Okaloosa County BOCC — September 16, 2014 — 2014-2015 Hazards Analysis Agreement — reading text

Chlorine 850-978-0020 Fort Walton Beach, 32547 Okaloosa County-Newcastle Water Well Dale Brazel 10238 Newcastle Drive and Ross Road Okaloosa 850-978-0020 Fort Walton Beach, 32547 Okaloosa County-North Beal Extension Site Dale Brazel 15331 1564 Percy L Coleman Road Okaloosa Chlorine 850-978-0020 Fort Walton Beach, 32548 25 08/10/2014  ATTACHMENT C - OKALOOSA COUNTY SECTION 302 FACILITY LIST 2014-2015 Okaloosa County-Northgate Water Well Dale Brazel 10241 Jonquil Avenue Okaloosa Chlorine 850-978-0020 Fort Walton Beach, 32547 Okaloosa County-Oddfellow Water Tank Dale Brazel 34026 Oddfellow Road Okaloosa Chlorine 850-978-0020 Fort Walton Beach, 32547 Okaloosa County-Office Water Well Dale Brazel 10235 First Avenue and Eglin Street Okaloosa Chlorine 850-978-0020 Fort Walton Beach, 32547 Okaloosa County-Okaloosa Island Booster Station Dale Brazel 30392 110 West Amberjack Drive Okaloosa Chlorine 850-978-0020 Fort Walton Beach, 32547 Okaloosa County-Russell Stephenson WWTP Darren Alford 10249 3182 West US Highway 98 Okaloosa Chlorine 850-651-7179 Mary Esther, 32569 Okaloosa County-Shalimar Water Well Dale Brazel 10234 Seventh Street Okaloosa Chlorine 850-978-0020 Shalimar, 32579 26 08/10/2014  Attachment D FINANCIAL INVOICE FORM FOR HAZARDOUS MATERIALS HAZARDS ANALYSIS UPDATE _________________________________________________________________ RECIPIENT: Okaloosa County AGREEMENT# 15-CP-11-01-56-XXX FEID#: 59-6000765 DUNS#:__________ AMOUNT AMOUNT APPROVED REQUESTED BY THE BY THE RECIPIENT DIVISION 1. First Payment (45% of contract amount) $ $ (50% Hazards Analyses completed/submitted) 2. Second Payment (45% of contract amount) $ $ (50% Hazards Analyses completed/submitted) 3. Final Payment (10% of contract amount) $ $ (Approval, distribution & notification) TOTAL AMOUNT $ $ (To be completed by the Division) I certify that to the best of my knowledge and belief the billed costs are in accordance with the terms of the Agreement. ______________________________________________ _________ Signature of Authorized Official/Title Date TOTAL AMOUNT TO BE PAID AS OF THIS INVOICE $ (To be completed by the Division) 27  Attachment E JUSTIFICATION OF ADVANCE PAYMENT RECIPIENT: If you are requesting an advance, indicate same by checking the box below. [ ] ADVANCE REQUESTED Advance payment of $ _____________ is requested. Balance of payments will be made on a reimbursement basis. These funds are needed to pay staff, award benefits to clients, duplicate forms and purchase start-up supplies and equipment. We would not be able to operate the program without this advance. If you are requesting an advance, complete the following chart and line item justification below. ESTIMATED EXPENSES BUDGET CATEGORY/LINE ITEMS 20___-20___ Anticipated Expenditures for First Three Months of (list applicable line items) Contract For example ADMINISTRATIVE COSTS (Include Secondary Administration.) For example PROGRAM EXPENSES TOTAL EXPENSES LINE ITEM JUSTIFICATION (For each line item, provide a detailed justification explaining the need for the cash advance. The justification must include supporting documentation that clearly shows the advance will be expended within the first ninety (90) days of the contract term. Support documentation should include quotes for purchases, delivery timelines, salary and expense projections, etc. to provide the Division reasonable and necessary support that the advance will be expended within the first ninety (90) days of the contract term. Any advance funds not expended within the first ninety (90) days of the contract term shall be returned to the Division Cashier, 2555 Shumard Oak Boulevard, Tallahassee, Florida 32399, within thirty (30) days of receipt, along with any interest earned on the advance) ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ 28  Attachment F Warranties and Representations Financial Management Recipient’s financial management system must include the following: (1) Accurate, current and complete disclosure of the financial results of this project or program (2) Records that identify the source and use of funds for all activities. These records shall contain information pertaining to grant awards, authorizations, obligations, unobligated balances, assets, outlays, income and interest. (3) Effective control over and accountability for all funds, property and other assets. Recipient shall safeguard all assets and assure that they are used solely for authorized purposes. (4) Comparison of expenditures with budget amounts for each Request For Payment. Whenever appropriate, financial information should be related to performance and unit cost data. (5) Written procedures to determine whether costs are allowed and reasonable under the provisions of the applicable OMB cost principles and the terms and conditions of this Agreement. (6) Cost accounting records that are supported by backup documentation. Competition All procurement transactions shall be done in a manner to provide open and free competition. The Recipient shall be alert to conflicts of interest as well as noncompetitive practices among contractors that may restrict or eliminate competition or otherwise restrain trade. In order to ensure excellent contractor performance and eliminate unfair competitive advantage, contractors that develop or draft specifications, requirements, statements of work, invitations for bids and/or requests for proposals shall be excluded from competing for such procurements. Awards shall be made to the bidder or offeror whose bid or offer is responsive to the solicitation and is most advantageous to the Recipient, considering the price, quality and other factors. Solicitations shall clearly set forth all requirements that the bidder or offeror must fulfill in order for the bid or offer to be evaluated by the Recipient. Any and all bids or offers may be rejected when it is in the Recipient's interest to do so. Codes of Conduct. 29 The Recipient shall maintain written standards of conduct governing the performance of its employees engaged in the award and administration of contracts. No employee, officer, or agent shall participate in the selection, award, or administration of a contract supported by public grant funds if a real or apparent conflict of interest would be involved. Such a conflict would arise when the employee, officer, or agent, any member of his or her immediate family, his or her partner, or an organization which employs or is about to employ any of the parties indicated, has a financial or other interest in the firm selected for an award. The officers, employees, and agents of the Recipient shall neither solicit nor accept gratuities, favors, or anything of monetary value from contractors or parties to subcontracts. The standards of conduct shall provide for disciplinary actions to be applied for violations of the standards by officers, employees, or agents of the Recipient. Business Hours The Recipient shall have its offices open for business, with the entrance door open to the public, and at least one employee on site, from 8:00 AM – 5:00 PM Monday - Friday Licensing and Permitting All subcontractors or employees hired by the Recipient shall have all current licenses and permits required for all of the particular work for which they are hired by the Recipient. 30  Attachment G Certification Regarding Debarment, Suspension, Ineligibility And Voluntary Exclusion Subcontractor Covered Transactions (1)