addition to reviews of audits conducted in accordance with OMB Circular A-133 and Section 215.97, F.S., as
revised (see "AUDITS" below), monitoring procedures may include, but not be limited to, on-site visits by
Department staff, limited scope audits as defined by OMB Circular A-133,as revised, and/or other procedures. By
entering into this Agreement, the recipient agrees to comply and cooperate with any monitoring
procedures/processes deemed appropriate by the Department of Environmental Protection. In the event the
Department of Environmental Protection determines that a limited scope audit of the recipient is appropriate, the
recipient agrees to comply with any additional instructions provided by the Department to the recipient regarding
such audit. The recipient further agrees to comply and cooperate with any inspections, reviews, investigations, or
audits deemed necessary by the Chief Financial Officer or Auditor General.
AUDITS
PART I: FEDERALLY FUNDED
This part is applicable if the recipient is a State or local government or a non-profit organization as defined in OMB
Circular A-133,as revised.
1. In the event that the recipient expends$500,000 or more in Federal awards in its fiscal year,the recipient
must have a single or program-specific audit conducted in accordance with the provisions of OMB Circular
A-133,as revised.EXHIBIT 1 to this Attachment indicates Federal funds awarded through the Department
of Environmental Protection by this Agreement. In determining the Federal awards expended in its fiscal
year, the recipient shall consider all sources of Federal awards, including Federal resources received from
the Department of Environmental Protection. The determination of amounts of Federal awards expended
should be in accordance with the guidelines established by OMB Circular A-133, as revised. An audit of
the recipient conducted by the Auditor General in accordance with the provisions of OMB Circular A-133,
as revised,will meet the requirements of this part.
2. In connection with the audit requirements addressed in Part I, paragraph 1, the recipient shall fulfill the
requirements relative to auditee responsibilities as provided in Subpart C of OMB Circular A-133, as
revised.
3. If the recipient expends less than $500,000 in Federal awards in its fiscal year, an audit conducted in
accordance with the provisions of OMB Circular A-133, as revised, is not required. In the event that the
recipient expends less than $500,000 in Federal awards in its fiscal year and elects to have an audit
conducted in accordance with the provisions of OMB Circular A-133,as revised,the cost of the audit must
be paid from non-Federal resources (i.e., the cost of such an audit must be paid from recipient resources
obtained from other than Federal entities).
4. The recipient may access information regarding the Catalog of Federal Domestic Assistance (CFDA) via
the internet at http://12.46.245.173/cfda/cfda.html.
DEP Agreement No.NF014,Attachment F,Page 1 of 5
PART 11:STATE FUNDED
This part is applicable if the recipient is a nonstate entity as defined by Section 215.97(2)(m),Florida Statutes.
1. In the event that the recipient expends a total amount of state financial assistance equal to or in excess of
$500,000 in any fiscal year of such recipient,the recipient must have a State single or project-specific audit
for such fiscal year in accordance with Section 215.97,Florida Statutes;applicable rules of the Department
of Financial Services;and Chapters 10.550(local governmental entities)or 10.650(nonprofit and for-profit
organizations), Rules of the Auditor General. EXHIBIT 1 to this Attachment indicates state financial
assistance awarded through the Department of Environmental Protection by this Agreement. In
determining the state financial assistance expended in its fiscal year,the recipient shall consider all sources
of state financial assistance, including state financial assistance received from the Department of
Environmental Protection,other state agencies, and other nonstate entities. State financial assistance does
not include Federal direct or pass-through awards and resources received by a nonstate entity for Federal
program matching requirements.
2. In connection with the audit requirements addressed in Part II, paragraph 1; the recipient shall ensure that
the audit complies with the requirements of Section 215.97(7), Florida Statutes. This includes submission
of a financial reporting package as defined by Section 215.97(2), Florida Statutes, and Chapters 10.550
(local governmental entities) or 10.650 (nonprofit and for-profit organizations), Rules of the Auditor
General.
3. If the recipient expends less than$500,000 in state financial assistance in its fiscal year,an audit conducted
in accordance with the provisions of Section 215.97,Florida Statutes, is not required. In the event that the
recipient expends less than $500,000 in state financial assistance in its fiscal year, and elects to have an
audit conducted in accordance with the provisions of Section 215.97,Florida Statutes,the cost of the audit
must be paid from the non-state entity's resources (i.e., the cost of such an audit must be paid from the
recipient's resources obtained from other than State entities).
4. For information regarding the Florida Catalog of State Financial Assistance (CSFA), a recipient should
access the Florida Single Audit Act website located at https://apps.fldfs.com/fsaa for assistance. In
addition to the above websites, the following websites may be accessed for information: Legislature's
Website at http://www.leg.state.fl.us/Welcome/index.cfm, State of Florida's website at
http://www.mvflorida.com/, Department of Financial Services' Website at http://www.fldfs.com/ and the
Auditor General's Website at http://www.state.fl.us/audgen.
PART III:OTHER AUDIT REQUIREMENTS
(NOTE: This part would be used to specify any additional audit requirements imposed by the State awarding entity
that are solely a matter of that State awarding entity's policy(i.e., the audit is not required by Federal or State laws
and is not in conflict with other Federal or State audit requirements). Pursuant to Section 215.97(8), Florida
Statutes, State agencies may conduct or arrange for audits of State financial assistance that are in addition to audits
conducted in accordance with Section 215.97, Florida Statutes. In such an event, the State awarding agency must
arrange for funding the full cost of such additional audits.)
PART IV: REPORT SUBMISSION
1. Copies of reporting packages for audits conducted in accordance with OMB Circular A-133,as revised,and
required by PART I of this Attachment shall be submitted, when required by Section .320 (d), OMB
Circular A-133,as revised,by or on behalf of the recipient directly to each of the following:
DEP Agreement No.NF014,Attachment F,Page 2 of 5
A. The Department of Environmental Protection at one of the following addresses:
By Mail:
Audit Director
Florida Department of Environmental Protection
Office of the Inspector General,MS 40
3900 Commonwealth Boulevard
Tallahassee,Florida 32399-3000
Electronically:
FDEPSingleAuditdep.state.fl.us
B. The Federal Audit Clearinghouse designated in OMB Circular A-133, as revised (the number of
copies required by Sections .320 (d)(1) and (2), OMB Circular A-133, as revised, should be
submitted to the Federal Audit Clearinghouse),at the following address:
Federal Audit Clearinghouse
Bureau of the Census
1201 East 10th Street
Jeffersonville,IN 47132
Submissions of the Single Audit reporting package for fiscal periods ending on or after January 1,
2008,must be submitted using the Federal Clearinghouse's Internet Data Entry System which can
be found at http://harvester.census.gov/fac/
C. Other Federal agencies and pass-through entities in accordance with Sections.320(e)and(0,
OMB Circular A-133,as revised.
2. Pursuant to Section .320(0, OMB Circular A-133, as revised, the recipient shall submit a copy of the
reporting package described in Section .320(c), OMB Circular A-133, as revised, and any management
letters issued by the auditor,to the Department of Environmental Protection at one the following addresses:
By Mail:
Audit Director
Florida Department of Environmental Protection
Office of the Inspector General,MS 40
3900 Commonwealth Boulevard
Tallahassee,Florida 32399-3000
Electronically:
FDEPSingleAudit(a)dep.state.fl.us
3. Copies of financial reporting packages required by PART II of this Attachment shall be submitted by or on
behalf of the recipient directly to each of the following:
A. The Department of Environmental Protection at one of the following addresses:
By Mail:
Audit Director
Florida Department of Environmental Protection
Office of the Inspector General,MS 40
3900 Commonwealth Boulevard
Tallahassee,Florida 32399-3000
Electronically:
FDEPSingleAuditQdep.state.fl.us
DEP Agreement No.NF014,Attachment F,Page 3 of 5
B. The Auditor General's Office at the following address:
State of Florida Auditor General
Room 401,Claude Pepper Building
111 West Madison Street
Tallahassee,Florida 32399-1450
4. Copies of reports or management letters required by PART III of this Attachment shall be submitted by or
on behalf of the recipient directly to the Department of Environmental Protection at one of the following
addresses:
By Mail:
Audit Director
Florida Department of Environmental Protection
Office of the Inspector General,MS 40
3900 Commonwealth Boulevard
Tallahassee,Florida 32399-3000
Electronically:
FDEPSingleAudit@dep.state.fl.us
5. Any reports, management letters, or other information required to be submitted to the Department of
Environmental Protection pursuant to this Agreement shall be submitted timely in accordance with OMB
Circular A-133,Florida Statutes,or Chapters 10.550(local governmental entities)or 10.650(nonprofit and
for-profit organizations),Rules of the Auditor General,as applicable.
6. Recipients, when submitting financial reporting packages to the Department of Environmental Protection
for audits done in accordance with OMB Circular A-133,or Chapters 10.550(local governmental entities)
or 10.650 (nonprofit and for-profit organizations), Rules of the Auditor General, should indicate the date
that the reporting package was delivered to the recipient in correspondence accompanying the reporting
package.
PART V: RECORD RETENTION
The recipient shall retain sufficient records demonstrating its compliance with the terms of this Agreement for a
period of 5 years from the date the audit report is issued, and shall allow the Department of Environmental
Protection, or its designee, Chief Financial Officer, or Auditor General access to such records upon request. The
recipient shall ensure that audit working papers are made available to the Department of Environmental Protection,
or its designee, Chief Financial Officer, or Auditor General upon request for a period of 3 years from the date the
audit report is issued,unless extended in writing by the Department of Environmental Protection.
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
DEP Agreement No.NF014,Attachment F,Page 4 of 5
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ATTACHMENT G Approved by OMB
0348-0046
DISCLOSURE OF LOBBYING ACTIVITIES
Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352
(See reverse for public burden disclosure.)
1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type:
a. contract ❑ a. bid/offer/application ❑ a. initial filing
b. grant b. initial award b. material change
c. cooperative agreement c. post-award
d. loan For Material Change Only:
e. loan guarantee
f. loan insurance year quarter
date of last report
4. Name and Address of Reporting Entity: 5. If Reporting Entity in No.4 is Subawardee,Enter Name
and Address of Prime:
0 Prime 0 Subawardee
Tier if known:
Congressional District,if known: Congressional District,if known:
6. Federal Department/Agency: 7. Federal Program Name/Description:
CFDA Number,if applicable:
8. Federal Action Number,if known: 9. Award Amount,if known:
S
10. a. Name and Address of Lobbying Entity b. Individuals Performing Services(including address if
(if individual,last name,first name,MI): different from No. 10a)
(last name,first name,MI):
(attach Continuation Sheet(s) SF-LLLA,if necessary)
Signature:
11. Information requested through this form is authorized by title 31 U.S.C.
section 1352. This r disclosure of lobbying activities is"a material
Print Name:
representation of fact upon which reliance was placed by the tier above
when this transaction was made o'r entered"into: This disclosure is required
pursuant to 31 U.S.C.1352. This'information will'be reportedto Congress Title:
semi-annually and will beavailable for public inspection. Any person who
fails to file the required disclosure shall be subject to a civil penalty of not Telephone No.: Date:
less than 510,000 and not more than S100,000 for each such failure.
Federal Use Only: • . Authorized for Local Reproduction
Standard Form—LLL (Rev 7—97)
Form DEP 55-221(01/01)
DEP Agreement No.NF014,Attachment G,Page 1 of 2
•
INSTRUCTIONS FOR COMPLETION OF SF-LLL,DISCLOSURE OF LOBBYING ACTIVITIES
This disclosure form shall be completed by the reporting entity,whether subawardee or prime Federal recipient,at
the initiation or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31
U.S.C. section 1352. The filing of a form is required for each payment or agreement to make payment to any
lobbying entity for influencing or attempting to influence anofficer or employee of any agency, a Member of
Congress,an officer or employee of Congress,or an employee of a Member of Congress in connection with a covered
Federal action. Complete all items that apply for both the initial filing and material change report. Refer to the
implementing guidance published by the Office of Management and Budget for additional information.
1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to
influence the outcome of a covered Federal action.
2. Identify the status of the covered Federal action.
3. Identify the appropriate classification of this report. If this is a followup report caused by a material
change to the information previously reported,enter the year and quarter in which the change occurred.
Enter the date of the last previously submitted report by the reporting entity for this covered Federal
action.
4. Enter the full name, address, city, state and zip code of the reporting entity. Include Congressional
District,if known. Check the appropriate classification of the reporting entity that designates if it is or
expects to be, a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first
subawardee of the prime is the 1st tier. Subawards include but are not limited to subcontracts,
subgrants and contract awardsunder grants.
5. If the organization filing the report in item 4 checks "Subawardee", then enter the full name, address,
city,state and zip code of the prime Federal recipient. Include Congressional District,if known.
6. Enter the name of the Federal agency making the award or loan commitment. Include at least one
organizational level below agency-name,"if known. For example,Department of Transportation, United
States Coast Guard.
7. Enter the Federal program name or description for the covered Federal action(item 1). If known,enter
the full Catalog of Federal Domestic Assistance (CFDA) number for grants, cooperative agreements,
loans,and loan commitments.
8. Enter the most appropriate Federal identifying number available for the Federal action identified in
item 1 (e.g.,Request.for Proposal(RFP)number; Invitation for Bid(IFB)number;grant announcement
number; the contract, grant, or loan award number; the application/proposal control number assigned
by the Federal agency). Include prefixes,e.g.,"RFP-DE-90-001."
9. For a covered Federal action where there has been an award or loan commitment by the Federal agency,
enter the Federal amount of the award/loan commitment for the prime entity identified in item 4 or 5.
10. (a) Enter the full name,address,city,state and zip code of the lobbying entity engaged by the reporting
entity identified in item 4 to influence the covered Federal action.
(b) Enter the full names of the individual(s) performing services, and include full address if different
from 10(a). Enter Last Name,First Name,and Middle Initial(MI).
• 11. The certifying official shall sign and date the form,print his/her name,title and telephone number.
According to the Paperwork Reduction Act, as,amended, no persons are required to respond to a collection of information unless it
displays a valid OMB Control Number. The valid OMB control number for this information collection is OMB No.0348-0046. Public
reporting burden for this collection of information is estimated to average 30 minutes per response, including time for reviewing
instructions,searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the collection of
information. Send comments regarding the burden estimate or any other aspect of this collection of information,including suggestions
for reducing this burden,to.the Office of Management and Budget,Paperwork Reduction Project(0348-0046),Washington,D.C. 20503.
Form DEP 55-221 (01/01)
DEP Agreement No.NF014,Attachment G,Page 2 of 2
ATTACHMENT H OMB Control No.2030-0020
Approval expires 06/30/2017
United States
ENVIRONMENTAL PROTECTION AGENCY
Washington, DC 20460
LOBBYING AND LITIGATION CERTIFICATION FOR GRANTS
AND COOPERATIVE AGREEMENTS*
INSTRUCTIONS:
*At project completion,complete this form pursuant to the 2001 Department of Veterans Affairs and Housing and Urban
Development,and.Independent Appropriations Act,Public Law 106-377, Section 424 and 2000 Department of Veterans
Affairs and Housing and Urban Development, and Independent Appropriations Act,Public Law 106-74, Section 426 and
any other subsequent Appropriation Act requirements.
Please mail this form to your EPA Grant Specialist within 90 days of project completion. DO NOT send this information
to the Office of Management&Budget.
Assistance Agreement Number(s):
I hereby certify that none of these funds have been used to engage in the lobbying of the Federal
Government or in litigation against the United States unless authorized under existing law.
Signature of the Chief Executive Officer Date
Print Name
Burden Statement-The annual public reporting and record keeping burden for this collection of information is estimated to average 5 minutes per
respondent.Burden means the total time,effort;orfinancial resources expended by persons to generate,maintain,retain,or disclose or provide
information"to or for a Federal agency.This includes the time.needed to review instructions;develop,acquire,install,and utilize technology and
-systems for the purposes of collecting;validating.and verifying information,processing and maintaining information,and disclosing and providing
information;adjust the existing ways to comply with any previously applicable instructions and requirements;train personnel to be able to respond to
a collection of information;search data sources;complete and review the collection of information;and transmit or otherwise disclose the
information:An agency may not conduct orsponsor,and a,person is not required to respond to,a collection of information unless it displays a
currently valid OMB control number.The OMB control numbers for EPA's regulations are listed in 40 CFR Part 9 and 48 CFR Chapter 15.
Send comments on the Agency's need for this information,the accuracy of the provided burden estimates,and any suggested methods for
minimizing respondent burden,including through the use of automated collection techniques to the Director,Regulatory Information Division,U.S.
Environmental Protection Agency,Ariel Rios Building, 1200 Pennsylvania Avenue,N.W.,Mail Code 3213A,Washington,DC 20460;and to the
Office of Information and Regulatory Affairs,Office of Management and Budget,725 17th Street,N.W.,Washington,DC 20503,Attention:Desk
Officer for EPA.Include the EPA ICR number and OMB control number in any correspondence.
EPA Form 5700-53(Rev.06/2014)
DEP Agreement No.NF014,Attachment H,Page 1 of 1
ATTACHMENT I
QUALITY ASSURANCE REQUIREMENTS
1. All sampling and analyses performed under this Contract must conform to the requirements set forth in Chapter
62-160,Florida Administrative Code(F.A.C.)and"Requirements for Field and Analytical Work performed for
the Department of Environmental Protection under Contract"(DEP-OA-002/02),February 2002.
2. LABORATORIES
a. The GRANTEE shall ensure that all standard laboratory testing activities are performed by laboratories
certified by the Florida Department of Health Environmental Laboratory Certification Program(DoH
ELCP)for all applicable matrix/method/analyte combinations to be measured. For non-potable water
matrix,the certification requirement is considered satisfied if the laboratory is certified for the contracted
analyte in at least one method that uses the same analytical technology as the contract-proposed method.
b. If the laboratory is not certified for some or all of the proposed test measurements,the laboratory shall
apply for certification within one month of Contract execution. Within six months of Contract execution,
the laboratory shall be fully certified for all applicable matrix/method(or analytical technology)/analyte
combinations to be performed. Regardless of when the laboratory receives certification,the laboratory
must implement all applicable standards of the National Environmental Laboratory Accreditation
Conference(NELAC)upon Contract execution.
c. Laboratories shall maintain certification as specified in item 2.a above during the life of the Contract.
Should certification for an analyte or test method be lost,all affected tests shall be immediately sub-
contracted to a laboratory with current DoH ELCP certification in the appropriate matrix/method/analyte
combination(s). The GRANTEE shall notify the DEP contract manager in writing before any change to a
sub-contracted laboratory is made.
d. A copy of the DoH ELCP Certificate and the associated list of specific fields of accreditation for each
contracted or sub-contracted laboratory shall be provided to the DEP contract manager upon Contract
execution or upon receiving DoH certification(see items 2.a and 2.b above).
e. The GRANTEE shall ensure that an acceptable initial demonstration of capability(IDOC),as described in
Appendix C of Chapter 5 of the NELAC Standards is performed. Each laboratory that performs any of the
proposed matrix/method(or analytical technology)/analyte combination(s)must have the requisite IDOC
documentation and supporting laboratory records. IDOCs shall be performed and shall meet the contract
specified requirements for precision,accuracy,and the method detection limit(MDL)and/or practical
quantitation limit(PQL)before the test procedure is used to generate data for this Contract. If requested by
the Department,documentation that supports the IDOC shall be made available for review.
f. When performance test samples are not required by DoH ELCP for certification,the laboratory shall
obtain,analyze and evaluate performance test samples,standard reference materials(SRM)or other
externally assayed quality control(QC)samples,hereinafter known collectively as quality control check
(QCC)samples.
(i) The laboratory shall ensure that the selected QCC samples(s)represent all matrix/method/analyte
combinations that are not subject to certification requirements.
(ii) These samples shall be analyzed at six-month intervals and the results shall be within the acceptable
range established by the QCC sample provider.
(iii)Before providing analytical services for this Contract,the laboratory must provide to the DEP contract
manager the results of the QCC sample(s)and the associated acceptable range(s)as established by the
QCC sample provider. The submitted results must be from QCC samples that have been completed
within the previous six months prior to the submission date.
g. Any non-standard laboratory procedures or methods that are proposed for use(i.e.,those not approved by
DEP for standard environmental analyses)shall be submitted for review and approval in accordance with
DEP-QA-001/01,"New and Alternative Analytical Laboratory Methods,"February 1,2004. These
procedures or methods shall be approved by the DEP contract manager before use under this Contract and
must be cited or described in the required planning document(see Section 6).
h. The GRANTEE shall ensure that Practical Quantitation Limits(PQLs)and Method Detection Limits
(MDLs)are listed in the planning document(see Section 6).
i. The GRANTEE shall ensure that the selected laboratory test methods listed in the planning document can
provide results that meet the Contract data quality objectives.
j. The GRANTEE shall ensure that all laboratory testing procedures follow the analytical methods as
approved in the planning document(see Section 6).
DEP Agreement No.NF014,Attachment 1,Page 1 of 5
k. The GRANTEE shall ensure that the all laboratory quality control measures for standard methods are
consistent with Chapter 5 of the NELAC standards.
I. In addition,the GRANTEE shall ensure that the quality control requirements specified in the attached
addenda are followed.
m. The GRANTEE shall ensure that all sample results are calculated according to the procedures specified in
the analytical methods approved in the planning document.
3. FIELD ACTIVITIES
a. "Sample"refers to samples that have been either collected or analyzed under the terms of this Contract.
b. The GRANTEE shall ensure that all sample collection and field testing activities are performed in
accordance with applicable Department"Standard Operating Procedures for Field Activities"(DEP-SOP-
001/01,March 1,2014). The specific standard operating procedures(SOPs)to be used for this Contract
shall be cited in the planning document(see Section 6). SOPs for field sample collection or testing not
included in the Department's SOPs shall be included or cited in the planning document.
c. Any non-standard field procedure shall be submitted for review and approval to the DEP contract manager.
All non-standard procedures and methods must be approved by the DEP contract manager before use under
this Contract and must be cited or described in the planning document.
d. Per the quality control measures outlined in DEP SOP FO 1000,the GRANTEE shall ensure that the
following field quality controls(and any additional quality control measures specified in the addenda)are
incorporated into the project design for applicable test methods:
(i) Matrix-Related Quality Controls-The GRANTEE shall ensure that the laboratory is provided with
sufficient sample volume to analyze at least one set of matrix spikes and either matrix spike duplicates
or laboratory duplicates as follows:
(1) The first time a sample from a sample collection matrix(see Table FA 1000-1 in DEP SOP FA
1000)is collected;
(2) One in each additional 20 samples of the sample collection matrix,after the first 20 samples;and
(3) The last time samples are collected for the sample collection matrix.
(ii) Field-Generated Quality Control(QC)Blanks—Blanks associated with field activities as defined in
part FQ 1210 of DEP SOP FQ 1000 shall be collected according to the requirements of part FQ 1230.
(1) If an analyte detected in the sample is also found in any field-generated QC blank that is
associated with the sample,the GRANTEE shall investigate and attempt to determine the cause of
the QC blank contamination. The outcome of this investigation shall be reported and shall include
a discussion of the corrective measures taken to minimize future occurrences of QC blank
contamination.
(2) If an analyte detected in the sample is also found in any field-generated QC blank that is
associated with the sample,the GRANTEE shall ensure that the analyte in any affected sample is
reported as estimated("G"data qualifier code,with a narrative explanation),unless the analyte
concentration in the blank is 510%of the reported concentration in the associated sample.
4. REPORTING,DOCUMENTATION AND RECORDS RETENTION
a. The GRANTEE shall ensure that all laboratory and field records applicable to the Contract,as outlined in
Rules 62-160.240 and.340,F.A.C.are retained for a minimum of five years after the generation or
completion of records.
b. All field and laboratory records that are associated with work performed under this Contract shall be
organized so that any information can be quickly and easily retrieved for inspection,copying or
distribution.
c. The GRANTEE shall ensure that all laboratory reports for standard methods are issued in accordance with
NELAC requirements. These reports shall be submitted to the DEP contract manager and shall include the
following information:
► Laboratory sample identification(ID)and associated Field ID
► Analytical/test method
► Parameter/analyte name
► Analytical result(including dilution factor)
► Result unit
► Applicable DEP Qualifiers per Table 1 of Chapter 62-160,F.A.C.
► Result comment(s)to include corrective/preventive actions taken for any failed QC measure(e.g.,
QC sample,calibration failure)or other problem related to the analysis of the samples
► Date and time of sample preparation(if applicable)
DEP Agreement No.NF014,Attachment I,Page 2 of 5
► Date and time of sample analysis
► Results of laboratory verification of field preservation
► Sample matrix
► DoH ELCP certification number for each laboratory(must be associated with the test result(s)
generated by the laboratory)
► MDL,LOD or other defined limit of detection
► PQL,LOQ or other defined limit of quantification
► Sample type(such as blank type,duplicate type)
► Field and laboratory QC blank results:
• Laboratory QC blank analysis results as required by the method,NELAC Chapter 5 and
the planning document(see Section 6 below);
• Field quality control results including field blanks,equipment blanks,and field duplicates
(or replicates)as specified in the planning document(see Section 6)
► Results of sample matrix spikes,laboratory duplicates or matrix spike duplicates,as applicable
► Results of surrogate spike analyses(if performed)
► Results of laboratory control samples(LCS)
► Link between each reported quality control measure(e.g.,QC blanks,matrix spikes,LCS,
duplicates,calibration verification)and the associated sample result(s)
► Acceptance criteria used to evaluate each reported quality control measure
d. The GRANTEE shall ensure that the following field-related information is reported to the DEP contract
manager:
► Site name and location information
► Field ID for each sample container and the associated analytes(test methods)for which the
container was collected
► Date and time of sample collection
Sample collection depth
► Sample collection method identified by the DEP SOP number,where applicable
► If performed,indicate samples that were filtered
► Field test measurement results:
• DEP SOP number(FT-series),where applicable
• Parameter name
• Result
• Result unit
• Applicable Data Qualifiers per Table 1 of Chapter 62-160,F.A.C.
► Narrative comments discussing corrective/preventive actions taken for any failed QC measure
(e.g.,blank contamination,meter calibration failure,split sample results),unacceptable field
measurement or other problems related to the sampling event.
e. The Department reserves the right to request some or all of the laboratory or field information in a specified
format.
5. The GRANTEE shall submit the data electronically using the format identified in QAPP
6. AUDITS
a. AUDITS BY THE DEPARTMENT—Pursuant to Rule 62-160.650,F.A.C.,the Department may conduct audits
of field and/or laboratory activities. In addition to allowing Department representatives to conduct onsite
audits,the GRANTEE,upon request by the Department,must provide all field and laboratory records
pertinent to the contracted field and laboratory activities. If an audit by the Department results in a
determination that the reported data are not usable for the purpose(s)or do not meet the data quality
objectives specified by the Contract,the DEP contract manager shall pursue remedies available to the
Department,including those outlined in Section 8 below.
b. PLANNING REVIEW AUDITS—
(i) Initial: Prior to the completion of the sampling and analysis events and after the second completed
sampling and analysis event but no later than fourth,the GRANTEE and all associated subGRANTEEs
shall review the planning document(see Section 6 below)relative to the completed field and
laboratory activities to determine if the data quality objectives are being met,identify any
improvements to be made to the process,and refine the sampling and/or analytical design or schedule.
Within one month of the review,a summary of the review,including any corrective action plans or
DEP Agreement No.NF014,Attachment I,Page 3 of 5
amendments to the planning document,shall be sent to the DEP contract manager and a copy shall be
maintained with the permanent project records.
(ii) Ongoing: Planning reviews as described in item(i)above shall occur annually,if applicable.
C. QUALITY SYSTEMS AUDITS-The GRANTEE and all subGRANTEEs shall ensure that any required
laboratory and field quality system audits are performed according to the respective quality manuals or
other relevant internal quality assurance documents for each contracted and sub-contracted entity. These
audits shall be documented in the GRANTEE's and subcontractors'records.
d. STATEMENTS OF USABILITY-As a part of the audit process and the final report,the GRANTEE shall
provide statements about data usability relative to the Contract Data Quality Objectives and Data Quality
Indicators specified in the planning document,this attachment and the addenda.
(i) The GRANTEE shall ensure that all applicable data quality acceptance and usability criteria are listed
in the planning document.
(ii) The GRANTEE shall ensure that the results of all quality control measures are evaluated according to
the acceptance criteria listed in the planning document GRANTEE.
(iii)The GRANTEE shall ensure that all sample results are evaluated according to all applicable usability
criteria specified in the planning document.
7. PLANNING DOCUMENT
a. The GRANTEE shall submit the planning document identified below to the DEP contract manager no later
than 120 days prior to the commencement of field and laboratory activities. Failure to submit the planning
document in this required timeframe shall result in a delay of approval to begin work until the document
has been submitted to the Department and approved by the DEP contract manager. The document shall be
submitted as a Quality Assurance Project Plan(QAPP). The plan shall be consistent with the EPA
Document EPA-QA/R-5,EPA Requirements for Quality Assurance Project Plans,dated March 2001.
b. The GRANTEE and subGRANTEEs may submit a version of the planning document to the Department for
approval no more than three times. If the GRANTEE fails to obtain approval for the planning document
after the third(final)submission to the Department,the DEP contract manager may suspend or terminate
the Contract.
c. The DEP Contract number shall appear on the title page of the submitted planning document. Within forty-
five(45)days of receipt of the properly identified planning document by the Department,the Department
shall review and either approve the planning document or provide comments to the GRANTEE and
affected subGRANTEEs as to why the planning document is not approved. If further revisions are needed,
the GRANTEE shall then have fifteen(15)days from the receipt of review comments to respond. The
Department shall respond to all revisions to the planning document within thirty(30)days of receipt of any
revisions.
d. If the review of the planning document by the Department is delayed,through no fault of the GRANTEE,
beyond sixty(60)days after the planning document is received by the Department,the GRANTEE shall
have the option,after the planning document is approved,of requesting and receiving an extension in the
term of the Contract for a time period not to exceed the period of delayed review and approval. This option
mustbe exercised at least sixty(60)days prior to the current termination date of the Contract.
e. Work may not begin for specific Contract tasks until approval(or conditional approval)has been received
by the GRANTEE from the DEP contract manager. Sampling and analysis for the Contract may not begin
until the planning,document has been approved(or conditionally approved).
f. Once approved,the.GRANTEE shall follow the protocols specified in the approved planning document
including,but not limited to:
► Ensuring that all stated quality control measures are collected,analyzed and evaluated for
acceptability;
► Using only the protocols approved in the planning document;and
► Using only the equipment approved in the planning document.
g. If any significant changes in procedures or test methods,changes in equipment,changes in subGRANTEE
organizations or changes in key personnel occur,the GRANTEE shall submit appropriate revisions of the
planning document to the DEP contract manager for review. The proposed revisions may not be
implemented until they have been approved by the DEP contract manager. If the GRANTEE fails to
submit the required revisions,the DEP contract manager may suspend or terminate the Contract. These
amendments shall be
DEP Agreement No.NF014,Attachment I,Page 4 of 5
(i) Documented through written or electronic correspondence with the DEP contract manager and
incorporated into the approved planning document.
8. DELIVERABLES
a. The following lists the expected schedule for the deliverables that are associated with the Quality
Assurance requirements of this Contract:
(i) Copy of DoH ELCP Certificate(s)and the associated list(s)of specific fields of accreditation,per item
2.d above.
(ii) Copies of the QCC sample results per item 2.f.above.
(iii)Non-standard laboratory or field procedures—The GRANTEE shall submit to the DEP contract
manager all required information necessary for review of non-standard procedures per items 2.g.and
3.c.above.
(iv) Reports of planning review audits as specified in item 5.b.above.
(v) Statements of Usability as specified in item 5.d.above.
(vi) Planning document per Section 6,above.
9. CONSEQUENCES
a. Failure to comply with any requirement of this attachment may result in:
(i) Immediate termination of the Contract.
(ii) Withheld payment for the affected activities.
(iii)Contract suspension until the requirement(s)has been met.
(iv) A request to refund°already disbursed payments.
(v) A request to redo work affected by the non-compliant activity.
(vi) Other remedies available to the Department.
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DEP Agreement No.NF014,Attachment I,Page 5 of 5
ATTACHMENT J
Contract Provisions
All contracts awarded by a recipient, including small purchases, shall contain the following provisions as
applicable:
1. Equal Employment Opportunity - All contracts shall contain a provision requiring compliance
with Executive Order (E.O.) 11246, "Equal Employment Opportunity," as amended by E.O.
11375, "Amending Executive Order 11246 Relating to Equal Employment Opportunity," and as
supplemented by regulations at 41 CFR part 60, "Office of Federal Contract Compliance
Programs,Equal Employment Opportunity,Department of Labor."
2. Copeland "Anti-Kickback" Act (18 U.S.C. 874 and 40 U.S.C. 276c) - All contracts and
subgrants in excess of$2000 for construction or repair awarded by recipients and subrecipients
shall include a provision for compliance with the Copeland "Anti-Kickback" Act(18 U.S.C. 874),
as supplemented by Department of Labor regulations (29 CFR part 3, "Contractors and
Subcontractors on Public Building or Public Work Financed in Whole or in Part by Loans or
Grants from the United States"). The Act provides that each contractor or subrecipient shall be
prohibited from inducing, by any means,any person employed in the construction,completion,or
repair of public work,to give up any part of the compensation to which he is otherwise entitled.
The recipient shall report all suspected or reported violations to the Federal awarding agency.
3. Davis-Bacon Act, as amended (40 U.S.C. 276a to a-7) - When required by Federal program
legislation, all construction contracts awarded by the recipients and subrecipients of more than
$2000 shall include a provision for compliance with the Davis-Bacon Act(40 U.S.C. 276a to a-7)
and as supplemented by Department of Labor regulations (29 CFR part 5, "Labor Standards
Provisions Applicable to Contracts Governing Federally Financed and Assisted Construction").
Under this Act,contractors shallbe required to pay wages to laborers and mechanics at a rate not
less than the minimum wages specified in a wage determination made by the Secretary of Labor.
In addition, contractors shall be required to pay wages not less than once a week. The recipient
shall place a copy of the current prevailing wage determination issuedby the Department of Labor
in each solicitation and the'award of a contract shall be conditioned upon the acceptance of the
wage determination. The recipient shall report all suspected or reported violations to the Federal
awarding agency.
4. Contract Work Hours and Safety Standards Act (40 U.S.C. 327-333) - Where applicable, all
contracts awarded by recipients in excess of$2000 for construction contracts and in excess of
$2500 for other contracts that involve the employment of mechanics or laborers shall include a
provision forcompliance with Sections 102 and 107 of the Contract Work Hours and Safety
Standards Act(40 U.S.C.327-333),as supplemented by Department of Labor regulations(29 CFR
part 5). Under Section 102 of the Act, each contractor shall be required to compute the wages of
every mechanic and laborer on the_.basis of a standard work week of 40 hours.Work in excess of
the standard work week is permissible provided that the worker is compensated at a rate of not less
than 1 'A times the basic rate of pay for all hours worked in excess of 40 hours in the work week.
Section 107 of the Act is applicable to construction work and provides that no laborer or mechanic
shall be required to work in surroundings or under working conditions which are unsanitary,
hazardous or dangerous.These requirements do not apply to the purchases of supplies or materials
or articles ordinarily available on the open market, or contracts for transportation or transmission
of intelligence.
5. Rights to Inventions Made Under a Contract or Agreement - Contracts or agreements for the
performance of experimental, developmental, or research work shall provide for the rights of the
Federal Government and the recipient in any resulting invention in accordance with 37 CFR part
401, "Rights to Inventions Made by Nonprofit Organizations and Small Business Firms Under
Government Grants,Contracts and Cooperative Agreements," and any implementing regulations
issued by the awarding agency.
DEP Agreement No.NF014,Attachment J,Page 1 of 4
6. Clean Air Act (42 U.S.C. 7401 et seq.) and the Federal Water Pollution Control Act, as
amended (33 U.S.C. 1251 et seq.) - Contracts and subgrants of amounts in excess of$100,000
shall contain a provision that requires the recipient to agree to comply with all applicable
standards,orders or regulations issued pursuant to the Clean Air Act(42 U.S.C. 7401 et seq.)and
the Federal Water Pollution Control Act as amended (33 U.S.C. 1251 et seq.). Violations shall be
reported totheFederal awarding agency and the Regional Office of the Environmental Protection
Agency(EPA).
7. Byrd Anti-Lobbying Amendment(31 U.S.C. 1352)-Contractors who apply or bid for an award
of$100,000 or more shall file the required certification.Each tier certifies to the tier above that it
will not and has not used Federal appropriated funds to pay any person or organization for
influencing or attempting to influence an officer or employee of any agency, a member of
Congress, officer or employee of Congress, or an employee of a member of Congress in
connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C.
1352. Each tier shall also disclose any lobbying with non-Federal funds that takes place in
connection with obtaining any Federal award. Such disclosures are forwarded from tier to tier up
to the recipient.
8. Debarment and Suspension (E.O.s 12549 and 12689) - No contract shall be made to parties
listed on the General Services Administration's List of Parties Excluded from Federal Procurement
or Nonprocurement Programs in accordance with E.O.s 12549 and 12689, "Debarment and
Suspension."This list contains the names of parties debarred,suspended,or otherwise excluded by
agencies,and contractors declared ineligible under statutory or regulatory authority other than
E.O. 12549. Contractors with awards that exceed the small purchase threshold shall provide the
required certification regarding its exclusion status and that of its principal employees.
9. Section 508 of the Federal Water Pollution Control Act, as amended (33 U.S.C. 1368) and
Section 1424(e) of the Safe Drinking Water Act (42 U.S.C. 300h-3(e)) Contracts and
subgrants of amounts in excess of$100,000 shall contain a provision that requires the recipient to
agree to comply'with all applicable standards,orders or regulations issued pursuant to Section 508
of the Federal Water Pollution Control Act, as amended(33 U.S.C. 1368)and Section 1424(e)of
the Safe Drinking Water Act (42 U.S.C. 300h-3(e)). Violations shall be reported to the Federal
awarding agency and the Regional Office of the Environmental Protection Agency(EPA).
10. Compliance with all Federal statutes relating to nondiscrimination -These include but are not
limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352), which prohibits
discrimination on the basis of sex; (b) Section 504 of the Rehabilitation Act of 1973,as amended
(29 U.S.C. 795), which prohibits discrimination on the basis of handicaps; (c) the Age
Discrimination Act of 1975, as amended (42 U.S.C. 6101-6107), which prohibits discrimination
on the basis of age;.(d) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as
amended,relating to nondiscrimination on the basis of drug abuse;(e)the Comprehensive Alcohol
Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as
amended, relating tonondiscrimination on the basis of alcohol abuse or alcoholism; (1) Sections
523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. 290 dd-3 and 290 ee-3), as
amended,relating to confidentiality of alcohol and drug abuse patient records;(g)Title VIII of the
Civil Rights Act of 1968 (42 U.S.C. 3601 et seq.), as amended, relating to nondiscrimination in
the sale,rental or financing of housing; (h)any other nondiscrimination provisions in the specific
statute(s)made;and,(i)the requirements of any other nondiscrimination statute(s)that may apply.
11. Compliance with the requirements of Titles II and III of the Uniform Relocation Assistance
and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) that provide for fair and
equitable treatment of persons displaced or whose property is acquired as a result of Federal or
federally assisted programs. These requirements apply to all interests in real property acquired for
project purposes regardless of Federal participation in purchases.
12. Compliance with the provisions of the Hatch Act(5 U.S.C. 1501 —1508 and 7324—7328)that
limit the,political activities of employees whose principal employment activities are funded in
whole or in part with Federal funds.
DEP Agreement No.NF014,Attachment J,Page 2 of 4
13. Compliance, if applicable,with flood insurance purchase requirements of Section 102(a) of
the Flood Disaster Protection Act of 1973 (P.L. 93-234) that requires recipients in a special
flood hazard area to participate in the program and to purchase flood insurance if the total cost of
insurable construction and acquisition is$10,000 or more.
14. Compliance with environmental standards which may be prescribed to the following: (a)
institution of environmental quality control measures under the National Environmental Policy
Act of 1969 (P.L. 91-190) and Executive Order 11514; (b) notification of violating facilities
pursuant to E.O. 11738;(c)protection of wetlands pursuant to E.O. 11990;(d)evaluation of flood
hazards in floodplains in accordance with E.O. 11988; (e) assurance of project consistency with
the approved State management program developed under the Coastal Zone Management Act of
1972 (16 U.S.C. 1451 et seq.); (f) conformity with Federal actions to State (Clean Air)
Implementation Plans under Section 176(c)of the Clean Air Act of 1955,as amended(42 U.S.C.
7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking
Water Act of 1974,as amended(P.L. 93-523);and(h)protection of endangered species under the
Endangered Species Act of 1973,as amended(P.L.93-205).
15. Compliance with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. 1271 et seq.) related to
protecting components or potential components of the national wild and scenic rivers system.
16. Compliance with Section 106 of the National Historic Preservation Act of 1966,as amended
(16 U.S.C. 470), E.O. 11593 (identification and protection of historic properties), and the
Archaeological and Historic Preservation Act of 1974(16 U.S.C.469a-1 et seq.).
17. Compliance with P.L. 93-348 regarding the protection of human subjects involved in research,
development,and related activities supported by this award of assistance.
18. Compliance with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7
U.S.C.2131 et seq.)pertaining to the care,handling,and treatment of warm blooded animals held
for research,teaching,or other activities supported by this Agreement.
19. Compliance with the Lead-Based Paint Poisoning Prevention Act(42 U.S.C.4801 et seq.)that
prohibits the use of lead-based paint in construction or rehabilitation of residence structures.
20. Compliance with the mandatory standards and policies relating to energy efficiency that are
contained in the State energy conservation plan issued in accordance with the Energy Policy and
Conservation Act(Pub.L.94-163,89 Stat.871).
21. Compliance with Geospatial Data Standards must be met by the Grantee under this Agreement.
All geospatial data created must be consistent with Federal Geographic Data Committee endorsed
standards. Information on these standards can be found at www.fgdc.gov.
22. Compliance with Nutrient Management Plans for Animal Feeding Operations is required
under this Grant and must have and implement a nutrient management plan that: 1)provides and
maintains buffers or equivalent practices; 2) diverts clean water; 3) prevents direct contact of
confined animals with waters of the United States; 4) addresses animal mortality; 5) addresses
chemical disposal; 6) addresses proper operation and maintenance; 7) addresses record keeping
and testing; 8) maintains proper storage capacity; and 9) addresses rate and timing of land
application of manure and wastewater.
23. Compliance with the Drug Free Workplace Act. The recipient shall comply with the provisions
of the Drug-Free Workplace Act of 1988(Public Law 100-690,Title V,Sec. 5153,as amended by
Public Law 105-85, Div. A, Title VIII, Sec. 809, as codified at 41 U.S.C. § 702) and DoC
Implementing regulations published at 43 CFR Part 43, "Governmentwide Requirements for
Drug-Free Workplace(Financial Assistance)"published in the Federal Register on November 26,
2003,68 FR 66534),which require that the recipient take steps to provide a drug-free workplace.
24. Compliance with the Trafficking Victims Protection Act of 2000 (2 CFR Part 175) By
accepting funds under this Agreement,the Grantee agrees to implement the requirements of(g)of
section 106 of the Trafficking Victims Protection Act of 2000 (TVPA), as amended (22 U.S.C.
7104(g).
DEP Agreement No.NF014,Attachment J,Page 3 of 4
25. Registrations and Identification Information, the Grantee agrees to maintain current
registration in the Central Contractor Registration(www.ccr.gov)System for Award Management
(SAM) at all times during which they have active project funded with these funds. A Dun and
Bradstreet Data Universal Numbering System (DUNS) Number (www.dnb.com) is one of the
requirements for registration in the Central Contractor Registration.
26. 41 USC§4712,Pilot Program for Enhancement of Recipient and Subrecipient Employee
Whistleblower Protection:This requirement applies to all awards issued after July 1,2013 and
shall be in effect until January 1,2017.
(a)This award,related subawards,and related contracts over the simplified acquisition threshold
and all employees working on this award,related subawards,and related contracts over the
simplified acquisition threshold are subject to the whistleblower rights and remedies in the pilot
program on award recipient employee whistleblower protections established at 41 U.S.C.4712 by
section 828 of the National Defense Authorization Act for Fiscal Year 2013(P.L. 112-239).
(b)Recipients,their subrecipients,and their contractors awarded contracts over the simplified
acquisition threshold related to this award,shall inform their employees in writing,in the
predominant language of the workforce,of the employee whistleblower rights and protections
under 41 U.S.C.4712.
(c)The recipient shall insert this clause,including this paragraph(c),in all subawards and in
contracts over the simplified acquisition threshold related to this award.
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DEP Agreement No.NF014,Attachment J,Page 4 of 4
ATTACHMENT K
REGULATIONS
Formal regulations concerning administrative procedures for EPA grants appear in Title 40 of the Code of
Federal Regulations. Grant program administrative regulations appear in Subchapter B; other regulations
of general applicability appear in Subchapter A. Other EPA regulations also impact grant programs. The
following list contains regulations and Office of Management and Budget Circulars which may apply to
the work performed under this Agreement.
Subchapter A -General
40 C.F.R.4 Uniform relocation assistance and real property acquisition for federal and federally
assisted programs
40 C.F.R. 12 Nondiscrimination on the basis of handicap in programs or activities conducted by
EPA
40 C.F.R. 29 Intergovernmental review of EPA programs and activities
40 C.F.R. 30 Uniform administrative requirements for grants and agreements with institutions of
higher education,hospitals and other nonprofit organizations
Subchapter B—Grants and Other Federal Assistance
40 C.F.R. 31 Uniform administrative requirements for grants and cooperative agreements to state
and local governments
40 C.F.R. 34 New restrictions on lobbying
40 C.F.R. 35 State and local assistance
40 CFR 36 Drug-Free Workplace Act
Other Federal Regulations
48 C.F.R. 31 Contract Cost Principles and Procedures,or uniform cost accounting standards that
comply with cost principles acceptable to the federal agency
2 CFR 1532 Nonprocurement Suspension and Debarment Regulations
Office of Management and Budget Circulars
A-21 (2 CFR 220) Cost Principles for Educational Institutions
A-87(2 CFR 225) Cost Principles for State,Local,and Indian Tribal Governments
A-122(2 CFR Cost Principles for Non-Profit Organizations
230)
A-133 Audit Requirements
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DEP Agreement No.NF014,Attachment K,Page 1 of 1
DEP AGREEMENT NO.NF014
CHANGE ORDER NO.001
GRANTEE
City of Clermont
605 W. Montrose Street
Clermont,Florida 34711
DEP Agreement No.NS014 as entered into on September 26,2016,is hereby revised as follows:
Attachment A,Grant Work Plan,Project Timeline Table is hereby deleted in its entirety and
replaced with the following:
PROJECT TIMELINE:The tasks must be completed by the end of each task timeline and ail deliverables
must be received by the designated due date.For the 319(h)grant funded and required match funded tasks,
if there are any conflicts between the completion dates in the task timeline below and the 319 grant end
date,09/30/2019,then the grant end date is controlling.
Task/ Deliverable
Task Start Task End
Deliverable Task or Deliverable Title Date Date Due Date/
No. Frequency
1 Construction 9/26/2016 06/15/2018
la Interim Deliverables Quarterly
lb Final Deliverables 1/30/2019
2 QAPP 9/26/2016 08/15/2017
2a Draft QAPP 06/15/2017
2b Final QAPP 08/15/2017
3 Monitoring Upon QAPP 5/30/2019 5/30/2019
approval
4 Public Education 9/26/2016 06/15/2018
4a Draft Public Education 12/15/2017
4b Final Public Education 06/15/2018
5 Final Report 9/26/2016 6/30/2019
5a Draft final report 4/28/2019
5b Final Report 6/30/2019
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DEP Agreement NF014,Change Order 001,Page 1 of 2
All other terms and conditions of the Agreement shall remain unchanged.
CITY OF CLERMONT STATE OF FLORIDA DEPARTMENT
OF ENVIRONMENTAL PROTECTION
.1
/+
$ C-L—t tL--t-r .'ted`
tile: Connie Becker,DEP Grant ager
Date: 3t13'IV
Program Administrator
ISV\mo..c\aq
Print Name f Q�ii
Date: ) J M /1 O
DEP Agreement NF014,Change Order 001,Page 2 of 2
