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Fort Walton Beach Council agenda — 06-26-12 regular — reading text
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of xv
05/ 05/2011 Revised BSRA Model
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a wp0.01" p" Florida Department of (
Rick Scott
3nvernor
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Environmental Protection mifGoverro
LL Governorr
Bob Martinez Center
2600 Blair Stone Road Herschel T. Vin) mrd Jr.
Tallahassee, Florida 32399 -2400 Secretary
CONTRACTOR CERTIFICATION FORM
Brownflelds Redevelopment Program
Date: April 16, 2012
Contractor Name: TBE Group, Inc. ( ribs Cardno TBE)
Contractor Address: 2420 Lakeshore Drive, Suite 100, Tallahassee, FL 32312
Contact Name: Roger Register
Fax No.: 850.385. 8233
Phone No.: 850.385. 8232
Brownfield Site ID #: BF661101001
Yes No
Contractor Certifies by Checking All Appropriate Boxes:
1. It meets all certification and license requirements imposed by law. N 0
2. It performs or contracts laboratory analysis pursuant to National
Environmental Laboratory Accreditation Program certification N
requirements and performs or contracts field -sampling work in
accordance with the Standard Operating Procedures for Field Activities
pursuant to Chapter 62 -160, Florida Administrative Code.
N El
1 It complies with all applicable OSHA regulations.
4. Has the capacity to perform the majority of the site rehabilitation
program tasks pursuant to a brownfield site rehabilitation agreement or N
supervise the performance of such tasks by licensed subcontractors in
accordance with Section 489. 113( 9), F. S.
The person named below by signing as an " Officer of the Company" hereby certifies to the Florida
Department of Environmental Protection ( FDEP) that the Contractor named above meets the
requirements for contractors participating in the Brownfields Redevelopment Program ( Sections
376. 80( 6) and ( 7), Florida Statutes ( F. S.) j:
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Signature of Officer of the Company and Date Signed Print Name of Officer of the Company
Senior K) Cipa I
Title of Officer of the Company
This form will be kept on file by the FDEP District office. Contractors must immediately notify the FDEP
Brownfields District Coordinator) of any change in the above criteria. The FDEP may order a
suspension or cessation of work for failure of a contractor to maintain their required certification.
Please return this form to the appropriate District Brownfields Coordinator.
Page xi of xv
05/ 05/ 2011 Revised BSRA Model
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a ATTACHMENT F -- QUALITY ASSURANCE CERTIFICATE
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Page xii of xv
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ATTACHMENT G - - ADVISORY COMMITTEE MEMBERS YR
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Page xiii of xv
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ADVISORY COMMITTEE MEMBERS
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The Brownfields Advisory Committee consists of members of the WFRPC' s EPA
Revolving Loan Fund program Community Investment Committee (CIC). The CIC was
established to provide oversight and outreach for brownfield projects and related activities
receiving loans through the RLF program. Staff at the WFRPC provides administrative
support assistance.
James Harris, Bank of Pensacola, jamesharris@bankofpensacola. com, ( 850) 494 -7841
Bridget Merrell, Enterprise Florida, bmerrill @eflorida. com, ( 850) 488 -0992
Randy Butler, Bluewater Development, randy@northwestfloridacommercial. com, (850)
897 -2583
Jason Williams, Gulf Coast Community Bank, jwilllams @mygulfbank. com, 850-434 -9300
Bill Garvie, Business Owner, City of Ft. Walton Beach, wgarvie @aol.com, ( 850) 245 -6702
Page xiv of xv
05/ 05 /2011 Revised BSRA Model
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ATTACHMENT H -- FORMAT FOR SUBMITTAL OF TECHNICAL DOCUMENTS Yu
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Page xv of xv
05105/ 2011 Revised BSRA Model
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FORMAT FOR SUBMITTAL OF TECHNICAL DOCUMENTS xu
ary
1. Two hard copies or one hard copy and an electronic copy of each report or proposal
and final reports shall be submitted to the Department or to the delegated local
program.
2. In an effort to increase efficiency, responsiveness, and to enhance environmental
protection, electronic records are an acceptable media substitute for hard copy and
shall be pursued as the first option of choice to arrive at compliance. Where an
electronic format exists of the records it shall be used to transmit the data, file,
report, document, map, plans, picture, record, or any other object that may be
available in an electronic format. Electronic records shall be kept in industry
standard non -proprietary formats: TIFF, GIF, JPEG, PDF, or in Microsoft Word,
Microsoft Excel, and Microsoft Access not older than one ( 1) release behind the
current.
3. Data requested shall be transmitted using available media such as E -mail, Compact
Disc ( CD), or File Transfer via an FTP site. Additional formats may be considered at
the time of the request.
4. After final approval of each report, an electronic copy and one hard copy shall be
submitted within 30 days. The electronic copy shall be submitted on Compact Disc
CD) for archiving purposes.
5. The media shall include a file directory and specify the "naming convention'.
a) Final reports ( any text files) must be in one of the approved formats.
b) Site maps and surveys shall be in TIFF, JPEG or ".pdf' format.
c) Site -specific GIS data tables shall be in Excel or text (tab delimited) format.
d) The cover of the media shall include the Site Name, Designated Brownfield
Area, Date and Type of Report( s).
e) The left inside cover of the media should list all the files located on the
media.
Page xvi ofxv
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