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Backup Documents 12/01/2009 Item #16G3 1663" MEMORANDUM Date: January 20, 2010 To: Sue Trone, Operations Analyst Bayshore Gateway CRA 4069 Bayshore Drive Naples, Florida 34112 From: Teresa Polaski, Deputy Clerk Minutes & Records Department Re: Brownfield Site Rehabilitation Agreement Attached is one (1) original document referenced above, (Agenda Item #16G3) approved by the Board of County Commissioners on December 1, 2009. The Minutes & Records Department has kept one of the originals as part of the Board's Official Records. If you should have any questions, please contact me at 252-8411. Thank you. "*-/0(;,3 BAY S H 0 R E /2/'!1?:> GATEW/\Y16G'::! TRIANGLE ,;) COMMUNITY REDEVELOPMENT AGENCY Memorandum To: CC: Date: Re: Request attestatio of Brownfield Site Rehabilitation Agreement Two copies of the Brownfield Site Rehabilitation Agreement (BSRA) executed between the Collier County CRA (Bayshore Gateway Triangle office) and the Florida Department of Environmental Protection (FDEP) are attached. One copy is the original (it is one-sided with original signatures from DEP [Collier County signatures are color copies-that is all we have available])-please attest this and keep for your records. The other copy is stapled and double-sided-please attest this and return to me for my records. If you have any questions do not hesitate to call me. We always appreciate ~ur help- 1 1663 BEFORE THE STATE OF FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION IN RE: Collier County Community Redevelopment Agency Hubert's Welding and Repair 4315 Bayshore Drive, Naples, FL 34112 Bayshore Cultural Arts Catalytic Facility for Redevelopment Brownfield Area Identification Number: BF110901000 Brownfield Site Identification Number: BF110901001 OGC Tracking Number - 09-4088 BROWNFIELD SITE REHABILITATION AGREEMENT PURSUANT TO 3376.80(5), Florida Statutes (F.S.) WHEREAS, the Brownfields Redevelopment Act was enacted to reduce public health and environmental hazards on existing commercial and industrial sites by offering incentives to encourage responsible persons to voluntarily develop and implement cleanup plans; and WHEREAS, the Department of Environmental Protection ("Department") is the administrative agency of the State of Florida having the power and duty to protect Florida's environment and to administer and enforce the provisions of Chapters 403 and 376, F.S., and the rules promulgated thereunder, Chapters 62-777 and 62-785, Florida Administrative Code (FAC.), as amended; and WHEREAS, the Department has jurisdiction over the matters addressed in this Brownfield Site Rehabilitation Agreement ("BSRA"); and WHEREAS, the Department has the authority, pursuant to 3376.81, F.S., to establish by rule, criteria for determining the rehabilitation program tasks that comprise a site rehabilitation program and the level at which a rehabilitation program task and a site rehabilitation program may be deemed complete; NOW, THEREFORE, in consideration of the mutual covenants and agreements hereinafter contained, it is agreed as follows: This BSRA is entered into between the Department and the Collier County Community Redevelopment Agency, hereinafter the Person Responsible For Brownfield Site Rehabilitation ("PRFBSR") (collectively referred to as the "parties"), for the rehabilitation of a brownfield site within a designated brownfield area pursuant to 3376.80(5), F.S. The Department and the PRFBSR agree to the following: Collier County Community Redevelopment Agency Brownfield Site Rehabilitation Agreement Brownfield Site 10 # BF11 0901 001 16GJ .. 1. DEPARTMENT OF ENVIRONMENTAL PROTECTION The Department is the agency of the State of Florida with authority and power to enforce the provisions of Chapters 376 and 403, F.S. 2. PERSON RESPONSIBLE FOR BROWNFIELD SITE REHABILITATION The Collier County Community Redevelopment Agency is the PRFBSR as defined in 3376.79(13), F.S., for the real property described in the map and legal description in Attachment A (the "Brownfield Site"), incorporated herein, that has been designated by Collier County in Resolution Number 09-273 on November 10, 2009 as a brownfield area as defined in 3376.79(4), F.S. Attachment A is a composite exhibit that includes: (a) the legal description and map of the Brownfield Site; and (b) the county resolution with all attachments including the map of the designated brownfield area. The brownfield site consists of 0.623176 acres. 3. PRFBSR'S DUTIES The PRFBSR agrees: (a) to conduct "site rehabilitation" of any "contaminated site(s)" as defined in 3376.79, F.S., whose source originates on the real property described in Attachment A as the Brownfield site. If such contaminated site(s) extend(s) beyond the boundary of the Brownfield site, then PRFBSR agrees to conduct site rehabilitation to address the entire contaminated site; (b) to conduct site rehabilitation and submit technical reports and rehabilitation plans in a timely manner according to the attached brownfield site rehabilitation schedule agreed upon by the parties (see Attachment B), and incorporated herein; (c) to conduct site rehabilitation activities under the observation of professional engineers or professional geologists, as applicable, who are registered in accordance with the requirements of Chapters 471 or 492, F.S., respectively. Submittals provided by the PRFBSR must be signed and sealed by a professional engineer registered under Chapter 471, F.S., or by a professional geologist registered under Chapter 492, F.S., as applicable, certifying that the submittal and associated work comply with the laws and . rules of the Department and those governing the profession. Upon completion of the approved remedial action, a professional engineer registered under Chapter 471, F.S., or a professional geologist registered under Chapter 492, F.S., as applicable, must certify that the corrective action was, to the best of his or her knowledge, completed in substantial Page 2 of 13 11/21/08 Revised BSRA Model Collier County Community Redevelopment Agency Brownfield Site Rehabilitation Agreement Brownfield Site 10 # BF110901001 16G3 conformance with the plans and specifications approved by the Department; (d) to conduct site rehabilitation in accordance with Chapter 62-160, FAC., as the same may be amended from time to time; (e) to obtain any local, state or federal approvals or permits required for the site rehabilitation work and to conduct the necessary site rehabilitation consistent with local, state, and federal laws, rules and ordinances. All site rehabilitation shall be consistent with the cleanup criteria in 3376.81, F .S., the requirements of Chapters 62-785, FAC., Brownfields Cleanup Criteria, and 62-777, FAC., Contaminant Cleanup Target Levels; (f) to allow access by the Department during the entire site rehabilitation process, as evidenced by the attached documentation (see Attachment C) incorporated herein, establishing that such site access has been secured by agreement with the real property owner. Upon the transfer of any real property interest in any portion of the Brownfield Site before site rehabilitation is complete, the PRFBSR shall notify the Department within 15 days from the date that such an interest is effective. With notice the PRFBSR shall provide a copy of an access agreement in substantially the same form as that in Attachment C with any successor in interest to the real property owner of the Brownfield Site or with any party with a real property interest in the Brownfield Site after the effective date of this agreement, granting such access to the Department; and (g) to consider appropriate pollution prevention measures and to implement those that the PRFBSR determines are reasonable and cost-effective, taking into account the ultimate use or uses of the real property described in Attachment A. 4. CERTIFICATION The PRFBSR certifies that he/she has consulted with the local government with jurisdiction over the brownfield area about the proposed redevelopment of the brownfield site, that the local government is in agreement with or approves the proposed redevelopment, and that the proposed redevelopment complies with applicable laws and requirements for such redevelopment. Documentation that supports this certification is provided as Attachment D. 5. SITE CONTRACTOR The PRFBSR must ensure that the contractor who is performing the majority of the site rehabilitation program tasks pursuant to this BSRA or supervising the Page 3 of 13 11/21/08 Revised BSRA Model Collier County Community Redevelopment Agency Brownfield Site Rehabilitation Agreement Brownfield Site 10 # BF110901001 11 ,,l" lbG3 performance of such tasks by licensed subcontractors in accordance with the provisions of 3489.113(9), F.S., has provided certification to the Department that the contractor meets the requirements listed below. If the identity of the contractor is known at the time of the execution of this BSRA; a Brownfields Redevelopment Program Contractor Certification Form (CCF) shall be submitted as Attachment E to this BSRA. If the contractor has not yet been determined, the PRFBSR shall ensure that the CCF is submitted to the District Brownfield Coordinator and approved by the Department before the contractor begins performing any site rehabilitation tasks at the site. The PRFBSR must submit to the Department documentation as Attachment F, which shows a National Environmental Laboratory Accreditation Program ("NELAP")-recognized authority has accredited the laboratory(s) that will perform the analyses required by this agreement. Any contractor that performs site rehabilitation tasks at a contaminated site originating on the real property as described in Attachment A shall provide documentation in accordance with the provisions of the paragraph above and with Attachments E and F, if applicable, showing that any contractor that performs site rehabilitation tasks: (a) meets all certification and license requirements imposed by law; and (b) performs, or has laboratory analyses performed, pursuant to NELAP certification requirements and performs, or has field sampling work performed, in accordance with the Standard Operating Procedures provided in Chapter 62-160, FAC., as amended, if applicable to performance of site rehabilitation tasks. 6. CONTINUOUS COMPLIANCE During the entire site rehabilitation process, the PRFBSR agrees to ensure that the contractor continues to comply with the requirements of Paragraph 5 of this BSRA pursuant to the requirements of 3376.80(6), F.S. 7. VOLUNTARY CLEANUP TAX CREDIT PROGRAM Not all activities that are approved or performed in association with a BSRA are eligible for the state's Voluntary Cleanup Tax Credit (VCTC). In accordance with Chapter 62-788, FAC., only costs incurred and paid that are either integral, necessary and required for site rehabilitation or for solid waste removal, are eligible for the VCTC. "Site rehabilitation" means the assessment of site contamination and the remediation activities that reduce the levels of contaminants at a site through accepted treatment methods to meet the cleanup target levels established for that site. For purposes of sites subject to the Page 4 of 13 11/21/08 Revised BSRA Model Collier County Community Redevelopment Agency Brownfield Site Rehabilitation Agreement Brownfield Site 10 # BF110901001 16G3 Resource Conservation and Recovery Act, as amended, the term includes removal, decontamination, and corrective action of releases of hazardous substances. "Solid waste removal" means removal of solid waste from the land surface or excavation of solid waste from below the land surface and removal of the solid waste from the brownfield site. Nothing contained herein is intended to limit the VCTC otherwise available to the PRFBSR under applicable law. General information about the VCTC Program is available at http://www.dep.state.fl.ustwaste/categories/vctc/default.htm . For specific questions regarding the VCTC Program, please contact the Department's Bureau of Waste Cleanup at (850) 245-8927. 8. ADVISORY COMMITTEE The PRFBSR shall establish an advisory committee pursuant to the requirements of 3376.80(4), F.S., for the purpose of improving public participation and receiving public comments on rehabilitation and redevelopment of the brownfield area, future land use, local employment opportunities, community safety, and environmental justice. The advisory committee should include residents within or adjacent to the brownfield area, businesses operating within the brownfield area, and others deemed appropriate. However, if an appropriate local advisory committee already exists, this committee may be used for requesting public participation and for the purposes of complying with this paragraph. The PRFBSR shall provide the advisory committee a copy of the final proposed draft BSRA and a copy of the executed BSRA. When the PRFBSR submits a site assessment report or the technical document containing the proposed course of action following site assessment to the Department or the local pollution control program for review, the PRFBSR shall hold a meeting or attend a regularly scheduled meeting to inform the advisory committee of the findings and recommendations in the site assessment report or the technical document containing the proposed course of action following site assessment. The names, addresses, and contact numbers for all advisory committee members are included as Attachment G. 9. INDEMNIFICATION The PRFBSR shall save and hold harmless and indemnify the Department against any and all liability, claims, judgments or costs of whatsoever kind and nature for injury to, or death of any person or persons and for the loss or damage to any property resulting from the use, service, operation or performance of work under the terms of this BSRA and from the negligent acts or omissions of the PRFBSR or its employees, agents, contractors, subcontractors, or other representatives, to the extent allowed by law. Page 5 of 13 11/21/08 Revised BSRA Model Collier County Community Redevelopment Agency Brownfield Site Rehabilitation Agreement Brownfield Site 10 # BF110901001 16G3 10. LIABILITY PROTECTION The liability protection provided under 3376.82, F.S., shall become effective upon execution of this BSRA and shall remain effective, provided the PRFBSR complies with the terms of this BSRA. 11. TERMINATION If the PRFBSR fails to comply with this BSRA, the Department shall notify the PRFBSR and allow 90 days for the PRFBSR to return to compliance with the provision at issue or to negotiate a modification to the BSRA with the Department for good cause shown. If an imminent hazard exists the 90-day grace period shall not apply. If the project is not returned to compliance with this BSRA and a modification cannot be negotiated, the Department shall terminate this BSRA. The PRFBSR may terminate this BSRA at any time upon written notice to the Department. Termination of this BSRA by either party will revoke the immunity provision of 3376.82, F.S. 12. IMMINENT HAZARD Nothing herein shall be construed to limit the authority of the Department to undertake any action in response to, or to recover the costs of responding to, conditions at or from the real property described in Attachment A that require the Department to take action to abate an imminent hazard to the public health, welfare or the environment. 13. RELEASE OF LIABILITY Upon successful completion of this BSRA as evidenced by the issuance of a Site Rehabilitation Completion Order (SRCO) for each contaminated site originating from the real property described in Attachment A, the PRFBSR and his or her successors and assigns, shall be relieved from further liability for site rehabilitation as described in paragraph 3.a. of this BSRA to the Department and third parties and of liability in contribution to any other party who has or may incur cleanup liability for the contaminated site(s). This release of liability is subject to the reopener provisions of 3376.82(3), F.S. Page 6 of 13 11/21/08 Revised BSRA Model Collier County Community Redevelopment Agency Brownfield Site Rehabilitation Agreement Brownfield Site ID # BF110901001 1663 14. GOVERNING LAW This BSRA has been delivered in the State of Florida and shall be construed in accordance with the laws of Florida and any applicable local regulations. Wherever possible, each provision of this BSRA shall be interpreted in such manner as to be effective and valid under applicable law. If any provision of this BSRA 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 BSRA. Any action hereon or in connection herewith shall be brought in Collier County, Florida. 15. SUBMITTALS The PRFBSR shall. submit two hard (paper) copies or one hard copy and one electronic (digital) copy of any certifications or documentation required in Paragraph 5 ("Site Contractor") above, and all data, reports, responses, addenda, or modifications to reports and plans required by this BSRA to: Mel Reinhart, Brownfield Coordinator Florida Department of Environmental Protection P.O. Box 2549 Ft. Myers, FL 33902. The Department encourages the submittal of documents for review in an electronic format rather than the submittal of paper copies. All electronic copies of documents shall be in the format listed in Section 8 of the Instructions and attached as Attachment H. Time frames for the Department's review of technical reports and plans and submittal of documents by the PRFBSR shall be governed by the attached schedule (see Attachment B), incorporated herein. After final Department approval of each report or plan, an electronic copy shall be submitted to the Department within 30 days. The electronic copy of the report shall be submitted on Compact Disc (CD) for archiving purposes in the format listed in Attachment H. 16. DOCUMENT REVIEW During the site rehabilitation process, if the Department fails to complete the review of a technical document within the time frame specified in this BSRA, with the exceptions of "no further action proposals," "monitoring only proposals," and feasibility studies, which must be approved prior to implementation, the PRFBSR may proceed to the next site rehabilitation task. However, the PRFBSR does so at its own risk and may be required by the Department to complete additional work on a previous task. Page 7 of 13 11/21/08 Revised BSRA Model Collier County Community Redevelopment Agency Brownfield Site Rehabilitation Agreement Brownfield Site 10 # BF110901001 16G3 17. ASSIGNMENT The PRFBSR shall not assign any rights or responsibilities under this BSRA to any other party without the written consent of the Department and the local government with jurisdiction over the real property described in Attachment A. However, the Department shall not withhold its consent to such an assignment if: (a) the proposed assignee meets all of the eligibility criteria under 3376.82, F.S.; (b) the proposed assignee has agreed, in writing, to assume all obligations of the PRFBSR under the terms of this Agreement; and (c) the assignment of PRFBSR obligations under any agreement with the local government with jurisdiction over the real property has been approved, in writing, by the local government. 18. WAIVER By entering into this BSRA, the PRFBSR waives its right to challenge the contents of this BSRA in an administrative hearing afforded by 3120.569 and 3120.57, F.S., or an appeal afforded by the terms of 3120.68, F.S. This BSRA does not deny the PRFBSR a right to challenge the Department's actions taken pursuant to this BSRA. No delay or failure to exercise any right, power or remedy accruing to either party upon breach or default by either party under this BSRA, shall impair any such right, power or remedy of either party; nor shall such delay or failure be construed as a waiver of any such breach or default, or any similar breach or default thereafter. 19. EFFECTIVE DATE AND ADMINISTRATIVE HEARING This BSRA (Order) is final and effective on the date of execution unless a timely petition for an administrative hearing is filed under 33120.569 and 120.57, F.S., within 21 days after the date of receipt of notice of agency action. Upon the timely filing of such petition, this BSRA will not be effective until further order of the Department. The liability protection for the PRFBSR pursuant to 3376.82(2), F.S., becomes effective upon execution of the brownfield site rehabilitation agreement. The procedures for petitioning a hearing are set forth below. Persons other than the PRFBSR who are affected by this BSRA have the following options: (a) If you choose to accept the Department's decision regarding this BSRA, you do not have to do anything. This BSRA is final and effective 21 days after the date of execution. (b) If you choose to challenge the Department's decision, you may do the following: Page 8 of 13 11/21/08 Revised BSRA Model Collier County Community Redevelopment Agency Brownfield Site Rehabilitation Agreement Brownfield Site 10 # BF11 0901 001 16G3 (i) File a request for an extension of time to file a petition for hearing with the Agency Clerk of the Department in the Office of the General Counsel at 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 3.2399-3000 within 21 days of receipt of this BSRA; such a request should be made if you wish to meet with the Department in an attempt to informally resolve any disputes without first filing a petition for hearing. Or (ii) File a petition for administrative hearing with the Agency Clerk of the Department in the Office of the General Counsel at 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399-3000 within 21 days of receipt of this BSRA. Please be advised that mediation of this decision pursuant to 3120.573, F.S., is not available. How to Request an Extension of Time to File a Petition for Hearino: For good cause shown, pursuant to Rule 62-110.106(4), FAC., the Department may grant a request for an extension of time to file a petition for hearing. Such a request shall be filed with (received by) the Agency Clerk of the Department in the Office of the General Counsel at 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399- 3000, within 21 days of receipt of this BSRA. Petitioner shall mail a copy of the request to the PI3FBSR at the time of filing. Timely filing a request for an extension of time tolls the time period within which a petition for administrative hearing must be made. How to File a Petition for Administrative Hearinq: A person whose substantial interests are affected by this BSRA may petition for an administrative proceeding (hearing) under 33120.569 and 120.57, F.S. The petition must contain the information set forth below and must be filed with (received by) the Agency Clerk of the Department in the Office of the General Counsel at 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399-3000, within 21 days of receipt of this BSRA. Petitioner shall mail a copy of the petition to the PRFBSR at the time of filing. Failure to file a petition within this time period shall constitute a waiver of any right to request an administrative proceeding under Chapter 120, F.S. Pursuant to 3120.569(2), F.S., and Rule 28-106.201, FAC., a petition for administrative hearing shall contain the following information: Page 9 of 13 11/21/08 Revised BSRA Model Collier County Community Redevelopment Agency Brownfield Site Rehabilitation Agreement Brownfield Site 10 # BF110901001 1663 1. The name, address, and telephone number of each petitioner; the name, address, and telephone number of the petitioner's representative, if any; the PRFBSR's name and address; the Department's Brownfield Area and Brownfield Site Identification Numbers; and the name and address of the Brownfield Site; the name and address of each agency affected; 2. A statement of when and how each petitioner received notice of the Department's action or proposed action; 3. An explanation of how each petitioner's substantial interests are or will be affected by the Department's action or proposed action; 4. A statement of the disputed issues of material facts, or a statement that there are no disputed facts; 5. A concise statement of the ultimate facts alleged, including a statement of the specific facts the petitioner contends warrant reversal or modification of the Department's action or proposed action; 6. A statement of the specific rules or statutes the petitioner contends require reversal or modification of the Department's action or proposed action; and 7. A statement of the relief sought by the petitioner, stating precisely the action petitioner wishes the Department to take with respect to the Department's action or proposed action. Because the administrative hearing process is designed to formulate final agency action, the filing of a petition means that the Department's final action may be different from the position taken by it in this BSRA. Persons whose substantial interests will be affected by any such final decision of the Department have the right to petition to become a party to the proceeding, in accordance with the requirements set forth above. 20. JUDICIAL REVIEW Except for the PRFBSR, any party has the right to seek judicial review of this BSRA under 3120.68, F.S., by filing a notice of appeal under Rule 9.110 of the Florida Rules of Appellate Procedure with the Agency Clerk of the Department in the Office of the General Counsel at 3900 Commonwealth Boulevard, Mail Station 35, Tallahassee, Florida 32399-3000, and by filing a copy of the notice of appeal accompanied by the applicable filing fees with the appropriate District Court of Page 10 of 13 11/21/08 Revised BSRA Model Collier County Community Redevelopment Agency Brownfield Site Rehabilitation Agreement Brownfield Site 10 # BF110901001 1663 Appeal. The notice of appeal must be filed within 30 days after this BSRA is filed with the clerk of the Department (see below). 21. CONTACTS FOR GENERAL AND LEGAL QUESTIONS Any questions about the content of this BSRA, the Department's review of the BSRA, or technical questions should be directed to the Department's District Brownfields Coordinator at: Mel Reinhart, Brownfield Coordinator Florida Department of Environmental Protection P.O. Box 2549 Ft. Myers, FL 33902 (239) 332-6975 x 104 or to the PRFBSR's representative at: Sue Trone, Project Manager Bayshore Gateway Triangle CRA 4069 Bayshore Drive Naples, Florida 34112 (239) 643-1115 Questions regarding legal issues should be referred to the Department's Brownfields Program Attorney in the Office of General Counsel at (850) 245-2242. Contact with any of the above does not constitute a petition for administrative hearing or request for an extension of time to file a petition for administrative hearing. 22. ENTIRETY OF AGREEMENT This BSRA represents the entire agreement of the parties. Any alterations, variations, changes, modifications or waivers of provisions of this BSRA 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 BSRA, unless otherwise provided herein. REMAINOER OF PAGE INTENTIONALLY LEFT BLANK Page 11 of 13 11/21/08 Revised BSRA Model Collier County Community Redevelopment Agency Brownfield Site Rehabilitation Agreement Brownfield Site 10 # BF110901001 16GJ IN WITNESS WHEREOF, each of the parties has made and executed this Brownfield Site Rehabilitation Agreement on the date set forth for each signature of each representative below: Jon Inglehart, Director South District, State of Florida Department of Environmental Protection, and Collier County Community Redevelopment Aaency, the Person Responsible for Brownfield Site Rehabilitation, signing by and through Jim Coletta, duly authorized to execute same. PERSON RESPONSIBLE FOR BROWNFIELO SITE REHABILITATION STATE OF FLORIOA OEPARMENT OF ENVIRONMENTAL PROTECTION By: .4~c on Inglehart Oirector South Oistrict OEP (Jim Coletta, Chairman, Collier County Community Redevelopment Agency) Date: i7_!\l; /2.009 Date: /2-/<;(-2.00'1 Approved as to form and legality: 3301 East Tamiami Trail, Naples, Florida 34112 Rtv.G~ Stan M. Warden, FOEP Attorney (239) 252-8097 (Telephone) FILING AND ACKNOWLEDGMENT FilED, on this date, pursuant to 9120.52 Florida Statutes, with the designated Department Clerk, receipt of which is hereby acknowledged. Date: 12.. 1(,,' 0 '\ Oate: ~ "p'i~ t E. Brock, Collier CounlY'GI~rrj, ~:, 'r", 'f:.~"'iS,'~' Ij ~:,.-~ \ l Lb I ~~lb'... ,. ,~- ',~': '. ~ " . "."t:" :~(:. .- ,:..-: Attest II t()~,.'l~". .(,".>' 4191l8ture on ;'.' 'cJ' :CG':'c\'i.~' Approved as to form and legal sufficiency: lk.-- 7. uti-:- (Steve Williams, Collier County Assistant County Attorney) cc: Stan M. Warden, FOEP Brownfields Program Attorney Kim Walker, FOEP Brownfields Liaison Mel Reinhart, FOEP REMAINOER OF PAGE INTENTIONALLY LEFT BLANK Page 12 of 13 11/21108 Revised BSRA Model Collier County Community Redevelopment Agency Brownfield Site Rehabilitation Agreement Brownfield Site 10 # BF110901001 16G3 List of Attachments Attachment A Local Government Resolution for the Brownfield Area and Map and Legal Description of the Brownfield Site Attachment B Brownfield Site Rehabilitation Schedule Attachment C Site Access Agreement Attachment D Certification of Redevelopment Agreement Attachment E Contractor Certification Form Attachment F Quality Assurance Certificate Attachment G Advisory Committee Members Attachment H Format for Submittal of Technical Documents Page 13 of 13 11/21/08 Revised BSRA Model SECTION 1: ATTACHMENT A - - LOCAL GOVERNMENT RESOLUTION FOR THE BROWNFIELD AREA AND MAP AND LEGAL DESCRIPTION OF THE BROWNFIELD SITE 6.1;3 ' ;...t .. 16G3 RESOLUTION NO. 09- 2.-1-3 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, DESIGNATING A BROWNFIELD AREA WITHIN THE BAYSHORE GATEWAY TRIANGLE COMMUNITY REDEVELOPMENT AGENCY (CRA) AREA; FINDING THAT ALL PARCELS ARE OWNED BY THE CRA AND THAT THE CRA INTENDS TO REDEVELOP THE SITE TO FACILITATE ECONOMIC DEVELOPMENT AND ENVIRONMENTAL REMEDIATION, IF NEEDED; DESIGNATING THE CRA LOCAL ADVISORY BOARD AS THE BROWNFIELDS ADVISORY COMMITTEE; AND PROVIDING FOR AN EFFECTIVE DATE. WHEREAS, Collier County Community Redevelopment Agency (CRA), owns 17.665 acres (more or less) on Bayshore Drive, Naples, Florida (the "Property") the legal description of which is attached hereto as Exhibit A and as depicted on Exhibit B, attached hereto, both of which are incorporated herein by the this reference; and WHEREAS, Collier County Community Redevelopment Agency, proposes to redevelop the property to facilitate economic development and environmental remediation, if needed; and WHEREAS, Collier County Community Redevelopment Agency, requests that the Collier County Board of County Commissioners designate the Property a Brownfield Area as authorized under the Florida Brownfields Redevelopment Act, Sections 376.77 - 376.85, Florida Statutes; and WHEREAS, the CRA Board requests that the Bayshore Gateway Triangle Local Advisory Board serves as the Brownfields Advisory Committee for any and all Brownfields Areas in the Bayshore Gateway Triangle CRA,and WHEREAS, the Brownfields Redevelopment Act authorizes this Board, by Resolution, to designate contiguous areas consisting of one or more Brownfields sites as Brownfields Areas to facilitate enviromnental remediation, if needed, and to facilitate economic development; and WHEREAS, all of the designated Brownfield Area is within a Collier County designated Community Redevelopment Area (Bayshore Gateway Triangle component); and WHEREAS, the designated Brownfield Area contains portions of land that was nsed as a gasoline filling station and has docnmented environmental contamination; and WHEREAS, valnable economic incentives accrue to those who redevelop designated Brownfield sites; WHEREAS, Collier Connty shall notify the Florida Department of Environmental Protection of the designation of this Brownfield Area; and WHEREAS, the procedures set fOrtil in Subsection 376.80(1), Florida Statutes, have been followed, and proper notice has been provided in accord with Section 376.80 and Subsection 125.66 (4)(b)(2), Florida Statutes. 1663 NOW, THEREFORE BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that: Section 1. Findings. The Commission, acting as the governing body of Collier County and the Community Redevelopment Agency, finds the preanlble hereof to be true and correct. Section 2. Designation. For the purposes of the Florida Brownfield Redevelopment Act, Sections 376.77 - 376.85, Florida Statutes, the Property attached hereto as Exhibit A and as depicted on Exhibit B, is hereby designated a Brownfield Area. The area is within a Collier County Community Redevelopment Area is hereby designated for enviromnental remediation, if needed, and for redevelopment purposes per Sections 376.77 through 376.85, Florida Statutes. This designation shall not render Collier County liable for costs of site rehabilitation or source removal (as defined in Sections 376.77 through 376.84, Florida Statutes) nor for any other costs above and beyond such costs otherwise attributable to Collier COlU1ty in its role as property owner of all of the subject designated Brownfield Area. Section 3. Advisory Committee. The Bayshore Gateway Triangle CRA Local Advisory Board shall serve as the Brownfields Advisory Committee for any and all Brownfields Areas designated within the Bayshore Gateway Triangle CRA boundary. Section 4. Notification. The County Manager shall notifY the Florida Department of Environmental Protection, pursuant to Section 376.80, Florida Statutes, of this Brownfield Area designation. Section 5. Officers and employees of Collier County and Commnnity Redevelopment Agency are hereby anthorized to do all things necessary and proper to carry out the intent and purposes of this Resolution. Section 6. This Resolution shall take effect immediately upon passage and adoption. This Resolution adopted after motion, second and majority vote this \0+1, day of November 2009. "l\Ollfil,; . \", I"ft- ,,\,\ r;. '..~IDirHO'~::", , ^%- ," . ATTEST: :'i.'\.~.""'"'';.''':':''' -. ., :Zi .~. .' ..~. DWIGU'1'''b:' BRelCK::'l ". "-"- '-. !~~, e"- " -".,.' ~- :: ~!.jt: {"~'_\'I(jl!>"""'~~ ".~:::. _. .."".... .", ~ - ~"... ~I" ','! ".' .-. .' - .,\ ~ .~.~':.. (j-.'-'~,~';<~~:?>.' ;~..=: . " ., . "...., " 1)_' _ .,~, " . ~rL .,. ",.",.' ., ~'<~Cl k . ftQt..~ "".: '...... er '1" ....'J,~Q~~"." , s OOlt_" ., .,., ~.,~ :_",.~,;'''.~:~'' ,.I", APPROVED AS to FORM AND LEGAL SUFFICIENCY: li:- 7. ~M~ Steven Williams Assistant County Attorney BOARD OF C T:jNTY COMMISSIONERS OF COLLIE . UNTY, FLO~A_ By: Itrr~ ~/u-4_ Donna Fiala, Chair EXHIBIT A 16G3 Last Record Title Holder: Collier County Community Redevelopment Agency Tax X ill Numbers: 61840960006 and 61840960103 and 61840840003 and 53401680005 Legal Descriptions: Parcell: The West 425 feet of Lot 109, NAPLES GROVE AND TRUCK CO'S LITTLE FARMS NO.2, according to the plat thereof, recorded in Plat Book 1, page 27 A, less the East 200 feet and the West 25 feet thereof, Public Records of Collier County, Florida. Parcel 2: The East 200 feet of the West 425 feet of Lot 109, NAPLES GROVE AND TRUCK CO'S LITTLE FARMS NO.2, according to the plat thereof, recorded in Plat Book 1, page 27 A, Public Records of Collier COWIty, Florida. Together with an ingress and egress easement across the North 30 feet of the East 200 feet of the West 225 feet of Lot 109, NAPLES GROVE AND TRUCK CO'S LITTLE FARMS NO.2. Parcel 3: All of Lot 108, less and excepting the North 273.44 feet of the West 425 feet and the Kelly Road right-of-way, NAPLES GROVE AND TRUCK CO'S LITTLE FARMS NO. 2, according to the plat thereofrecorded in Plat Book 1, page 27A, Public Records of Collier County, Florida; TOGETHER WITH: All of Lot 109, less and excepting the West 425 feet and the Kelly Road right-of-way, NAPLES GROVE AND TRUCK CO'S LITTLE FARMS NO.2, according to the plat thereof, recorded in Plat Book I, page 27 A, Public Records of Collier County, Florida. And Parcel A, LAKESIDE MOBILE ESTATES, in accordance with and subject to the plat recorded in Plat Book 9, page 99, Public Records of Collier County, Florida. co l- ea I Q I----- ~ ro Q) l- e:( (/) "0 Q) l<= C ~ o ?- m 1-:. 1[3 -1j.S13I\~vltl lQ~, I ~' -,-- I~ T z..... ...... .. ...." .. ...... .. . . . .1- . . - .. . .. . .. . . . . . .. . ..:..:::::"::: .. ...... .. ...... .. ., . .. . ........ .. ..........::.. .. .. .. .. .. .. .. .. : : : : .. .................. .. ...... ...... ...... .. .. ........ ........ .............. .............. ........ .. . . ...... .. ................ .. ................ .. ...... .. ...... .. ...... .. .. . .~ au -,,-,HSAV8 ~ '" 0'" 0"- M o '" ~ to .... 01 ~ .. . .. . ..":::: : ...... .. ...... .. ...... .. ......: L_n.. ...... .. ...... .. . -i : : "'C r:: Ql Cl j Agenda It! ~ G J ,vember 10,02009 . j!l u Page80f17 Cii .,: ..... "C ..- 2 "C '" '" <:: <:: ~ 6 U) 5 ~ ~ ~ () U 0 co ~DiD f (I 1 -1 - IV' o 1l w w ~ ..- - - - . . ..---- - . . I' L ll' . 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"""') /" z fs>Jir11\>J ~\ CO \ , I tlO 3tlOHS^,,/8- 1663 Legal Description of Brownfield Site located within Brownfield #BFl10901001 Parcel A, Lakeside Mobile Estates, in accordance with and subject to the plat in Plat Book 9, page 99, Public Records of Collier county, Florida. 116:(; j Attachment B Table I Brownfield Site Rehabilitation Schedule Type of Report or Activity CRA Action or Submittal Department Review or Time Frames Comment Time frames Waste Management Profile for disposal of impacted soil; arrangement for disposal of tanks, September 21, - October 11, 2009 hydraulic lift and tank's and hydraulic lift's contents Permit application and notification to Collier October 9, 2009 Within 10 days of receipt Countv Pollution Control Removal of USTs and Interim Source Removal; October 12 - November 12, 2009 backfill tank site, soil and oroundwater monitorino Within 60 days of completion of Submittal of Closure Assessment Report (TCAR) removal activities. ~~stimated date Within 60 days of receipt. November 30, 2009 No Further Action (NFA) Proposal When the site meets the criteria for Within 60 days of receipt. NFA (See Rule 62-785.680, FAC.). SECTION 3: ATTACHMENT C - - SITE ACCESS AGREEMENT 16G"3 - SITE ACCESS AGREEMENT PERMISSION TO ENTER PROPERTY BROWNFIELDS REDEVELOPMENT PROGRAM 1. The Collier County Community Redevelopment Agency, the real property owner ("undersigned" or "owner"), hereby gives permission to the State of Florida, Department of Environmental Protection ("Department") and its agents and subcontractors to enter the undersigned's property ("the property") located at 4315 Bavshore Drive. Naples. Florida 34112, as described in Attachment A attached to the BSRA for the brownfield site assigned the Brownfield Site Identification Number BFl10901001, beginning on the date of execution of the BSRA and ending on such date as deemed appropriate by the Department or the successful completion of the BSRA, whichever occurs first. 2. This permission is contemplated to be used for the following activities that may be performed by the Department, its agents, representatives or subcontractors: a. Having access to areas where contamination may exist. b. Investigation of soil and groundwater including, but not limited to, the installation of groundwater monitoring wells, the use of geophysical equipment, the use of an auger for collection of soil and sediment samples, the logging of existing wells, videotaping, preparation of site sketches, taking photographs, any testing or sampling of groundwater, soil, surface water, sediments, air, and other materials deemed appropriate by the Department and the like. c. Removal, treatment and/or disposal of contaminated soil and water, which may include the installation of recovery wells or other treatment systems. 3. Upon completion ofthe investigation, the Department will restore the property as near as practicable to its condition immediately prior to the commencement of such activities. 4. The granting of this permission by the undersigned is not intended, nor should it be construed, as . an admission ofliability on the part of the undersigned or the undersigned's successors and assigns for any contamination discovered on the property. 5. The Department, its agents, representatives or subcontractors may enter the property during normal business hours and may also make special arrangements to enter the property at other times after agreement from the undersigned. 6. The Department acknowledges and accepts its responsibility for damages caused by the acts of its employees acting within the scope of their employment while on the property. 7. The Department acknowledges and accepts any responsibility it may have under applicable law (Section 768.28, Florida Statutes) for damages caused by the acts of its employees acting within the scope of their employment while on the property. Page 1 of2 11121108 Revised BSRA Model SECTION 3: ATTACHMENT C - - SITE ACCESS AGREEMENT 1663 8. In exercising its access privileges, the Department will take reasonable steps not to interfere with the Owner's operations, or the remediation and redevelopment activities pursuant to the BSRA. ~~~ Jim Coletta, Chairman Witness Collier County Community Agency \ 2-/ \lr/L.-OOC:\ , \'2-/ \Y!LOO\ Date Date Approved as to form and legal sufficiency: Steven Williams Assistant County Attorney ATIEST:,,, DW~ROCK,~, .....)~.~...~.....v..'.{.'.'.. ~. .~...,<;;, . " 'il ' )\.i_."""". ....' .~, , . '''',~~, -./ , Oepuly clEitk ,,' (, ' 'I \':- - . \.....- ' . ,. . :- ""' . ,.,....1.. . -..... Attt!t.n \.~.~'\.~;~ .... 'f .1Qnat\lf'~ ot!.... ....-.~l '(;}. "0,"." "'., ~~Q:. L" ....... \.., 'i/tOJ. ,'0\.,.' lb. 7. W~ Accepted by the Department by the following authorized agent: 7;/<.R~.c~ 7./ F:;g~ Signature of Department repr sentative Witness I J f;! !() r Date /2/2//0"/ Date Page2of2 11121/08 Revised 8SRA Model SECTION 4: ATTACHMENT D - - CERTIFICATION OF REDEVELOPMENT AGREEMENT l6GJ IBAYSHORE .;. '. GATEWAY ..k TRIANGLE 1663 eRA Board Commissioner James N. Coletta Chairman Commissioner Fred W. Coyle Commissioner Donna Fiala Commissioner Frank Halas Commissioner Tom Henning Advlsorv .!!2!r!! Chairman Lindsey Thomas Vice-Chair Jill Barry Karen Beatty Larry Ingram Chuck Gunther Maurice Gutierrez Steve Main Bill Neal Bruce Preble eRA Staff David L. Jackson Executive Director Jean Jourdan Project Manager Sue T fone Operations Analyst Shirley Garcia Operations Coordinator December 16,2009 To Whom It May Concern: This letter is to certify that the Collier County Community Redevelopment Agency is the "Person Responsible for Brownfield Site Rehabilitation" ("PRFBSR") for the Brownfield Area designated on November 1 0, 2009 by the Collier County Board of Commissioners. This Brownfield Area was designated by Collier County Resolution No. 09-273, the title of which indicates that the entire Brownfield Area is intended for community redevelopment: DESIGNATING A BROWNFIELD AREA WITHIN THE BAYSHORE GATEWAY TRIANGLE COMMUNITY REDEVELOPMENT AGENCY (CRA) AREA; FINDING THAT ALL PARCELS ARE OWNED BY THE CRA AND THAT THE CRA INTENDS TO REDEVELOP THE SITE TO FACILITATE ECONOMIC DEVELOPMENT AND ENVIRONMENTAL REMEDIATION. . . . A copy of Resolution No. 09-273 in its entirety is included with this letter for your reVIew. The 0.63 acre Brownfield Site for this BSRA is 4315 Bayshore Drive, Naples, FL 34112, which is part ofa larger Brownfield Area (4265 Bayshore Drive and contiguous parcels), which, in total, makes up a total of 17.665 acres and is described as the Bayshore Cultural Arts Catalytic Facility. A large group of community stake-holders have expressed interest in redeveloping this site as a multi-use cultural arts facility. To this end, the CRA entered into contract #09-5184 with a developer, Pizzuti Solutions LLC, to make this dream into a reality. The contract Scope of Work, contract parties' responsibilities, and signature page are enclosed with this letter. If there are questions related to the CRA's commitment to the redevelopment of the Bayshore Cultural Arts Catalytic Facility please contact me to discuss further. Regards, .1 J1 ~\:1 t(jtuvcK~"fd-- David Jackson , ' // Executive DirectoV 4069 Bayshore Drive. Naples, Florida 34112 P: (239) 643-1115. F: (239) 775-4456 www.colliercra.com 161; l' RESOLUTION NO. 09- 2-'1-3 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, DESIGNATING A BROWNFIELD AREA WITHIN THE BAYSHORE GATEWAY TRIANGLE COMMUNITY REDEVELOPMENT AGENCY (CRA) AREA; FINDING THAT ALL PARCELS ARE OWNED BY THE CRA AND THAT THE CRA INTENDS TO REDEVELOP THE SITE TO FACILITATE ECONOMIC DEVELOPMENT AND ENVIRONMENTAL REMEDIATION, IF NEEDED; DESIGNATING THE CRA LOCAL ADVISORY BOARD AS THE BROWNFIELDS ADVISORY COMMITTEE; AND PROVIDING FOR AN EFFECTIVE DATE. WHEREAS, Collier County Community Redevelopment Agency (CRA), owns 17.665 acres (more or less) on Bayshore Drive, Naples, Florida (the "Property") the legal description of which is attached hereto as Exhibit A and as depicted on Exhibit B, attached hereto, both of which are incorporated herein by the this reference; and WHEREAS, Collier County Community Redevelopment Agency, proposes to redevelop the property to facilitate economic development and environmental remediation, if needed; and WHEREAS, Collier County Community Redevelopment Agency, requests that the Collier County Board of County Commissioners designate the Property a Brownfield Area as authorized under the Florida Brownfields Redevelopment Act, Sections 376.77 - 376.85, Florida Statutes; and WHEREAS, the CRA Board requests that the Bayshore Gateway Triangle Local Advisory Board serves as the Brownfields Advisory Committee for any and all Brownfields Areas in the Bayshore Gateway Triangle CRA, and WHEREAS, the Brownfields Redevelopment Act authorizes this Board, by Resolution, to designate contiguous areas consisting of one or more Brownfields sites as Brownfields Areas to facilitate environmental remediation, if needed, and to facilitate economic development; and WHEREAS, all of the designated Brownfield Area is within a Collier County designated Community Redevelopment Area (Bayshore Gateway Triangle component); and WHEREAS, the designated Brownfield Area contains portions of land that was used as a gasoline filling station and has documented environmental contamination; and WHEREAS, valuable economic incentives accrue to those who redevelop designated Brownfield sites; WHEREAS, Collier County shall notify the Florida Oepartment of Environmental Protection of the designation of this Brownfield Area; and WHEREAS, the procedures set forth in Subsection 376.80(1), Florida Statutes, have been followed, and proper notice has been provided in accord with Section 376.80 and Subsection 125.66 (4)(b)(2), Florida Statutes. 1663 NOW, THEREFORE BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that: Section!. Findings. The Commission, acting as the governing body of Collier Connty and the CommUllity Redevelopment Agency, finds the preamble hereof to be true and correct. Section 2. Designation. For the pUlposes of the Florida Brownfield Redevelopment Act, Sections 376.77 _ 376.85, Florida Statutes, the Property attached hereto as Exhibit A and as depicted on Exhibit B, is hereby designated a Brownfield Area. The area is within a Collier COUllty Community Redevelopment Area is hereby designated for environmental remediation, if needed, and for redevelopment purposes per Sections 376.77 through 376.85, Florida Statutes. This designation shall not render Collier County liable for costs of site rehabilitation or source removal (as defined in Sections 376.77 throngh 376.84, Florida Statutes) nor for any other costs above and beyond such costs otherwise attributable to Collier COUllty in its role as property owner of all of the snbject designated Brownfield Area. Section 3. Advisory Committee. The Bayshore Gateway Triangle CRA Local AdvisOlY Board shall serve as the Brownfields Advisory Committee for any and all Brownfields Areas designated within the Bayshore Gateway Triangle CRA bonndary. Section 4. Notification. The County Manager shall notifY the Florida DepaJiment of Environmental Protection, pursnant to Section 376.80, Florida Statutes, of this Brownfield Area designation. Section 5. Officers and employees of Collier Connty and Commnnity Redevelopment Agency are hereby authorized to do all things necessary and proper to carry out the intent aJld purposes of this Resolution. Section 6. This Resolution shall take effect immediately upon passage and adoption. This Resolution adopted after motion, second and majority vote this \0-\1., day of November 2009. , " \ \ \ ~ \ \' " , , " ; ;;1 ;'f J. ,\' ~'~0f\I1\1'~ I,. ATTES'lS" ,f>'V-~~.";'~"'r:.:~ €!,;'t"... "J:!i- .. ,. ' .' DWIGH-r;'.t;;:'BRf)t;K:;'l. .... .~:!-\ :: ff..Y:" ,e" "il/,> ,......~, ','~;..: - ~_' t,~(..,~I\.. 'j~ ~"_ ~ ':,,: ~ :i.... ~ ~.~~. '1(~_.;\',\'-;~"~~f' . I~.; . ',., . '. .\', 0 '._' 1J_' .... ;. . ~rl.. . ~.: . <. \. ~ " - -.!.. .( Mt;.", '. . .,;lWiulv Clerk "j' , fJ,~;i~\~~ ~ $ ~l!t,:?\:~',I...:' APPROVED As TO FORM AND LEGAL SUFFICIENCY: ~ 7. ~QL. Steven Williams AssistaJlt COUllty Attorney BOARD OF cq TY COMMISSIONERS OF COLLIEl UNTY, FLO~A _ By: ~.../ <::> ,<-4.-llc Donna Fiala, Chair EXHIBIT A 1663 Last Record Title Holder: Collier County Community Redevelopment Agency Tax X ID Numbers: 61840960006 and 61840960103 and 61840840003 and 53401680005 Legal Descriptions: Parcell: The West 425 feet of Lot 109, NAPLES GROVE AND TRUCK CO'S LITTLE FARMS NO.2, according to the plat thereof, recorded in Plat Book 1, page 27A, less the East 200 feet and the West 25 feet thereof, Public Records of Collier County, Florida. Parcel 2: The East 200 feet of the West 425 feet of Lot 109, NAPLES GROVE AND TRUCK CO'S LITTLE FARMS NO.2, according to the plat thereof, recorded in Plat Book 1, page 27 A, Public Records of Collier County, Florida. Together with an ingress and egress easement across the North 30 feet of the East 200 feet of the West 225 feet of Lot 109, NAPLES GROVE AND TRUCK CO'S LITTLE FARMS NO.2. Parcel 3: All of Lot 108, less and excepting the North 273.44 feet of the West 425 feet and the Kelly Road right-of-way, NAPLES GROVE AND TRUCK CO'S LITTLE FARMS NO. 2, according to the plat thereof recorded in Plat Book 1, page 27A, Public Records of Collier County, Florida; TOGETHER WITH: All of Lot 109, less and excepting the West 425 feet and the Kelly Road right-of-way, NAPLES GROVE AND TRUCK CO'S LITTLE FARMS NO.2, according to the plat thereof, recorded in Plat Book I, page 27 A, Public Records of Collier County, Florida. And Parcel A, LAKESIDE MOBILE ESTATES, in accordance with and subject to the plat recorded in Plat Book 9, page 99, Public Records of Collier County, Florida. cO I- ro :r: >< ill Cll ~ c:( C/) "0 Q) l+= c: ~ L- ea :z.....c: ~ " o,f o '" o "' ~ Ie o l-- I -.... ... .., .., . . . aL .... ........ -::.:::::.::::::.::::......---:-: ........... ::. . .......... k : : :: ::::::::..:::.:::.:::::: . .... .. ....... ....... ... ..... .... .....::............. .. ....... ...... ...... :::::::::::::::::::.::::::: : ........ ..... .... ........ .... .... . ~::::: .' ::::.....::.....::. ~'" , oIY " .~: : : : : , : : : : : : : : : : : : : : : : : : : : : : Yv "-l vi: : :: : : :: ' : : : : : : : : : : :: : : : : : : : = ... .. . ---II ......::..... :::... ':"'- ...... ..... ......... ......::...............:.....- ..... ......:....... ... .....:::.......:.. ...:.....- I-\.. .... ... .... ..... ~(l J)y:::::!::::'::::.::::'::::,J= b(( "~ll~yT::<J::/:: ::':::~I!.! u \ .....::......: .............. .. - .,.. ...... .. T- ... ..... I T 'I IT...::....:::.. IT'" .. . .... . . .....::.....: . . ... ......: .. . ::........... ........ ............ ,"........:......... .. .. . T '11 SEJ~H\fiH 'C C Q) tll ~ 'II;",..m ",,! 6 G 3 e! vember 1 0, 2009 .l!l 0 Page 8 of 17 i:i5 .,: r-- '0 ~ .23 '0 III ., C c 'E o~ m tI) $ c<("OQ) 8 ~ :g ~ ~DiD (I l rY' o -gr !:!.l w """') - - - .... ""~ ".. I I . . ........ "I . '11I.' l HSA.\i8 I <-iU I i .,' I l I ~ --- I 16GJ TG2. TG2 will be the lead cultural arts consultaJt and in collaboration with AMS will conduct a cultural and performing arts programming studYllcluding an estimated operating cost and suggested governing process. Phase 1 Scope of Work: Pizzuti shall provide and manage the following pl'Ofessional services which shall constitute the general scope of the Services under the terms and provisions of the Professional Services Agreement. In Phase 1 the scope of work is divided into thre(: broad tasks. Task 1. Existing Conditions Analysis. . Task 2. Conceptual Master Plan and Initi"l Entitlements. Task 3. Draft Development Agreement alld Financial Model Each of the steps are described below. Task 1. Existing Conditions Analysis. Tasks include: 1. Kickoff meeting with the CRA to co:lfirm project goals, key benchmarks, and Phase 1 schedule 2. Review of existing site documentation 3. Review current land development cocles and confIrm public approval process 4. Review permitting .requirements (locd and State) 5. Initial interviews & meetings with oWer identified stakeholders 6. Initiate required site civil work including as appropriate including surveys, topo, initial geotechnical evaluations, weLmd determinations, and bathymetric including . follow up meetings with the appropri<lte permitting agencies. 7. Evaluate other parcels adjacent to the site for future acquisition 8. Public workshop to identify import:mt goals and objectives of local residents & businesses, review site analysis, discus potential plan elements and alternatives 9. TG2 and AMS to meet with local C(Immunity arts leaders to collect information for the cultural and performing arts progJ::lnuning study. 10. Information gathering to begin prelirrinary market report. Deliverables: 1. Initial Schedule of Key Benchmarks, ::Zesponsibilities, and Project Status Report 'I - ~, - . lb' " . ., t; -" 2. Completion of the Initial Due DiIigenc~ Report (format included as an addendum to Schedule A) 3. Report on results of first public worksl:op 4. PreIiminary Market Report presented tl) CRA for discussion 5. Report on initial findings of discussion with local arts leaders Task 2. Conceptual Master Plan and Initial Entitkments. Tasks include: 1. Finalize Market Study for mixed use c,tltural arts development 2. Develop public space concept followiq fIrst public workshop 3. Engineering preparation of master cOGept plan for rezoning. Additional engineering work in this phase includes traffic imP:lct statement, protected species survey and any additional geotechnical and environmental assessments that may be required as a result of Phase 1. 4. Team members will present these preliminary concepts and drawings to Collier COllilty for evaluation and alternatives discussion. S. Schedule and conduct second public workshop presenting draft concept plan and design considerations 6. Development of preliminary master plan & preliminary design criteria package following input from CRA, first public workshop, and initial fIndings in Task I. 7. PreIiminary infrastructure design. 8. Update on cultural and performing ats study including programming, estimate of operating costs and recommended govlTnance process. Deliverables: 1. Completion of the Market Analysis Sedion of Due Diligence Report (format included as an addendum to Exhibit A (Final Mmket Report) - fInal presentation to CRA 2. Completion of second public workshof and report of fIndings 3. Development of Concept Master Plan 4. Rezoning application processed for PrcJerty to accommodate mixed use project 5. Completion of Initial Site and Infrastru::ture Plan 6. Completion of cultural and performing ,rrts fInancial operating pro-forma and recommendations regarding govemanc1'I and management structures Task 3. Implementation Plan and Financial M(ldel Tasks include: 1. Completion of project pricing and preli:l1inary engineering cost estimates 2. Development of Financial Plan and pro.!Josed schedule of improvements 3. ReView recommendations on cultural arts study 4. Completion of architectural concept ren ierings & preliminary design guidelines 5. ModifIcation, refInement & evaluation "ffinal concept plan - 3 - 1663 6. Presentation offinal concept plan to eRA/Collier County 7. Develop Implementation Plan Deliverables: 1. Completion of final Due Diligence Rt:port 2. Completion of Project Pricing 3. Final report on Cultural Arts Programming Study 4. Completion of Financial Plan, ProfoDlla, and Project Schedule 5. PresentatioIl of Final Master Plan to eRA/Collier County 6. Completion of Implementation Plan Phase 2- Development (permitting, leasing, finmcing, construction, and property management) At the conclusion of the first phase the Conceptud Master Plan will have been approved and financial model will have finalized providing for:he opportunity for the development to proceed to Phase 2. Phase 2 is the final design, permittinl!, construction, leasing, and management of the site and will be initiated upon the execution ofth!: development agreement by both parties. -4. I tl,fG) Contract 09,5184 Master Developer for a Mixed Use Development on eRA Owned Land PROFESSIONAL SERVICES AGREEMENT THIS AGREEMENT is made and entered intCt this ~day of JLlYle.. 2009, by and between the Collier CRA Community Redevelopment Agency, Florida, a political sub~ivision of the State of Florida (hereinafter rel'erred to as the "CRA" or "OWNER") and Piz~uti Solutions LLC, authorized to do busines" in the State of Florida, whose business address is 300 S. Orange Avenue, Suite 1500, Orlmdo, Florida 32801 (hereinafter referred to as the "CONSULTANT"). WI T N E S S:: T H: WHEREAS, the OWNER desires to obti~in the professional Master Developer Consulting services of the CONSULTANT conc''lrning Mixed Use Development on CRA Owned Land (hereinafter referred to as the "Projec"), said services being more fully described in Schedule A, "Scope of Services", which is attached hereto and incorporated herein; WHEREAS, the CONSULTANT has submitted a proposal for provision of those services; and WHEREAS, the CONSULTANT represenh: that it has expertise in the type of professional services that will be required for the Proj-'lcl. NOW, THEREFORE, in consideration of the mutual covenants and provisions contained herein, the parties hereto agree as follows: PSA D.I ARTICLi: ONE CONSULTANT'S F:ESPONSIBILlTY 16G) 1.1. CONSULTANT shall provide to OWNER. professional Master Developer Consultant services in all phases of the Project to which this II.greement applies. 1.2. The Basic Services to be performed by CONSULTANT hereunder are set forth in the Scope of Services described in detail in Schedule A. The total compensation to be paid CONSULTANT by the OWNER for all Basic Services is set forth in Article Five and Schedule B, "Basis of Compensation", which is attached hereto and incorporated herein. --- ----.----"---- ._-~_.._--_.._-------- 1.3. The CONSULTANT agrees to obtain and mlintain throughout the period of this Agreement all such licenses as are required to do busine~5. in the State of Florida and in Collier CRA; Florida, including; but not limited to, all license,; required by the respective state boards and other governmental agencies responsible for regulating and licensing the professional services to be provided and performed by the CONSUL TJI;'IIT pursuant to this Agreement. 1.4. The CONSULTANT agrees that, when the services to be provided hereunderrelate to a professional service which, under Florida Statute:!, requires a license, certificate of authorization or other form of legal entitlement to practice SUi:h services, it shall employ and/or retain only qualified personnel to provide such services to OWNER. 1.5. CONSULTANT designates Thomas i\ Harmer, ICMA-CM, a qualified licensed professional to serve as the CONSULTANT'S pmject coordinator (hereinafter referred to as the "Project Coordinator"). The Project Coordinator i, authorized and responsible to act on behalf of the CONSULTANT with respect to directing, wxdinating and administering all aspects of the services to be provided and performed under this Agreement. Further, the Project Coordinator has full authority to bind and obligate the CONSU_TANT on all matters arising out of or relating to this Agreement. The CONSULTANT agree'; that the Proj,?ct Coordinator shall. devote whatever time is required to satisfactorily manage the services to be provided and performed by PSA 0-2 J6G3 the CONSULTANT hereunder. The Project Coordinator shall not be removed by CONSULTANT from the Project without OWNElrS prior written approval, and if so removed must be immediately replaced with a person accelltable to OWNER. 1.6. CONSULTANT agrees, within fourteen (14; calendar days of receipt of a written request from Owner to promptly remove and replace thE: Project Coordinator, or any other personnel employed or retained by the CONSULTANT, or any subconsultants or subcontractors or any personnel of any such subconsultants or subc(lntractors engaged by the CONSULTANT to provide and perform services or work pursuant to the requirements of this Agreement, said request may be made with or without cause. An:1 personnel so removed must be immediately replaced with a person acceptable to OWNER. 1.7. The CONSULTANT represents to the C iNNER that it has expertise in the type of professional services that will be performed pUlsuant to this Agreement and has extensive experience with projects similar to the Project re1luired hereunder. The CONSULTANT agrees that all services to be provided by CONSULTANT pursuant to this Agreement shall be subject to the OWNER'S review and approval and shall Ile in accordance with the generally accepted standards of professional practice in the State Ilf Florida, as well as in accordance with all applicable laws, statutes, ordinances, codes,ules, regulations and requirements of any governmental agencies, including the Florida Building Code where applicable, which regulate or have jurisdiction over the Project or the sEvices to be provided and performed by CONSULTANT hereunder. In the event of any conflicts. in these requirements, the CONSULTANT shall notify the OWNER of SU';h conflict and utilize its best professional judgment to advise OWNER regarding resolution of each such conflict. OWNER'S approval of the design documents in no way relieves CONS'lL TANT of its obligation to deliver complete and accurate documents necessary for successfu construction of the Project. 1.7.1 The eRA reserves the right to deduct portiOllS of the (monthly) invoiced (task) amount for the following: Tasks not completed within the expressed time frame, including required deliverables, incomplete and/or deficient docume lts, failure to comply with local, state and/or PSA 0-3 1663 federal requirements and/or codes and ordinancl'ls applicable to Consultant's performance of the work as related to the project. This list is not deemed to be all-inclusive, and the CRA. reserves the right to make sole determination regarding deductions. After notification of deficiency, if the Consultant fails to correct the ddiciency within the specified timeframe, these funds would be forfeited by the Consultant. The eRA may also deduct or charge the Consultant for services and/or items necessary tb correct the deficiencies directly related to the Consultant's non-performance whether or not the GRA obtained substitute performance. 1.8. CONSULTANT agrees not to divulge, furnish or make available to any third person, firm or organization, without OWNER'S prior written wnsent, or unless incident to the proper performance of the CONSULTANT'S obligation', hereunder, or in the course of judicial or legislative proceedings where such information h11s been properly subpoenaed, any non-public information concerning the services to be re:ldered by CONSULTANT hereunder, and CONSULTANT shall require all of its employees, "gents, subconsultants and subcontractors to comply with the provisions of this paragraph. CONSULTANT shall provide OWNER prompt written notice of any such subpoenas. 1.9 As directed by OWNER, all plans and drawings referencing a specific geographic area must be submitted in an AutoCad Digital ExchangE. File (DXF) format on a CD or DVD, drawn in the Florida State Plane East (US Feet) Coordinate System (NAD 83/90). The drawings should either reference specific established Survey MonUlnentation, such as Certified Section Corners (Half or Quarter Sections are also acceptable), orwhen implemented, derived from the RTK(Real-Time Kinematic) GPS Network as provicled by OWNER. Information layers shall have common naming conventions (Le. right-of-wa~f - ROW, centerlines - CL, edge-of- pavement - EOP, etc), andadhere to industry standard CAD specifications. PSA D-4 1663 ARTICU: TWO ADDITIONAL SER\/ICf:S OF CONSULTANT If authorized in writing by OWNER through a Change Order to this.Agreement, CONSULTANT shall furnish or obtain from others Additional Se rvices of the types listed in Article Two herein. The agreed upon scope, compensation and sc~edule for Additional Services shall be set forth in the Amendment authorizing those Additional Services. With respect to the individuals with authority to authorize Additional Services und '~r this Agreement, such authority will be as established in OWNER'S Purchasing Policy and Administrative Procedures in effect at the time such services are authorized. These services wi I be paid for by OWNER as indicated in Article Five and Schedule B. Except in an emergencf endangering life or property, any Additional Services must be approved in writing via an Amendment to this Agreement prior to starting such services. OWNER will not be responsible for the costs of Additional Services commenced without such express prior written approval. Elilure to obtain such prior written approval for Additional Services will be deemed: (i) a wai"er of any claim by CONSULTANT for such Additional Services and (ii) an admission by CONSULTANT that such Work is not additional but rather a' part of the Basic Services required of CONSULTANT hereunder. If OWNER determines that a change in the Agreement is required because of the action taken by CONSULTANT in response to an emergency, all Amendment shall be issued to document the consequences of the changes or variations, pro,,jded that CONSULTANT has delivered written notice to OWNER of the emergency within fory-eight (48) hours from when CONSULTANT knew or should have known of its occurrence. Fclilure to provide the forty-eight (48) hour written notice noted above, waives CONSULTANT'S I'ight it otherwise may have had to seek an adjustment to its compensation or time of perfcrmance under this Agreement. The following services, if not otherwise specified in Schedule /~ as part of Basic Services, shall be Additional Services: 2.1. Preparation of applications and supporting documents (except those already to be furnished under this Agreement) for private or governmental grants, loans, bond issues or advances in connection with the Project. PSA D-5 1663 2.2. Services resulting from significant changes :1 the general scope, extent or character of the Project or its design including, but not limited to, changes in size, complexity, OWNER'S schedule or . character of construction; and re'.-ising studies, reports, design documents or Contract Documents previously accepted by O'NNER when such revisions are required by changes in laws, rules, regulations, ordinances, c:odes or orders enacted subsequent to and not reasonably anticipated prior to the preparation <If such studies, reports or documents, or are due to any other causes beyond CONSULTANT':, control and fault. 2.3 Providing renderings or models for OWNER'S use. 2.4 Investigations and studies involving detailed consideration of operations, maintenance and overhead expenses; the preparation of leasibility studies, cash flow and economic evaluations, rate schedules and appraisals; anc: evaluating processes available for licensing and assisting OWNER in obtaining such process licensing. 2.5. Furnishing services of independent professilmal associates and consultants for other than the Basic Services to be provided by CONSUL TA IJT hereunder. 2.6. Services during travel outside of Collier and Lee Counties required of CONSULTANT and directed by OWNER, other than visits to the ProjEd site or OWNER's office. 2.7 Prepar<Oition of operating, maintenance and slaffing manuals, except as otherwise provided for herein. 2.8. Preparing to serve or serving as a CONSULTANT or witness for OWNER in any litigation, or other legal or administrative proceeding, inl'olving the Project (except for assistance in consuitations which are included as part of the Sa 3ic Services to be provided herein). PSA D-6 1663 2.9 Additional services rendered by CONSUL TA'H in connection with the Project, not otherwise provided for in this Agreement or not customaril'( furnished in Collier CRA as part of the Basic Services in accordance with generally accepted I,rofessional practice. ARTICLE THREE OWNER'S RESPONSIBILITIES 3.1. The OWNER shall designate in writin!~ a project manager to act as OWNER'S representative with respect to the services to /:;.3 rendered under this Agreement (hereinafter referred to as the "Project Manager"). The Pmject Manager shail have authority to transmit instructions, receive information, interpret and define OWNER'S policies and decisions with respect to CONSULTANT'S services for the Pl'Oject. However, the Project Manager is not authorized to issue any verbal or written orders (r instructions to the CONSULTANT that would have the effect, or be interpreted to have the effect, of modifying or changing in any way whatever: (a) The scope of services to be pl'Ovided and performed by the CONSULTANT hereunder; (b) The time the CONSULTANT is obligated to commence and complete all such services; or (c) The amount of compensation! he OWNER is obligated or committed to pay the CONSULTANT. 3.2. The Project Manager shail: (a) Review and make appropriate 13commendations on all requests submitted by the CONSULTANT for payment For services and work provided and performed in accordance with this Agreeme It; (b) Provide all criteria and information requested by CONSULTANT as to OWNER's requirements for t1- 3 Project, including design objectives and constraints, space, capacity aJ d performance requirements, flexibility and expandability, and any budgetary limitations; PSA D~7 1663 (c) Upon request from CONSULTANT, assist CONSULTANT by placing at CONSULTANT'S disposal all available information in the OWNER'S possession pertinent to the Proj'~ct, including existing drawings, specifications, shop drawings, product Iiteratur<:'. previous reports and any other data relative to the Project; (d) Arrange for access to and makE: all provisions for CONSULTANT to enter the Project site to perform the serv ces to be provided by CONSULTANT under this Agreement; and (e) Provide notice to CONSULTANT of any deficiencies or defects discovered by the OWNER with respect to th'~ services to be rendered by CONSULTANT hereunder. ARTICLE FOUR TIME 4.1. Services to be rendered by CONSULTAIH shall be commenced subsequent to the execution of this Agreement upon written Noti,;e to Proceed from OWNER for all or any designated portion of the Project and shall be pe'formed and completed in accordance with the Project Milestone Schedule attached hereto andnade a part hereof as Schedule C. Time is of the essence with respect to the performance of ths Agreement. 4.2. Should CONSULTANT be obstructed or d,dayed in the prosecution or completion of its services as a result of unforeseeable causes beye,nd the control of CONSULTANT, and not due to its own fault or neglect, including but not restrUed to ads of nature or of public enemy, acts of government or of the OWNER, fires, floods, epidemics, quarantine regulations, strikes or lock-outs, then CONSULTANT shall notify OWNIR in writing within five (5) working days after commencement of such delay, stating the specii' c cause or causes thereof, or be deemed to . . have waived any right which CONSULTANT may have had to request a time extension for that specific delay. PSA D-8 161; J IN WITNESS WHEREOF, the parties hereto have ~xecuted this Professional Services Agreement for Master Developer for a Mixed USll' Development on eRA Owned Land the day and year first written above. ATTEST: ~--;/~ Witness SI70h/?A L. /1?OOI"'L- W'"~~l~ PSA CCLLlER COUNTY COMMUNITY REDEVELOPMENT AGENCY ~. ,,~ By: :,,;~;':"J t . Jim C etta, Chairman D.22 . 16&3 SCHEDULE A Scope of Sj'rvices Phase 1- PlanninglProfessional Services Through a public solicitation process, the CRA SOl:ght a master developer to partner with to plan for and develop property acquired by the CRA for 't cultural arts mixed use project. It is the intent of the CRA to prepare the property for devel1lpment consistent with the goals of the eRA and the Cultuial Arts District through a Phase 1 plflnning effort and to ultimately sell the property fee simple to a Master Developer (phase;1 of the project). During Phase 1, Pizzuti will lead the development leam through a planning and entitlement process on the CRA's property. During this phase ,}fthe project Pizzuti will serve as the eRA's prime consultant managing the development team ':hrough the necessary planning to create a market supportable development plan and the nece::sary entitlements to support the Plan. These services will include performing the necessary site due diligence and initial civil and engineeritig work to prepare the site for developmmt. An updated mixed use market study will be performed and stakeholder input will be solicitel! and considered in the development of a coriceptual master plan and financial feasibility model that will become the basis of the implementation plan and proceeding to Phase 2. The Development Team includes the following members along with their primary role on the Team: Pizzuti Solutions, LLC. Pizzuti will manage the (ll1tire Phase 1 process and serve as the point of contact for the CRA. Pizzuti will also provide pricing estimates and develop the financial model and project proforma and in partnership with the CRA prepare the implementation plan necessary to proceed to Phase 2. Pizzuti will also kad a mixed use market study for the overall Bayshore Gateway Triangle Co=unity Redevelo":lment Agency Cultural Arts property. Bellomo-Herbert. Bellomo Herbert will lead the planning efforts and the development of the Concept Master Plan. Bellomo Herbert will also allsist in developing the architectural guidelines for the project. Project for Pnblic Spaces(pPS). PPS will facilitaie the initial stakeholder meetings and provide project goals for the development of the Concept 11 aster Plan. PPS will consult on the Plan from the stakeholder meetings through completion ofth(1 design. Banks Engineering. Banks will perform the nece~:sary site due diligence and perform the necessary civil services to prepare the site plan for the project. Banks will also manage the environmental consultant. " Dexter Bender. Ilexter Bender will serve as the eLvironmental consultant and assist with site evaluations and the related entitlement process to il'sure the project is permitable. SECTION 5: ATTACHMENT E - - CONTRACTOR CERTIFICATION FORM 1663 1663 Department of Environmental Protection Twin Towers Office BUilding 2600 Biair Stone Road Tailahassee, Florida 32399-2400 Michael W. Sole Secretary Charlie Crist Governor CONTRACTOR CERTIFICATION FORM Brownfields Redevelopment Program Contractor Name HSA Enqineers and Scientists Contractor Address: 1520 Roval Palm Square Blvd. Suite 260 Contact Name: Roxanne Gause Phone No.: 239-936-4003 Brownfield Site ID #: Y':, l=- \ \ 0'1 0 1001 Oate: November 13. 2009 Fax No.: 239-936-0819 Contractor Certifies by Checking All Appropriate Boxes: Yes No 1. It meets all certification and license requirements imposed by law. [2] o 2. It performs or contracts laboratory analysis pursuant to National Environmental Laboratory Accreditation Program certification 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. 3. 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 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 Oepartment of Environmental Protection (FOEP) that the Contractor named above meets the requirements for contractors participating in the Brownfields Redevelopment Program [Sections 37680~~c!j?) FjPra Statutes (F.S.)]: /tvu "A/""-_..,. 11/13/09 Richard G. Lewis, II Signature of Officer of the Company and Date Signed Print Name of Officer of the Company [2] o [2] o [2] o Principal. Engineer Title of Officer ofthe Company This form will be kept on file by the FOEP Oistrict office. Contractors must immediateiy notify the FDEP (Brownfields Oistrict 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 Oistrict Brownfields Coordinator. "Proleet, Conserve and Manage Florida's Environment and Natural Resources" Printed on recycled poper. Revised 11/f2110a SECTION 6: ATTACHMENT F - - QUALITY ASSURANCE CERTIFICATE 1663 CD CII .;: ~ .. o ..Q j Ii- 0- 't:I ::I jg -- ca- .. GI "" ..Q ..!!::- U. ::It: co 't-m8~ o ~o co G) .J:- m .....:!::: tI) Cll 11I- _ GIll> en .- ::J:.c ...1- o - C GI f III C. 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",,'" <0 ..-> ".sS -I! ::Jo"'CI lI::.a'" u.ea ct -::J . LL .! Q) m "0:5;>' iof!m ...",e '" e E '" -e 0 "C ca=.9c "OrGU'lCU c=:::Icn m"CCJ-c ~~"ClO uc.c oum1i) :ict,l!lE w'Qc... zQ)~.s Gl o.U ::I .cO ,g _ u . ~ :EU)~C'II ._ ~N 0. ~ 0 ~... GI""'.s u f .. ' ~O~.g :.Doi: g..!l;;:..2 r;;;; CD ",LL o,c.!!c u... -'- me"> tn .!: 0 5.a O"tl to CIS CJ CD':': -OJ ,-u c U co c: ~ cu""'J.9 .2t;d'tu m....,...o ",wNI: Q)t!><E 8 .- 0 OJ ::It:IDU en B w U) e", O.~ &. .e a: .s ::s.2'rira C f!.!! 6 etClS.....a Dl-aB.!! ~cfCU ~coo.c 00.0;' u"artlo en 0...1 c .- :5"'0 '" eGl Cl ..2Eg'" '5uE.!!l ",,!6::J:S _UID:5 ~ ["'.- U (/):5 ;: "guim ::I e '" eO- ;::;::;1;: e '" C 0'30 U "IG' e! ~ <<:) T"" <<:) N ~ <<:) ('I) CI) c :s ""') ::I: C) ~ o a::: ::c I- Cl) Qi <<:) N N T"" I., CI) ..Q .s () o w > I- o W LL LL W 1663 "'on g.!! Nfl l:!", 'J. g:.c: a:e ~ ..i5~ ;;;i'l "!EJ:~:bi: 2]'0;::, ~ ..: co.... ...m III ClJ...JI;t-g;)- ~'lt-o :gmw~ o I;"f'" II) !jij"~,,wil U Icn!:5~"5 = ,,0Ll.<l:l!! :!!l%I <a::te::: a. 1 .,:'00 w= .!!5 ~: ~_ zm oLl. i2i: , I- I:'! ,.__ Z 8. 0:1 zell \... 1663 SECTION 7: ATTACHMENT G - - ADVISORY COMMITTEE MEMBERS Name Work Phone Email Lindsey Thomas 304-9000 I.Ulantllc@comcast.net 1925 6th Street South Naples, FL 34102 Jill Barry 643-7275 x 11 jbarry@naplesgarden.org 199 Lady Palm Drive Naples, FL 34104 Larry Ingram III (239) 262-4121 Iningram@comcast.net 631 17th Ave S. Naples, FI 34102 Chuck Gunther 248-1394 f1guntherc@gmail.com 2448 Bayside Street Naples, FL 34112 Karen Beatty 269-7788 klbeatty48@aol.com 3113 Basin Street Naples, FL 34112 Steve Main 774-0222 gs mservice@earthlink.net 15 Newbury Place Naples, FL 34112 Bruce Preble 261-4744 brucepreble@aol.com 4703 Lighthouse Lane Naples, FL 34112 . Maurice Gutierrez 263-0572 mgutier1893@earthlink.net 2736 Shoreview Drive Naples, FL 34112 16G3 SECTION 8: ATTACHMENT H - - FORMAT FOR SUBMITTAL OF TECHNICAL DOCUMENTS 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 ofthe 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 ofReport(s). (e) The left inside cover of the media should list all the files located on the media. 16 G 3' MEMORANDUM Date: January 21, 2010 To: Sue Trone, Operations Analyst Bayshore Gateway CRA 4069 Bayshore Drive Naples, Florida 34112 From: Teresa Polaski, Deputy Clerk Minutes & Records Department Re: Voluntary Cleanup Tax Credit Application - Signature Page Attached is one (1) original document referenced above, (Agenda Item #16G3) approved by the Board of County Commissioners on December 1,2009. The Minutes & Records Department has kept one of the originals as part of the Board's Official Records. If you should have any questions, please contact me at 252-8411. Thank you. t )i:"F'" TJ )r~- CUUJ\ll Y Af TonrJi:y 1663 ITEM NO.: !D -C"'-P, 0:>701 FILE NO.: ,,!flll'1 l C, ~ 1 I r:: ...," 1 -1 ~ r' ",diJ J,,(j D,(TtRECEJ~ED: ROUTED TO: DO NOT WRITE ABOVE THIS SPACE (Orig. 9/89; Rev. 6/97) )rr13 REQUEST FOR LEGAL SERVICES '1./ (please type or print) /-.. .. DW'f;l.I}'O To: Office of the County Attorney, Attn: Steve WIlhams Date: 01/15/2010 From: Sue Trone (Name) (Division) Project Manager <: ~'1 J \ (Title) Jj('l'1 ~ Bayshore Gateway .4'~~ D (Department) -J ~ \'1.; j cP CRA Telephone # (Very Imoortant): 643-1115 Re: Legal review and signature of completed Voluntary Cleanup Tax Credit Application (Subject) BACKGROUND OF REQUESTIPROBLEM: (Describe problem and give background information - be snecitic. concise, and articulate.) (Are there documents or other information needed to review this matter? If yes, attach and reference this information.) This item haslhas not been previously submitted. (If previously submitted provide County Attorney's Office File No.) 10-CMP~0699 ACTION REQUESTED: (Be very specific. Identify exactly what you need in the way of legal services.) Please review the following application for legal sufficiency. Page 5 requires the signature of CRA chairman, Jim Coletta and notarization. I believe your signature is required before I can obtain Mr. Coletta's signature--please sign BOTH COPIES if you deem this application to be legally sufficient. OTHER COMMENTS: The CRA approved applying for this tax credit and allowing the chairm to sign documents in item 16G3 on Dec. 1, 2009. This application must be signed by Mr. Coletta no later than January 26, 2010. cc: David Jackson 16G3 DEPFonn# 62-788.9OOm Form Title: Voluntarv CleanuD Tax Credit AODlication Effective Date: XXIXX/XXXX Department of Environmental Protection DEP Application No.: (FDEPUseOnly) VOLUNTARY CLEANUP TAX CREDIT (VCTC) APPLICATION (please Print or Type) For more detail see subsections 62-788.300. .310. .320. and .330. F.A.C. Pursuant to the provisions ofs. 376.30781, F.S., application for tax credit is hereby made. The following information is submitted in support of this application. Please complete the applicable sections of this form, draw a diagonal line through inapplicable sections, and submit the entire 13 page application form along with any other required documentation. SECTION I. 1. Applicant Information*: Name: Collier County Community Redevelopment Agencv Address: 4069 Bavshore Drive Naples. (Cdy) Collier County. (Co=ty) Florida (State) 34112 (Zip Code) Telephone Number: (239) 643-1115 (Area Code) E-mail: suetrone{al.colliergov.net Federal Employment Identification Number (FElD): (if applicable) 59-6000558 -OR- Social Security Number: (if applicable) -- - - - (9-aigit num6ei) - - - Calendar Year(s) for which VCTC are being claimed: 2009 -Note: If multiple taxpayers are submitting a joint application for one site, please make copies of this page and have each taxpayer complete Section L number 1 (above) of this application. 2. Tvoe of Site: (check"; only one) o (a) A drycleaning solvent contaminated site eligible for state-funded site rehabilitation under s. 376.3078(3), F.S. The applicanl must complete Section LA. on page 2 ; o (b) A drycleaning solvent contaminated site at which cleanup is undertaken by the real property owner pursuant to s. 376.3078(11), F.S., if the real property owner is not also, and has never been, the owner or operator of the drycleaning facility where the contamination exists. The applicant must complete Section LB. on page 2; IZJ (c) A brownfield site in a designated brownfield area under s. 376.80, F.S.; or o (d) A brownfield site in a designated brownfield area under s. 376.80, F.S., that is, or was, also a RCRA site. (Section I. continued 00 next page) lofl3 VCTC Application SECTION I. (continued) SECTION I.A. 16G3 Drvcleaninl! Solvent Cleanuo Prol!ram (DSCP) Sites Elil!ible for State-funded Site Rehabilitation For more detail see oaralQaoh 62-788.300(3)(d!. F.A.C. Ifbox 2.(a) is checked on page I, the applicant must submit with this application a copy of the FDEP eligibility order for the DSCP and the appropriate deduc1ible paymen1, as indicated in 1he order. Please check the appropria1e box below to indicate the amoun1 enclosed or previously paid: D $1 ,000 (complete DSCP applications submitted by June 30, 1997) D $5,000 (complete DSCP applications submitted July I, 1997, through September 30, 1998) D $10,000 (complete DSCP applications submitted October I, 1998, through December 3 I, 1998) D Deductible previously paid in (year) VCTC application. Please include a cashier's check or money order (DO NOT SEND CASH, PERSONAL CHECKS, OR CORPORATE CHECKS) made payable 10 1he Water Quality Assurance Trus1 Fund. This check or money order must be separate from the $250 non-refundable application review fee required by Section IV of1his applica1ion. SECTION I.B. Real Prooertv Owner Affidavit For more detail see oaraf!raoh 62-788.300(3)(b). F.A.C. Ifbox 2.(b) is checked on page I, the real property owner mus1 sign the following affidavi1: The undersigned applicant, under penalties of petjury, does solemnly swear that he, she, or it is the real property owner of1he property con1aining 1he drycleaning solvent contaminated site at which he, she, or i1 is volun1arily conducting site rehabilitation, and that he, she, or i1 is not, and has never been, 1he owner or operator of the drycleaning facility where 1he contamination exis1s. Print Name of Real Property Owner or Corporate Real Property Owner Signature of Real Property Owner or Authorized Corporate Real Property Owner Representative Date Print Name of Authorized Corporate Real Property Owner Representative Title Notary Seal for Real Property Owner Affidavit STATE OF FLORIDA COUNTY OF Sworn to (or affirmed) Wld subscribed before me this _ day of .20----, by Real Property Ownes-' s name Personally known ~ OR Produced Identification ~ Signature of Notary Public - State of Florida Type of Identification Produced (print, type, or stamp Commissioned Name of Notary Public) 20f13 VCTC Application 16G 3 SECTION I. (continued) 3. General Site Information: DC Facility/BF Site Name: Hubert's Welding FacilitylSite Location: 4069 Bavshore Drive (Address) Naples Collier CounlY Florida 34114 (CIty) (County) (Zip Code) Brownfield Site Identification Number: B F 110901001 - - (9-digit number) Is there more than one contaminated site, as defined by Department rule, covered by the above BSRA? No (Y es/No) Jfyes, please attach a list/description of the contaminated sites covered by this BSRA. Which contaminated site is being claimed in this application? -OR- DEP Drycleaning Facility Identification Number: - - - (9=Oi.gmtumber)- - - -AND- Real Properly Owner, if this application is for a DSCP site and the RPO is different than the applicant: Name: Address: (C,ty) ~-- (County) (State) (Zip Code) Telephone Number: (Area Code) ) E-mail: 4. Tvoe of Tax Credit ReQuested: (check"; all that apply and complete Section 11 accordingly) ~ (a) Site Rehabilitation (per contaminated or potentially contaminated site): Requires comple1ion of Section 11.A. o (b) Site Rehabilitation Completion Order (per contaminated site only): Requires completion of Section II.A. o (c) Affordable Housing (once per brown field site only): Requires completion of Section 11.B. o (d) Health Care (once per brownfield site only): Requires completion of Section II.C. o (e) Solid Waste Removal (once per brownfield site only): Requires completion of Section II.D. 3 of 13 VCTC Application SECTION II.A. 16G3 Aoolicant's Site Rehabilitation VCTC Affidavit* (if aDolicable) For more detail see Rule 62-788.300. F.A.C. Pursuant to s. 376.30781, F.S., the undersigned applicant is claiming a credit in the amount of 50 % of the costs of voluntary cleanup activity that was integral 10 site rehabilitation conducted during the calendar year for which this tax credit application is being submitted. The total site rehabilitation costs incurred and paid for this calendar year were $61.427.00, and 50% of that amount = $30.713.50 (or $500,000, whichever is less), which is being claimed in this tax credit application. If submitting a joint application with multiple tax credit applicants, please fill in the blank: The undersigned contributed % to payment of site rehabilitation costs. Pursuant to s. 376.30781 (3)( c), F .S., if site rehabilitation is completed at the si1e, as evidenced by the Department issuing a "No Further Action" order (i.e., Site Rehabilitation Completion Order), the undersigned may claim an additional 10% ofthe total elil!ible site rehabilita1ion costs incurred from July 1, 1998, through June 30, 2006, no1 to exceed $50,000, in the final tax credit application for site rehabilitation. If applicable, fill in the following: The total site rehabilitation costs that were claimed in VCTC applications from July 1, 1998 through June 30, 2006 = $ . and 10% of1hat amount = $ (or $50,000, whichever is less), which is being claimed in this tax credit application. Pursuant to s. 376.30781 (3)( c), F.S., if site rehabilitation is completed at the site, as evidenced by the Department issuing a "No Further Action" order (i.e., Site Rehabilitation Completion Order), the undersigned may claim an additional 250;' of the total elil!ible site rehabilitation costs incurred on or after July 1, 2006, not to exceed $500,000, in the final tax credit application for site rehabilitation. If applicable, fill in 1he following: The 10tal site rehabilitation costs that have been or are being claimed in VCTC applications on or after July 1, 2006 = $ , and 25% of that amount = $ (or $500,000, whichever is less), which is being claimed in this tax credit application. PLEASE NOTE: THE COMBINED NFAfSRCO EXTRA CREDIT AMOUNT REQUESTED ABOVE FOR SITE REHABILITATION CONDUCTED BEFORE AND AFTER JUNE 30, 2006 CANNOT EXCEED $500,000. If submitting ajoint application with multiple tax credit applicants that contains total site rehabilitation costs for all years, please fill in the blank: The undersigned contributed % to payment of 10tal site rehabilitation costs. (SECTION II.A. continued on next page) 4 of 13 VCTC Application SECTION II.A. (continued) For more detail see Rule 62-788.300. F.A.C. 16G3 The undersigned applicant, under penalties of petjury, certifies that it has read and understands the requirements of Chapter 62-788, F.A.C., and Sections 376.30781 and 220.1845, F.S., and that all information contained in this applica1io n uding1j1 cor IS c ed and paid and claimed in this tax credit application, are true and correct. \\.;LI\IO Date Jim Coletta Print Name Collier County Community Redevelooment Agency Chairman Print Title Collier County Community Redevelooment Agency Print Company Name (if applicable) January I. 2009-December 31. 2009 Time period covered by application Notary Seal for Applicant's Site Rehabilitation Affidavit STATE OF FLORIDA . COUNTY OF to \ \ I ex Sworn to (or affirmed) and subscribed before me this ~ day of ~f\UCl ~i~ . 20~ by '.:slVl\ ~ l e ~ Applicant's name Ii" ;............, welDY A. KLOPF "i..":t;7~\. MY COMMISSION I DD 766906 '[!i1::.,!1!kj,j EXPIRES: Apli112. 2012 "'l,t...-r..~' BondedThroNotaIyPIilicUnderWriIeIS ,,'U;.., p ,\. "1\~r.L~""'pl Signature of Notary .c-Stateof rida '. ~evy\~ a. I-Z \~-f (Print, type, or stamp onunissioned Name fNotary Public) Personally known ./ OR Produced Identification_ Type of Idcntification Produced App,~aa to form. ~~ ~dll.1l'I 'Notes: I. Ifmultiple tax credit applicants are submitting ajoint applicationfor one s~trl~jPMtpageS 4 & 5 and have each tax credit applicant complete the affidavit and indicate each tax credit applicant's percentage contribution to payment of site rehabilitation costs. 2. Application documentation must clearly demonstrate when site rehabilitation work was performed and when invoices for that work were paid. Remainder ofthis page intentionally left blank t 0'3,1.,\1\" 5 of 13 VCTC Application SECTION II.B. 16G 3 Aoolica"t's Affordable DORsi"!! Affidavit* (if aDDlicable) For more detail see Rule 62-788.310. F.A.C. Pursuant 10 s. 376.30781, F.S., use of the brownfield site identified in the BSRA is limited to affordable housing, and the undersigned tax credit applicant is claiming a credit in the amount of 25 % of the eligible costs of voluntary cleanup activity that were integral to si1e rehabilitation and that were incurred and paid on or after July 1, 2006. The total eligible site rehabilitation costs incurred and paid that have been or are being claimed in VCTC applications on or after July 1, 2006 =$ , and 25% of that amount = $ (or $500,000, whichever is less), which is being claimed in this tax credit application. Also Dursuant to s. 376.30781. F.S.. I am submitting the required certification letter that is from the approDriate Darty to the use 821'eement. [see subsection 62-788.310(2). F.A.C.l If submitting a joint application with multiple tax credit applicants, please make copies of this page and have each tax credit applicant complete the affidavit and indicate each tax credit applicant's percentage contribution to payment of site rehabilitation costs below: The undersigned contributed % to payment of si1e rehabilitation costs. The undersigned applicant, under penalties of peryury, certifies 1hat it has read and understands the requirements of Chapter 62-788, F.A.C., and Sections 376.30781 and 220.1845, F.S., and that all information contained in this tax credit application, is true and correct. Signature of applicant Date Print Name Print Title Print Company Name (if applicable) Time period covered by application Notary Seal for Applicant's Affordable Housing Affidavit STATE OF FWRlDA COUNTY OF Sworn to (or affirmed) and subscribed before me this _ day of . 20_, by Applicant's name Signature ofNolary Public - State ofRorida (print, type, or stamp Commissioned Name of Notary Public) Personally known _ OR Produced Identification ~ Type of Identification Produced "Note: {[multiple tax credit applicants are submitting ajoint applicationfor one browrifield site. please make a copy of page 6 and have each tax credit applicant complete the affidavit and indicate each tax credit applicant's percentage contribution to payment of site rehabilitation costs. 60fl3 VCTC Application SECTION II.C. 16 G J' ADolicant's Health Care Facility or Health Care Provider Affidavit* (if aDDlicable) For more detail see Rule 62-788.320. F.A.C. Pursuant to s. 376.30781, F.S., use ofthe brownfield site identified in the BSRA includes a health care facility or a health care provider, pursuant to Sections 408.032, 408.07, or 408.7056, F.S., and the undersigned tax credit applicant is claiming a credit in the amount of25 0;' of the eligible costs of voluntary cleanup activity that were integral to site rehabilitation and that were incurred and paid on or after January 1, 2008. Tvoe of elil!ible Health Care Facility or Health Care Provider: (check Vane, and specifY applicable type offacility/provider) D (a) Health Care Facility pursuant to Section 408.032, F.S., D (b) Health Care Facility pursuant to Section 408.07, F.S., D (c) Health Care Provider pursuant to Section 408.07, F.S., D (d) Health Care Provider pursuant to Section 408.7056, F.S., The health care facilitylprovider claimed in this application is doing business as , and Company Name is located at Street # Street Name Florida, and may be reached at City County Also, pursuant to s. 376.30781, F.S., I have included Phone # the required backup documentation listed below: (check Vane) D (a) Certificate of Occupancy D (b) License for the operation of the health care facility or health care provider D (c) Certificate for the operation of the health care facility or health care provider The total eligible site rehabilitation costs incurred and paid that have been or are being claimed in VCTC applications on or after January 1, 2008 =$ , and 25% of that amount = $ (or $500,000, whichever is less), which is being claimed in this tax credit application. If submitting a joint application with multiple tax credi1 applicants, please provide a copy of this page for each applicant and indicate each tax credit applicant's percentage contribution to payment of site rehabilitation costs below. The undersigned contributed % 10 payment of site rehabilitation costs. The undersigned applicant, under penalties of perjury, certifies thaI it has read and understands the requirements of Chapter 62-788, F.A.C., and Sections 376.30781 and 220.1845, F.S., and that all infonnation contained in this tax credit application, is true and correct. Signature of applicant Date Print Name Print Title Print Company Name (if applicable) Time period covered by application (SECTION II.C. continued on next page) 7 of 13 VCTC Application 16G3 SECTION II.C. (continued) Aoolicant's Health Care Facility or Health Care Provider Affidavit* (ifaoolicable) For more detail see Rule 62-788.320. F.A.C. Notary Seal for Applicant's Health Care Affidavit ST ATE OF FLORIDA COUNTY OF Sworn to (or affirmed) and subscribed before me this ~ day of .20~by Applicant', name Signature of Notary Public - State of Florida (Print, type, or stamp Conunissioned Name of Notary Public) Personally known _ OR Produced Identification ~ Type of Identification Produced 'Note: lfmultiple tax credit applicants are submitting ajoint applicationfor one brownfield site. please make copies of pages 7 & 8, and have each tax credit applicant complete the affidavit and indicate each tax credit applicant's percentage contribution to payment of site rehabilitation costs. Remainder of this page intentionally left blank 8 of 13 VCTC Application SECTION II.D. 16G 3 Aoolicant's Solid Waste Removal Affidavit* (if aoolicable) For more detail see Rule 62-788.330. F.A.C. Pursuant to s. 376.30781, F.S., solid waste removal occurred in accordance with the applicable department rules and guidelines, from within the footprin1 of the eligible brownfield site identified in the BSRA, and the undersigned applican1 is claiming a tax credit in the amount of 50% of the costs incurred and paid on or after July 1, 2006, that were required for that solid waste removaL The total costs for solid was1e removal from this brownfield site incurred and paid on or after July 1, 2006, = $ ,and 50% of that amount = $ (or $500,000, whichever is less), which is being claimed in this tax credit application. Also pursuant to s. 376.30781, F.S., after consultation with (the appropriate local government official), whose title is and whose phone number is , and after consultation with (the DEP official), whose 1itle is and whose phone number is I certify, to the best of my knowledge, that the brownfield site as identified in the BSRA was never operated as a permitted solid waste disposal area or for monetary compensation. If submitting a joint application with multiple taxpayers, please make copies of this page and have each tax credit applicant complete the affidavit and indicate each tax credit applicant's percentage contribution to payment of solid waste removal below: The undersigned contributed % to payment of the costs 10 remove, transport, and dispose of solid waste. The undersigned applicant, under penalties of peIjury, certifies that it has read and understands the requirements of Chapter 62-788, F .A.C., and Sections 376.30781 and 220.1845, F .S., and that all information contained in this application, including all records of cos1s incurred and paid and claimed in the tax credit applica1ion, are true and correct. Signature of applicant Date Print Name Print Title Print Company Name (if applicable) Time Period covered by application Notary Seal for Applicant's Solid Waste Removal Affidavit STATE OF FLORIDA COUNTY OF Sworn to (or affirmed) and subscribed before me this _ day of .20~by Applicant's name Personally known ~ OR Produced Identification_ Signature of Notary Public - Stale of Florida Type of Identification Produced (Print, type, or stamp CommiSllioned Name ofNowy Public) "Notes: 1. Ifmultiple tax credit applicants are submitting ajoint application for the brown field site, please make a copy of page 9, and have each tax credit applicant complete the affidavit and indicate each tax credit applicant's percentage contribution to payment of solid waste removal costs. 2. Application documentation must clearly demonstrate the period when solid waste removal was performed and when invoices for that work were paid. 90fl3 VCTC Application SECTION III. 16G 3 Documentation For more detail see oarafll'aohs 62-788.300(3)(fJ and 330(3)fdi. F.A.C. This application package must include copies of documentation sufficient to demonstrate that the tax credit applicant, which mus1 be the signatory to the VCA or BSRA, also paid the costs that were either integral to site rehabilitation or that were for solid waste removal (applies to BSRA's only). Costs for site rehabilitation must have been incurred and paid during the calendar year for which 1his tax credit application is being submitted; costs for solid waste removal must have been incurred and paid since July 1, 2006. The documentation must clearly describe the goods or services and associated costs that are being claimed in the application. Copies of documents for goods or services that are being claimed must be sufficient to demonstrate a link between the contractual records, the payment requests associated with the contractual records, and the payment records for the claimed portions ofthe payment requests, as required by each ofthe following three subparagraphs: 1. Contractual records that describe the scope of work performed during the applicable time period that was either integral to site rehabilitation or for solid waste removal. Examples include: contracts, documentation of contrac1 negotiations, proposals, work orders, task orders, and change orders; and 2. Payment requests that describe the goods or services provided in support of the above scope of work. Examples include: invoices, sales tickets, and account statements. Payment request documents that include costs for goods or services that are not being claimed in the VCTC application must clearly identify which costs are being claimed; and 3. Payment records that describe the actual costs incurred and paid for the goods or services above. Examples include: cancelled checks, or other payment records from purchases, sales, leases, or other transactions. PLEASE NOTE: The CPA and Technical Professional Certifications are not required if the applicant is onlv claiming an Affordable Housing, Health Care, andlor SRCO VCTC, because the tax credit applicant will have previously provided this documentation in the annual site rehabilitation application(s). Remainder ofthis page intentionally left blank (SECTION III continued on next page) 10 of 13 VCTC Application WORK ORDERS, PURCHASE ORDERS, SCOPES OF WORK, AND NOTICES TO PROCEED 16G 3 iIIi HSA ENGINEERS & SCIENTISTS A member of the eRA Family of Companies 16G3 August 21,2009 Collier County Redevelopment Agency (Bayshore Agency Gateway Triangle) 4069 Bayshore Drive Naples, Florida 34112 Attention: Ms. Sue Trone Subject: Underground Storage Tank Removal 4315 Bayshore Drive Naples, Florida 34112 DEP Facility #8629388 Collier County Contract # 06-3970 HSA Proposal Number 75-34668 Dear Ms. Trone: HSA Engineers & Scientists (HSA) is pleased to submit a cost proposal for a Tank Closure and the removal of a hydraulic lill station at the above relerenced property which will include soil and groundwater sampling and analysis as well as engineering services. The Tank Closure will be performed according to the Florida State Statutes, Chapter 62-761 Florida Administrative Code (FAC). PROJECT HISTORY . A Phase 11 Environmental Site Assessment (ESA) was conducted by Environmental Risk Management, Inc. (ERMI) in May 2008 that identified three underground storage tanks (USTs) located on the subject property. ERMI conducted a regulatory search for the USTs and concluded that the tanks were closed in place prior to 1986 when a Tank Closure Assessment Report (TCAR) requirement under Chapter 62-761 came into elTect. There was no additional information regarding the USTs available. According to ERMI, a hydraulic lilt station was observed on the site property as well. Concrete staining was observed in connection with the hydraulic Ii ft station. The conclusions to the ERMI Phase II ESA report are as follows: o Laboratory analytical results for soil sample SB-5 collected at 7 feet below land surface indicated concentrations of benzene, toluene, total xylenes, and methyl tert-butyl ether www.hsa-env.com 1520 Royal Palm Square Boulevard, Suite 260 I Fort Myers, Florida 33919 Tel: (239) 936-40031 Fax: (239) 936-0819 Tampa. Orlando. Fort Myen!1 . West Palm Beach. Pensacola. Savannah. Charleston. Hilton Head Client Focused Solution Onented Quality Driven Underground Storage Tank Removal 4315 Bayshore Drive Collier County Contract #06-3970 HSA #75-34668 August 21. 2009 Page 2 of6 - 16G 3 - that exceeded the commercial Soil Cleanup Target Level (SCTL) per Chapter 62-777 FAC. o Laboratory analytical results tor the groundwater sample collected trom temporary monitor well TMW-I indicated concentrations of I-Methylnaphthalene, 2- Methylnaphthalene, and naphthalene that exceeded the Groundwater Target Cleanup Levels (GCTLs) per Chapter 62-777 F AC. Laboratory analytical results for the groundwater sample collected from temporary monitor well TMW-2 indicated concentrations of benzene, ethylbenzene, total xylenes, and methyl tert-butyl ether that exceed the GCTLs. . On May 29, 2008 a Discharge Report Fonn in conjunction with the Phase II sampling report was sent to the Collier County Pollution Control & Prevention Department. . Collier County Pollution Control & Prevention Department, authorized by the Department of Environmental Protection has requested a Site Assessment (SA) to be conducted on the subject site and submitted to the department by May 03, 20 I O. PROPOSED SCOPE OF WORK Prior to conducting the Site Assessment, as a more cost etl'ective way to deal with the petroleum contamination documented at the subject property, IISA proposes to remove the three (3) USTs and former hydraulic Iill system's tank and excavate the impacted soil. The Tank Closure and hydraulic lift system will be performed according to the Florida State Statutes, Chapter 62-761 FAC IISA will conduct the following requirements tor the tank closure: Undere.round Storae.e Tanks Initially the underground storage tanks and hydraulic !ill tank will be excavated and removed by the HSA's licensed tank contractor. IISA will conduct auger borings on each side of the excavation pits and in the areas where the contaminated soils have been documented. The soil samples obtained from the auger borings will be screened for visual signs of stains, odor, and tested using an organic vapor analyzer (OVA) in accordance with Chapter 62-770.200, FAC., to detennine the volatile organic content of the soils by way of a soil-gas analysis. Based on the response of the OVA, all impacted soils will be removed until tinal OVA results are below the FDEP definition of excessively contaminated soils for the kerosene analytical group as those soils that return an OVA Underground Storage Tank Removal 4315 Bayshore Drive Collier County Contract #06-3970 HSA #75-34668 August 21. 2009 Pagc 3 of6 - 16GJ iIE value in excess of 50 ppm and tor the gasoline analytical group as those that return an OVA value in excess 01'500 ppm. (Chapter 62-770 FAC) Following the OVA analysis, live soil samples will be collected, as required by Chapter 62-761 F AC, from each side of the excavation pit and one Irom the bottom based on the screening results obtained during the excavation. Since the type of fuel sold is unknown, the soil samples will be sent to the laboratory for the Kerosene Analytical Group according to EPA Method 8020, 8100, and FLPRO, lor low volatile organics aromatics, polycyclic aromatic hydrocarbons and total recoverable petroleum hydrocarbons. In addition since contaminated soils have been identified, one soil sample may need to be collected prior to disposal lor analysis as required by Waste Management. In order to address concerns lor groundwater contamination from the UST, as required, we propose the installation of one temporary monitor well in the "location believed to be most likely to have contamination based on the screening results obtained prior to, or during, excavation". Following installation of the well, groundwater samples will be collected and sent to the laboratory tor analysis, according to EP A Method 8020, 8100 and FLPRO for volatile aromalic organics. Hvdraulic Ull Following the removal of the small hydraulic lill tank, if' soil visually stained or saturated with hydraulic oil is identified and excavated, at least one soil sample will be obtained from the excavation in the area that represents the "worst case" contamination. In addition if contamination is identified and removed one monitor well will be installed in the area that represents the "worst case" contamination. HSA will notity the Collier County Pollution Control & Prevention Department prior to commencement, oversee and manage the excavation activities of the licensed tank contractor, arrange for disposal of the impacted soils, provide the manilests for the soil disposal and oversee the backfilling of the project. Quality assurance (QA) procedures for the collection of samples and decontamination of sampling apparatus prior to and during use in the field was conducted in general conformance with the Florida Department of Environmental Protection field sampling and laboratory analysis quality assurance protocol codified in Chapter 62-160 F AC Standard Operation Procedures for Field Activities (FOEI' SOP-OOI/OI). Engineering and technical support services will also be required to analyze the data obtained and prepare an engineering report. Underground Storage Tank Removal 4315 Bayshorc Drive Collier County Contract #06-3970 HSA #75-34668 August 21 , 2009 Page 4 of6 - 16G3 iIiE SCHEDULE HSA is prepared to begin work upon receipt of written authorization. Cost Estimate Service Activitv Cost Pavment Removal and disposal of the 3 USTs $12,000 Lump Sum Licensed Tank ~ I hydraulic lift tank _ _ Contractor Disposal of tanks' contents - assumed $10,000 Lump Slum to be concrete (worst case scenario) Waste Transportation and disposal of estimate of 120 tons ofimpacted soil and clean $8,000 Lump Sum Management backfill material 0J $75.00 oer ton Organizing and managing the project, Engineering soil and groundwater sampling, $18,200 Lump Sum Services laboratory analysis and final enl!ineerinl! reoort Additional Services bevond the ScoDe of Work $1,000 T&M* T Total: $49,200 *Time & Materials The fees quoted above are valid for 90 days from the date of this proposal/contract letter, J I' authorization is received after the 90-day period has expired, HSA retains the right to revise the fee schedule, All items specified in the above Scope of Services shall be provided one (I) time for each item. Assumptions are that there are only three USTs and one hydraulic lift tank, that the tank contents are concrete, that the soil and groundwater sampling is required at the hydraulic lift and that there is 120 tons of impacted soil that will be removed from the site. Should this aforementioned fee be detennined inaccurate, HSA will notify you before the above limit is reached, and indicate the amount of work to be completed, the amount of work yet to perfonn, the approximate costs of the remaining work, and a written explanation describing the circumstances that caused the estimate to be inaccurate. Written authorization to proceed for additional work is required. Services not specifically described above and not included in this proposal will be performed as additional services on an hourly basis, plus reimbursable expenses, in accordance with the Collier County rate schedule. Services and fees provided in this Agreement are based upon governmental rules, regulations and policies in enect at the time of execution of this Agreement. Should changes Underground Storage Tank Removal 4315 Bayshore Drive Collier County Contract #06-3970 HSA #75-34668 August 2t, 2009 Page 50f6 - 16G3"f take etTect during the period services are being performed and result in additional HSA work requirements, this Agreement will be modified by approval of all involved parties, In addition, HSA will pertonn additional services beyond the work described within this Agreement, as requested and authorized by the Client. When such work can be identified in advance, HSA will provide a reasonable estimate for such work and will proceed with the work upon written authoriz.ation by the Client. EXCLUSIONS The professional services to be provided by HSA are limited to only those as described in the Scope of Services. Please review Attachment A, which includes a list of services specifically excluded from this proposal HSA appreciates the opportunity to provide you with these services. Should you have any questions, please feel free to contact us at (239) 936-0789. HSA ENGINF.;ERS & SCIENTISTS , ~. J 12>-~~'-)~. Roxanne L. Gause, P.E. Senior Environmental Engineer Attachments: Attachment A - Services not Included in Contract Proposal Underground Stol'llge Tank Removal 4315 Ba)'Shore Drive Collier County Contract #06-3970 HSA #75-34668 August 21. 2009 Page 6 of6 - - ATTACHMENT A - Sen'ices not Included in Contract Proposal . Concrete Slab Replacement . Geotechnical services / Soil Compaction. . Ecological Environmental (wetland/wildlife) services, studies, reports & pennitting. . Legal advice or assistance. . Land Surveying services. . Utility or utility relocation design. . Landscape design. (Must be perfonned by Florida registered Landscape Architect) . Dewatering pennitting. . Design ofof1~site improvements. . Full-time construction observation/inspection. 16G3 :.::: ,",' . '. ,'.',',, .. :""<:,.;'~~y:s~, briv....~~, F~34112 "':..:",,> P:'I~9l643,1~15'. F:'1<13~)}~~ '.'...' '''WWW,COlII~a;Coi1i .. . . .. ..,.;.;."..... .......... ,....... ."., '. ....yf"l.:... ...... ;:;.';:'>>+ .... .......... > ....-....,...... ...,. ',','..' 1 3 Board of CQ\lnty Commissioners Pun:l1aslng Department 3301 Tamiaml rr.. E Naples. FIolida34112 Tax Exempt: 85-8012112183OC-2 <t) Send alllnvpices to: Board ofColJnty Commi<slon.... Attn: Accounts Payable PO Box 413016 Naples. Florida 34101-3018 Purch.. Order 'number must.ppe.r on all related correspondencel shipping papers and Invoices-: Vondor# 1173n HS" ENGINEERS & SCIENTISTS AND SCOlT SIMS &ASSOC'''TES 1820 R.OY"L PALMSQ BLVD, STE 260 FTMYERS FL 33919 PYl'Cha$~!.c)rder':m::"'" PO N,,,,"'" 4500111875 "'..10107/2009 CCntaet PelSCn Comm Redev Agency T_,," 23s-e.3.1115 Please deliver 10: BAYSHORE GATEWAY TRIANGLE eRA 4069 BAYSHORE DR NAPLES FL 34112 Delivery Dale' 0913012010 Terms of Payment Nol3O Daya Currency USD ]. /fOlD M~" 00010 .:A~~~i'b,.~!iW;::i:1:[: ... Bevins cleanup escrowed 'I,:;;,)::;, .".. ::,~ ;:'.:-.-[:: i~:~:i:~'~', 49,200 each Pr1c":.~~~" 1.00 IlI8:fV"""!"': I 49,200.00 Release order against contract 4600001744 Item 00010 +i.t.i.Ji~iiJ... VENDOR Terms and Conditions The VENDOR 801'88$. to comply with sh Purchase Order Terms and Conditions as ouUined on the Collier County Purchasing Interne1 site: http://wwwconiergov.netllndexaspx?page-762 (revision date 0112212008). including delvery t1nd payment tel1Tl$. Further the VENDOR agrees to: 1. Provide goods and services outlined in this Purchase Order with the prices. terms, delivery method and specifiCatIons listed above. 2. Notify department Immediately if Older fulfillment cannot occur as specified. 3. Send aM lnvoioes to: Board of County Commissioners AUn: Acco,,"1s Payable PO Box413018 Naples. Florida 34101-3018 TM Purchase Order is authorized under direction of Collier County Board of County COmmissioners by; . !Ill. ". Go@_ Stephen Y. camen. GenOfaI Services I Pun:l1asiog Director Printed Thu Oct 06 200912:09:111 GMT-O<<lQ 187-1~~6341i1W Page 1 of1 WORK ORDER l~tS~ ... Agreement for Fixed Term Professional Mechanical-Electrical Eneineering Services Dated August 8, 2006 (Contract #06-3970) This Work Order is for Professional Mechanical-Electrical Engineering Services known as: Proiect: Underground Storage Tank Removal: 4315 Bayshore Drive The work is specified in the proposal dated August 2], 2009 which is attached here10 as Exhibit A, and made a part of this Work Order. In accordance with the Terms and Conditions of the Agreemen1 referenced above, this Work Order is assigned 10 HSA En2ineers & Scientists. Scope of Work: As detailed in the attached proposal and the following: . Task 1.1 - Removal & disposal of 3 USTs and 1 hydraulic lift tank . Task 1.2 - Disposal tank's conten1s . Task 2.0 - Transportation & disposal of impacted soil & clean backfill material . Task 3.0 - Organization/management of project, soil/groundwater sampling & 1esting Schedule of Work: Complete work (Tasks 1.0 through 3.0) within 16 weeks (112 calendar days) from receipt of the Notice to Proceed authorizing start of work. Subs1itute Performance: In the even1 the Contractor fails to perform any required service within the time schedule under the subsequent contract, the County and/or CRA reserves the righ1 10 obtain substi1ute performance. Further, the County/CRA reserves the right to deduct the cost of such substitu1e performance from the Contractor's payments. The Contractor may be exempt from this provision if such exemption is granted by the Contract Manager or their designee, in wri1ing, prior to any delays or as a result of an Act of Nature. COffiDensation: In accordance with Article Five of the Agreement, the County/CRA will compensate the Firm in accordance wi1h following method(s): XXX Negotiated Lump Sum (LS); _Lump Sum Plus Reimbursable Costs _XXX_ Time & Material (TM) (established hourly rate - Schedule B) _Cost Plus Fixed Fee, as provided in the attached proposal. TASK . Task 1.1 . Task 1.2 . Task 2.0 . Task 3.0 TOTAL BUDGET $12,000 $10,000 $ 8,000 $18,200 $ 1.000 $49,200 TYPE DESCRIPTION LS - Removal/disposal 3 USTs, 1 Hydraulic Lift LS - Disposal tank's contents LS - Transportation/disposal & fill of material LS - Project management & water/soil sampling TM - Contingencies . WORK ORDER Continued - Page 2 Underground Storage Tank Removal: 4315 Bayshore Drive. Any change within monetary authority of this Work Order made subsequen1 to final department approval will be considered an additional service and charged according 10 Schedule "8" of the Agreement. ^PPROVED BY: I~ David Iackson, Executive D' Bayshore Gateway Triangle ^CCEPTED BY: :;~ ROlUlllne L. Gause, P .E. On behalf of HS^ Engineers & Scientists. By: Signature t Date 16[;3 16 Send all Invoices to: Board of County Commissioners Purchasing Department 3301 Tamiami Trail E Naples, Florida 34112 Tax Exempt: 85-8012621830C-2 (i) Board of County Commissioners Attn: Accounts Payable PO Box413016 Naples, Florida 34101-3016 Purchase Order number must appear on all related correspondence, shipping papers and invoices: Purchase order PON"mbe, 4500111875 0,..10/07/2009 Vendor # 117377 HSA ENGINEERS & SCIENTISTS AND SCOTT SIMS & ASSOCIATES 1520 ROYAL PALM SQ BLVD, STE 260 FT MYERS FL 33919 Contact Person Comm Redev Agency Telephone 239-643-1115 Please deliver to: BA YSHORE GATEWAY TRIANGLE eRA 4069 BAYSHORE DR NAPLES FL 34112 Delivery Date: 09/3012010 T enns of Payment Net 30 Days Currency USD Item Material Description Bevins cleanup escrowed Release order against contract 4600001744 Order Qty Unit 49,200 each Price Per Unit 1.00 Net Value I 49,200.00 00010 Item 00010 4315 Bavshore Drive cleanup and removal of tanks, reimbursable by Stewart Title monies in escrow account Total net value excl. tax: USD 49,200.00 I VENDOR Terms and Conditions The VENDOR agrees to comply with all Purchase Order Terms and Conditions as outlined on the Collier County Purchasing Internet site: http://www.colliergov.netllndex.aspx?page=762 (revision date 01/22/2008), including delivery and payment terms. Further the VENDOR agrees to: 1. Provide goods and services outlined in this Purchase Order with the prices, terms, delivery method and specifications listed above. 2. Notify department Immediately if order fulfillment cannot occur as specified. 3. Send all invoices to: Board of County Commissioners Attn: Accounts Payable PO Box413016 Naples, Florida 34101-3016 The Purchase Order is authorized under direction of Collier County Board of County Commissioners by: JliJ, " c;;..(!L Stephen Y. Carnell, General Services 1 Purchasing Director Printed Thu Oct 08 200912:09:18 GMT-Q400 187-138325-634999 Page 1 of1 .HSA 16G3 E!NGINEmB & SCIENTISTS A member of the eRA FarTily ofCampans October 30, 2009 Collier COllnty Redevelopmellt Ageney (Bayshore Agney Gateway Triangle) 4069 Bayshore Drive Naples, Florida 34H2 Attention: Mr. David Jackson S ubjec!: Environmental Engineering Consulting Services 43 15 Bayshore Drive Naples, Florida 34112 FDEP Facility #8629388 Collier County Contract # 06-3970 HSA Proposal Number 75-34668 Dear Mr. Jackson: We have identified additional services required to finalize the underground storage removal for the referenced project. The additional services are presented below for your consideration. I. According to the contract HSA proposed the removal of an estimated 120 tons of impacted soil that would be removed from the site during the tanks removal. As we discussed during the excavation, there was a former spill area located nonh of the dispenser's location with petroleum impacted soil that was removed and disposed of with 1he initial estimated tonnage. At that time HSA indicated concern with regards to additional soil which would need to be removed to better insure a clean groundwater sample. According to the Waste Management Manifests a total of 290 tons of soil were removed from the site. Attached is a copy of 1he waste manifests from Waste Management. 2. We request that our contract be amended to include the transportation and disposal of an additional 170 tons of impacted soil and replacement of clean backfill material @ $75.00 per ton. Our lump sum fee for the combined additional services as described above is $12,750. We respectfully request your favorable consideration of this request. Please contact Roxanne Gause should you have questions or need additional information. HSA ENGINEERS & SCIENTISTS .. . J ~___, L_~I i ,J- -~,.. i~- Roxanne L. Gause, P.E. Project Manager www.hsa-env.com Client Focused . Solution Oriented . Quality Driven 1520 Royal Palm Square Boulevard, Suite 260. Fort Myers, Florida 33919 Tel: (239) 93&4003 or (239) 936-0789 . Fax: (239) 938-0819 Offices in: Charleston. R. Myers. Hmon Head. Orlando. Pensacola. Savannah. Tampa. West Palm 8each CONTRACTIWORK ORDER MODIFICATION 1663 PROJECT NAME: Underground Storage Tank Removal: 4315 Bayshore Drive PROJECT MANAGER: O....id L. JllGkson BIDlRFP., 06-3870 MOO.,,.. .POlII:4500111875 WORKORDER.,POI\I4500111175 DEPARTMENT: B8Y"hore Omew"Y Triangle CRA CONTRACTOR/FIRM NAME: HSA Engln__ & 5clen_ Cu_ Contract Amount: $ 4lI,200 - (Starting Point) $~ ~oIal Amount Approved by the BCC) S 49,200 -(Including All Changes Prior To Thill Modification) $_12,750 $_11,950 (Including This Change Order) Original Conlnct Amount: Curr_ BCe Appro_ Amount: Change Amount: Revised contrs_ Order Amount: Cumulative Dollsr Velue of Ch....... to tIlls ContI'llC\fo\'oik Order: $_12,750 Date 01 Lea Bee Approval_NA Agenda I1em # _NA Percentage ofthe change overIunder cu.....nt contreel emount_25.. Formula: (Revised AmountfLast BCC approved amount}-1 CURRENT COMPlETION DATE (S): ORIGINAL: Februarv 1 2010 CURReNT: Februsry 1, 2010 Describe the change(s): Original Work Onler Task 2 is modified to include an increased amount of contaminated soli removed from the project site - above and beyond the original estim'" of sol to be removed. Specify the ntllSOIlS for the change(s) 1. Planned or Elective ... 2. Unforeseen Conditions XX 3. Quantity Adjustments' 4. Correction of Emirs (Plans, Specmcatlons or Scope of Work) XX II. Value Added : - 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s). Identify all negative Impacts to the project if this change onler were not processed: To complete the required environmental cleanup, all Impactecl soH has to be removed. This cleanup procass, once begun, Is progressive until all Impacted soli Is removed, and the "Initial" amount of soil removal Is an estimate. This change was requested by: Icontractor/consultant XX Owner :....o.slgn Professional IRegulatory Agency (Specify) f Using Department L CDES other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: Yes XX No Date: II/oJ/O,! APPROVED BY: REVIEWED BY: Date: ('/N_/O't .... - --------1-4 , .' . .. H .....~u?/.... , ,'., ",-",.,' ,,'" . ".-. - , ," ........ , . .. 1...._. .,.. . , " ." -,.. , .Dlttl. ./......... '.. ::~ :;' '; '. ::.:'" ::;y' "~:', -. ," '. ::: " '...::<. . > ".' . ..~. '" , . '::: -:'-. ':.::-::'. 2 ;.:.,: ." /~:.;I.""'O' ,1"'::;: il /7>(0/. . . f. ..... ... -- Send all Invoices to: Board of County Commissioners Purchasing Department 3301 Tamiami Trail E Naples, Florida 34112 Tax Exempt: 85-8012621830C-2 (i) Board of County Commissioners Atln: Accounts Payable PO Box 413016 Naples, Florida 34101-3016 Purchase Order number must appear on all related correspondence, shipping papers and Invoices: Purchase order po Nom"", 4500111875 0"'010/07/2009 Vendor # 117377 HSA ENGINEERS & SCIENTISTS AND SCOTT SIMS & ASSOCIATES 1520 ROYAL PALM SQ BLVD, STE 260 FT MYERS FL 33919 Contact Person Comm Redev Agency Telephone 239-643.1115 Please deliver to: BAYSHORE GATEWAY TRIANGLE eRA 4069 BAYSHORE DR NAPLES FL 34112 Delivery Date: 09/3012010 Terms of Payment Net 30 Days Currency USD 1.00 Net Value I 49,200.00 Item Material 00010 Description Bevins cleanup escrowed Order Qty Unit 49,200 each Price Per Unit Quantity still to be delivered Release order against contract 41,881.5each 4600001744 Item 00010 4315 Bayshore Drive cleanup and removal of tanks, reimbursable by Stewart Title monies in escrow account Item partially delivered 00020 PO increase $12,750 Release order against contract 4600001744 12,750 each 1.00 12,750.00 Item 00010 Work Order Modification 4315 Bavshore Drive. Total net value excl. tax USD 61,950.00 I VENDOR Terms and Conditions The VENDOR agrees to comply with all Purchase Order Terms and Conditions as outlined on the Collier County Purchasing Internet site: http://www.colliergov.neUlndex.aspx?page=762 (revision date 01/22/2008), including delivery and payment terms. Further the VENDOR agrees to: 1. Provide goods and services outlined in this Purchase Order with the prices, terms, delivery method and specifications listed above. 2. Notify department Immediately if order fulfillment cannot occur as specified. 3. Send all invoices to: Board of County Commissioners Atln: Accounts Payable PO Box413016 Naples, Florida 34101-3016 The Purchase Order is authorized under direction of Collier County Board of County Commissioners by: l/.iJ.,~~ Stephen Y. Carnell, General Services I Purchasing Director Printed Tue Nav 10 200916:01:46 GMT-OSOO 187-138325-634999 Paga10f1 16G3 INVOICES ~HSA ENGINEERS & SCIENTISTS A member of the eRA Family of Companies Bayshore Gateway Triangle 4069 Bayshore Drive Naples, FL. 34112 Attention: David Jackson 16G :3 Invoice #: 659333 Project: 7534666 Project Name: Collier County CRA 4315 Bayshore Drive Invoice Group: 00 Invoice Date: 10/23/2009 Purchase Order: Contract 063790 For Professional Services Rendered through: 10/11/2009 UNDERGROUND STORAGE TANK REMOVEL - 4315 BAYSHORE DRIVE CONTRACT NO.: 06-3970 Phase Code I Name % of Contract 00 -- Removal/Disposal 3USTs 1 LIft (lS) 24.39 01 -- Disposal Tank's Contents (lS) 20.33 02 -- TransporllDisposal/Fill Material(lS) 16.26 03 -- Project ManagementlWater/Soil Sample (lS) 36.99 04 -- Contingencies (NTE) 2.03 Total Fee: Previous Current Total Phase Fee Amount Amount % Complete Fee Earned 12,000.00 0.00 2,430.00 20.25 2,430.00 10,000.00 0.00 475.00 4.75 475.00 8.000.00 0.00 0.00 0.00 0.00 18,200.00 0.00 4,413.50 24.25 4,413.50 1,000.00 0.00 0.00 0.00 0.00 49,200.00 Total Fee Earned To Date 7,318.50 Less Previous Billings 0.00 Amount Due this Invoice 7,318.50 www.hsa-env.com 1520 Royal Palm Square Boulevard, Suite 260 / Fort Myers, Florida 33919 Tel: (239) 936-4003/ Fax: (239) 936-0819 Tampa. Orlando. Fort Myen!? . West Palm Beach. Pensacola. Savannah. Charleston. Hilton Head Client Focused Solution Oriented Quality Driven .HSA ENGINEERS & SCIENTISTS A member of the eRA Family of Companies Bayshore Gateway Triangle 4069 Bayshore Drive Naples, FL 34112 Attention: David Jackson 16G3 Invoice #: 660714 Project: 7534668 Project Name: Collier County CRA 4315 Bayshore Dr Invoice Group: 00 Invoice Date: 11/1712009 Purchase Order: POll 4500111875 For Professional Services Rendered through: 10/25/2009 UNDERGROUND STORAGE TANK REMOVEL - 4315 BAYSHORE DRIVE CONTRACT NO.: 06-3970 PURCHASE ORDER NO.: 4500111875 Phase Code I Name 0/0 of Contract 00 -- Removal/Disposal 3USTs 1 Lift (LS) 19.37 01 -- Disposal Tank's Contents (LS) 16.14 02 -- Transport/Disposal/Fill Material (LS) 12.91 03 -- Project ManagementlWater/Soil (LS) 29.38 04 -- Contingencies (NTE) 1.61 05 -- Change Order NO.1 (LS) 20.58 Total Fee: Phase Fee 12,000.00 10,000.00 8,000.00 18,200.00 1,000.00 12,750.00 61,950.00 Previous Amount 2,430.00 475.00 0.00 4,413.50 0.00 0.00 Current Amount % Complete 7,170.00 80.00 9,525.00 100.00 8,000.00 10000 8,326.50 70.00 477.00 47.70 7,012.50 55.00 Total Fee Earned 9,600.00 10,000.00 8,000.00 12,740.00 477.00 7,012.50 Total Fee Earned To Date Less Previous Billings Amount Due this Invoice 47,829.50 7,318.50 40,511.00 www.hsa-env.com 1520 Royal Palm Square Boulevard, Suite 260 I Fort Myers, Florida 33919 Tel: (239) 936-4003/ Fax: (239) 936-0819 Tampa. Orlando. Fort Myerl? . West Palm Beach. Pensacola. Savannah. Charleston. Hilton Head Client Focused Solution Onented Quality Driven ~HSA ENGINEERS & SCIENTISTS A member of the eRA Family of Companies Bayshore Gateway Triangle 4069 Bayshore Drive Naples, FL. 34112 Attention: David Jackson 1663 Invoice #: 662409 Project: 7534668 Project Name: Collier County CRA 4315 Bayshore Dr Invoice Group: 00 Invoice Date: 12/2212009 Purchase Order: PO# 4500111875 For Professional ServIces Rendered throu9h: 12/22/2009 UNDERGROUND STORAGE TANK REMOVEL - 4315 BAYSHORE DRIVE CONTRACT NO.: 06-3970 PURCHASE ORDER NO.: 4500111875 Phase Code / Name % of Contract 00 -- Removal/Disposal 3USTs 1 Lift (LS) 19.37 01 -- Disposal Tank's Contents (LS) 16.14 02 -- TransportlDlsposalfFiII Material (LS) 12.91 03 -- Project ManagementlWater/Soil Sample (LS)29.38 04 -- Contingencies (NTE) 1.61 05 -- Change Order No.1 (LS) 20.58 Total Fee: Phase Fee 12,000.00 10,000.00 8,000.00 18,200.00 1,000.00 12,750.00 61,950.00 Previous Amount 9,600.00 10,000.00 8,000.00 12,740.00 477.00 7,012.50 Current Amount % Complete 2,400.00 100.00 0.00 100.00 0.00 100.00 5,460.00 100.00 0.00 47.70 5,737.50 100.00 Total Fee Earned To Date Less Previous Billings Amount Due this Invoice Total Fee Earned 12,000.00 10,000.00 8,000.00 18,200.00 477.00 12,750.00 61,427.00 47,829.50 13,597.50 www.hsa-env.com 1520 Royal Palm Square Boulevard, Suite 260 I Fort Myers, Florida 33919 Tel: (239) 936-4003/ Fax: (239) 936-0819 Tampa. 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" . . . ... r ~ m m Z i! o <= i " . , ~ :!l 3 n a . . . . < o .!.! e; . '" > : !! :!I . > m : I: :II . 0 ~ ;;:el!! =!i~ :< .. g .. . ~o S~ ~m ~ .. n '" ~ ~ "I: " .. =!ll lil I i i :!l ~ 1 ~ ~ ' i ~ ~ , i ~ ! 6. . . ~ z x . co ' . . ~ ... ~ .. Cl 16G3 (Jl m o c m z (") m z c ;;;:: OJ m ?:J 'l 'l t (.0.) CD N ~ ; I .1 . i . i i .1 'U ;t- o o ~ !l:1 o ~ - ~ ~ i's o ~ o , i i i . i , : 'o' ! 1663 Rare Earth Sciences Inc dba HSA Engineers Operating 65117663 For Deposit Only ~ c ft 0- ~ " w ijj ~ '" g c:; 0 ;;; ~ g 0 c:; '" ~ M " ~ M ~ c:; - '" ~ ~ 0 "' w ~ !;: " <.J r. " 0 ,... 0 c:( c.. ~ N co C'l '<t '<t "- "- Ii w al :2 ::> z w u z w ::> 0 w CI) 16G3 SECTION III. (continued) Certified Public Accountant (CPA) Certificat!~n For more detail see vararzravhs 62.788.300(J)(h1 and .330(3iM. F.A.C.. and subsections 62-788,300(41 and 330 (41. F.A.C. The following certification shall serve as proof that the documentation listed in Section III of this application has been reviewed by the undersigned independent CPA in accordance with standards established by the American Institute of Certified Public Accountants. Specifically, the undersigned CPA is attesting to the accuracy and validity of the costs incurred and paid after having conducted an independent review of the data presented by the applicant; that the costs included in the application form are not duplicated within the application; and that the application contains only those costs that were incurred and paid during the timeframe represented in the tax credit application. In addition, a copy of the Independent CPA's report must be submitted whenever Section III is completed (with all annual site rehabilitation and all solid waste removal applications). The CPA is not responsible for attesting to whether the costs claimed are for site rehabilitation or solid waste removal. Under penalties of perjury, j declare that I have read A Guideline for Agreed-Upon Procedures for Attestation Service for the Voluntary Cleanup Tax Credit (VCTC) Program", Chapter 62-788, F.A.C., and Sections 376.30781 and 220.1845, F.S., and that I understand the accounting requirements associated with these documents. In addition, I attest that I have read the foregoing Voluntary Cleanup Tax Credit application and that the facts stated in it are true to the best of my knowledge and belief. $ 61,427.00 Total site rehabilitation amount claimed in application $ 61,427.00 Total site rehabilitation amount approved by CPA Total solid waste removal amount approved by CPA Total solid waste removal amount claimed in application - These amounts must be consis1ent with the amounts stated in the CPA Report. d.,~ /1~J/<,h~ 0ndependentPf\ Signature .-?>h ;{h-O Oat 2009 Time period covered by application CPA Information: Name: James J. Scullin Address: 5064 Jarvis Lane N-illlles (City) Collier (COWlty) FL (State) 34119 (Zip Code) Telephone Number: l239c) 435 - 3536 (Atea ode)- License Number: Expiration Date: AC38987 12/3112011 Original Issue Date: 12/20/2006 "Note: FDEP has developed guidance to assist CPAs in the review ofVCTC applications. This guidance, currently in draft form, is entitled A Guideline for Af!T'eed-Uoon Procedures Attestation Service for the Va/unlorv CleanuD Tax Credit (VCTC) Prof[f'am, August 2008, and may be obtained by calling the VCTC program manager at (850) 245-8927. 11 of 13 VCTC Application 16G3 INDEPENDENT CPA'S REPORT SCULLIN & SOBELMAN, P.A. Certified Public Accountants 1250 TAMIAMI TRAIL NORTH, SUITE 302 NAPLES, FLORIDA 34102 1663 TELEPHONE FAX (239) 435-3536 (239) 435-9066 JAMES J. SCULLIN, CPA" JERRY SOBELMAN, CPA"" STEPHANIE L. COX, CPA "'Licensed in FL & MA "Licensed in FL & PA Members of: American Institute of Certified Public Accountants Florida Institute of Certified Public Accountants Bayshore Gateway Triangle Community Redevelopment Agency Naples, FL We have performed the procedures enumerated below, which were agreed to by Gateway Triangle CRA, solely to assist them with the filing of a Voluntary Cleanup Tax Credit Application (the Application Package) related to the Gateway Triangle CRA site rehabilitation project with the Florida Department of Environmental Protection for the calendar year ending December 31, 2009. Gateway Triangle CRA's management is responsible for the filing of a Voluntary Cleanup Tax Credit Application related to the Gateway Triangle CRA site rehabilitation project with the Florida Department of Environmental Protection. This agreed-upon procedure engagement was conducted in accordance with attestation standards established by the American Institute of Certified Public Accountants. The sufficiency of the procedures is solely the responsibility of the party specified in this report. Consequently, we make no representation regarding the sufficiency ofthe procedures described below either for the purpose for which this report has been requested or for any other purpose. Our procedures and findings are as follows: 1. Procedure - VerifY the accuracy and validity of the payment request numbers, payment request dates, payment request amounts and mathematical accuracy of the payment requests included in the Application Package. Finding - No exceptions were found as a result of applying the procedure. The same purchase order number is used on all payment requests. 2. Procedure - VerifY that the site rehabilitation costs included in the Application Package were for expenses incurred and paid within the 2009 calendar year. Finding - No exceptions were found as a result of applying the procedure. Total applicable costs - $ 61,427.00 3. Procedure - VerifY that the payment requests or costs for the project were not duplicated in the Application Package. Finding - No excep1ions were found as a result of applying the procedure. 4. Procedure - Obtain copies of payment records and the related endorsements from Bayshore Gateway Triangle CRA for the calendar year payable to HSA. Compare these payment records to the payment requests provided by HSA. Finding - No exceptions were found as a result of applying the procedure. .. Th&CPA.,Ne....rUrderestimat..Th..valu..~ Procedures & findings - continued: 166j 5. Procedure - Obtain an independent confirmation from HSA of the information being tested to verifY that the costs included in the Application Package were related to Bayshore Gateway Triangle CRA site rehabilitation project, that the work was performed, and that the payments were received during the calendar year end 2009. Finding - No exceptions were found as a result of applying the procedure. 6. Procedure - Obtain a representation letter from management confirming they have made available to us all relevant information and they have responded fully to all inquiries made by us during the engagement. Finding - A signed representation letter was obtained. We were not engaged to, and did not, conduct an audit, the objective of which would be the expression of an opinion, on the accounting records. Accordingly, we do not express such an opinion. Had we performed additional procedures, other matters might have come to our attention that would have been reported to you. This report is intended solely for the information and use of Bayshore Gateway Triangle CRA and is not intended to be, and should not be, used by anyone other than the specified party. ~,.~ ",o~ Scullin & Sobelman, P.A. January 14, 2010 <iD TheCPA.Nev'''Unde''''llmM.T~valve'! 16G3 INDEPENDENT CONFIRMATION OF INFORMATION TESTED FROM HSA PER BULLET 5 ON PAGE 4 OF "A GUIDELINE FOR AGREED-UPON PROCEDURES ATTESTATION SERVICE FOR THE VOLUNTARY CLEANUP TAX CREDIT (VCTC) PROGRAM" PROVIDED BY CPA 01/14/2010 15:49 2399350819 HSA PAGE 02/02 / ,.,. , al/1412010 12:28 n94~S9056 SCULLIN li\ SOBELMAN PAGE 02/02 1663 BA YSHORE GA TEW A Y TRIANGLE COMMUNiTY DEVELOPMENT AGENCY 4069 Baymore Drive Naples, Florida 34112 P: (239) 643-1115 F: (239 775-4456 www.collierera.com. January 13,2010 HSA Engineers &'. Scientist~ 1520 Royal Palm Square :Boulevard, Suite 260 Fort Myers, Florida 33919 In connel'tion with our Vohmtary Cleanup Tax Cl'lldit (VCTe) application, our independent certified public aceotlnting finn, Soullin &. Sobelman, P.A., requests confmnation of certain infonnation regardw.g our transactions with your firm. Please indieate in the space provided below whether this information is in agreexnEll'lt with your records. If thel'll are any differEll'lces, please provide any lnfOmllltiOJ) yO\! have thlt will baIp reQoncile the differences. Please sign and date your I'llsponse IJld maU your reply directly to Scullin &. Sobelllllln. P.A., 1250 Tamiami Trai.l Nortb, Suite 302, Naples, FL 34102. In addition to mailing your reply, we respectfully request that you also fax your reply directly to Scullin &. Sobelman, PA. at 239-435-9066. ~ C) ,AICP Bayshore Gateway Triangle CRA ::::> In Agreement (Yes) (No) Invoice # Invoice Date Amount I{~ "(~ "l'LC, 659333 660714 662409 1 01.23/09 11/17/09 12/22109 $ 7,318.50 $ 40,511.00 $ 13,597.50 I(~ '{6h' Y'...... '1',A All work was related to Baysh,Ol'e Gateway Triangle CRA, All work was for their .ite rehabilitation project. All work for the above Invoice. was penormed by HSA. All of e above invoices have been paid by BGT CltA., I / /8 S16A!;1-,,,,,,,,q ",,"rs 16G3 SECTION III. (continued) Technical Professional Certification For more detail see oaraf!T'aohs 62-788.300(3)(,,) and.330(3)(e). F.A.C. The following certification shall serve as proof that the voluntary cleanup activities have been conducted under the observation of, and related technical documents have been signed and sealed by, an appropriate professional registered in the State of Florida in each contributing technical discipline associated with the documentation listed in Section III of this application for either annual site rehabilitation or for solid waste removal that has occurred since July 1, 2006, in accordance with department rules and regulations. Under penalties of perjury, I declare that I have read and understand the requirements of Chapter 62-788, F.A.C., and Sections 376.30781 and 220.1845, F.S. In addition, I certifY that I have read the foregoing Voluntary Cleanup Tax Credit application, including all the backup documentation; that I understand and have adhered to the requirements stated on page 10 of this tax credit application; and that the costs incurred and paid and claimed in this application were integral, necessary, and required for either site rehabilitation or for solid waste removal. Seotember 2009 Site rehabilitation period covered by application December 2009 Solid waste removal period covered by application (SEAL) Januarv 7. 2010 Date Roxanne Lewis Gause Print Name Professional Eneineer Print Title (e.g., Professional Engineer, Professional Geologist) Technical Professional Information: Roxanne Lewis Gause P. E. Name: Address: 1520 Roval Palm Seuare Boulevard. Suite 260 Fort Mvers (City) Lee (County) Florida (State) 33919 (Zip Code) Telephone Number: (239 ) (Area Code) 936 4003 State of Florida License Number: 53261 Expiration Date: Februarv 28. 2011 Original Issue Date: August 17, 1998 12 of 13 VCTC Application 1663 SECTION IV. Non-refundable ADDlication Review Fee For more detail see oarall1'aohs 62-788.300(3)(e). 31O(3)(c), 320(3)(c) or 330(3)(c) F.A.C. All applicants must include a cashier's check or mouey order (DO NOT SEND CASH, PERSONAL CHECKS, OR CORPORATE CHECKS) made payable 10 the Water Quality Assurance Trus1 Fund in the amount of$250 10 cover the administra1ive cos1s associated with the Department's review of 1he tax credit application. The $250 applica1ion review fee is non-refundable; failure 10 submit the non-refundable applica1ion review fee as required by s. 376.30781 (6)(a), F.S., shall result in the application being deemed "incomplete", in accordance with Rule 62- 788.400, F .A.C. Send Comoleted Aoolications to: Departmen1 of Environmental Pro1ection Division of Waste Management Attn.: Voluntary Cleanup Tax Credi1 2600 Blair Stone Road, Mail Sta1ion 4505 Tallahassee, Florida 32399-2400 -OR- Hand deliver to: Department of Environmental Protection Division of Waste Management Bureau of Waste Cleanup 2600 Blair Stone Road Room 309 Tallahassee, Florida Atln.: Voluntary Cleanup Tax Credit KEEP A COPY OF THIS COMPLETED APPLICATION FOR YOUR RECORDS. 13 of 13 VCTC Application MEMORANDUM Date: January 26,2011 To: Sue Trone, Operations Analyst Bayshore Gateway CRA 4069 Bayshore Drive Naples, Florida 341 ] 2 From: Ann Jennejohn, Deputy Clerk Minutes & Records Department Re: Bayshore Gateway Triangle CRA's 2010 Application for a Voluntary Cleanup Tax Credit for property at 4069 Bayshore Drive Attached is the original application referenced above, (Item #I6G3) approved by the Board of County Commissioners on December 1, 2009. The Minutes & Records Department will hold a copy of the application in the Official Records of the Board. If you have any questions, please contact me at 252-8406. Thank you. Attachment 16G3 Patricia L. Morgan 16G3 From: Sent: To: Cc: Subject: TroneSue [SueTrone@colliergov.net] Tuesday, January 25,2011 11:14 AM Ian Mitchell Patricia L. Morgan; JacksonDavid RE: Item for Signature Item 16G3 from Dee. 1,2009. Sue Trone, AICP Project Manager Bayshore Gateway Triangle CRA & Haldeman Creek MSTU 4069 Bayshore Drive Naples, Florida 34112 T: (239) 643-1115 I F: (239) 252-6928 co II i e rcra. com/ bays h 0 reg a tew ay From: Mitchelllan Sent: Tuesday, January 25, 2011 11:13 AM To: TroneSue; JacksonDavid Cc: 'Patricia L. Morgan' Subject: Item for Signature Importance: High I need to know when this was passed and the item number, we cannot process it without this information. Regards, Ian Mitchell Executive Manager, BCC (239) 252-8097 phone (239) 252-6406 fax ianmitchell@colliergov.net Uri'~" f;')';:'I.~l L.j'",,,, <'rn;li!ldd,',:,<>,,'; .If" ri'jl:'I;i j. r:.lIh r'I.; ki ", "il,1 y',j1if .'; -,:1 J-:(II'<',;:; ,,,r"i,.,j i:- ,,"0'11';1'0',(' ~i: ,I pd';II': ],oqd,' :"'~l;,';t de r'd .;, :"~ i"ll! ':" 1'11" (fl!il',; !'1 '.'(<ld (,)"1,10 '!l . 'if,!" "",';~I',;' 'i'!inr:) . ,. ....'1 I BAY S H 0 R E ,. -' GATEWAY "'~ ." ';"i\ TRIAN.GLE EaElfn . ~ 16G3 '^---^- eRA Board Commissioner Donna F'lala Chailmdn ComrnjssjOJl(~r F(1'd Vi Coyle (~OI'm:!~_'iiOil(~r J'.lfli?S N. C):,;tt~ COllllni$si0l10f Tom Hf,nr.inq (:,J/1irTlI<;;;ioner C~()rgia Hiller Ad'lisorv 8"q.~.f~ Gh.\inllan UllrhAY Tholln') Vice-Chair J,II B:my I<;lr-'~n (l",llty L..'lf1y'-Ottr.! IIh,JI_Hl1 CilliCk G1.lIIH1;}( ~.1,lulici' C;II:I-')II"I Ste',e r.,1.1in PI!ter D'ior Jk 1~lu';~' Pr"til!) CH.AStaif 1}".j,J L Jlr~k_,I)il "-d ," UII',C(')) j . ill.I'JllI'rLln ,':'rc;,,;t ~.!,lcl'pr :,~Ij' rr'iu~ ~ .' I " ~ t r J ,I'. I ; "I r:J",id J?'_lr:I,,'" ~jt , . ',;II,L,I:i.;'1 To: From: Date: RE: Mr. Ian MitChellz;f (- \ Sue Trone '\ January 25, 2011 ~ Commissioner Fiala's sign ture and your Notary Public on attached Yoluntary Cleanup Tax Credit application for the CRA Attached is the Bayshore Gateway Triangle CRA's application for the 2010 Voluntary Cleanup Tax Credit (YCTC) for expenses the CRA paid toward the cleanup of petroleum contamination on the brownfield site on the 17+ acre site. Per our discussion last week, I am leaving this application with you for you to get Commissioner Fiala's signature on page 11 and for your notarization. Steve Williams reviewed the application for legal sufficiency yesterday and signed it on page 11. After you are finished please call me and I will pick it up and take it to the Clerk of Court's for recording because I am under a very strict deadline to get this mailed to Tallahassee. As always, I sincerely thank you for coordinating with my schedule, the commissioner's schedule, and your own very busy schedule. I also appreciate your willingness to notarize the application. Without your spirit of teamwork the CRA would be severely hamstrung. Thanks, Ian, for all you do! \\,'\C) \ "r,) t /\\'JV'" y~'S_- :/ __I- \ 6'1' \,U \_ C'\I \~ fC'-,J t~ . \W \\vs\\\ <(\~v IX (~()G'J R,1y~;hiJr,:.! D!i\,.,~ . ~!;Jp)'~s, FI,)()(!, 1 3~ 112 P 1,J.~0) ,:;-+:3 I r 1:1 . r. ('J,'\'")j //:,; tl1.'i) ,'/\(,;/.,:<:11" I i~(l .:rjlll Department of Environmental Protection 16631 VOLUNTARY CLEANUP TAX CREDIT APPLICATION AND AFFIDAVIT Pursuant to the provisions ofs. 376.30781, F.S., application for a Voluntary Cleanup Tax Credit (VCTC) is hereby made. The following infonnation is submitted in support of this application. Please complete the applicable sections of this fonn, draw a diagonal line through inapplicable sections, and submit the entire application fonn along with any other required documentation. Application Number SECTION I. - APPLICANT INFORMATION A. APPLICANT' (FDEPl:seOnlyj Name: Collier Countv Community Redevelopment Agency Address: 4069 Bazshore Drive (Street or P. . Box) Naples. (City) Florida (State) 34112 (Zip Code) Applicant's Point of Contact: Sue Trone Telephone Number: (239) 643-1115 E-mail: suetronelaicolliergov.net I request that all correspondence related to this application be sent to the applicant's point of contact at their: o postal address ~ e-mail address (Choose one) Federal Employment Identification Number (FElD), if applicant is a business: -OR- Social Security Number, if applicant is an individual: 59-6000558 (9-digitnumber) - - - ~digrrnunioer) - - - B. APPLICANT'S AUTHORIZED AGENT OR REPRESENTATIVE (OPTIONAL) Name: Address: (Street or P.O. Hox) /' ...,//''''' (City) (State) ;' (LIp Lode) Telephone Number: ( ) E-mail: I request that, in addition to the applicant's point of contact, alr~~rrespondence related to this application be sent to the applicant's authorized agent or representative~\Jhei( o postal address o e-.I)lairiiddress (Choose one) I lfmultiple tax credit appllcants are submitting ajoint appllcationfor one site, please make copies of this page and have each tax creJit appllcant complete Section J, Appllcant biformation of this appllcation. // lof12 ~----_/ DEP Fonn# 62-788.900(1) - Voluntary Cleanup Tax Credit Application - Effective Date XX/XX/XXXX SECTION II. - SITE INFORMATION 16G3 A. SITE IDENTIFICATION Brownfield Site IDrycleaning Facility Name: Hubert's Weldin2 Address: 4315 Ba;sshore Drive (Street or P. . Box) Nafles (CIty Florida (State) 34112 (Zip Code) Brownfield Site Identification Number: .B..E 11090100 I (9~digit number) Is there more than one contaminated site, as defmed by Department rule, covered by the above Brownfield Site Rehabilitation Agreement (BSRA)? _(YesINo) ------------------------------------------------------------------- 0 R -----------------____________________________________________________ DEP Drycleaning Facility Identification Number: _ _ _ _ _ _ _ (9-aijlt number) If this application is for a Drycleaning Solvent Cleanup Program (DSCP) site and the Real Property Owner is not the applicant, please provide Real Property Owner infonnation. Name: Address: (~treet or P.O. Box) (City) (:State) (Lip Code) Telephone Number: ( ) E-mail: B. TYPE OF SITE o (I) A drycleaning solvent contaminated site eligible for state-funded site rehabilitation under s. 376.3078(3), F.S. The applicant must complete Section II.C. on page 3; o (2) A drycleaning solvent contaminated site at which cleanup is undertaken by the real property owner pursuant to s. 376.3078(11), F.S., if the real property owner is not also, and has never been, the owner or operator of the drycleaning facility where the contamination exists. The applicant must complete Section II.D. on page 3; or ~ (3) A brown field site in a designated brownfield area under s. 376.80, F.S. 2 of 12 DEP Fonn# 62-788.900(1) - Voluntary Cleanup Tax Credit Application _ Effective Date XXlXX/XXXX 16G3 C. DSCP SITES ELIGIBLE FOR STATE-FUNDED SITE REHABILITATION See paragraph 62-788.300(3)(d), F.A.C. If box B.(l) is checked on page 2, the applicant must submit with this application a copy of t&~ Department's eligibility order for the DSCP and the appropriate deductible payment, as indicated I the order. Please include a cashier's check or money order (DO N?T SEND CASH, PERSONAL. C~CKS, OR CORPORATE CHECKS) made payable to the Water Quahty Assurance Trust Fund. Thl~check or money order must be separate from the $250 non-refundable application review fee required bY.S~ction VIII of this application. Please check the appropriate box below to indicate the amount encloseg/or previously ~d: I 0$1,000 (complete DSCP applications submitted by June 30, 1997) / 0$5,000 (complete DSCP applications submitted July I, 1997, through September 30,)998) o $10,000 (complete DSCP applications submitted October I, 1998, through Decemb~r 3 I, 1998) o Deductible previously paid in (year) VCTC application /1 D. REAL PROPERTY OWNER AFFIDAVIT See paragraph 62-788. 300(3) (b), F.A.C. If box B.(2) is checked on page 2, the following affidavit must be signed by the real property owner and notarized: The undersigned, under penalties of perjury, does solemnly swear that the applicant is the real property owner of the property containing the drycleaning so~v'mt contaminated site at which the applicant is voluntarily conducting site rehabilitation, and that th.e applicant is not, and has never been, the owner or operator of the drycleaning facility where the contamination exists. Signature of Real Property Owner or Authorized Corporate ReapS;operty Owner Representative / Date I Print Name of Real Property Owner or Corporate Real ~r6perty Owner Print Name of Authorized Corporate Real Prope~ Owner Representative / STATE OFFLORIDA i/' COUNTY OF Title /1' Sworn to (or affirmed) and S7ibCd before me this _ day of / Personally known ---?,6R Produced Identification _ / . ( Type ofIdentlfic Ion Produced ,20_. by ReaJPropertyOwner's:'\lame SignatureofNolary Public-State of Florida (Print, type, or stamp Commissioned 'Same of Notary Public) 3of12 DEP Fonn# 62-788.900(1) - Voluntary Cleanup Tax Credit Application. Effective Date XXlXXiXXXX .. ---"-_._------- ~--_._--- 166 :3 SECTION III. - DOCUMENTATION For more detai!, see paragraphs 62-788.300(3)(j) and . 330(3)(d), F.A.C. This application package must include copies of documentation sufficient to demonstrate that the tax credit applicant, which must be the signatory to a Voluntary Cleanup Agreement or BSRA, paid the costs that were either integral to site rehabilitation or that were for solid waste removal (applies to BSRAs only). Costs for site rehabilitation must have been incurred between January I and December 31 of the year for which the application is being submitted and paid prior to submittal of the tax credit application; costs for solid waste removal must have been incurred and paid since July 1,2006. The documentation must clearly describe the goods or services and associated costs that are being claimed in the application. Copies of documents for goods or services that are being claimed must be sufficient to demonstrate a link between the contractual records, the payment requests associated with the contractual records, and the payment records for the claimed portions of the payment requests, as required by each of the following three paragraphs: I. Contractual records that describe the scope of work performed during the applicable time period that was either integral to site rehabilitation or for solid waste removal. Examples include: contracts, documentation of contract negotiations, proposals, work orders, task orders, and change orders; and 2. Payment requests that describe the goods or services provided in support of the above scope of work. Examples include: invoices, sales tickets, and account statements. Payment request documents that include costs for goods or services that are not being claimed in the VCTC application must clearly identify which costs are being claimed; and 3. Payment records that describe the actual costs incurred and paid for the goods or services above. Examples include: cancelled checks, or other payment records from purchases, sales, leases, or other transactions. The Certified Public Accountant (CPA) and Technical Professional Certifications are not required if the applicant is claiming only an Affordable Housing, Health Care, and/or SRCO VCTC, because the tax credit applicant will have previously provided this documentation in the annual site rehabilitation application(s). 4 of 12 DEP Fonn# 62-788.900(1) ~ Voluntary Cleanup Tax Credit Application - Effective Date XXlXX/XXXX 16G31 SECTION IV. - TAX CREDIT CLAIM AND CALCULATION A. TYPE OF TAX CREDIT CLAIMED (Check all that apply and complete additional sections as directed) [8J (a) Site Rehabilitation; requires completion of Section IV.B. o (b) Site Rehabilitation Completion Order bonus; requires completion of Section IV.C. o (c) Affordable Housing bonus; requires completion of Section IVD. o (d) Health Care bonus; requires completion of Section IV.E. o (e) Solid Waste Removal; requires completion of Section IV.F. B. SITE REHABILITATION See Rule 62-788.300, FA.C. Complete this section to claim a credit in the amount of 50% of the cost of voluntary cleanup activity that was integral to site rehabilitation conducted during the calendar year for which this tax credit application is being submitted. I. Total site rehabilitation costs incurred and paid for this calendar year 2. 50% of the amount on line 1. or $500,000 - whichever is less 3. Joint applicant The percentage and corresponding amount of site rehabilitation costs on line 1. contributed by the joint applicant for this calendar year $56.337.11 $28.168.55 Site Rehabilitation tax credit claimed Joint applicant name % contributed $ Amount contributed C. SITE REHABILITATION COMPLETION ORDER BONUS See Rule 62-788.300, F.A.C. If the Department issued a "No Further Action" (NF A) order (i.e., Site Rehabilitation Completion Order - SRCO) . for the contaminated site, complete this section to claim the SRCO bonus in accordance with the dates an)i.--'/ percentages in the table below. ,// / // / ~/... ./'~~ I. Total eligible site rehabilitation costs incurred and paid from July 1, 1998 through June 30, 2006 10% of the amount on line I. or $50,000 - whichever is less $ 2. $ /.,~ SRCO bo~laimed before July 1..'Z006 ,,/'/' 3. Total eligible site rehabilitation costs incurred and paid on or after July 1,2006 25% of the amount on line 3. or $500,000 whichever is less $ "' 4. , ./"..",. / $ /" SRCO bonus claimed on or after July 1,2006 /' 5. Joint applicant The percentage and / corresponding amount of total eligible ~it{ Joint applicant name rehabilitation costs on lines 1. and 3. conp"i~uted by the applicant % contributed / $ Amount contributed / /" ,. If multiple tax credit.fJPplicants are submitting a joint application for one site, please have each applicant indicate that applicant'sperCentage and amount contributed to payment of site rehabilitation costs on a copy of this page and have each '!PPficant complete a separate copy of the affidavit in Section VlI. ,. The com/f[ned SRCO bonus amount claimed for site rehabilitation conducted before and after June 30, 2006 cannot ";Peed $500,000. ./ 5 of 12 DEP Fonn# 62-788.900(1) - Voluntary Cleanup Tax Credit Application - Effective Date XX/XX/XXXX 16G31 D. AFFORDABLI! HOUSING BONUS See Rule 62-788.310, F.A.C. If use of the brownfield site identified in the BSRA is limited to affordable housing, complete this s-ection to claim a tax credit in the amount of 25% of the eligible cost of voluntary cleanup activity that wa.g1ntegral to site rehabilitation and incurred on or after July 1,2006. ./ / / , , / / / / I Affo"~ble Housing bonus claimed / 1. Total eligible site rehabilitation costs incurred and paid on or after July 1, 2006 $ 2. 25% of the amount on line 1. or $500,000 - whichever is less $ / Joint applicant nam~' / -jofo contributed $ / Amount contributed / I , / In accordance with Rule 62-788.310(2), F.A.C., please provjde a certification letter from the party to the use agreement that is identified below. / ./ 3. Joint applicant The percentage and corresponding amount of total eligible site rehabilitation costs on line I. contributed by the applicant (a) Florida Housing Finance Corporation / / / o o o (b) Local housing authority / I / / / (Name of Agency) (c) Other govemment agency (Name of Agency) l> If multiple tax credit applicants are sub itting a joint application for one brown field site, please have each applicant indicate that applicant's percentage d amount contributed to payment of site rehabilitation costs on a copy of this page and have each applicant com ete a separate copy of the affidavit in Section Vll. / I / / 6 of 12 DEP Form# 62-788.900( I) - Voluntary Cleanup Tax Credit Application - Effective Date Xx/XX/XXXX 16G31 E!. HEALTH CARE FACILITY OR HEALTH CARE! PROVIDER BONUS See Rule 62-788.320, F.A.C. I I If use of the brownfield site identified in the BSRA includes a health care facility or a health care pr9./i'der, pursuant to Sections 408.032, 408.07, or 408.7056, F.S., complete this section to claim a credjt in the amount of 25% of the eligible cost of voluntary cleanup activity that was integral to site rehabiJration and incurred on or after January 1, 2008. / 1. Total eligible site rehabilitation costs incurred and paid on or after January 1,2008 ,I / $ ~ .I , / ./ 2. 25% of the amount on line 1. or $500,000 - whichever is less I $ , He"'tb Care Facility/Provider bonus claimed 3. Joint applicant The percentage and corresponding amount of total eligible site rehabilitation costs on line 1. contributed by the applicant / /' Joint applicant nam~1 _~%contributed $ _-I- Amount contributed o o o Please check the category of health care facility or health care provider and specify the type of facility/provider in the space provided. / / (a) Health Care Facility pursuant to Section 408.032fS., (b) Health Care FacilitylProvider pursuant to Sectj6n 408.07, F.S., / (c) Health Care Provider pursuant to Section 4iJ8.7056, F.S., ,/ / Health Care FacilitylProvider claimed in t\:lls application: " Doing Business As: Address: City: Telephone Number: ( County: ) In accordance with Rule 62-788.320(2), F.A.C., please provide a copy of one of the required supporting documents listed below. o (a) Certificate of Occupancy o (b) License for the operation of the Health Care Facility or Health Care Provider o ( c) <;:ertificate for the operation of the Health Care Facility or Health Care Provider . " If rl]ltltiple tax credit applicants are submitting a joint application for one brown field site, please have each applicant i!Jdicate that applicant's percentage and amount contributed to payment of site rehabilitation costs on a copy of this I.page and have each applicant complete a separate copy of the affidavit in Section VII. 7 of 12 DEP Form# 62~788.900(1). Voluntary Cleanup Tax Credit Application - Effective Date XX/XXlXXXX 16G31 / / / Complete this section to claim a credit in the amount of 50% of the costs incurred and paid on or!~ July 1, 2006 for solid waste removal from within the boundary of the eligible brownfield site identyed in the BSRA. / I. Total costs for solid waste removal incurred and / paid on or after July 1,2006 $ II 2. 50% of the amount on line 1. or $500,000 - ~ whichever is less $ Solid aste Removal tax credit clai d / / Joint applicant name / / I % codtributed j , Amount contributed / F. SOLID WASTE REMOVAL TAX CREDIT See Rule 62-788.330, F.A.C. 3. Joint applicant The percentage and corresponding amount of the solid waste removal costs on line 1. contributed by the applicant $ In accordance with 62-788.330(2), F.A.C., I have consulted with/he following local govemm'ent and DEP officials. With this application, I certifY that, to the best of my)<'nowledge, the brownfield site as identified in the BSRA was never operated as a permitted solid waste di~osal area or for monetary compensation. I Name oflocal government official consulted: ;' / ,.."Telephone Number: / Title: ) Name of DEP representative consulted: j/ I ;' Telephone Number: ( ) Title: , ~ Ifmultiple tax credit applicants are submiltiill; ajoint application/or one brawn field site, please have each applicant indicate that applicant's percentage and finount contributed to payment 0/ solid waste removal costs on a copy 0/ this page and have each applicant complete a separate copy 0/ the affidavit in Section VII / :/ , I / / ;' / / 8 of 12 DEP Fonn# 62-788.900(1) - Voluntat'): Cleanup Ta"( Credit Application - Effective Date XXlXXlXXXX 16G 3 i SECTION V. - TECHNICAL PROFESSIONAL CERTIFICATION For more derail see l'araRral'hs 62-71i1i.300(3i(g) and . 330(3)(e), F.A.C The following certification shall serve as proof that the voluntary cleanup activities have been conducted under the observation of, and related technical documents have been signed and sealed by, an appropriate professional registercd in the State of Florida in each contributing technical discipline associated with the documentation listed in Section III of this application for either annual site rehabilitation or for solid waste removal that has occurred since July 1.2006, in accordance with department rules and regulations. Under penalties of perjury, I declare that I have read and understand the requirements of Chapter 62-788, F.A.c., and Sections 376.30781 and 220.1845, F.S, In addition, I certify that I have read the foregoing V oluntary Cleanup Tax Credit application, including all the backup documentation; that I understand and have adhered to the requirements stated on page 4 of this tax credit application; and that the costs incurred and paid and claimed in this application were integral, necessary, and required for either site rehabilitation or for solid waste removal, as applicable. J anuarv 2010 Site Rehabilitation Period Covered by Application \\\\\1111/1/ ,II E. LEW I'I "(i,...l\~.",." .Is GIIIII ,'~YUCENs "''1<::< I~ , Q;'.' " ." ~ ~:*.: ".~::' '. ~ December 2010 Solid Waste Removal Period Covered by Application Januarv 19, 20 II Dille ign~l~ o'~ Registered Technical prores~E -,0.. STATE ,: 0 ~ RO~~i!Wi.S~USC OF . .,#~...... PrintN~ \S'\S' ....~RI?~..' 0" ,,' IIII/ONAL €.~\\\\ /1/11111\\\\ Technical Professional Information: Profes.'\ional EmdncCf Prinl Title (e.g., Professional Engineer. Prnkssional Geologist) Name: Roxanne Gause Address: 1520 Roval Palm Square Blvd, Suite 260 (Streel or P.O. Box) Fort Mvcrs (City) FL (Slale) 33919 (ZipCnde) Telephone Number: (239 ) 936 4003 State of Florida License Number: 5326 t Expiration Date: Februarv 28, 2011 9 of 12 fJEP Form# h2-7SN.c)(jO(I) - Voluntary Ckallup T;IX Cn:dit AppJil:alillll -1:lfl'cliVl' Dale Xx/XX/XXX X 16G3 . SECTION VI. - CERTIFIED PUBLIC ACCOUNTANT CERTIFICATION For more detail. see paragraphs 62-788. 300(3) (h) and.330(3)(j). F.A.C.. and subsections 62-788.300(4) and .330 (4). F.A.C. The following certification shall serve as proof that the documentation submitted in accordance with Section III of this application has been reviewed by the undersigned independent CPA in accordance with standards established by the American Institute of Certified Public Accountants. Specifically, the undersigned CPA is attesting to the accuracy and validity of the costs incurred and paid after having conducted an independent review of the data presented by the applicant; that the costs included in the application fonn are not duplicated within the application; and that the application contains only those costs that were incurred during the timeframe represented in the tax credit application and paid prior to submittal of the tax credit application. In addition, a copy of the Independent CPA's report must be completed whenever an annual site rehabilitation or solid waste removal application is submitted. The CPA is not responsible for attesting to whether the costs claimed are for site rehabilitation or solid waste removal. Under penalties of perjury, I declare that I have read A Guideline for Agreed-Upon Procedures for Attestation Service for the Voluntary Cleanup Tax Credit (VCTC) Program', Chapter 62-788, F.A.C., and Sections 376.30781 and 220.1845, F.S., and that I understand the accounting requirements associated with these documents. In addition, I attest that I have read the foregoing Voluntary Cleanup Tax Credit application and that the facts stated in it are true to the best of my knowledge and belief. For Site Rehabilitation applications: For Solid Waste Removal applications: $56,337.11 Total Site Rehabilitation Amount Claimed in Application Total Solid Waste Removal Amount Claimed in Application $56,337.11 Total Site Rehabilitation Amount Approved by CPA Total Solid Waste Removal Amount Approved by CPA 01/01/10 - 12/31/10 Time Period Covered by Site Rehabilitation Application Time Period Covered by Solid Waste Removal Application d..,;,z.,en d~J/~___ cAignature ofCPV <9/ /~ /// Date/' CPA Information: Name: James J. Scullin 1250 Tamiami Trail N, Suite 302 Address: (Street or P.U. Box) Naples (City) Telephone Number: ( 239 ) 435 License Number: AC 3 8 9 8 7 Expiration Date: December 31, 2012 Original Issue Date: December 20, 2006 Florida (State) 34102 (ZIp Code) _ 3536 1 DEP has developed guidance to assist CP As in the review of VCTC applications. This guidance is entitled d Guideline for A <!reed-Upon Procedures Attestation Service for the Voluntarv Cleanup Tax Credit (VCTO Pro<!ram. October 2010. and may be obtained by calling the VCTC program manager at (850) 245-8927. 100f12 DEP Fonn# 62-788.900(1) - Voluntary Cleanup Tax Credit Application - Effective Date XX/XX/XXXX 16 G 31 SECTION VII. - APPLICANT CERTIFICATION AFFIDAVIT The undersigned applicant, under penalties of perjury, certifies that (s)he has read and understands the requirements of Chapter 62-788, F.A.C., and Sections 376.30781 and 220.1845, F.S., and that all information contained in this application, including all records of costs incurred and paid and claimed in this tax credit application, are true and correct. The following sections of this application have been completed and the appropriate documentation to support these claims is transmitted with this application. (Check all that apply) Time Period Covered by the Application Section D.C. Drycleaning Solvent Cleanup Program Sites eligible for State-funded Sile Rehabjlitation Sectlonll.O. Real Property Owner Affidavil ~ Section IV.B Site Rehabilitation Tax Credit January 1,2010 through December 31, 2010 Set:tion IV.e. Site Rehabilitation Completion Order Bonu, Seetlon IV.D Affordable Housing Bonus Section IV.E. Health Care Facility or Health Care Provider Bonus lIem# j(o~3 /- Agenda ~1 Oat. (/ Signature of plicant Date Roc'd Donna Fiala Print Name Collier Coun Print Title Collier County Community Redevelooment Aeencv Print Company Name (if applicable) ','-J,;"I"" 1\1 [" n n~ _:'~ \' '\\Jpn.iVfllJ ,.~: f;.; ;T)~jT ~I ';qdi :3ufticH9nc':/ ! fI!! , ~~7-.wL ~ c' '; li\" j'~ : ~t.:;ns : .,,;' ~, .,. . "en.~..Oftf.lt. . "")" j'. Notary Seal for Applicant's Certification Affidavit J '" . STATE OFFLORIDA COUNTY OF c. 0 L.- L. , E:. (2.. . Sworn to (0' affirmed) and subscnbed before me this 1.5:. day OfJ 4rJvAo/. 20.Lt--. by Personally known I OR Produced Identification_ ~ SignatureofNotaryPublic-StateofFloda j)ONNA hAL~ Applicant's Name ..............................................: : IAN MITCHELL : Type of Identification Produced i ~''''\~\~'''''' Comm# 000810028 E .5ione~~: : "$.p'!:~ Florida _ AIl8Il.. lno i 11 of 12 :......~/..~~~u.................................1 DEP Form# 62-788.900(1) - Voluntary Cleanup Tax Credit Application - Effective Date XX!XXJXXXX 16G3 SECTION VIII. - NON.REFUNDABLE APPLICATION REVIEW FEE For more detail see paragraphs 62-788.300(3)(e), 310(3)(c), 320(3)(c) or 330(3)(c) F.A.C. Please include a cashier's check or money order made payable to the Water Quality Assurance Trust Fund in the amount of $250 to cover the administrative costs associated with the Department's review of the tax credit application. The $250 application review fee is non-refundable. Failure to submit the non-refundable application review fee as required by s. 376.30781(6)(a), F.S., shall result in the application being deemed "incomplete", in accordance with Rule 62-788.400, F.A.C. Send Completed Applications to: Department of Environmental Protection Division of Waste Management Voluntary Cleanup Tax Credit 2600 Blair Stone Road, Mail Station 4505 Tallahassee, Florida 32399-2400 -OR- Hand Deliver to: Department of Environmental Protection Division of Waste Management Bureau of Waste Cleanup 2600 Blair Stone Road Room 309 Tallahassee, Florida Attn.: Voluntary Cleanup Tax Credit KEEP A COPY OF THE COMPLETED APPLICATION FOR YOUR RECORDS. 120f12 DEP Fonn# 62-788.900(1). Voluntary Cleanup Tax Credit Application - Effective Date XX/XX/XXXX 16G 3 COLLIER COUNTY POLLUTION CONTROL & PREVENTION DEPARTl\1ENT 13Lfl E;lq T:;i.m!.llt~l Tu.i: . ,\;;pk-:-. Fiond,l 3~n 12 .. 23~L252-2..::'1l.? b.x 231)-25;2:.';5;:1 08/0612009 Sue Trone Collier County Redevelopment Agency (Bayshore Gateway Triangle) 4069 Bayshore Drive Naples, FI. 34112 COLLIER County - Regulated Storage Tanks HUBERT'S WELDING & REPAIR 4315 KELLEY RD NAPLES, FL 33962 DEP Facility # 8629388 CHapter 62-770, FAC Requlltit for Sile Asse$$ment Activities Dear Sue Trone: Chapters 376 and 403, Florida Slatules (Fla. Stat) authorizes and directs the Department of Environmental Protection or Its designee to control and prohibit the pollution of air and water. A facility that allows or causes the discharge of pollutant materials onto the ground may be in violation of Chapters 376 and 403, Fla. Stat. and the rules promulgated thereunder. On OS/29/2008, this office received a Discharga Report Form (DRF) in conjunction with a PHASE II sampling report which indicates 62-777, Florida Administrative Code exceedances of both groundwater and soils at the facility (please note that the facility address hasn't physically changed but the address road name has changed from Kelley road to Bayshore road). The PHASE II was prepared by Environmental Risk Management, Inc. (ERMI) and Is dated May 13, 2008. At that time the facility wasn't owned by Collier County, but the facility Is now owned by Collier County as part of a community redevopment effort, Based on this information the date of discovery is 05/08/2008. Due to the discovery of petroleum contamination, you are required to initiate a formal site assessment (SA) at this facility in accordance with the requirements of Florida Administrative Code (FAC) Chapter 62.770, within thirty (30) calendar days from the date of discovery. Please provide written confirmation of the initiation of the SA to this office. The confirmation should be submitted within ten (10) calendar days upon initiation of the SA. Additionally, please provide three (3) days notice prior to Initiation of field activities. If a SA has already been inlllated, please provide written confirmation of \his upon receipt of this letter. 16G 3 Sue Trone Facility 10: 8629388 081ll6l2009 Page 2 of3 If free product attributable to this discharge is present at your site, you must take steps to obtain cleanup services for product recovery or initiate product recovery within three (3) days of discovery of free product Product recovery shall be perfonned in accordance with Rule 62-770.300, FAC. Additionally, within 270 days of the discovery of the contamination (by 0510312010), two copies of a Site Assessment Report (SAR), prepared, signed and sealed in accordance with Chapter 62-770, FAC, shall be submitted for review to: Vince Mele, Petroleum Cleanup Florida Department of Environmental Protection P.O. Box 2549 Ft Myers, FI. 33902 After submittal of the Site Assessment Report, please be advised that additional requirements for cleanup of the contamination may apply. Please be aware that modifications to the tlmeframes Indicated herein may only be obtained by requesting, in writing, the modifications sought. The written request must be submitted 20 days before the actions (the initiation of the SA or the submittal of the SAR) are due, AND must show good cause to allow the modifications. Good cause shall mean unanticipated events outside the control of the responsible party, This office does not consider generic delays by contractors or Insurance carriers as good cause, It Is recommended that you immediately provide a copy of this letter to your insurance carrier, as applicable, Failure to meet Department timeframes for cleanup corrective actions may result in the calculation of applicable penalties and Investigative costs. If this site has previousiy existing petroleum contamination which is eligible for cleanup funding from the Inland Protection Trust Fund under the Early Detection Incentive Program, Abandoned Tank Restoration Program, Petroleum liability and Restoration Insurance Program of Petroleum Cleanup Participation Program, section 376.30714, Fla. Stat. provides interested persons an option to apply to the Department to enter into a Site Rehabilitation Funding Allocation agreement with the Department. The agreement will establish the respective funding allocations of the Department and the applicant for cleanup of the combined discharges, and wili establish the priority in which such cleanup will occur. In such an agreement, the Department will be responsible for cleanup of no more Ihan the existing eligible contamination and the applicant will be responsible for cleanup of no more than the new discharge. Applicants wishing to take advantage of this option must submit a limited Contamination Assessment Report (LeAR) and the application for Site Rehabilitation Funding Allocation Agreement to the Department within 120 days of the date of discovery of the new discharge. Until such a time as the application is submitted to the Department with a complete leAR, you remain obligated to perform the site assessment activities set forth in Chapter 62-770, FAC. In all cases, the owner, operator or responsible party must remove free product attributable to the new discharge in accordance with Chapter 62-770, FAC. A copy of program information and requirements, minimum content of the lCAR, and application form, may be obtained by contacting the Bureau of Petroleum Storage Systems at 850/245-8839, or at the Bureau's internet web site address at www.dep.state.f1.uslwastelcategoriaslpcpldefaulthtm 16G 3 Sue Trone Facility ID: 8629388 0810612009 Paga 3 of 3 We look forward to your cooperation in completing the investigation and resolution of this malter.1f you have any questions please contact me at 239-252-2502 at the letterhead address or bye-mail philsnyderburn@colliergov.nel. Sincerely, ~~~ PHILIP SNYDERBURN SENIOR ENVIRONMENTAL SPECIALIST Enclosure: 5/13/08 Phase 1I Environmental Assessment c: File, Vince Mele 16G3 INVOICES 16G3 4 Bayshore Gateway Triangle 4069 eayshore Drive Naples, FL. 34112 Attention: SUD Trone Invoice #: 666918 Project: 7534668 Project Name: 4315 B3yshore Dri'Je SAR Report Invoice Group: 06 Invoice Date: 03/171'2010 Purchase Order: POI! 4500111875 For Profgssional Services Rendered through; 212,(3,120.10 UNDER8ROUI\D STORAGE TANK REMOVEL. 4:J15 BAYSHORE DRIVE SITE ASSESSMENT REPORT (SAR) S~RVICES CONTRACT NO.: 06.3970 PURCHASFC ORDER NO' 4500111875 CH.~NGE ORDER 112 ACTIVITY THIS BUING PERIOD: . PRO.lFCT COORDINATION . MONITOR WELL INSTAllATION . FIELD SUl'l'L1ES Total Professional Fees and Expenses Due tl,ls Invoice Percen1 CQr1plete 62 B5 6,285.00 www.hsa-env.com 1520 Royal Palm Square Boulevard. Suite 260 / Fort Myers, Florida 33919 Tel: (239) 936-4003/ Fax (239) 936-0819 Tampa. Orlando. Fort Myer" . West Palm Beach. Pensacola. Savannah. Charleston. Hilton Head Client Focused Solution Oriented Quality Dnven 16G3 iEHSA ENGINEERS & SCIENTISTS t... member (If tf"e CRJ, F'5mllff;,1("~']mr-<lIjIE:: Bay.hare Gateway Triangle 4069 B..y.hore Drive N..pl.... FL. 34112 Atten1lcn: Sue Trone Invoice N; 670361 Revised Project: 7534668 Project Name: Change Ord&r 3 & 4 - iSR Service. Invoice Group: 07 I"volee Date: 05119/2010 Purcha.e Order: PO# 1500111875 For Professional Ser~joCe5 Rendered through; 5/9/2010 UNDERGROUND STORAGE TANK REMOVEL. 4315 BAYSHOFIE DRIVE INTERIM SOURCE REMOVAL (lSR) SERVIC~S CONTRACT NO.; 06.3970 PURCHASE ORDER NO.: 450Cll 1875 $32,525.00 CH.~NGE ORDER #3 $ 8,945.00 CIIANGC: ORDER #4 $41,470.00 TOTAl. Chang~ order 3 & 4 Breakdown per prClposal Budge' Previous Amollnt Current Amount Tolal Fee Earned 1,ODD_00 0.00 2,770.00 000 4,642.95 O.OC 8.894.83 000 5,162.76 0.00 0.00 0.00 21,490.57 21,4QO.57 2,77000 To., 1 DiIOC! PusI' (LS) 5,550,00 Tesk 2 Excava:ion Activjlfes {LS, 7.000.00 4.642.96 T&::;k 3 ~VaBte Management (to, It.) 12,62.J.00 B,894.63 T.r=.sx 4 Engineeriflg Serv~ces (I,Si 15,30').00 5,182.78 Reimb'Jrsabre (NTE) 0.00 TOTAL 41,470.00 21,490.57 Total Professional Fees and E.penses Due this Invoice wW'w_hsa-env.com 15~0 Royal Palm Square Boulevard, Suite 260/ Fort Myers, Florida 33919 Tel: (239) 936-4003/ Fax: (239) 936-0819 Tampa. Oriando . Fort Myer~ . Wesll"alm Beach. Pensacola 0 Savannah 0 Charleston. Hilton Head Client Focused Solution Oriented Quality Dnven 16 G 3"" _HSA ENOINEERS & SCIENTISTS A ltlember Cl (he CRIlL F"iI~n",. L:fCl:'lnpan;e5 Bayehe,e Go""way Triangle 40&9 e...,.holll Drive Nlpl.., FL 3.&112 Attention: Sue Trone Invoice #: 67211~ ProJect: 7534006 Project Name: Chanije Order 2 - SAR Report Invelce Group: 06 Invoice Dale: 061231l!010 Purch.e. O,d.r: POlII ~5001 1 1875 For ProfasioBIII $aNi!;.. Rendered through: ~/131201 0 UNDERGROUND STORAGE TANK REMOVEL. 4315 Bl\YSHORE DRIVE SITE ASSESSMENT REPORT (SAR) SERVICES CONTRACT NO": m-3910 PURCHASE ORDER NO.: 4500111875 CHANGE ORDER #2 ACTIVITY THIS BIlliNG PERIOD . PROJECT COORDINATION LJ\OORTORY COSTS FIELD SUf>PUES . SOIL SAMPLING . SAR PREPARATION Total Profes.iooal Fee. and Expenee. Due 111 Is Inyolce Pert:E'rJl Complete: 77.07 2,963.83 www"hlla-tlnv.com 1520 Royal Palm Square Boulevard, Suite 260 I Fort Myers, Florida 33919 Tal: (239) 936-4003 I Fax: (239) 936-0819 Tampa. Orlando. Fort Myar~ . West Palm Beach. Pensacola. Savannah. Charleston. Hinon Head Clten' Focuscd Solution Onented Quality Dnvcn 16G31 ~HSA ENGINEERS & SCIENTISTS ^ member of ~hB eRA Family ofClJm~nio:."S Bayshore Gateway Triangle 40S9 83yshorc Drive Naples, FL. 34112 Attcnt1on: Sue Trone Invoice #: 672115 Ae'Jised Prolect: 753466.9 Project Name: Change Order 3 & 4 . ISR Services Invoice Group: 07 Invoice Date: 06/2312010 Purchase Order: PO# 45001' 1875 For Profession,']l Sorvices Rendered through: 6/1312010 uNOERGnOUNCl :3TORAGE TANK REMOVEL. 4315 8AYS-WRE (miVE I~TERIM SOURGE; REMOVAL jlSRi SE'1VICES CONTftAGT NO.: 06.-3970 PUllCHASE ORDER NO.: 4500111875 532,525.00 CHA~GE ORDER #3 S a.945.0~ CHANGE ORDER 04 541.470.0G' TOTAL Breakdown per proposel Task 1 Dirsel Push (LS) rask 2 l::xcava\io'~ Ac:ti'/i:ies (LS) Task 3 \Nsste Managemeni (NTE) lask4 Eng'n~ering Service.!:! (LS) R~lmbursa:'Jle {NTl::) TOTAL Budget PrevIous Amount Current Amount 5,550.00 2,770.00 2,380.00 7,000.00 ~,G42.ga ?,357.04 12,620.00 8,894.83 i,f15G.on 15.300.00 5,'~2.78 538.86 , ,000.00 0.0:; 5';::6.00 41,470.00 21,490.67 6,921.90 laial Fee Earned 5,15000 7,000.00 9,944.83 5,721.64 598.00 28,412.47 Total Professional Fees and Expenses Due Ihis Invoice 6,921.90 www.hsa-env.com 1520 Royal Palm Square Boulevard, Suite 2601 Fort Myers, Florida 33919 Tel: (239) 936.40031 Fax: (239) 936-0819 Tampa. Orlando. Fort Myerl? . West Palm Beach. Pensacola _ Savannah - Charleston. Hilton Head Client Focusp.d Solution Oriented Quality Driven 16G3 .. .HSA ENGINEERS & SCIENnSTS A. mernber 0/ the CTi'A Family 01 Co"'r.lWl~ Ba~shora Gatewar Triangle <W69 Bayshore Drive Naples, Fl. 34112 Attention: Sue Trone Invoice #: 673484 ProJect: 7534668 Project Name: Change Order 2. - SAR Report Invoice Group: 06 Invoice Dale: 0711412010 Purchase Order: PON 4500111875 Fot Plofes.ional a.Nic'l Rendemd through: 612')'/2010 UNDERGROuND STORAGE TANK REMOVEL - 4315 BAYSHORE DRIVE SITE ASSESSMENT REPORT ISAR) SERVlCES CONTRACT NO.: ()6.3970 PURCHASE ORDER NO.: 4500111875 CHANGE ORDER #2 ACTIVITY THIS 81lLING PERIOD . PROJECT COORDINATION . REPOIH PREPARTION . DRAFTING . GROUNDWAi"OR FLOW DETERMINATION Total Professional Fees and E~penses DUll this Invoice Percent Complete: 97,{l$ 2,397.50 www.hsa-env.com 1520 Royal Palm Square Boulevard, Suite 260 I Fort Myers, Florida 33919 Tel: (239) 936-4003/ Fax: (239) 936-0819 Tampa. Orlando. Fort Myen; . West Palm Beach. Pensacola. Savannah. Charleston. Hilton Head Client Focused Solution Oriented Quality Driven 16G3 .. _HSA ENGINEERS & SCIENTISTS A me:noor o(the eRA Fll'mrl)' of CD'Tlpanle:: Baysho,e Gateway Triangle 4069 Baysho'e Drive Naples, Fl. 34112 Allenlion: Sue Trone Invoice #: 673485 Project: 7534658 Project Name: Change Order 3/\4 - ISR Services Invoice Group: 07 Involc. Date: 0711412010 Pu,chase O,der: PO. 4500111875 For Proressional Services Rendered lhrough~ 6/27/2010 UND"RGROUND STORAGE TANK REMO'/EL, 43',5 BAYSHORE [HV[ INTERIM SOURCE REMOVAL (ISR) SERVICES CONTnACT NO.: 06-3!HO PURCHA5", ORDER NO: 45001 1 1875 $32,525.00 CHANGE O::lDER #3 S 8,945,00 CHANGE O;.lDER #4- $41,470.00 TOTAL Breakdown par proposal Task 1 Direct PUSll (LSl Task 2 Excavation Activllis.s (lS) Task 3 Woslo Manage",e"! INTE) Task 4 Er,gL'1~H:l:ing Services (LS) RelribUrsable (NT!::) TOTAL Budget Previous Amount Current Amount 5,550.GO 5,150.00 0.00 7,000.00 7,000.00 0.00 12,620.00 9,944.83 0.00 15,300.00 5,721.54 980.00 1,ODO.QO 596.00 000 41.470.00 28,412.47 980.00 Tolal Fe. Earned 5,150.00 7.000.00 9.944.83 6,7016.1 596 00 29,392.47 Total Professional Fees and Expenses Due Ihls Illvoice 980.00 Percen: Cornp!0!e: 70 eo ]NWw.hsa-env.com 1520 Royal Palm Square Boulevard, Suite 260 I Fort Myers, Florida 33919 Tel: (239) 936-4003/ Fax: (239) 936-0819 Tampa. Orlando. Fort Myerl> . West Palm Beach. Pensacola. Savannah. CharlestoYl . Hilton Head Client Focused Solution Oriented Quality Driven 16G31 .HSA ENGINEERS & SCIEN11STS Amembfll or t~1t) eRA Famf!~ of CompL'lnres Bayshore Gateway Triangle 4069 Bayshore Drive Naples, Fl. 34112 AttenUon: Sue Trone Invoice 1#: 674751 ProJect: 7534666 Project Name: Change Order 2 . SAR Repol1 Involc& Group: 06 Invoice Dale: 0810912010 Purch.... Order: P0II4500111875 For Prole""lon.' SOIVI"". Rlndlred through: 712512010 UNDERGROUND STORAGE TANK REMOVEL - 4315 BAYSHORE DRIVE SITE ASSESSMENT REPORT (SAR) SERVICES CONTRACT NO,: 06-3970 FURCHASE OF\DER NO.: 4500 111675 C HA NGE ORDE R #2 ACnVITY THIS BILLII'lG PERiOD . PROJECT COORDINATION . SAR REPORT Toul Professional Feas and Expenses Due this Invoice Petcent Complete: 100.00 ~ 353.67 www.hsa-env.com 1520 Royal Palm Square Boulevard, Suite 260 / Fort Myers, Florida 33919 Tel: (239) 936-4003/ fax: (239) 936-0819 Tampa. Orlando. Fort Mye~ . West Palm Beach. Pensacola I Savannah. Charleston. Hilton Head Client Focused Solution O(lented Quality Driven 16G31 HSA ENOINEERS & SCIENTISTS A meml:Jc~ o-f the CAli, Family O:Co:TlI:a'1ies Bayohore Gateway Triangle 4069 B.yaho,e Orlvo Naples, FL. 34112 Attention: Sue Trone Invoice #: 674752 ProJect: 7534668 Project Name: Cl-tange Order 3 & 4 - [SR Selvk:es Invoice Group: 07 Invoice Oatil: 09/09!201D Purchase Order: PO" d5001 11875 For Protesstorit"lil Services Rendered through: 7/2512010 UNDERGROUND ST0i1A3E TANK flO'MOVEc . 'GJ15 SA YSHORE DRIVE INTERIM SOURCE REMOVAL (;Sfl) SERVICES CO:,TRAGT NO.: 06-3970 PURCHASE ORDER NO.: 4500111876 S32,525.0a GHANGF ORDER #3 $ 8,94-5.DO GH.~NGE ORDER "4 $41,470.C.0 TOTAL Breakdown per proposal Task 1 Diroc! Push {LS) Tash 2 Excavation ActiVities (LS) TL:lsk 3 lNas~e Management (NTE) Task 4 Enginc-cring SS!Vt.c6S (LS) ReimbIJrs!'lb:o {NTE) TOTAL Budget Previous Amount Current Amount 5,550.00 5,1500CI Q.OO 7,000.00 7,OOO.O~ 0.00 12,62C.CO 9.944.83 000 15,3DO.OO 13,70-1.64 0,25100 t ,QOCOO 596 00 O.OG 41 A70.0G 29,392.41 S,251.00 Total Fee Earned 5,150,00 7.000.00 9.9~.t83 11,952.64 590,00 34,S43.41 Total Professional Fees and Expenses Due this Invoica Peroenl Co-mplete; 8354 5,251.00 www.hsa-env.com 1520 Royal Palm Square Boulevard, Suite 260 / Fort Myers, Florida 33919 Tel: (239) 936-4003/ Fax: (239) 936-0819 Tampa. Orlando. Fort Myerl'; . West Palm Beach. Pensacola. Savannah. Charleston. Hilton Head Chent Focused Solution Oriented Quality Driven 16G31 HSA ENGINEERS & SCIENTISTS t.. memi,;,~' ef t:iiOlCRA Fa-mil)' of C~mpBJ"1'E; Bayshore Galeway Triangle 4069 8ayshore Drive Naples, FL 34112 Attention; Sue Trone Invoice #: 578406 proJect: 7534668 Project Name: Change Order 3 & 4 . ISR S~fvl"es Invoice G(Oup: 07 Invoice Date: 10121/20'0 Purchase Order: PO. 458011187G For Professional Services Rendered through: 101312010 UNDERGROUND STORAGE TANK REMOVEL - 43t5 8,lWSHORE DRIVE INTERIM SOURCE REMOVAL (ISR) SERVICES CONTRACT NO.: 06"3970 PURCHAS=- ORDER NO.: 4500111875 532.525.00 CHANGE ORDER ~3 ~ 5,945.00 CHANGE ORDER M >41.470.00 TOTAL Breakdown per proposal Task 1 Direcl Push (LS) TC!.sk 2 Excavation AC1i....jti~5 (lS) I ask 3 Wasle Managemen' (NTE) Tafts 4 Engineering SSl\'ices (LS) Reimbursable (NTE) TOTAL Budget PrevIous Amount Current Amount 5.550.00 5,150.00 0.00 7,000.00 7,000.00 0.00 12.620.00 g, 944 .83 2.675.17 15,300.0:1 11,952,64 678.58 I.ooom 596.00 ~-je5. 50 41,470.00 34,643.47 O,909.2S Total Fee Earned 5,15000 7,GOn.00 12,620.00 12,831.22 981.50 SB,S82.72 Total Professional Fees and Expenses Due this Invoice Pe:cem Complete: 53.Q4 3,939.25 www.hsa-env.com 1520 Royal Palm Square Boulevard, Suite 260 / Fort Myers, Florida 33919 Tel: (239) 936-4003/ Fax: (239) 935-0819 Tampa. Orlando. Fort Myer~ . West Palm Beach. Pensacola. Savannah. Charleston. Hilton Head Client Focused SOIUtiOl1 Oriented Quality Driver! ~HSA ENGINEERS & SCIENTISTS A m(';mb~r Ctfth"!! CR; FLim'trofComparies 16G31 Bayshore Gateway Triangle 4069 Bayshore Drive Naples, FL. 34112 Attention: Sue Trone Invoice.: 679552 Project: 7531668 Prolect Name: Change Order 3 & 4 " ISR Services rnvolce Group: 07 Invoice Date: 11111.12010 Purchase Order: PO# 45C0111875 For Professional S9rvioes Rendered through: 11/111.2010 UNDERGROUND STORAGE TANK REMOVEL. 4315 BAYSHORE ORIVE INTcRI~' SOURCE REMOVAL (!SR) SERVICES CONTRACT NO.: 06-3970 PuRCHASE ORDER NO.: 4500111875 S32.S25.W CHANGE ORDER #3 $ e.945.CO CHANGE ORDE~ #4 f.11 ,470.CO TOTAL .:. Ple%e ~ote Previous t\rnount bJI~ed total has been aJjllSled 10 rafie;;t ine 27 C'lnt dedl.r~llon on 670361 Total Fee Breakdown per proposal 8 udgol Previous Amount Current Amount Earne-ti Task 1 Direct Push {LS) 5,55Q,1I0 5,15000 400.00 5,550.00 Ta5k 2 Excava~lcn Ac~i'/iti:::s (LS} 7,000.00 7,00000 0.00 "1,000.00 Task 3 Waste Mam..gcment (NfE) 12,62000 l?,n?G.CO 0.00 12,620.00 Task 4 E!lglneerir\g Services (LS) 15,30Q.OO 12,83U? 2.460.78 15.300.00 Rejmb,:nHbfe (~";TE) 1.0000e 98150 '-8.60 1.000.00 TOTAL 41,470,00 38,582.72 2,887.28 41,470,00 Total Professional Fees and Expenses Due this Involce Pernenl Complete: 10D.00 2,887.28 www.hsa-env.com 1520 Royal Palm Square Boulevard, Suite 260 I Fort Myers, Florida 33010 Tel: (239) 936-4003/ Fax: (239) 936.0819 Tampa. Orlando. Fort Myer1i . West Palm Beach. Pensacola. Savannah. Charleston. Hilton Head Client Focused Solution Oriented Quality Driven Bayshore Gateway Triangle 4069 Bayshore Drive Naples, FL. 34112 Attention: Sue Trone ENGINEERS & SCIENTISTS A rr.em1t:'! (It the eRA F~mlly ot t.:o('()!J.:?n!e; 16G3'1 Invoice It: 661258 Project: 7534668 Project Name: Change Order 3, 4 & 5 ISA Servic.~ Invoice Group: 07 Invoice Date: 12/1412010 Purcha.e Order: PO# 45Q0111875 For Fro~$lonal S~(vice$ Rendered through: l1f28J201Cl UNIJcHGHQUND STOnAGE TANK REMOYEl- 4315 BAYSHORE DR!IJF If.TERIM SOUClCE REMOVAL (ISR) SERVICES CON TRACT NO.: 06.3870 PURCHASE ORDER NO.: 4500111875 $32,525..00 CHANGE 09DER #3 $ 8,945.00 CHANGe. O,~DEA #4 $ 4.700.00 CHANGE ORDER #5 $46,120,00 TOTAL 8reakdown per propo:;i31 Task 1 Direct Pu.h ILS) Task 2 Excavation Aclivitie:s. (lS) Task 3 Waste Management (NTE) Task 4 E;.gineering Services {lS) ReimbJr;able INTE) CO#5 TOTAL Budget 5,550.00 7.00000 12,620.00 15.300,00 I,OOO,OC' 4,700,00 46,170.00 PrevlOU9 Amount Current Amol.lnt 5,S50.00 0,00 7tGOG,OO 0.00 12,620.00 0.00 151300,00 0.00 1,000.00 0,00 0.00 2,66711 41A70,OO 2,B67,11 Total Professional Fees and Expenses Due this Invoice 2,867.11 Total Fee Earned 5.550,00 7,000.00 12,620_00 15,300,00 1 .000_00 2857_11 44.,337.11 wwW.hsa-env.com 1520 Royal Palm Square Boulevard, Suite 260 / Fori Myers, Florida 33919 Tel: (239) 936-4003/ Fax: (239) 936-0819 Tampa. Orlando. Fort Myer$ . West Palm Bouch. Pensacola. Savannah. Charleston. Hilton Head Client Fo<;used Solution Oriented Quality Dnven 16G31 PROOF OF PAYMENT 16G 3 Board of County Commissioners. Naples. Florida Document Your document 0.18 D edu c1ions Gross am.ount 0.00 6.285.00 5100560766 666918 03/1712010 5100560800 667334 03/2412010 0.00 10,580.40 0.00 16,865.40 S urn total Effective January 11. 2010 please send all invoices to Finance Department, 3301 Tamiami Tr E, Bldg F 7th Fir, Naples, Fl 34112 \\ (;. \\< + 'h -3'-1 l.d{ ff (; (c / 'hL"({ ([ ({ 'J'I,f '''/.')1' ('1 /1)(j ,..::: U). L) \)1 Clt ci '7\ ,"3((t!7-{t) / Ii ',ii" j ((: ((;~75-,J.../ 1~ /(), ')~'{'- Y () 11:1 [~I ~'.'''-.j iil:cIll:..:'.........~.lUl:I~.. ~.,':'tej.:(t1:I.I'J .'1.1I:.l;11~ I.:tl..}~"": 1:::1 ,',I(~,l. :1.;f.ltolll.1j::l :,f'l:J :t:IIS."'l :::I::I;f..'{1"I :.:::1.1:. tl::l ,.~ I.. PJ.Y":9U IH DATE 04129,'2010 CHECK NUMBER S2SSB3 63-9171 670 BOARD OF COUNTY COMMISSIONERS COllIER COUNTY nt. NAPLES. FLORIDA 34112 ~ Flm,T1iI'ilOElAtiK VOID AFTER 120 DAYS CHECK AMOUNT ..... ....18.865.40. ... SIXTEEN THOUSANO EIGHT HUNDRED SiXTY.FIVE USD and FOR1Y C!Hll'S- H' l;hi11QUtlO 19 C~ FI,Ind 10 CofkIr CaJIlty D~Il'3Sit:a~ ,l,J,>thbcf...d II' Opl!n SJl,sliX1 PAY 10 THE ORDER OE HSA ENGINEERS & SCIENTISTS 1520 ROYAL I'ALM sa BLVD. STE 260 FT MYERS fl 33919 ~w, c+- CHA:f1MA!';, 6DA.~ OF COUNTY COI\fMISSlONEAS ,fi'.;?~ 16G3 Board of County Commissfoners - Naples. Florida 5100575198 Your documonl / 670361.-REVISEO Date Deductions Gross amount Document 05/19/20107<: ",LllIi..'"';-' (.'"j 0,00 21,490.57 5100575211 671948/ 06i17/2010 76 ;>'17 ';(:'(1 r ,.l(('l,~ '/'-' ') 0.00 1.550.00 Su m total 0.00 23,040.57 Effective Januarv 11, 2010 please send all invoices to Finance Department, 3301 Tamiami 1r E, Bldg F 7th Fir. Naples, FL 34112 'I:' I l' I m..."1lt'!!.1 :1M;..: r.l--......a.llh~;I;;;l.J;NM:.cC"I~HIII:II..111......hl ~I f 'IL'~-I! !'i1l11:J'4.."1;;(9tII:1 ~ ..;;1 ;;I"'.II:I-::;I.."15."1~;I ~ntol.4 iil4f:..l;ll '.11... PA'OfSH ",r DATE 07/21(2010 C.~ECK NUMBER 833MO 63-9111 670 BOARD Of COUNTY COMMISSIONERS COLLIER COUNTY w.. NAPLES. FlORIOA ,..112 ~ "Ii'll-' rHI~:~ ElA-Ii~ .. t T\VENTY-THAEE THOLISANO FORTY usn and FIFTY.$EVf.N Cems ... VelD AFTCfl 120 DAYS i CHECK AMOUNT I ........23,040.~7. l;',...~~a ~~ G~ll F..rrJ 1~ C9lh.r COW1ly DItpll~ilDlY J'.UI'lOtt'Zed i~ OP'J'~ ~S-~Of\ PAY TO THE ORDER OF, HS^ ENGINeERS 8. SCIENTISTS 1520 ROYAL PALM so DLVD. STE 250 I'T MYERS FL 33919 ~w.~ ......;;r"J."t. , , CttJ>.;I'M-'rJ E101l,F\O I:oF CQIJ...r.. COM:\o\15:::11J"'~R5 w~ . ~;,f.~!~ BOA~'COW"I'S5IaNf!il'$ " f ",~ \ r J "to 16G31 Board of County Commissioners - Naples. Florida Document Your document Date Deductions Gross amount 5100578402 672114 5100578404 672054 06/23.12010 ^, , ~ l (~.( S. (/- 0.00 , 06/21,'2010 .>{, '>-.. .,," -'&(, -:\"Zc.~.\(' 0.00 2.963.83 1.000,00 Sum total 0.00 3,963.83 Effective January 11. 2010 olease send all invoices to Finance Department, 3301 Tamiami Tr E. Bldg F 7th Fir, Naples. FL 34112 R..~~::- r ,:0 AUG (I 6 lOW '" f....." ".""..."... ",,'-'''.J ..... "",."""y.,".IOl., ,i '.",.'", .\1'"'' ;.os.<. .".,....... .,,, ,.,.....,.",. ,.".,.,,~..,...,~ ,., ,I. , - -- p,!'yaOl(A.T DATE 06[04,12010 CHECK NUMBER B34708 63~91"]1 670 BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY ~ NAPLES. FLORIDA 34112 \!I ~1~T1' Tn j'l,) eAM~ VOID AFTER 120 DAYS CHECK AMOUNT .,. r. .......3,963,83. ... THREE THOUSAND NINE HUNDRED SIXTY-THREE USO .'HId ErGllTY.THREE Cents ... Ch.:!' ~'I!~I~ II) G!lI1i'JI F..r(l to t':<lllll!f CO\;ot1~y PI;ctl';Oo'Y ""l'Ll\CO":.I!!:C if I OP+" 5!$:5~-0I' - i .....~<,: 1 ,.' ~.w,~ CHM1':....,.,~l_ 8DARD Cf CClItny COMM:5...<;IO~jE:I'j;; 6"'.;?~ PAY TO THE ORDER OF, HSA ENGINEERS & SCIENTISTS 1520 ROYI~l PALM sa BLVD, STE 260 H MYERS H. 33919 ";"j /" "~ 16G31 Board of County Commissioners - Naples, Florid8 Document Your document Dota , 06/23.'2010 Deductions ~''"--O~-OO Gross amount 5100576653 672115 REVISED ./ -h5Ill(c(5- (\7 6.921.90 Sum tot~r'--- 000 6.921.90 Effective January 11, 2010 please send all invoices to Finance Department, 3301 Tamiami Tr E. Bldg F 7th Fir, Naples. FL 34112 " , 1!1 RECEI\ii::L AUG 0 9 2010 - .:Ik-ltol:t::l ~~<II:r.l-;..,"'I{.J ..l;I"II~HJo\:(t"I;I.JlmIY~~ / I.J:~.I~ I t.\I,' f~,'I,j k,1 :.l.s.;::llloln:l~ .'.~;;I ,"~II:l ~~l Of.... ~,.t":.:t.I:'II=-r.' I~ , . F'AY"'!J.I,.E- AT BOARD OF COUNTY COMMISSIONERS COlLIER COUNTY (i) NAPlES. FLORlOA 34112 _ ....... FI~H 'l'"HIRt:. F;~.'l:~ 63-9171 670 OATE CHEC~ NUM5ER 0810512010 834863 VOID AFTER 120 DAYS CHECK AMOU NT .. ........ -6,921.90. ... S11, THOuSAND N1N!; HUNDREO TWENTY-ONE USO and fo;lNETY Cent:. . I' C",""gij,)t.:CICc;~I"oJIll.,r>C 1.:1 Co,'''.((" Co:N1'l'fY pl!QO:ilt.cr;o ""l~,('1ln<f r,., C-p.""$.u~lC"1 pAY TO TH. OROER OF: HS^ ENGINEEl=l:S 6. SCIENTISTS 1520 ROYAL PAlM sa BLVD, STE 280 FT MYEf:lS FL 33919 ,.";' ~Ui/;,... " ". ~MW,~ CI-t,\I;:'V.!.N. 5.:).....0 ,OF CO'J'./T'. COMMI~CH;f":S- C.6>'-.Je. \. I ""(~n"'"' 16 G 3 1 Board of County Commis$ioners . Naples, florida Document Yom document Dale Deductions Gross amount 0.00 2.397.50 5100579690 673484 'J53ci~(J'l:';6(p0711412010 5100579691 6734857534-[*/1-01 07/14l2010 0.00 980.00 ----------------0_00 -------- 3,3i"r50- Sum total Effective Januar_y 11, 201 0 ~Iease send all invoices to Finance Department, 3301 Tamiami Tr E, Bldg F Ith FIr. Naples, FL 34112 R.f:CU,!i'D AUG 1 3 20 W - . , I :U...'1lIli:I:;ItI~" H~\.......-l.IIUI :1::3.11 ~"T~)~J.'I'I'.1~II)[lM.]~.t,,~m.Il::)IiI;;;1.;;1:;j iaJ;Tii".II ;;1;;1'.\ t'l-l;(;.-':1;:1 ::lI~',l"""';hl:o 1'~.l:It.llt;: lolIiIa.l .....~ - PAY,I;'S'.t. A. DATE 08/11/2010 CHECK NUMBER 835135 63.9171 670 BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY (i) NAPLES, FLOFUDA 34112 _ ....... flFTM TH:r.D eoVcK VOID AFTER 120 OA Y S CHECK AMOUNT ...... ....3.377.50. ... THREE THOUSAND THREE HUNDAEO seVENTY-SEVEN USD and FifTY Cent..;; .... ChQrge~le ll:I G.elU!I'~ flln<.l I" Cl>lllllT ClI\Jl"t\y D"ll'Ooi1UT~ ,l,uth<:>r~...:llr: {)~e'" Sl!'t"'~ PAY TO THE ORDER OF; HSA ENGINEERS & SCIENTISTS 1520 ROYAL PALM sa 9lVD. STE 260 FT MYERS Fl 33;J19 ~. l' ';~., ;-' .~ ~w.~ C-lA!AMM,~, El(1AAO OF (;{)'.JNT"l" C!JMMI~C.r~El'IS 6'.;?~ ~ ;-;- ~"'~.-.",-,'r:' . ~; --. 16G31 Board of County Commissioners. Naples. Florida Document Your document aate Deductions Gross amount 5100687643 674752 ,?,,";IiA',\ ('/ 5100587644 674751 /;1~>3 '--,ii./C- ,\ / (. 08/09.12010 0.00 5.251.00 08lO912010 0.00 353.67 0.00 5,604.67 Department, Sum total Effective Je!1uar" 11, 2010 3301 Tamiami Tr E. Bldg F p'!ease send all invo!ces to finance 7th Fir, Naples, FL 34112 ~ , i:j~~:I::[.;:.:P.l.""i""~'I''''W:.1)lI:",...;.ItI-l.ilW..'l''~.I.II]~''.11~f~t,lII_U:JJI*r;;hUI:lt....:;I:I'~t.tI:]~-a.."l=l;;g:r'~-I:4;;('I:lIll...M.i: PA'O.l!l....E AT .- -11 DATE 09/2212010 CHECK NUMBER 837199 83.9171 670 BOARD OF COUNTY COMMISSIONERS COlLIER COUNTY n.. NAPLES. FLORIDA 34112 \!I J'."lnHTftlFlO eA.';( VOID AFTER 120 DA VS CHECK AMOUNT ....~. ....5..604.67. ... FIVE THOUSAND SIX HUIlORro FOUR USD Dr'" SiXTY.SEVEIl Cent, ... Ch'('ll~,*~n~"L-nd' ~~u;;:;:~C;l~X;~.~'C~:; PAY TO THE ORDER OF: HSA. ENGINEERS &. SCIENTISTS 1520 ROYAL PALM SO BLVD. STE 260 Fr MYERS Fl 3391 S '1uJLw. ~ - ~"; '?~- f/ CHA.lflM""L 1iI0AnO OF COUlH'I COMM;SSONl;:Ft$ ,m.e :.!:;,f.~~~ If-BQA~;CDIoIIMI5S1.oNEAB " ""(1 16G31 Colll~r County Board of Counly Commissioners . Napl... florid a Document 5100601611 Your document Dale Deductions Gross amount 000 3,939.25 678406 I / 10/21/2010 i} L, 2,lllJ iI&-- (, ') Sum lotal 0.00 3,939.25 Effective immediately please send all invoices to - Attn: Accounts Payable, 3299 Tamiami Trl E Ste 700. Naples. FL 34112-5749 BOARD OF COUNTY COMMISSIONERS CO\.lIER COUNTY NAPLES, flORIDA .:I\;:'l":OI;;{IIoj:..;J.l-....-.~.iJll.I =I~ .1;'.~t:I.(e11 t.11I.'1.1'.1~1-:l.ti.lt.t~1IH~~M:~ 1?:::(~'J: I... ~:t~'n I t:I::h-.a-."1::1=v:f~\+I~.;:.]:iI.I'=Il.111ll~ FIFTil llllnD B....II!.: 63-9171 DATE CHECK NUMU.R 670 12102/2010 B42428 '. J Inll (i) VOID AFTER 120 DAYS AMO NT ......... .'.3.S39,259 ... THREE THOUSAND NINE HUNDRED THIRTY.NINE. USD and TVoIENlY.FIVE Cel1l$." .cb3r~3ble1u t:) Cel\i~r c~:~ 1l'll~1'Y A'JlM"'..:-otd il'l Gll:"Jt"I S"~1OI1 PAY TO THE ORDI'R OF: HSA ENCllNEERS &. SCIENTISTS 1520 ROYAL PALM sa BLVD. STe 260 FT MYERS FL 33919 CH"""'::::' ~Y~"" ~ ~" ~r,~:{/,~. . 6'.'B~ OO'IT EX~~ CLtAI< liNn' COMMIS$lONEMi l1'.',.n""!; . 16G31 Collier County Board of County Commissioners Naples, florlda Document 5100604158 Your document Dete Deductions Gross amount 679552 11111/2010 0.00 2,887.28 Sum total ._-~_.,._--,._,----,._--_._._.__.~.. 0.00 2,887.28 Effective immediately please send all invoices to - Attn: Accounts Payable, 3299 Tamiami Trl E Ste 700, Naples, FL 34112-5749 I , .(., "IL/ L 1.'. .. ,/ -j j 'I' j .( t, - ) -- - , I; Il'~"I'tffF!{.j.:!:. :Jo\;:....+l:II..J~I:;;I11 ;"hl;UW.U!lliU.JlH~.!1!JilI,;,'!JlRIMf~~~~~iifITffi'i'J;r:::1!tII]:1 :;:t..."I5.."""I",;II :l.tir."..;t.l:1 .1-.j,ltC:: --. o DAle 1211512010 CHECK NUMBER 843014 63.9111 610 BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY NAPLES. FLORIDA f;Fl'H T"H:f;;O RAM: VOIO AFTER 120 OA YS CHECK AMOUNT .. .... ... '2.887.28' ... TWO THOUSAND EIGHT I-tUHDREO EIGHT\( ,SEVEN USD and n'\l'ENTY-l~.I-GHT CBn~ ej'll'Ii-';II,;O"'O to COIlltt" Cwnt( o.~~ "'Jtb:~rln~ In OP(f'I Sa",icn PAY TO THE ORDER Of, HSA ENGINEERS &. SCIENTISTS 1620 ROYAL PAlM SO BlVD, STE 2aO FT MYERS FL 33919 '-:fu.IL W, c+ Ct-:A:.nMA!~, 80,'\1'10 O~ .cO...Nl't co~,.'IlS&O,,*,RS ... ~"Il " c" _~ . D::,.?x~~ aOA~COMt,III5:SteN~ilIS \, -(",I" 16G3~ Collier County Board of County Commissioners . Naples. florid a Document Your document Date 12114/2010 Deductions Gross amount 5100606553 681258 0.00 2,867,11 Sum total 0.00 2,867.11 Effective immediately please send all invoices to - Attn: Accounts Payable, 3299 Tamiami Trl E Ste 700, Naples, FL 34112-5749 , . , , ,I .' Ii ., lia~.,:j :.::(IIi~...:,.\....,..c'l. Ii:] =l.:N..;t~:{O;INI'.L~~I'Jle.I.I~lt''':'''''''''ll'~i\=''l:t~llU1 ...w >:r'1I If:iOl:-"'S:Il-."1", ;;g;,~t"'l :<4I:.':1i!l3.f'1I&... . iIII!Il BOARD OF COUNTY COMMISSIONERS COlliER COUNTY NAPLES, FLORIDA (i) DATE '2/2912010 CHECK NUMBER 843884 63.9171 670 fiftH THiflO e,r.!ll( VOID AFTER 120 DAYS CH CK AMO N ... .... ..'2.867.11. ... 1\1'10 THOUSAND EIGHT HUNDRED SIXTY.SEVE.N USD and ELEVEN CEnl,s ..... Ct.;vl.l~a(J:t. to (il CO~i<!t CwrlY l)~o')r~ ~lhiJrill\odlf"i{l~$"$s.lcn PAY TO THE ORDER OF: HSA ENG"IEERS & SCIENTISTS 1520 ROYAL PALM sa BLVD. STE 260 FT MYERS FL 33919 '-1uJL w, ~ CHAIF-J.IllUl. 1!I0oloA.C1 (l~ caur~rv COMMI5Sl~Ef'..s ",..'- '~''''/~ ". ~ ~6'.'B~ C\.E f UflT EX.~:Cj() CLEAK .60,101\0 CF UNTY COMMJ5Sl0NERS ~l' j i~',/; ;":l ,'- 16G3.... SEOLJFNCF NUMBER 711'145674 POST DATE' ,Ian 12.2011 lil,:....~I::I.. ..:._".....~.,I(.l:I:UII"'... 4:e!'(tllIIIfF'llitIM'IIU'" -lOti. jl;t~~I."'I"...,,;:a- u"-,,,,,-~...::I::!I"''':''::I'I:I.I,,,f,ll'''' OAfe 12/2i120 10 CH eelC HUM8IER 1l438B"4 e3-9171 610 BOARD OF COUNTY COMMISSIONEIlS CClUEF! COUNTY ~ NAPLE'. flORIDA \II ~liT.... n.:~o 1!l.vJ~ VOIO AfTER 120 D....' . ...........2.847_1'. ... T'lND T*'"QUS.lND E!CHr HLlNOAi:O SiXTY-SEVEN USO a"" ElfVEN C"nl:; '" ~~..~"*"-~ I~ ::ll;:;~~~c;"~~"'::-.;:1 flAY TO nti~ OADER Of" H5". E.'IIG iNEERS &. SCIENTISTS 1520 ROYAl P"'U.l So, 8LVD, S'fE 2150 F< M'rER5 =l 3.39l5 ~w. C+. C"~;ll""",,,,, tl~,,o,l<[, CF eel_'lin CC,"'III'~::ilv"!'l~ .,>, " , '"o....oe-I UA?:X~~ ~"."'('I C':.Ml.,lIS~:>M~S rr cr " ;;0 ". OJ ii! Q m 0 S; '" '5f ! '" " ;;; 0 :l 0 :l rn .;;.: " 5 0 16G31 .. ~."'.l!!Ui ,n bA"fe O'-J2.9;W1C1 CHECK MJMIU!" &2Ji8e.3 n-'171 010 BOARD OF COUNTY COMMISSIONERS """IE> COUNT'< n. ..pt" '''''''OA ..". ~ F --"ll'o' .o.r.R[_ a'~," VOID AFTffI 120 DAYS "..0. '''0" --'1 ~f~fEEN Tt!QlJSANCI EIGHT HUNDRED SIXTY-FNe IJSO I\nci FORTY Co.:r,Ls ... ..........1..I~S.40.. L_..__... ,:;.-"'~~r.;.()......"',.",.... 'tf~C~J~~~' ,"A'l' TO THE OROff! QF. H$A ENalN.~EfI~ &. SCIE!1T1STS 152a 1l0~Al PAL>> SO !LVD, SH 250 n JoI'fEI'l:8 rl J3e'~ ~(,J. <=+ c_~.e ~ ~;;A1:~~ eo,,;.~ft.I:;?J""!I~:':"lt"6 i I i I i i _________ .1 c.... A'.loI~, &e~R? o!J' C:C<JI''''~ C"::M~\SSlo.~EMi -~ .. = " '" " ~ " rn ~ 0 " '" ::r " '" 0 '" ~ " ffi 0 ::r 0 ~ " ~ '" ~ " " ~ 5 '" .- ~ ~ =: = :- ~ ~"'Y"'!..L ~"t DATE {)7!2,ll010 CHECk NuMII-eR 8338:iO 63.9111 .70 aOARO OF COUNTY COMMISSIONERS COLUEII OOUNT'< (i) NAPLES, FLOAlc;", 34112 . .....-. ~,m' n;-,'J;! ~."";l .., rW1JlTY -THREE Tf,.OUSAM,i FORT"- LlSO IlIld FI.=rV-Si:vE.N C'l-1~" .... VOID AFJEfi 110 DA V.S_ CHECK A~~;;.=l ........~ c"""'''''t>>''''ezor........J- ""Ce,l....<:"'.'l)-r.""""'"P'f A-A.......:..-1 ;" Cr-"" ~""'..... PAY TO TrI~ QRDiR OF; tiSA ENGINi:.!;RS .. SCliO:NT1~HS 15,ZO RO'fAL PALM SO .BLVD. STE 25(- FT MYERS Fl 3-391') ,?~(,J~ L,,~;:'olML ;E'o.:l") Q;< ,.,;;~..,n' '::0""- ~~Jj),i!~t; ;,~' ~'~"\ ~. 6".6f~ C~VI<; ~ n(: CC~\<';'" ::<'W~I~ l,;~t'Ui: CO!IF~ <:'1' ,".~1 I:Q~"':WJi'l..'.~ J ~""'n--:ol/ 16G31 "- :if :t ;u ~, <il rn ~, ~ (j) <, ~ ~ " ~ ~. Q; 'D .", '"8 I~ ,,, '" ~ o "" "._, ."...., ...1I'~"" .".""....,...:.:rL.......rr.'.':I..,....,..,. TV COMMISSIONERS BOARD OF COU~LlI:EA caUNfl' (i) FLOAIOA :'4112 NAI'1,..U. ,- 1r;;,oll;.A;1,{otllll..::;r7'.. ~~"~~c..! J,T :r..."~ 1'~""'. F;"fo' C~leCIli. . .."!{1l.i......li..l.~"'I.(.JJ~ ",..BOi'l. aJ.."71 DATE 0I:l!1J4JOl(l1~ NVNBEn i3~100 .70 ~[ USD drl;: ElCiHiy-nv;E:.t j.L;~.::>R{O SI~n.TlIR.. .0<0 .m. ". OA!'!.l CHI; t;, AMOUN'T L .:~...:-;~:...,. {:..........." ',,;';:.,;;;:~ ~c....~:;:~",F~-~ S~, -'OUS,:"NO MIIl~ i}t'l=E .r:' Glln'~ PAY 1.0 THE OR.DEN OF; SClE'lT'1STS H~A ENl)!'.:EERS & 0 IlLVP. ~n 26C 1520 P:OY A ~ PAU,' S l:T MYERS fL JJ'HS ~W~< -~....~., ,); "<;'0''-' l;.c<,.u""~"UHL ""'Y" '.: 6';?......k. ~ : f.::" "'t';.,., i'~-:~;:'C(.~;r.",-;'rn( J:l. g-", I el t,'} I'tI -n '""m g rn Co! o ~~ 5: .g ::::s (/) ~g;~~ o tv n " 0 ~ '" -g- ~ ?l 3 "" \ 16G31 ~~ fI~'l~Brj 1Jllf~ .1:) "~j G~D ~0&1 'M'J 0 ~r NAPtrt A ~ rO"'il)' ,. ~ . . ," , ." . 111 j'~' ~ .' ... .~ f ;.: " '. ;i ."if" , ...~, 'll~, _,"NOfl:ll\. 'JDR i''''O"'''I.'' ("'Ii~.. .'JI." A "1.21 . . OA~ tIP.-' @ I ~w.~ (.,-'J4M"'!, !")....1G'C' ~<':!..>~r'i .::':tM",rsS"'"N[A5 ,,,fidft:!:~~~ ",~~..::J f!.i _,."",... (v\......UI~[tE. 0. or ~ IS? 0: ." ~ o '" "8 '" ~ ~ -< m ~ SO '" Q ". ~ o ",. ~ rn ~_ 1i ~ "' lil"""""",;":~":<J'.'I("'.llt.]:j"'I'r.14ol HI.'~'" ...""... .t~I..!."."!I..lr:.l.:iI'"l::(..., ;11..~.,..-UI,-I~D"....... '" ...:.I"..:::Ifl'., ''':'''A.lI'~ .... ClArE 00/1 ~!:il{l10 C~:f.C~ ftNMAE~ 83-5135 !!-:lHI171 .'0 BOARD OF COUNTY COMMISSIONERS CO~lIEA C:O;,UHY ~ NAPLES, ,,-o,mA"'" \!I ,,:'f_ -"~I~t. P~I>o~ VOle> AFTIEA 120 DAYS CHeCK AMOUN7 .. ........:t317.50. ... ltl:=-,EE: TI.f.OUSANO THREE Kl1NDREO SE\'ElIlrY.SE'l[t4 USD &-"1(] FIFTY Clt1t1. ... :t..,-~.tt40,;r:_'" .. "';;....".c<....'..o""".~., ~"''''''',O<l"" a~"Sri"'.-. PAY TO Tttf. QftP~A 01": hS,s, ENGINIO.ERS .& 'SCIHrT'ISTS l~:/O flQY^L PAl~ SO el.....c.. ,fOlE leC fT M....tH$ FI. 'JJ-!I19 '1ult... w ~ ..... ~.....~. j,:l~~) .;~ ~<.: ~N I Y COWl.... H 01'00:10::; ""fl-l!:.1:~~~ Rn_1I:l:l 0" ~~." {o......$.;-;MM 16G31 0. cr w ;.u :r., fl~~ '" " ~ ~ ~ ~ g -< a; I/l ~~ 5 "" ~. i~I.~..:ll. ... "".. ....,...'"'''"..0.... n'-'..L!KI!UiJ,I..., ,....11........ '11l101,:lI>>''l;lo!Ij:II.1IlE '1';;;~__"1'1=1:r.'" .:.,.... ""r"._ UY~IU ~T DATE 0812.2..'2010 'C~i:CIt HUMifffi 837799 I5J-i111 .JO BOARD OF COUNTY COMMISSIONERS CQlUER caumY" Q) ""Pl.E5. F1.0"lPA 34112: 1# -- ""IN T~'i1') U~, ... .fWE TFO;J&AND SI)( HuNOA€D rami usn et>tJ S!XTY.SEvE.', Cema ~... YOlO AFTI!R 12D DAYS L~HECK AMOUNT L_~_~=.~~.SG4,61. (:__....wli........fV>1 ~~':"'t,~n:-.~. ,. ;., ,: ~ - (..). C",cr4- C~,.,fWM so.u~ b' ~~Jqr-.. <20t.'l,l1~5.rt,E~S tlu3 ~. ~:~1:~~ 6:o~~~Il;a\I"1O~O'lU.s PAY TQ THE ORtM;R ot:, HS.~ E:1o.;<3INEEfl;S ~ f;CIVn-I$TS 1620 ROYAL PAL'" SO BLVD. SiE 2M FT MYHIS H 3J,19 0. cr ru ;0 :r" ~I~i. -g 500 ~ m~. o "''' ::J O?;\ '< (tI'/J ~~ 5 '" 16G31 1:,I:floiI:-~"'''''' "'........,.~Tofi'iW',..I.. {....'.,I'I"Pl'I...ot.I~.f.I',t.:..,' i!~'~~~"'j;a."11 _.....,:1' 'nJ'I=__""""'~'" ."..,-_.r",'_l'_. BOARD Of COUNTY COMMISSIONERS COllrm COUNTY NIl.Pll;;I5. FLORIO"", (i) DATE '2i02/1QI~ CHeCII: HUMIiIll 114;Z.41II ~J..111 010 "'11 ,--tiC": ... Thl:\cc l:-j(."U!:i,lND N:II:F H"JNr)Kl<p r~i~T"( NII',;,( USD 8.,,, TWENr.....fi\'f ~\llnUl ... VOID AF1iFl 120 tlAn , . . j :~:.~~~T;H'~ ~C]n......c~...;" \.0'1'1 ..,'ij.~",o:.:l\'",Q_~v PAY TO HfE OftClEFI OF: HSA [~GtNEfI1S. 6. SCI~HIS~~ 15~O RO'fJ.L ;:.....LI\'! SO lHIID s....e 2€'J F:' fllVEM Fl 33~H' '1c./i. w, Gctt.... C'-..~I.'M .'~^~"Cl~ C~.N'< ~~J.lIoI'~~I)""~'i , ",.~fl..,~~ .~"~'C:JJ""'W?"1jj~~ '>" "- " .' '" I ~ "' rn 'I m " '" ~ Q " " ", o '" ~ '" " (; fit ffi' ~ " ~ rn ,.. "0 " . " ~ ~ " " <0 16G31 . ,......... ,...... ,~.1F."l{I].I["'.'.I"~1II "I~I':II~I"";I'''~';.H .,,{..... "jlflft~--,;"""""".,"",u""',It~--=~'1.....r.. .....OJ-..."'. I_a: 60ARO OF COUNTY COMMISSIONERS COlltal COUNTY NlloP-LI!S. FlCAlO/I (i) OAH; 'l.',S:,l'O'O (;HECK NIJM!U4 1.43074 l!::MiI"." 01. '<'T'. ~,np ~~~~ VOID AFT ER 120 DIi. '(S . .'.II"'"21!1312S" iWO THOUSAND E1GI-f; ,",It;OFlH. 'El3HT't'.SE'le/i uSe. ilM ~NTY.!;JGI-r CtMh L'....'JoO.;...~ h c"",,", c.....,.:,. <:;tooH~trt .....""......CF...s.u.o)1 PAY TC ToE OROE1l (]F~ HSA f~..aI~eE~.$ '" S.c,iEf.-T1STG 1621) FlOY,IIl P,l"lJ S:i aiVl:l HE 2~1) H IY'n.~s R J39'9 '1uJL W. CocA- .:............. ~'~~~:~;: ~'J';.,.v r;')'f"Si:i-::"'~~ ,~ 8 . ~,~,fu~~ l:::..:~<,I1C~"''''~o:J>d~:! "- <T '" '" :r: ~ .,., I a ~ rr, ru 0 "- " "" -g co, ~ n (fi 0 ::l'" C " " .". -c " " iiL 'i" c ;; "' 16 G 3 1 INDEPENDENT CPA'S REPORT r250 Tamiami Irail ~ Sle 301 Naples, Florida 34102 Hayshore Gateway Triangle Community J{edevelopmcnt A~ency Scullin & Sobelman, P.A. Certified Puhlic Accountants t-.Iembi'fs of .r\merican ln~titnte of CeJ11fie:d Public Ac(oumamsc Flilrida InSlillttc nf Certiti-ed Public Accountants 16G3 , 1 Pbum'; (239/-L;S-353(i Fa\:: r 1.:;914.;:,-90(;r; SCULLIN & SOBELMAN, P.A. Certified Public ACCOUlIWIlt... mq T.~MIAMI TRAIL ~ORTII. SUITE 3'l2 NAPLUS, !-LOIUD,\. JUll2 16G3 '1'J.::LLP1IONE FAX (239} 435.35.M (23ol}I43S-90(i(, J.i....\lU, J. SCULLIN, CPA. JERRY SOBELMAN. rPA- .UL:i::r:l'il.':d i1i FL &: 1\l~ ......'Licensc:d in~:L &. P A ML'rIlIH.nuf: Am!:rkJ.D lnH.iu.Hc llfC.::.rI,tkd Pu.h1ir;: AaCtLml.lllH FI{Jrw;jI In.ritute Qf Cerrifi~d Public ACO:;O:!,U1t3ma 13ayshore Gateway T riallgle Community Redevelopment Agcney Napl~~, FL \l./e have performed the proc~dure, enumerated below, which were agreed to by Gut~wuy Triangle CRA, solely to assist them with the IIling or a Voluntary Cleanllp Tax Cmdit Application (the Application P,lckage) related to the Gateway Triangle eRA site rchabilitation project with th~ FIOJida Depaltmcll! of Environmental Protection for the calendar year ending December 31. 20 ill. Gateway Triangle CRA's managemcnt is responsihlc !,)r th~ Ii ling or a Voluntary Clcanu"' Tax Credit Application rdOlled 10 th~ Gateway Trianglc CRA site rchabilitation project with lh~ Florida Depal1111cllt of Environmental rmt~Clion. This ;llp.~ed-upon procedur~ engagement was conductcd in accon.lance with attestation standards cstablished by the i\mcrican lnstiulte of Certifi~d Public Aeeountatlls. The suniciency or the procedures is solely the responsibiliiy 01' lh~ pOlrl) specified in this report. Consequcntly, wc make no representatinn regarding (he sufficiency of the proccdures described h~low ~1l11er for the pillpose for which this rcp0l1 has beell requcsted or for any other pU'11Ose. Our procedures and tllldillgS are as follows: 1. ProecdufI: - Vcri(y the accuracy and "alidity of th~ payment. request Ilumbers, paylnellt request dates, paymcnt request amounts and mathcmatical accuracy of the payment r~quesls included in the ApplicOllion POlckage. Findiug - No exceptions were found as a result of applying the pr'H;~dur~. The s,im~ pmchase order numb~r is used on all payment requests. ') Procedure - Verify that the sitc rehabilitation costs included in thc Application Pachg~ were I')f ~xpenses incuJT~d Olnd paid within the 2010 calendar year. Findilli! - No exceptions were found as a reSllh of applying the procedure. T ota1 applicable costs - $ 56,337.11 3. Procedure - Verif)' that thc payment requests or cost, t(lr the project wcre not duplicated in the Applicalion Packag~. Findin~ - No exc~p!jons were found as a result of applying thc proecdure. 4. Proc~dure. Obtain copies of paymcnt records and the' related endorscments from Bayshore Gateway Triangle eRA lor lhe calendar y~ar payable 10 HSA. COll1par~ lhese payment records 10 the payment requests providcd by HSA. Finditli! - No exceptions wcre found as a result orapplying lhe procedure. CiZ) h.~ ~)'-. ~..." '_"''''~.' ....IM "., ',. .... 16G31 Procedures & I1mlings - continued: 5. Procedure - Obtain an independem conlirrnalion li-mll HSA 01" the inl(ml1(ll;On being testcd to verifY that th" cosls induded in the Application Package were related to Bayshore Gateway Triangle eRA site rehabilitation projecl, Lhat the work was performed, and Lh.lt the payments were received during the calendar year end 20 I O. Finding - No exceptions were fOllnd as a result of' applying the procedure. 6, Procedure . Obtain a representation letter Ii-om mamtgemenl cnnllrming they have made available to u~ <Ill relevant infonnation and rhey have responded fillly to all inquilies made by us dUling the engagement. Findill(! - A signed representation leller was obtained. \Ve were not engaged lo, and did not, conduct an audit, the objective of which would be the expression of an opinion, on the accounting records. Accordingly, we dl! nol express such an opinion_ Had we perlllmled additional procedures, other matters mighr have come to our attention that would have been reported 10 )'ou. This report is intended solely for the informatiorl and us" of Elayshore Gateway Triangle eRA and is not intended to be, and $hould not be. lIsed by anyonc othcr than the specified party. _~~_""- "'---~-~h-~, /';;/1. Scullin & Sobelman. P.i\.. January 20, 20 J 1 @D, . ~ ~;, r.;,..,..... ~;..v.'~~".y~ T' ~ .~. .~. 16G31 . \ iNDEPENDENT CONFIRMATION OF INFORMATION TESTED FROM HSA PER BULLET 5 ON PAGE 4 OF "A GUIDELINE FOR AGREED-UPON PROCEDURES ATTESTATION SERVICE FOR THE VOlUNTARY CLEA TAX CREDIT (VCTC) PROGRAM" PROVIDED BY CPA (:t.~J:'::J'ord .,:>". .'J ~- ,"1 - ~ F ~ \. I: ,',"'...:\.;1.-;'::' ",::J;'-;' r - , ~' :' (-~ ,f. -: "~' ~ " ;.(['i",,:y f~yJ C!,~",-,-,.l'l L' .:, -:' ~ 1'. \..,.c.f:n!,. .c ~,,; ,. l'.t,..., . r'-;,' ""'" ::'~'" :' ~; . ,." ,I. I:.,' ~Jj/!.;;rd~ I I ,':;.:~';' !.,. I -:r,"; I ~. .': r' ''''';.';: "';',,,:. ~',~ ~'. c ;-',,:':,:,1,1,--';'_:; (I, \1 E OJ ;'i.-.; ~ :'1, ,,_ .: ll.~,- _"':l~ I-.~, . f Co:,,-,- I_ I', t Ls: [.~., :.,' i I' 16G 3 1 1m o~.~;f.:~At~~:J , JUlIlIn,.y 18.20 I r ;. ;, HSA Engilleers & Scientist, I S20 Iloy'nl Pnlm SljUllrc Iloulev~rd. Suil" 260 Fort Myers, Florida :l3919 Jo ""nn"elior, with our Vululllury CI"~nllp Tn); Credit (VCTC) "pplicatiun, our independent certified puhlic u~counlillg Cirm. Scullin & Sohclmun. P.A.. leqllesls eonlirmulioll or ecrlnill information regurdiJlg' uur Irall,uctions with your Jirm. Plcl..lSC ilHlil.:atc on the Iwxl pilgC whclh~r lhls 11lform:llion 1.1\ 111 agn.'clll~lll with your record" If there ure lIny differences, pleus,' provide UlIY informatio" you have thill willlldp reconcile Ilw dinerellCC'. I'lcn,e ,iglll1l1d II"te your re'fxlII;c und Ill"n your reply dire,.tly III Sculliu & Suhelmall, PA, 12~OTl1minml Trail Nonh. Suite ,Hl2. Naples, FL .14102.111 additioulo llIailillg youl reply. lI'e rc;pcclfully fCljUCSlllwl you nlso i'llx your reply direclly III Sculli/l & S"hch/lan. P.A 111 (2J9) 43~.9(16fi Very Iruly y,'urs, (L\"rl1;~;e!,L~P ,( Bnysh{)r~ OntewllY Triollglr C'IlA ilij~;!;1 fJJ)'si;::rr- 0'1\''':.. ");j~,!~:" n.li~);, ~i.:' u F ~23~'} ~.'\111 ~:'. r. (2:l~1! Tl:;..l,lU' ..,', t:',:';'__1'.',':, {;('," I ..' I BAys H 0 R f . G"TEW. ~al ~~~t,;..., . no A N G ~._ f:.f";.'\X.:::...:\_'_~' C:;"-.;::. 'V'w .:...." " .... ~ ~ '.'~' \- .' In Agreement (Ye,) (No) ,- ~', " ~ .:-\~::: l ,.'~ . ~: .; ,.",', ...:r.--;:. '-'l.P 'J , ~ C/l \ ,Il--) I."' ~/) ,~r ,"., ., '--'I.of') \ } Il') , \-,d~.,,/) I :L l (..-'1 ---~~ J) \ I \.~ G (,I A.j.i~,.):.t ~~5:~,r";: r:~'~! T~r' '''',.;~'.Ch;:;.r ,,;, i 1,": ~ -:, ,,' '. ". .... '.;:; i:' '-, '--l\i! ,.hi) "rJJ..I:-) \ \\1'[) ~ .. .~ t,'-: \", Invoice" Invoice Date 16G3 1 Amount 666918 670361 672114 672115 673484 673485 674751 674752 678406 679552 681258 3/17/2010 5/19/2010 6/23/2010 6/23/201 0 7/14/2010 7/14/1010 8/9/2010 8/9/2010 10/11/2010 11/11/2010 12/14/'010 $ $ $ $ $ S $ $ $ S $ 6,185.00 21,490.57 2,963.83 6,921.90 2,397.50 980.00 353.67 5.251 00 3,939.25 2,887.28 2,867,11 All work was related to Bayshore Gateway Triangle eRA. All worle was for their ,ite rehabilitation proJeC1. Ail work for the above invoi (<5 wa, performed by HSA. All of the above invoices have been paid by BGTCRA ~~~J !;Jgnature: Roxanne Gause t:!~_~~".: 't_. _;', :: -~ : - "\. , -, ,,", r.).' ~ 5, . :;~:' '. '~.' ,c.:;:" I'.~ ( ." ': ~ '., .'<:' ,', .~>~;:' t;"l,sf,,;,,; Lli' ~. . ~.:;::-;.;;;.;:, F., '::'1:' 11:;- p "}';:f, i,,1;; ! t :'_ . r i?:of! n~-{;.~'5 '", " ','. :.::~' f!'::1 i::;~(:(' //;p/;; Today', Date 16G 3"' WORK ORDERS, CHANGE ORDERS, PURCHASE ORDERS. SCOPES OR WORK, AND NOTICES TO PROCEED 16G3 ~ HSA ENGINEERS & SCIENTISTS .\ f1'10mber of ttlo!"! CR'" FiTTlily of C(lnW8Iilej AuguSt 2 L 20fl9 Collier COllllt, Redelelopmenl AgcIIC) ([laysoure A~enQ Gnle\\ll' 1'1"iangle) -1069 Ib).shore Dri,e Nuples. Florida 3-1112 i-\ll~ntion: \ 1~-_ 5'111.:' 7innc Sub;.:et IJnder~mumI Slurnge 1'nlll; Remo, ~ll 4315 BaJ shore- Dri\'~ Napb. I-"Iorid.t 341 12 1l1,1' I-"adlit)" 1'8629388 ColliLT Cl1l1ll1} COlllrad Ir (J{i-J970 /fSll'm/,o.w/ YUiIl!>C/" 75-}.J(,(,,\' Il"ar I\'ls. Trolle: USA Engineers & Scicntists IIISA) is ple_lSeJ III suhmit a C05IIlJ'l'posallill" a lan~ ('Iosm" and the rel11o\"al "I' a hydraulic liH slalilln at the abolc rekn:nced properl) "hieh \\ill indud" soil and g.rollndwater 5~rnpling imd analysis a~ wdl as e[lgill('~riJ1g SCf\ ices. l'hr:ll1nk CtOS'lr< \\'ill ht' pcrronncd according to the l'iorida State Statutes. Chapter 62-761 l'iorida I\dm;nislralh e Code II:AC1. I'I~OJHT IllSTOIn . A I'has" I [ 1m irolll11cnlal Sitc Assessmcnl II :SA) "3, c<'nducled b) Ln, ironmenlal Risk Managemellt. Inc. (FRI\.lIl in Ma) 2008 Ihm idclllilicd Ilm:e underground stoHlg" lanks tUS I s) located onlhe suhjccl property. ERMI conduClcd a rcgulatory s~arch !in Ihe LiSTs and condud"d that Ih~ lank, "crc clos~d in plac~ prior lO 19X(, \Ih"n a hlllk Closure .1""\\II"'I1II1<,/'''I'II1("AIII r"quir"I11~lllllnd~r Chapl~r 1i2-761ca11lc inlo efkc1. Ih"r~ \1<" no additiorml information regarding th" USI s a'ailahl~. According 10 IJUvll" a hydraulic lift station \\ilS ol1served on the sih.' prorcn~ as \\ell. COllcrclr; staining \\as ohserveJ in conncction II ith th~ i1ydr;llIlic Ii n stali"n. .1 he conclus;ons I" the I.:RMI 1'113S" II I.S^ report [lfC as folto\\ s: I.aboratof') analytic'll r"sult, for soil sample SB-5 (:Ollcclcd al 7 li:ctl>eio\\ lalld surrac" indimtcd concclllralions or b~nf~n". lOluene. Willi 'y I~n"". ami m~lh) I tcn-but) I clher www.hsa-enll.com 1520 Royal Palm Square Boulevard, Suite 260 I Fort Myers. Florida 33919 Tel: (239) 936-4003/ Fax: (239) 936-0819 Tampa. OrlatKJo. FI.)!"I MYL!(~. v.JcstPalm Beach III Pensacola. Savannah. Charleston. HillQn Head Client Focused SolutIon Orrented Quality Driven 16G 3 Underground Slula;#.j,' T~nk Rcl1ln\:lI .BI~ H~~shOl'e Drin~ Clllli"f Cuunty (\~IIHiII.'t ,:.U(J-.~o;nu If":\ "75.3..l(j~)R :\IL:eIL'~I':: L ]OlN p,(g'."':: vIti -.........'_. ailE Ih"l e.,,,eeded the commercial Soil C1e,lI1\lp I "rgel Le\,'IISC II I per Chapter (,1-777 I':\C I.anordtor\ annlyticHI results lor the ground\\ mer samr k' ro[l('c[cd jj.om temporary 11wnitor \\ell rMW-1 indicmed concen('<ltions or I-Melh) Imlplnhakllc, 2- Meth) Inaphthaklle. amj naphlhakne Ihal eweeded 11ll' GrL1uIldllater rargel Cleanup le,els ((i(Tls) per Chapte,. 61-777 1:/$'. laho,.."I") anal)liml res"lts Il,r Ihe g.roundwater .sample:> ('olk.C'lI..-'d )i"Olll h.~1llporal': lH(Hlitor \\;;:,,11 l"'i\1\\'.~ indicah.....,i L:ollt:"e'fllralions or b(,J\/l'n~. ctliylbell/;'!l-e. total \.: !C'Ilt'~;. i.mll I1h.:.th)] lcrl.lHltyl elh.er that e'ceed the Oell , . On "'10) 1<).100~" l>i5;charge Report h,un in conjunction \lilh the Phase II s:Jlllplillg reporl \\a~ senllo Ihe: Collit."r Cnunl~ Pollution COlll!'fJl & Pr~\'t."ntjo-n I )~raltlll~l1L . Collia Counly Pollulinl1 Control & PI'''' cntion f)cpi1r!fnenl. :.1Llthl)ri.ll:U by thi..... Do:partrnent or h1\inllll11":-r1I~ll Pl"Ot~clion has f'~qtlt'::)l~d ,[ Silt:' Ass~s;;;m~l1t l S:$ to be conducted on th~ 'l,o.ien site and sllomill~d to Ille depanlll~1I1 b) May 03. 211 I II I'I~OI'OSE() SCOPE OF WORK Prior to conducting the Silt;' ^'S.~cs-;l1h:'llL as a rllor(;: t~OSl "lkcII'e \"a~ to dt:'~lt wilh the p~lrotcllm contaminatkm du!,.:umenleu a[ tht:' suhjcl.'t P(\)~K:r[y, llS,I\ rropns:."s to rt:'l111we rht:' three (3) US I's ami tl)nll~r hydraulic liil sysl~m-s lanh and nCaI"'c Il1c impacted soil. Iile I allk Closure and hydraulic liIl Syst~11l II ill be p-~rJl1fl11ed according to Ih.. r1,)[id" Sial'; ~laILlt~s. Chapte,. (,1-7(' I FM-' IIS!\ "ill conduct the following reqLtir~J11~nb for tli;: tant.. closure: l ,:nd~r~nlund Swra!:!c I'anks Iniliall) lh~ lIt\dergrolllld slOl:1ge lanhs and h) dmuli,' Ii It lanh \\ ill b~ e.,calated and rem,,, ed h) the IIS/\ ';,,; Iit:t:'n~~d tank comracwr. IIS.!\ \\ ill conJucl allg~r horings. on eacb sick or the e\:c(l\(Hitln pits and in 111~ i1re.as \\hert' the- l'onlaminaled Sooil..; IJ3.\c bC~ll (Io":-lIIl1ented. I he soil ,I.jarnrks. ohluin~d 1rol11 the 3ug~r boring.s \\ ill L~ ~(r~~n~d for \ i.~ulll Eiigll$ oj" stains, odor. and tC',,:,teu u...ing an organic 'apor analYIL'r (OVA) ill a~co..dance \lith Chapler 61-770.200. I.AC.. to determine the \Olall1e organic content or the soils n~ \\ay of a s,Ctil-gas analysis.. Based on II,~ rt:':L,ponse or Ih~ OVA. all impa~l~d so;ls \I ill be relllowd unlillimd OVA results m~ l1cloll tile HWI' delinition or C'\ct"ssi\-dy (ontaminUlcd soOils for the !..crosene l'lnal) tical grotlr as thn~t' s('1ils that relurn un OVA lIm.lergrouml Sluragt' Tllllk Rl'wmal "~15 "=-~~h()re ()rin~' CLllli..:-r County Ctllllrtl;;1 ;';'IIQ~,N70 Il~_,\ . 7~.J.J.(;(,}l AUglhT : 1. .zon~! P.tgl.::':' oI.1J 6 -'-'--"'- 16G3 :1 - \'aluc in ~\J:C:~:S ul'SO ppm and Ibr th~ gasoline analytical group as lllOSt::' that rt'lLIm an OVA "ahl~ in C\Ce5S I) I' 51111 pp.m Kh"ptcr 62-770 FAC) 10lk1\\in1' the OVA an"lysiso lin' soil samples \lill b~ colkcted. as required n) Chaptcr 62.761 11\(", I"rom each side or the e\c;l\ation pit and OllC li'Olll the bottom based on the screcning results obtatned durin!? tht.' e,c<lYatiOJ1, Sinc~ lhc l) p~ or I1.JeI sold is t.l!1kno\\ n. lh~ ~~)iI sampk~ \\ ill be sent to the labonlto!") It)f th~ Kerosene An"I~lical (;I"O"p according It) FI'A Methud R020. 8100. and !'I.PRO. 101" 11)\\ \ol.ati1e- prganics aromalic~. polycyclk~ al"olHalic hydrocarbons anu [O(al reco\~rablr: pr;;trolc"wn h:~dr\ll:arh-oll~. lrl addili\'~n since clHH~min~it.:d soil" Ilan' bt.'t'l1 id.2'1I1ilicd. 0n~ soil s~mpk m(l~ nc~d to he t:illkt..'(l.d p..ior t':l dispO:;;'ll Ji)1' .111.1lysi, :.L't required 11) \Vas~(" r\'ttllag\...tll~l1t. 111 nnkr to address C'oncern:-. for grollllJwlltt'r nmlamillalioll ft\JJ1l lll~ l,:S r. 115 rr:quir-.::'u. \\'~ r"opOS~ thi.:' installation or one l~mpl.lr;,"r: monitor well in the' "lo('(\tiol1 bl'lJ...~\ cd lO he mos.t likel)' to han' cotltHminnliotl b;1.sed on lht' M.:rt:'ening result:'. obtained prior t(!~ or during. e\:t.:~-l\:;,llioll". ['0110\\ iug in,tallation 01" the \I ell. groundll;\l~r ,amples \lill he wlkclcd alld sell! to the laboratol, Ji"o ~nalysi,. according to U't\ Melhod Hmll. H 1011 ;!Ild I.I.I'RO lill ,olalile- aromatic Ofgnnics. I hdraulic I.iil I'ollo\\ing lh~ ren1\l,alnl" Ihe small hydraulic lili Ian,. il" ~oil ,i,u"lI) slained or ,"lufiltcd I\ilh hydraulic oil j, idclltilicd and e\c.1I".\l~d. al I~a,t one soil "ll1lpk \lill bc oblained IrQm Ih~ exc8\'ation in lh~ mt:'fllhal reprcsclllS ll1c "\\or::;! case" cnnlalllil1~lIioll. In addilioll ircomaminalion is iJ~JltiliC'd and rcmo\cd one 1ll011ilor \\ell \\ill he instalit'd in th~ arc~ that l'epr~sr;-1l1s the- '\\or",! I' '. l'aSC' (.;(il1(amlnaUt1n. IISA \I ill nlllil) lh.: Collier Count) Politlli"n ("""lml &. Pre, ~Tlli"n I)cpat1melll priClr 1(\ COl1lm(nC~Il1C'J1l, O\'t~TSe~ and mHllagl.: the t':\Ca\ 3lioll activitit":-> 01" the' lil't:"n~LJ lank COlltr3Cior. tll'mngC' klr dispo':\al OflhC' imp:u:led ~nil:\, pn.H ide- tll~ manifesh 1<11' Ih~ suil cli"ro~al and O\Cr:'iC~ the backlilling "I" Ihe projctl. (lualil) 'ls;.urance ((lA I proc~dllres [(lr the c(llkelioll 01 samples and decontamination oi' samplin~ LlpparatU:'i prior to and during ll'je in Ihe lidd "US conducted in gC'I11:mt Conll,rmance \lith th~ l'lorida Departmcllt 01" Fill iro/lInenl<l1 l'nJl~ction Iield sampling and lahora!oC' anal~ ,is qualit~ assurance protocol codi lied in Chapler 62-160 FAC Standat\1 Opcration Proc~d"res lor I.ield Activit'"' (FDEI' SOP-()OI....nI ). I'ngineerillg and t~C"hnic,,1 slIpporl scnices will atso be required 10 anal:- Ie the dala obLainc-ti and pr~par~ an engineering report 16G3'1f l'nderg.omllJd Storage.> Tank Rt.'lIIo\'lIf 43J5- 8..~:s1Ion: Drh c CollK'r ('Wilt: CmHrm{ ,Io{;.o- JI}](1 II~,," ,::75- Q6hJoi AUglbt :: i. ~onii r.lg~ ~ ('If (} --....--..- SCIIElllll.E IISA is prt:'part'o lO h~gin \\ork llpilll rL'C\.'ipl of\\f'ilten 3Lllhuri/Ulrllll. Cust E-stilUuh.' -- Se r\ ice AClirih Cus.1 PU\IIIt.'UI R':'TIlwal and disposal "flh" 3 liSTs 51 !,fH~'t I.ump SUI11 lic.:ns.:d lan, !!'!~_Lh~.!1!,!lIli~_!ili.lank _ - C'OrllfaCIOr Disposal Ol'lall"" COlllc"lS - a,>um.:d sln.non Lump ~lllm to be concr~l~ (\$lrsl ra.st' :--l:'t'l1aril)) \\'ush: I ranspurtalinn and disp$sa! or estimate t\'laIla~~II1Lll[ or leD IOn; orilllp~~lcd s(1il alld cI~~lIl Si<,nrIO I ,lilliI' Sum haeklill mat~ri~1 (iI S75.00 pcr 1011 Organi/ing and maf13ging tl1..."' prl_~j("('l. !:nginC"cring soil and groundwater :-.alllr1ing. S I i<.~(lil I limp SUIlI Sel"\ ic.:s lahoratory anal) sis and litl~ll el1!2illlXring. n:pnn ~~di1imHlI Scr\'k.~_...IX') lIDd th",-, Scope of '''or\... '>I.ono T&!\I' I Total: S49,200 .. rink' & ~ li1Lcrials Ill': 1<:.:; qllot.:d ah'l\~ arc' valid Ie,,. go da:; li'om th.: datc 01' Ihis p,.o['mal'wnlracl kllcr. II allthoril<l!ion i, rec.:iv~d ,tilcr Ihc 90-Jay pcri"JI"" ~\pi,.ed, IIS.A l>:tail15 th.: righllO r.:vi", Ilw lee sch~dllk. ,.\11 item; ;1,ccitic,1 in Ih.: ahow Sc"pe "r Sl'rI il'e; ,hall he PI\}I idcd on.: (] llilll~ lelf ea~h item, ,'\;sumplions arc thalther.: ar.: ol1l~ thr.:.: I:S h and one h~drauhc lill tan',lhallhe Im1" 11111l~nt' arc conerel':. Ihallhe soil and gn1undllJ1Cr sampling is required nt Ih.: hydrmtlk tili ~nd thm tlll'r~ is 121110lb ol'illlpaet.:d soH that "ill '" r~m",~d li'011\ Ih~ Sil~, Should Ihis ~ror.:menli<ll1ed lee he di!l(,flnillcd inaccurate. 114.jA \\ ill 1l11tit~ Yl.1U hctfw{' tht" abo\,c: IlllIit is. r~ached. rHh.1 indii,?~ut;;' lht: [lfllOunt oCwork lO be cOll1plet~J~ lhe amount oJ" nod." ~Cl to perfi.lml. Ihe appn.l\.imalc \:ost~ of[h..: n:maining \\orh.. and a \\rjut:1l c:'planatiul1 J~s.crihjng rhe: cin::lIIllSlatlCCS th~H caused th..: t'stimulc' to lX'inal:curalC. \\'rilh.'"U ullthori/illion to proceed !()r aJJill0l1"! \'.llrk is. ('equired, SCf\icc, not spccilic~lI) describ.:d abow and not inclllded j" Ihi; I'rop 0&1 1 \\ill b.: p.:rle1nn.:d "-, additional '':1"\ ices on an hourly ba,is, plus r.:imhursabl~ e'p"'he,. in accordance \I ith Ihe t'tlllier COWlt) rate schedule. Services anu J'et.'s providl'd in this ^gi'rtCm~iH ,lre bas.ed Llprl1l .g.o\'t'mmt:'ntal IUks, rcglllalilln, and policies in eneet allh.: till1~ oj" e,eclltion l1i' Ihis Agreement. Should chal1g~, lindcrgrollod Slnragt' Tl1n~ Ilemmal "31~ 1J.;,I:.\:thun: Urh~ Collier Cl1tlnt.y ('(.'!llmel ':":(~1~3CJ7Il IIS,\ "1; ;~66~ AlJgLiSt ~ I. ~O(~ Pi.3g..:: 5 016 1 6 G 3'" ----'<' :IE take elkc! during tile period :;en ice> are beillg pellllfllled alld result in additional J/Si\ \\Olk r~qlfir~mell1s. this ^gr~~Ill~nt \\ illlh: modilkd by app"o\ ~I 01' ~II ill\ohed parlies III additillll. IISA \\ill p~rtoOll miditional s~nicc<j bl:"yond the \\orl..; Ocsl..'rihcJ \\ilhin (hi:; ;\gn.:clIll..'llL as r..:qucsl..:-d alld aUlhori/ed b: the Client. \\ihen such \Iork can he idenlilJed in advance. IISA I\ill provide a rtaSOllabk Cs,tim,1ll' fbr sucll \\olk and \\jll proc~r;d \'.ith the \\OTk UpOIl \uitlen authorintlilm h) the Clielll. EXCI.USIONS I he proiCssional s~n ices 10 1><: pro\'ided b: 11';1\ ~re lim ite" 10 (llll: those ,IS de~cribed ill the Scope of S~nic~~. Plel:ht:' h'\i~" AlIachrnGIH /\. 1,\!Jicl1 illcludes a lisl or Scl'\ ices sp~cilicall) e\dudcd Irom tl1 is proposal IISA apprC'dalt"s the tlppprtunil~ to p..(l\id..... ~ ('lli \\ ilh lh'\?~;,; scn ice:; Should )00 Illl\"re all~ quesliol1s. please ICclli'~c to ~onlacl1l5 at (BY) \).,(,-07kY. IIS^ ENGINEERS & SCIENTISTS I{o'ann~ I . Gau~e. I'.L. ';enior I 'mirolll11clllall ngineer AtlClChmelHs: AHachll1~nt ^ - S~r\'ice-" nOllll;..ILldcJ ill ConlnlL"l Propos-al f ndcrgroumJ Stvnagc T:mk R"nJllul 4Jl~ OOl..\shore Drh..... COIlll:f ('(}lLI\~ ('tlfH[,ll.:1 ;.;Ofl-:1971) IISo,.\ ,;.;.75-3466~ i\UgUSI ~ I . 2(11)1.) P,1bl-:> fo ,~rf' _'__O'~_ 16G31 ATTAC'HMF.!'iT A - Sen ires nollnduded in Clllltl1lrll'rnlms.1 . Concrete Sl~b I{eplacemenl . G~ol("chnical S(.n l~~'S ,:' Soil Compaction. . l'cnlogicall:01\ irolHllemai 1\\etli\l1d\\ildlilc) ser\ ice>. slLIdics. rcpol1s & ~)enniltillg. . I.t'gal advke lH' ~lssblanc~, . I.and SUryeyillg. ~r\ Ices, . Utility (11' ulility rdol.:alioll ue-:sign. . land>eapc design. (M,," be perl(.nned b) l'lorida registered 111lld>cape Archilecll . /)c\\L1h:ring pcl'ltliuing. . l>t:sign oi'olr..site imprO\Cll1enlS. . I-till-time cnnstrut."linll oh."iervution/insrt'ction. 16G3 1 NWRK ORDER Agreement for Fixed Term Professional Mechanical- Electrical Engineering Services Dated August S, 2006 (Contract 406 -3970) This Work Order is for Professional Mechanical- Electrical Engineering Services known as Pruiect Underground Storage "rank Removal 43 15 BayshoreI)dve The work is specified in the proposal dated August 21. 20019 which is attached hereto as Exhibit A, and made a part of this Work Order In accordance with the Terms and Conditions of lite Agreement referenced above. this Work Order is assigned m HSA Engineers & Scientists. Scope of Work: As detailed in the attached proposal and the foltowing • Task I.I Removal & disposal of 3 USTs and 1 hydratdic lift tank • Task 1.2 Disposal tank's contents • Task 10 Transportation & disposal of impacted soil & clean back fdl material • Task 3.1) Organizattonlntana,,emem of project, soil /grottnduvarer sampling & testing Schedule of Work: Coniplele work (Tasks I Cl through 3.0) within 16 weeks (112 calendar daysl from receipt of the Notice to Proceed authorizing Stan of work Substitute Performance [it the event the Contractor fails to perform any required service within the time schedule under the subsequent contract, the County andior CRA reserves the right to obtain substitute performance Further, the County`CR.A reserves the right to deduct the cost of such substitute performance front the Contractor's pavntents- The Contractor coati be exempt from this provision if such exemption is granted by the Contract Manager or their designee, in %sriting, prior to am delays or as a result of an .Act of nature. Compensation: In accordance with Article Fine of the Agreement, the CountpiCRA will compensate the Firm in accordance with following melhod(s) XXX Negotiated Lump Sum (LS), ____Lump Sunt Plus Reimbursable Costs XXX I ime & Material (TM) (established hourly rate — Schedule B) _Cost Plus Fixed f=ee, as provided in the attached proposal TASK BUDGET TYPE • Task 1.1 $12,000 LS • Task 1.2 510,000 LS • Task 2.0 S 8,000 LS • Task 3.0 518,200 LS • S 1,000 1 NJ TOTAL 549,200 DESCRIPTION - Removalldispnsal 3 USTs, I Hydraulic Lift - Disposal tank's contents - Transportatiowdisposal R till ofmaterial - Project management & �%aterlsoil sampling - Coll ineencics WORK ORDER Continued — Page 2 Underground Storage Tank Removal: 4315 Bayshore Drive Any change within monetary authority of this Work Order made subsequent to final department approval will be considered an additional service and charged according to Schedule "B" orthe Agreement. APPROVED BY: David Jackson, Executive D or Date Bayshore Gateway Triangle ACCEPTED BY: Date: /D i(C° Roxanne L. Gause, P.E. On behalf of HSA Engineers & Scientists. By: Signature r.0 tobee 8, 2009 - c� lvls Roxanne Clause, P.E: �e,ti'c HStt Engineers & scientists 1520 [loyal Palm Square Boulevard, $wire 250 Faro .—O mr Fort Myers, FL 3:1919 Fred w_ cayle RE': NOTICE- TO- PROCEED FOR Fixed Term Professional Mechanical- Electrical nenng Fran Engineering Services: H5i1 PY14wal Number 7j -34668 Contract No. 406.3970 dated August 8, 20061 C RA Project: ubd round Storage Tmlk Removal: 4315 Bayshore Drive CAVnmiy„,,ye :. r� t+c�irann Purchase.Order No:- 45[1011.1875 _.� Drat MS: U3use Clyrf:r:on;. u tom °" `' This letter,:serves as.Collier County Comnlun "sty Redevelopment Agency`s official NOTTCE:'7O PROC EED (NfP} to, your Cc/mpalty to cotiunence' with the aiicl e vr<stt err eferenot d projeM. TEs N'T P is issued purslrant to H.5:4 Proposal Number 73-34(163: (attached). 7he:Pun Tlww Order Number is shown above and a copy is attached, c urckovMna .., . This N'fP is Hmitcd to the sco le of work for. Underground Shr 1 8 age Tank"_Rcmoval: - M e 4315 DaysNire Prive as detailed in H.S.I Propospf Mm "her 75 -34468 fartbe �tOT To cvanrs EXC.EE6 rice of $49,200.M. to be paid upon `conlpletivn of wurklservie ,,Any rex �yrsn . modifications or changes to the HSA proposal rifest he pie- approved, by the CRA. : s�wc¢ +H Additional, work above +rnd beyond the_14SA proposal will. be based on Hired ensts OR - Materials based an the HSA proposal fee schedule, and work shall not commence without written notice to proceed. Please inetudc the. project i ltmber ort° �'��'"�° }'our invoicetafacilitateihepaiyntentpruccss. ! Commencement date for the services nssociatcd hetc%ith shall be consideted to be odw[S�aaac� October`:12 ;'2009. rile substaniial completion`dasa shall .be considered to Iw max December 18, 2009: Finai Compl #ion of Ali work shall he considered to beFebnlary:< 1,2010. ,.om.lg den a}1s4Marsazr . if yew have any qucstigns, please contact nit. veuttiuyer Sincerel y.: David Jackson Fxeclnive Director Bayshore Gateway Triangle.CRA 4069 "tlayii ore Onve. Naples, Flor0p 34112 P. (23wY ti43•i i 15 1-. (23%775A456 .. wxvwii!ercra.com - 16G 31 Venoor@ 117377 HSA ENGINEERS & SCIENTISTS AND SCOTT SIMS & ASSOCIATES 1520 ROYAL PALM SO BLVD, STE 260 FT MYERS FL 73919 Please deliver to BAYSHORE GATEWAY TRIANGLE CRA 4069 BAYSHORE DR NAPLES FL 34112 Terma of Payment Net 30 Days Purchase Order number must appear on all related corraspondance, shipping papers and invoices: Purchase order 4500111875 G=` =1010712009 Comm Redev Agency T«, .' a 239 -643 -1115 Deli eery Date: 09'3012013 Currency U50 Item Send all Invoices to: Board of County Commissioners Price per Unt Net Value Purchasing Department _. Board of County Com,missicners 3301 Tamiami Tre:I E � Ann Accounts Payable 6- Naples, Florida 34112 PO Bax 413'016 Tax Exempt. 65-801262183CC -2 Naples, Florida 34 10 1 -3016 Venoor@ 117377 HSA ENGINEERS & SCIENTISTS AND SCOTT SIMS & ASSOCIATES 1520 ROYAL PALM SO BLVD, STE 260 FT MYERS FL 73919 Please deliver to BAYSHORE GATEWAY TRIANGLE CRA 4069 BAYSHORE DR NAPLES FL 34112 Terma of Payment Net 30 Days Purchase Order number must appear on all related corraspondance, shipping papers and invoices: Purchase order 4500111875 G=` =1010712009 Comm Redev Agency T«, .' a 239 -643 -1115 Deli eery Date: 09'3012013 Currency U50 Item Maternal Description Order Ory Unit Price per Unt Net Value 07010 Be-, r cleanu p esr, mrwed 49200 each 1,00 49,20000 Release order agalrsf contract 463000174d net- 00010 4315 Bayshore Dave cleanup and removal of tanks reiwbum34e by Gtewan Title monies in escrow account Total nahal,l_ escl tax USD 49,200.00 VENDOR Terms and Conditions Tne VENDOR agrees to comply wth all Purchase Order Terms and Candiiinns as outlined cn lie Coll.er County Purchasing Internet site http.;,mvw.colhergov. ret +index. aspx7 page= 762 (re v:siDr, date 0 112 2 12 0 0E I. I nclud;ng del; vary and payment terms Further the VE NDOR ag rees to 1. Provide goods and services outlined in this Purchase Order with the prices terms delivery method and specifications listed above 2. Notify department lmmadiatery if otter fulllmant cannot oraur as specified 3. Send all invoices to Board of County Commissioners Attn: Accounts Payable PO Box 41301 E Naples, Fladda 34101 -3016 The Purchase Order is ar ✓ahoragd under direction of Collier County Board of County Commissicriem by _.t. 51ephen Y. Carrell, General Services t Purchasing Director r. IWJ T., 0AM200512 isl.l!EUS }n3V99 F;"IMI i ,w HSA AN haroHiS 6 tSCtF.JVwrvi1S Amem�er W Hta r:ItA .arr:ly cfComrsr.:n October 30, 2009 Collier County Redevelopment Agency (Bayshore Agency Cateway Triangle) 4069 Bayshore Drive Naples, Florldv 34112 Attention: 9Ar. David.7ackcnn Subject: Environmental Engineering Consulting Services 4315 Bayshore Drive Naples, Florida 34112 PULP t'acility #8629388 Collier County Cuatmo # 06.3970 HSA Proposal Number 75-34668 Dear %lr. Jackson: We have identified additional services required to finalize the underground storage removal for the referenced project, The additional services are presented below for your consideration. According to the contract HSA proposed the removal of an estimated 120 tons of hnpacted soil that would be removed from the site during the tanks removal, As we discussed during the excavation, there was a former spill area located north of the dispenser's location with petroleum impacted soil that was removed and disposed of with the initial estimated tannage At that time I ISA indicated concern with rcgards to additional soil which would reed to be removed to better insure a clean groundwater sample. According to the Waste Management Manifests a total of 290 tons of Soil were removed from the site Attached is ti copy of the waste manifests from Waste Management. We request that our contract be amended to include the transportation and disposal of an additional 170 tons or impacted soil and replacement of clean backfill material @ $75.00 per ton, Out lump sum fee for the combined additional services as described above is $12,750. We respectfully request your favorable consideration of this request. Please contact Roxanne Gause should you have questions or need additional information. HSA ENGIVEERS & SCIENTISTS Roxanne L. Cause, P.E. PNlecl Manager www.has- onv.com Client Focused . Solution Oriented • Quality Driven 1520 Royal Palm Square Boulevard, Suite 260 . Fort Myers, Florida 33919 Tel. (239) 936AQ03 or (239) 936.0789 . Fax: (239) 936 -0819 offices in, Charleston . R. (Ayers . H&on Head . Orlando . Pensacola 9 Savannah . Tampa . West Palm Beach 16G 3 1 CONTRACTIWORK ORDER MODIFICATION PROJECT NAME: Underground Storage Tank Removal 4315 Bayshore Drive PROJECT MANAGER: David L - -1—"- RIDIRFP 0: 983970 MOD 0: 01 POW: 4506111875 WORK ORDER 0: POO 4500111878 DEPARTMENT: Says" Gateway Triangie CRA CONTRACTOR(RRM NAME: HSA Engineers 6 Scientists Original Contract Amount: f ,49,296 Yes XX No This form Is to be sl ed and (Starting Point) Current SCC Approved Amount: f 1) ! A REVIEWED BY: Date Total Amount Approved by the SCC) Current Cordract Amount- $_49,200 (Including AEI Changes Prior To Thl3 Modification) Change Amount: $_12,780 _ Revised Contract/Work Order Amount: $81,980 (Including This Change Order) Cumulative Dollar Value of Changes to th is Contract/Work Order, f_f2,759 Date of Last SCC Apprdval_NA Agenda Ilem # _NA Percertlage of the change overlunder current contract amount-25 2tS Formula: (Revised Amount ! Lest BCC approved amount }l CURRENT COMPLETION DATE (S) ORIGINAL: FegrUa!y i 2510 CURRENT: February 1, 2010 Describe the change(s): Original Work Order Task 2 Is modified to include an increased amount of contaminated soil mincived from the project site — above and beyond the original estimate of sod to be removed. Specify the reasons for the changes) 1. Planned or Elective 2. Unforeseen Conditions XX 3. Quantity Adjustments 4. Correction of Errors (Plans, Specifications or Scope of Work) XX 8. Value Added -- 8_ Schedule Adjustments Note: One Or more may be checked, depending on the nature of the change(s). Identify all negative Impacts to the project If this change order were not processed: To complete the required environmental cleanup, all Impacted soil has to be removed. This cleanup process, once begun, Is progressive until all Impacted soil is removed, and the u initial" amount of soil removal Is an estimate. This change was requested by: (Contractor /Consultant XX Owner I Using Department — CDES — Design Professional (Regulatory Agency (Specify) _ Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: Yes XX No This form Is to be sl ed and APPROVED BY: Date. �� 0 David Jackson, roje n er REVIEWED BY: Date 4 vz () Lyn Mod, Contrail Swalist 6 G comeM OFMM To W►"QRQFA TO: HM zqw"" adm" *20M. Gatmwmqj,*&CRA 152D Royal ftht 4069 Bayshom Dive, Nalples M 3402 cl�nrc Blvd, Ste 260 Ft Myers, FL 34134 Undalprowd SWrap Tank ArwKwal: 4315 Ftayshom Drive 10/07109 POWSOItIM charword"NI Change Ordtr De*HPH"l This chaW ordei i -to 4�t� the Alret value of Task #2 of the original Work On.tor and m 4"eilo P&t; $12j50.60. Qd&W 89COM411 II'moubt . ................... ................. . ...... $49,200 Sum of PW 'ous do .. _4 � ...... I-- .............. I ........ .. This Chmqgs Order No. I Amount (4dd or subtract) ...... ----- $117M Orighw contract tirm in calendardAys .............................. .......... 112d"3 AdjusW rr tu)See of calendar days due to prtAous change orders ........._O days T14 change order adjusted time is- ........ "..'Adqys Revised Cwtfta d That IN %Vrkixg days.... ........ days Original Nvt= Proceed date .............. . ........... I . ....... Octotm 2009 letion 0 .1 pjptw Contract Ame .... Fobrisary 1 2010 -Ravised.vompiction order(s) .. ...... Fdwip" 1. 20 10 Your acceptance of this cberst -order shall constitute a modificati*n to opr-AVtornerit slid wifl-be Orromm suboot to all the sane ipms AW COA"*W as OMWned 'ft said AgreerrWit. Indketed above, as ALUy 4 if die same were repeated in this aoceptance. The 4ustnent, Its this, Agreement s constitute a fW I and final addeinent of any W a cleipis &d9ing out of, or i0aied to; the cb4Qt set forth hamip, includinz 04ors fi)t irfipkt and delay costs. Aooepted,by: ;. Date-, Romano L. GAuse, P.E. MA Date, fr t7 David � hKks^ teway I r"e CRA Approved by, Dater A_ :_Lyn WOW, Contract Oxialist 16G3 HSA "& A member oT stw CRA Femllyas Cemp®rtlts February 5, 2010 Collier County Redevelopment Agency (Bayshore Agency Gateway Triangle) 4069 Bayshore Drive Naples, Florida 34112 Attention: Mr. DavId Jackson Subject: Addendum to Work Order . Site Assessment Report (SAR) Services Underground Storage Tank Removal 4315 Bayshore Drive Naples, Florida 34112 FDEP Facility 98629388 Collier County Contract k 06 -3970 HSA Proposal Number 75 -34668 Dear Mr. Jackson HSA Engineers & Scientists (HSA) is pleased to submit this proposal to prepare a Site Assessment Report (SA) for the above- referenced site. This SA was requested by Collier County Pollution Control Prevention Department. Initially a Tank Removal and Closure report, in accordance with Chapter 62 -761 Florida Administrative Code (FAC), was conducted on the site following a Limited Phase 11 Environmental Assessment (FSA) conducted by ERMI prior to a real estate transaction. We have identified additional services required to Finalize the underground storage removal for the referenced project. The additional services for completion of a formal site assessment (SA) in accordance with the requirements of Chapter 62 -770 PAC, are presented below: SITE ASSESS101ENi SCOPE OF WORK Listed below is an outline of the information required in the SA and the anticipated field, laboratory, and support services required to complete the individual tasks. All sampling will be performed in general conformance with the FDEP field sampling and laboratory analysis quality assurance protocol codified in Chapter 62 -160 FAC Standard Operation Procedures for Field Activities (II)EP SOP - 001/01). Please note that laboratory analyses are required on equipment blanks as part of this program. www.hsa -ero . 1520 Royal Palm Square Boulevard, Suite 2601 Fort Myers, Florida 33919 Tel: (239) 936.4003 i Fax: (2319) 936 -0819 Tampa • 0r1aado • Fn» Ayers • West Palm Bcach • Pensew`.a + Savussxh • (: mit'ston + Ilihan head Criven 16G3 A. Background: A short site history which describes all current and past petroleum storage systems and the type of products stored in them, as well as the type and amount of products that were discharged at the source property, must be provided. A site map illustrating the locations of all current and past tanks and other potential sources of contamination at the source property and their associated integral piping and dispensers must be provided. B. Potable Well Survey: A well survey will be conducted to locate all private water supply wells (potable, irrigation. industrial, etc.) within a % -mile radius and public water supply wells within a :'-milt radius of the contaminated area, included will be the use and construction details of the wells identified during the well survey and a vicinity map illustrating the locations of the wells in relation to the subject property must be provided. C. Soil Asseument: The five soil samples collected from the source aret and documented in the December 2009 Ttmk 0asure Assesssmem Report will be included within the SAR. D. Groundwater Assessment: To determine if groundwater has been impacted by petroleum products, HSA proposes to install permanent groundwater monitoring wells. Prior to the installation of the monitoring wells. HSA proposes to conduct a groundwater flow study to determine the direction of groundwater flow on the site. Following the groundwater flow determination, three (3) monitoring wells will be installed within the former tank site, in upgradient and down gradient directions. The monitoring wells will be installed using 3.5 -inch diameter push rods to the approximate depth of 12 feet below land surface (bls) by a licensed water well contractor. Each monitoring well will be installed to a depth of twelve (12) feet with ten (10) feet of 0.010 -inch slotted screen, and pre- packed with 20130 -grade silica sand filter pack. Additional 20)30 -grade silica sand will be placed around the borehole of all monitoring wells to approximately one foot above die pre - packed screen. A one -font Fine sand seal, consistutg of 30165 -grade silica sand, will be placed above the filter pack. After installation of the monitoring wells, the wells will be developed with a peristaltic pump wail the discharge water was clear of visible sediment. HSA proposes to collccL groundwater samples from the newly installed monitoring wells. Samples will be analyzed for groundwater quality field parameters and natural attenuation data (e.g., ORP, DO, and pH) while purging the monitor wells by the low - flow purging Lech nique. Quality assurance (QA) procedures for the collection of samples and decontamination of sampling apparatus prior to and during use in the field will be conducted in general conformance with the Florida Department of Environmental Protection field sampling and laboratory analysis quality assurance protocol codified in Chapter 62.160 FAC Standard Operating Procedures for Field Activities (FDEP SOP - 001/01). Groundwater samples will be properly packaged and sent to a certified laboratory and analyzed for the Gasoline Analytical Group, in accordance with EPA Methods 8020, 8100, and FL -PRO. 16G3 F. CONCLUSIONSA "RECOMMENDATIONS L In this section of the SAR, HSA will summarize the findings of previously described section of our work. 2. IISA will present an evaluation of the findings and recommend one of the following actions to be implemented based upon the results of the Petroleum Contaminated Site Cleanup Criteria, Chapter 62 -770 FAC. a) No Further Action Proposal h) Monitoring Only Proposal for Natural Attenuation F. REFERENCES A list of references cited in the SAR will be provided. U. FIGURES All necessary figures will be presented in a separate section of with report. H. TARI.ES All necessary data tables will be presented in a separate section of the report. 1. APPENDICES The appendices are to include historical documents that have not been previously submitted to other agencies such as well completionkumtruction reports, boring logs, aquifer characteristic field data and analysis, and laboratory analytical reports. FEES AND PAYMENT The cost to complete the soil- sampling phase of tale site assessment is a lump sum of512r000.00. The aforementioned amounts are estimates and do not purport to be representative of the final consulting costs, should urforniation that affects our understanding of the needs of the project change However, it does represent our best estimate based upon the current knowledge of the needs for this project. Should the aforementioned fee be determined inaccurate, HSA will notify you that the above limit has been reached, and indicate the amount of work to be completed, tine amount of work yet to perform, the approximate cost; of the remaining work, and an explanation describing the circumstances that caused the estimate to be inaccurate. Additional client and FDEP communications and meetings, if requested, and responses to comments, if necessary, will be billed separately on a Time - and - Materials basis. SCHEDULE HSA anticipates that the work will be completed within six to eight weeks after authorization to proceed. HSA will notify you of any conditions that arise that impeded our ability to complete the tasks before the date stated above. OWNER RESPONSIBILITIES 16G3 1 The client shall provide HSA with permission to access the site and perform the above- described services. our work will be directed toward defining the vertical and horizontal extent of petroleum contaminants on the site If you have further questions, please Feel free to contact meat (239) 9364003. HSA ENGINFIERS & SCIENTISTS j Y-) Roxanne Gause P.F.. Environmental Project Manager 16G3 i CONTRACTIWORK ORDER MODIFICATION PROJECT NAME Underground Storage Tank Removal. 4315 Bayshore Drive PROJECT MANAGER: David L. Jackson BIDIRPP K: 06-3970 MOD M e2 POO: 4500111875 WORK ORDER 8: POe 4500111875 DEPARTMENT: Bayshore Gateway Triangte CRA CONTRACTORIFIRM NAMES NSA Engineers & Scientists Original Contract Amount Current BCC Approved Amount: Current Contract AMOa M: Change Amount: Revised ConlracNWork Order Amount: Cumulative Dollar yellm of Changes to this Contractuvi Order: $ _49,200 (5tening Point) $, rJst ot�a {Laa! Amount Approved by the BCC) $_61,950 (Including All Changes Prior Io This Modification) S_73,950 pncl.rding This Change Order) $_,.24,750! Date of Last BCC Approval_NA Agenda Item #_I 1A Percentage of the change oveNUnder current contract amount— .rj (k 3 /O Formula ( Revised Amount I Last BCC approved emount }t CURRENT COMPLETION DATE (S) ORIGINAL: Feitnuary 1 2010 CURB : September 90, 2010 Describe the change(s): Original Work Order Task 2 is modified to include an increased amount of contaminated soil removed from the project site - above and beyond the original estimate of soil to be removed. Specify the reasons for the changes) 1. Planned or Elective XX 2. Unforeseen Conditions XX 3. Quantity Adjustments 4. Correction of Errors (Ptans, SpeciflcadonS or Scope of Work) 6. Value Added XX 6. Schedule Adjustments Note: One or more may be Checked, depending on the nature of the change(s). Identify all negative Impacts to the project if this change order were not processed: To complete the required environmental cleanup, ground water must be sampled and tested. This cleanup process, once begun, is progressive until all impacted soil is removed, and the ground water Is found to be clean. This change was requested by: IContractorlConsuhaot XX Owner I Using Department — CDES _Design Professional IRegulatory Agency (specify) Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: Yes XX No This form Is to be signet rr and dated. APPROVED BY: f L ` Date: 4.f 1 �it/ GTE "7i'`. Date: �() REVIEWED BY: l t 1 .�. CnMrort Cnnciali6i TO: NSA Engineers & Scieatlsls FROM: Bayshere Gateway Tr I s20 Royal Palm Sgvam Blvd, Ste 260 4064 Bayshore Drive, Naples Ft Myers, FL 34134 Underground Storage Tank Removal 4115 Bayshore Drive 16G3 34112 10/07/09 P000001 1187A Change Order k2 _ 0210512oto Change Order Description: This change order is to increase the budget value and contract time of the original Work Order and increase the price by $12,000 -00. Original agreemm amount .....:: $49,200 Sum of Previous Changes ..:.......... _.,_- ......:S12750 This Change Order No, 2 Amount (add or subtriact) "" . T t2 9QQ Rarfsed Agreenrerrt A»wunt....i. .............. $73.450 Original contract time in calendar days 1 12 days Adjusted number of Calendar days dui to previous change orders 0 days This change order adjusted time is ... .... _.. ... 240 days Revised Contra re lime in trw Ahkg 009i r' . .. ..... .:. 352 days Original Notice to Proceed date October 12, 2009 Completion date based on original contract time February 1. 2010 Revised completion date due to change order(s)• • • September 30, 2010 Your isixglarife of this. - change order shall constitute a modification to our Agreement and will be performed subject to all the sapwc terms aria conditions as contained in said Agreement indicated above, as fully as if the tame were repeated In this acceptance. The adjustment, to this Agreement shall constitute a full and +nal settlement ol'any and all claims arising out of, or related to, the change so forth e[ , mclud[ng claims for to.pact and delay costs. Accepted by: �� - -- - - . _ --- Date *� Rmtanne L. Clause, F E - HSA rtreera & . i srs: Approved by- Date Oz IAP 7//0 David t,. Jackson. Baysho ateway Tripngle CRA Approved by, t . Date. - -- L Con[wct Speriaiist! Lei If Chairman This letter serves as Collier County Community Redevelopment Agency's official NOTICE vicu.chalr TO PROCEED (NIT) to your Company to commence with the above referenced project. This NTT is issued pursuant to Site Assessment Report {SAR} Services dated February 5, 2010: H.SA Proposal Number 75 -34668 (attached). The Purchase Order Number is shown Pe:.:r o::'.,^ above and a copy is attached. 'this N IT is limited to the scope of work for: Site Assessment Report (SAR) Services - ° Underground Storage Tank Removal: 4315 Bayshore Drive as detailed in H3.4 Proposal Number 75 -34668 for the NO'f TO EXCEED price of $12,000.00 to be paid upon completion of work/services. Any modifications or changes to the I ISA proposal must be pre- approved by the CRA. Additional work above and beyond the HSA proposal will be a' r+ based on fixed costs OR Time- and - Materials based on the HSA proposal fee schedule, and work shall not commence without written notice w proceed. Please include the project number on your invoice to facilitate the payment process, caA$to Commencement date for the services associattiJ herewith shall be considered to he rla.la1 1aa_ „” February 11. 2010. The substantial completion date shall be considered to be June 1, 2010. Eaccu! „� Final completion of all work shall be considered to be Septemher 30, 2010. Gire,sw lawn JUVrgan If you have any questions, please contact me. Frejecl. Mxagc, Sincerely. Frupd Manage, David Jackson Executive Director Bayshore Gateway Triangle CRA 4069 Bayshore Drive. Naples, Honda 34112 P (239) 6431115 . F: (239) 77544% v:.va colhercra Wrn February 11, 2010 CPA 9a1ad Ms Rosanne Gause, P.E. 4ammisamxi Jame, N HSA Engineers &Scientists (>air"' 1520 Royal Palm Square Boulevard, Suite 260 ComtmxCiene, Fort Myers, FL 33919 rr¢rt W C s y4= RE: NOTTCF3 =FO- PROCEED FOR Fixed Temi Professional Mechanical - Electrical oon,.a Fm :a Engineering Services: HS.4 Proposal Number 75 -39668 FDEP Facility #8629388 Contract No. #06 -3970 dated August 8. 2006 Frank Hnta; CRA Project: Site Assessment Report (SAR) Services Storage Tank Removal: 4315 Ba shore Dri ve rwUnderground Purchase Order No. 4500111875 Adv sort' a°d Dear Ms. Gause: Chairman This letter serves as Collier County Community Redevelopment Agency's official NOTICE vicu.chalr TO PROCEED (NIT) to your Company to commence with the above referenced project. This NTT is issued pursuant to Site Assessment Report {SAR} Services dated February 5, 2010: H.SA Proposal Number 75 -34668 (attached). The Purchase Order Number is shown Pe:.:r o::'.,^ above and a copy is attached. 'this N IT is limited to the scope of work for: Site Assessment Report (SAR) Services - ° Underground Storage Tank Removal: 4315 Bayshore Drive as detailed in H3.4 Proposal Number 75 -34668 for the NO'f TO EXCEED price of $12,000.00 to be paid upon completion of work/services. Any modifications or changes to the I ISA proposal must be pre- approved by the CRA. Additional work above and beyond the HSA proposal will be a' r+ based on fixed costs OR Time- and - Materials based on the HSA proposal fee schedule, and work shall not commence without written notice w proceed. Please include the project number on your invoice to facilitate the payment process, caA$to Commencement date for the services associattiJ herewith shall be considered to he rla.la1 1aa_ „” February 11. 2010. The substantial completion date shall be considered to be June 1, 2010. Eaccu! „� Final completion of all work shall be considered to be Septemher 30, 2010. Gire,sw lawn JUVrgan If you have any questions, please contact me. Frejecl. Mxagc, Sincerely. Frupd Manage, David Jackson Executive Director Bayshore Gateway Triangle CRA 4069 Bayshore Drive. Naples, Honda 34112 P (239) 6431115 . F: (239) 77544% v:.va colhercra Wrn 16G3 Vendor 9 117377 HSA ENGINEERS & SCIENTISTS AND SCOT SIMS & ASSOCIATES 1520 ROYAL PALM SO BLVD STE 2 60 FT MYERS FI 33919 Please deliver to. BAYSHORF GATEWAY TRIANGLE CRA 4069 BAYSFIORE DR NAPLES FL 34112 fe=rns cl Pa•imem. h =_I ?: Days Purchase Order number most appear ml all oelatod correspondence.. shipping payers and invoicus. Purchase order 4500111875 1010 71200 9 - -.__ Comm Redev Agcncy ..- 239-15431115 Curer : -, L•ehvu,y Oats USD Item Material Descrlpa'on _- - Order gry Unit Prue Per Unit bend all Invoices to: rjard ul 1U.jnI, LO Il 11 SNrI <fi PN bad o` Cv r Itr cur :", Ss 3; 1e's Pu'oh35mq Depa,r- rt MW Arcr,•un! , Payaale G 1 Tam: a .-i Trau F iS Build ng F r lh Fl or +' ^.p FL 341-11 e Irrnl!tE tl Esorc:': 0'O:un1 11"1 Tam and Tr il To, Exempt 31 UQA2 1$3.x, 2 Nop.e_ F, „4117 Vendor 9 117377 HSA ENGINEERS & SCIENTISTS AND SCOT SIMS & ASSOCIATES 1520 ROYAL PALM SO BLVD STE 2 60 FT MYERS FI 33919 Please deliver to. BAYSHORF GATEWAY TRIANGLE CRA 4069 BAYSFIORE DR NAPLES FL 34112 fe=rns cl Pa•imem. h =_I ?: Days Purchase Order number most appear ml all oelatod correspondence.. shipping payers and invoicus. Purchase order 4500111875 1010 71200 9 - -.__ Comm Redev Agcncy ..- 239-15431115 Curer : -, L•ehvu,y Oats USD Item Material Descrlpa'on _- - Order gry Unit Prue Per Unit Me[ Value Fipvms dearwt: Ea:TuWed 49 2r;r3 eit :h l P'n 4L 201r CC livamtj dlll U Cia de.6vEro1 UF.ach Releaseurd., aoainst contra 46ir3301744 4315 EaYahcre Cln'r,e fiean un ana renal la: r' Ia�MS iert :b�r,i ; ;. by e Irrnl!tE tl Esorc:': 0'O:un1 ..• :tr'. rnrrplet_ly da.ry =red .. (lil, ^.7G PC', InCfeasE c 127F:` 1; 7 >0 ed :O I�9 ". 1272:,0.1 Qua n ty sl.11to I>, dg'IVer2d a::iEad. Delivery Dale Day t5J3,� ?0 m7 Re,e35eoroerana : rSl GJnt act 4GC0001744 acP� G "uGl9 Nlx +. Ord.: ' III id Nat on 4315 E':.ry s r,3 -z Da:c ••• Item parhBlty CCII ✓e'EJ •` 017t131L SP.R Servlrvs Ut TRemoval 12.. UJU cacti 109 12A::300 Oelrtery Date Day 09!'30ticIQ Se,R Ser4a - LIST Rama:a; VENDOR Terms, and Conditions Tho VFNPOR agree6 to r,Cmply mth all f3wcrl3se Orduf I er1115 and CCq'd tpn8 as Cut rtcO rn 11Z Cr her C,oi:ntj Phrchanvv4 1n!a nel sde htp :9vmiarc0414args': nebindex ospx -,pogc -752 Ire'.,wm data C147:?Q08.r n.::umrg deer :ei; anti p3.vrenl leans Furiner the VENDOR agrees Ir. 1 Provldegcods and ser icea ouhmedm this Par rhase Onto vnlh lt+ p:n:es lu:rns dell,eN mCtlloc and sfxitcatlom I sled obcve 1 2 Nobly departmanl Ircrr'e Jtalely d order Ufdm rt Carintl cccur as spaNEei i 3 :fend al invmses to !. We'd OI cc'u lty c omrn:us one's AIM F- scants Payable PO box 41301^ Naples, Flrrs,a 34111 :3010 The Purcllam O,de: IS 2dth0r1,2C0 [ndardL•CCUOn o!fa:I,(CCUrty Rna!l of Cmm y Eoirr-us5 :cnels r'y 1�r. Stepi.ICnV Cnrne.l Genera' Services+ Purchasing n.rncta< rr. ._r'1 rla 11 4- G1Cyr' VendnrK 117377 MSA ENGINEERS & SCIENTISTS AND SCOTT SIMS & ASSOCIATES 1520 ROYAL PALM SO BLVD, STE 2GO FT MYERS FL 33919 16G3 PO Number 4500111875 Dale 1 010 7120 09 Tr,f,al ref valuF c(d fat USD 79,950.00 I 16G3 w HSA AP A maTe« of n,. au roman Of no'noent.. March 18, 2010 Collier County Redevelopment Agency (Baysbare Agency Gateway Triangle) 4069 Bayshorc Drive Naples, Florida 34112 Attention: Mr. ,David Jackson Subject: Addendum to Work Order - Interim Source Removal Services Underground Storage Tank Removal 4315 Bayshore Drive Naples, Florida 34112 FDEP Facility 48629388 Collier County Contract # 06 -3970 HSA Proposal M mlber 73 -34668 Dear Mr. Jackson HSA Engiueen & Selentists (HSA) is pleased to submit this proposal to conduct an Interim Source Removal (1SR) for the above - referenced site. During the on -going Site Assessment activities, the down- gradient well, located near the former hydraulic U indicated petroleum constituents above the Groundwater Cleanup Target Levels (GCTLs) according to 62 -777 FAG In order to complete the SAR in the most cost effective way. HSA recommends excavating the petroleum impacted soils identified by the monitoring well. The additional services for the Interim Source Removal (iSR) are presented below: INTERIM SOURCE REMOVAL SCOPE OF WORK Prior to completion of the Site Assessment Report, HSA proposes to excavate the petroleum impacted soils located in the area of the former hydraulic lift. HSA will conduct the following requirements for the ISR: Preliminary soil sampling at the site has indicated the impacted soils are located approximately nine (9) to ten (10) feet below ground surface (bls). In order to delineate the extent of the petroleum impacted soil, HSA wilt conduct auger borings with a direct push rig. The soil samples obtained from the auger borings will be screened for visual signs of stains, odor, and tested using an organic vapor analyzer (OVA) in accordance with Chapter 62.770.200, FAC., to determine the volatile organic coutcnt of the soils by way of o soil -gas analysis. www hs&&nv com 1520 Royal Palm Square Boulevard, Suite 260 / Fort Myers, Florida 33914 Tel: (239) 936.4003 / Fax: (239) 936 -0819 Tampa a Oomdo • For; Mycq 0 West Palm Beach 0 I'mmols - Sa amah • Chalcalw - Hilton Head 16G3 Once the horizontal and vertical extent has been determined HSA will then excavate the area and remove the contaminated soils. During the excavation activities, field sampling will be conducted with an OVA to ensue all impacted soils will be removed until final OVA results are below the FDEP definition of excessively contaminated soils for the kerosene analytical group as those soils that return an OVA value in excess of 50 ppm and for the gasoline analytical group as those that return an OVA value in excess of 500 ppm (Chapter 62 -770 F.A.C), Following the OVA analysis, five soil samples will be collected, as required by Chapter 62 -777 FAC, from eacb side of the excavation pit and one from the bottom based on the screening results obtained during the excavation. The soil samples will be sent to the laboratory for the Kerosene Analytical Group according to EPA Method 8020, 8100, and FLPRO, for low volatile organics aromatics, polycyclic aromatic hydrocarbons and total recoverable petroleum hydrocarbons. In addition, one soil sample will be collected prior to disposal for analysis as required by Waste Management. Following the excavation of the impacted soils, approximately one foot of gravel well then be placed within the base of the excavation pit and the pit will be left open for a period of several weeks. HSA will then remobilize and the excavation pit will then be backfilled with clean fill. Since the impacted soils appear to be at a depth of nine feet, the top five to six feet of soil will be set aside and replaced into the pit once the contaminated soils have been removed. Following the backfrlling of the excavation pit, HSA will reinstall the existing monitor well and may be required by the FDEP to install two additional monitor wells. The monitoring wells will be installed using 3.54nch diameter push rods to the approximate depth of 12 feet below land surface (bls) by a licenged water well contractor. Each monitoring well will be installed to a depth of twelve (12) feel with ten (10) feet of 0.010 -inch slotted screen, and pre- packed with 20130 -grade silica sand filter pack. Additional 20130 -grade silica sand will be placed around the borehole of all monitoring wells to approximately one foot above the pre - packed screen. A one. foot free sand seal, consisting of 30165 -grade silica sand, will be placed above the filter pack. After installation of the monitoring wells, the wells will be developed with a peristaltic pump until the discharge water was clear of visible sediment. HSA will collect groundwater samples from the newly installed monitoring wells. Samples will be analyzed for groundwater quality field parameters and natural attenuation data (e.g., ORP, DO, and pH) while purging the monitor wells by the low -flow purging technique. Quality assurance (QA) procedures for the collection of samples and decontamination of sampling apparatus prior to and during use in the field will be conducted in general conformance with the Florida Department of Environmental Protection field sampling and laboratory analysis quality assurance protocol codified in Chapter 62 -160 FAC Standard Operating Procedures for Field Activities (FDEP SOP- 001 /01). Groundwater samples will be properly packaged and sent to a certified laboratory and analyzed for the Gasoline Analytical Group, in accordance with EPA Methods 8020, 8100. and FL-PRO. 16G3 HSA will notify the Florida Department of Environmental Protection Department of the ISR activities, oversee and manage the excavation activities of the licensed tank contractor, arrange for disposal of the impacted soils, provide the manifests for the soil disposal and oversee the backfilling of the project. Quality assurance (QA) procedures for the collection of samples and decontamination of sampling apparatus prior to and during use in the field was conducted in general conformance with the Florida Department of Environments) Protection field sampling and laboratory analysis quality assurance protocol codified in Chapter 62 -160 FAC Standard Operation Procedures for Field Activities (FDEP SUP - 001 101). Engineering and technical support services will also be required to analyze the data obtained and prepare an engineering report. Crests HSA has completed remedial activities at similar sites and the costs and tirrefrarites provided are within the range expected for such a site. Cost Estimate Service Activity Average Cost Delineation of I Med Soils_ _ _ 52050 Lump Direct Push Rig Sum Installation of up to 3 monitoring wells $3,500 Mobilization, excavation equipment and load $5000 trucks X52,500 per dax eat. 2 dam Lump Excavation Activities Sum Remobilization and equipment for backfilling $2000 Transportation and disposal of estimate of Time & Waste Management 250 tons of impacted soil and clean backftll 518,000 Matcr nts material @ $75.00 per ton _ Organizing and managing the project, soil Lump Engineering Services and groundwater sampling, laboratory $t8.975 Sum is and final en incerin report Reimbursable — Estimated Budget $1000 Not to Exceed Expenses � _rural: 332,325 The aforementioned costs are estimates and do not purport to be representative of the final consulting costs, should information that affects our understanding of the needs of the project change. However, it does represent our beet estimate based upon the current knowledge of the needs for this project. Assumptions are that there is 300 tons of impacted soil that will be removed from the site. Should this aforementioned fee be determined inaccuretc, HSA will notify you before the above limit is reached, and indicate the amount of work to be completed, the amount of work yet to perform, the approximate costs of the remaining work, and a written explanation describing the circumstances that caused the estimate to be inaccurate. Wrinen authorization to proceedfor additional work Is required 16G3 These services vrill be provided on a Lump Sum not -to- exceed, basis per the atlachcd fee schedule performed under the attached Terms and Conditions, if you have further questions, please feel free to contact me at (239) 936 -0799. if you have further questions, please feel free to contact me at (239) 936 -4003. HSA ENGINEERS & SCIENTISTS Roxanne Gause P.E. Environmental Project Manager 4 16G3 CONYRACTJWORK ORDER MODIFICATION PROJECT NAME: Underground Storage Tank Removal 4315 Bayshore Drive PROJECT MANAGER: David L. Jackson BIOIRFP a: 0sag70 MOO F 03 POa: 4500111675 WORK ORDER a: PON 4500111875 DEPARTMENT: Bayshore Qataway Triangle CFLA CONTRACTOWFIRM NAME: RSA Englneas 6 Scientists ............. Original Contract Amount: Current BCC Approved Amount Current Contract Amount Chang* Amount. Revised ContractlWork Order Amount: Cumulative Dollar Value of Chanties to this Contract/Work Order: $ _49,200 (Starting Pointe S ?ilF, (Last Total Amount Anprwed Dy the BCCf s_ 73ASo onduding All Changes Prier To Ttus!Ltodiacahcnf S 32,525 _. . 3106,475 pncluding Ths Change Orderl S 57 Date of last BCC Approval—NA_ —__ Agenda Item a _ri4_ Percentage of the change overiunder current contract amount-L-1 J Formula SRevised Amount r Last EGG approved amount) -1 - - - -� CURRENT COMPLETION DATE (51 ORIGINAL:_ February 1,2010 CURREN( Septemtxv 30, 2010 Describe the change(s): Original Work Order Task 2 is modified to include an increasiaamaunt of contaminated soil removed from the project site - above and beyond the originat estimate of soil to be removed. Specify the reasons for the changes) 1. Planned or Elective XX 1. Unforeseen Conditions XX 3. Quantity Adjustments 4. Correction of Errors (Plans, Specifications or Scope of Work) 8. Value Added XX 6. Schedule Adjustments Note: One or more maybe chocked, depending on the nature of the change {s). Identify all negative impacts to the project it this change order were not processed: To complete the required environmental cleanup, ground water must be sampled and tatted. This cleanup process, once begun, is progressive until ail impacted soil is removed, and the ground water is found to be clean. This change was requested by: (Contractor /Consultant XX Owner I Using Department - CDES design Professional XX Regulatory Agency (Spec ify)_PDEP^,_�_ Other (Specify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: Yes XX No This form is to t APPROVED BY REVIEWED BY Dale: 19 Z L l a rJf Date 1520 Royal Palm Square Blvd. Ste 260 Ft Mycrs, FL. 34134 16G3 MOM-. Baysbore Gateway Triangle C1t, 4069 Bayshore Drive, Naples FL 34112 Underground Storage Tank Removal: 4315 Bayshore Drive i t t Change Order PO*4500111975 This change order is to increase the budget value and contract time of the original Work Order and intense the prig by $32,525.00- original agreement amount ..... ............ ...... ....... _.... .... .........,... ........ 549,200 Sum of Previous Changes... _ .... .......... ... ......... ................. 524,750 This Change Order No, 3 Amount (add or subtract) . ........................532,$7 Refired Agreement Amount ....... ............................... ....................... $106,475 Original contract time in calendar days ............... ..............................1 l2 days Adjusted number of calendar days due to previous change orders ............ 0 days This change order adjusted time is. — . ........ ................ ... ............... . 240 days Revised Contract TYme in working days ................. . . ...........................352 days Original Notice to Proceed date .................. ............................... October 12, 2009 Completion date based on original contract time ....................... February t, 2010 p Revised completion date due to change order(s) .................... . September 30, 2010 Your acceptance of this change order shall constitute a modification to our Agreement and will be performed subject to all the sane terms and conditions as contained in said Agreement indicated above, as fully as if the same were repeated in this acceptance. The adjustment, to this Agreement shall constitute a full and final sefdement of any and all claims arising out of, or related to, the cha set forth herein, including claims for impact and delay r COSTS. Accepted by: 0 r ic_ Roxanne L. Gause, P.E. HSA Engineers 4.Scr1ntists., Approved by: David L, Jackson, & Approved by: Lv(. 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Pu¢Has tLg UnCCIOf Send all Invoices to: beard or Coin y Go mml donerc,, E 3 if of CQU I lty CL III "U 5Si0ner5 PUrchasing Cepa-tweril ,j ARn AzroI Payabla 3941 Tar l Tr all E Bu long F', h Piccr x'� Duple, Ft 34 117 3301 To", a rl Tra IF Tav Femnt 115- 9912E YX -2 N pi.5 F 11 PUrchaae Order number must appear on all related rerrespondence, shipping papors and invoices' Vendorp 117377 Purchase order 4600111875 1 "'- 1 010 71 20 0 9 HSA ENGINEERS &SCIENTISTS 15211 ROYAL PALM SO BLVD. STE 260 . _ -.,- Conan Redev Agency I FT MYERS FL 33919 . •.. • 23"45.1115 .. Please deliver to BAYSHORE GATEWAY IRIANGL.E CRA Delivery Date 4069 BAYSHORE OR NAPLES FL 34112 terms Ili! Payment Net 35Days Cwuan::y C'SD :item Maleatat Description Order qty Unh! 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Pu¢Has tLg UnCCIOf Vendarc 157377 HSA ENGINEERS & SCIENTISTS 1520 ROYAL PALM SO BLVD. STE 260 FT MYERS FL 33918 16G3 PO Number 4500111875 Data 10107!2009 Item Malmal Descroti'on order aty Unif Price Per Unit Net Value ... Ilcrzi paiw ly defi:ered — 01,14' 1venm Source Re,,,, al Sery ;cee ?7 525 eaaa 1.011 32 525 CO ❑w'v'ioaw Dav 0 ° /3G:201G Hciea;c nrderaoainsl contract 46 D30MUd h=n 0X,10 nw.m SCU'u Ramo,a; Ste: ±¢e ($AI2i Tctal ret Ya'ue exd tax OfiP 106.415.00 16G3 M HSA A member p[ the ENQINEfthe C � SCIENTISTS aA remlty of Campanics April 20, 2010 Collier County Redevelopment Agency (Bayshore Agency Gateway Triangle) 4069 Bayshore Drive Naples, Florida 34112 Attention: Nfr. David faekeon Subject: Addendum to Work Order - Interim Source Removal Services Underground Storage Tank Removal 4315 Bayshore Drive Naples, Florida 34112 FDEP Facility #18629388 Collier County Contract # 06 -3970 HSA Proposal Nunrher 75.34668 Dear Mr. Jackson: FISA Engineers &c Scientists (HSA) is pleased to submit this proposal to conduct an Interim Source Removal (ISR) for the above - referenced site. [luring the on -going Site Assessment activities, the down - gradient well, located near the former hydraulic lift indicated pclmlcuin constituents above the Groundwater Cleanup Target Levels (GC1 Ls) according to 62 -777 FAC. In order to complete the SAR in the most cost et %ctive way, HSA recommends excavating the petroleum impacted soils identified by the monitoring well. The additional services for the Interim Source Removal (ISR) are presented below: INTERIM SOURCE REMOVAL SCOPE OF WORK Prior to completion of the Site Assessment Report, HSA proposed to excavate the petroleum impacted soils located in the area of the former hydraulic lift. HSA will conduct the following requirements for the ISR: Preliminary soil sampling at the site has indicated the impacted soils are located approximately nine (9) to ten (10) feet below- ground surface Obls). In order to delineate the extent or the petroleum impacted soil, HSA will conduct auger borings with a direct push rig. The soil samples obtained from the auger borings will be screened for visual signs of stains, odor, and tested using an organic vapor analyzer (OVA) in accordance with Chapter 62- 770.200, FAC., to determine the volatile organic content of the soils by way or soil -gas analysis. www1sa- env.com 1520 Royal Palm Square Boulevard, Suite 2601 Fort Mycrs, Florida 33919 Tel: (239) 936 -4003 I Fax: (239) 936.08 N Tampa • tManda a Ton Myer$ • west Palm Beach a Penmcela a Savuuwh • Chadeslon • Hillon Head Oriented Quality Driven 16G3 Once the horizontal and vertical extent has been determined HSA will then excavate the area and remove the contaminated sails. During the excavation activities, field sampling will be conducted with an OVA to ensure all impacted soils will be removed until final OVA results are below the FDEP definition of excessively contaminated soils for the kerosene analytical group as those soils that retum an OVA value in excess of 50 ppm and for the gasoline analytical group as those that return an OVA value in excess of 500 ppm (Chapter 62 -770 F.A.Q. Following the OVA analysis, five soil samples will be collected, as required by Chapter 62 -777 FAC, from each side of the excavation pit and one from the bottom based on the screening results obtained during the excavation. The soil samples will be sent to the laboratory for the Kerosene Analytical Group according to EPA Lfethod 8020. 8100, and FLPRO, for low volatile organics aromatics, polycyclic aromatic hydrocarbons and total recoverable petroleum hydrocarbons. In addition, one soil sample will be collected prior to disposal for analysis as required by Waste Management. Following the excavation of the impacted soils. approximately one foot of grdvcl well then be placed within the base of the excavation pit and the pit will be left open for a period of several weeks. IISA will then remobilize and the excavation pit will then be backfilled with clean fill. Since the impacted soils appear to be at a depth of nine feet, the top five to six feet of soil will be set aside and replaced into the pit once the contaminated soils have been removed. Following the backfilling of the excavation pit, HSA will reinstall the existing monitor well and may be required by the I DEP to install two additional monitor wells. The monitoring wells will he installed using 3.5 -inch diameter posh rods to the approximate depth of 12 feet below land surface (his) by a licensed water well contractor. Each monitoring well will be installed to a depth of twelve (12) feet with ten (10) feet of 0.010 -inch slotted screen, and pre - packed with 20/30 -grade silica sand filter pack. Additional 20/30 -grade silica sand will be placed around the borehole of all monitoring wells to approximately one foot above the pre- packed screen. A one - foot fine sand seal, consisting of 30,165 -grade silica sand, will be placed above the filter pack. After installation of the monitoring wells, the wells will be developed -with a peristaltic pump until the discharge water was clear of visible sediment. HSA will collect groundwater samples from the newly installed monitoring wells. Samples will be analyzed for groundwater quality field parameters- and natural attenuation data (e.g., ORP, DO, and pH) while purging the monitor wells by the low -flow purging technique. Quality assurance (QA) procedures for the collection of samples and decontamination of sampling apparatus prior to and during use in the field will be conducted in general conformance with the Florida Department of Environmental Protection field sampling and laboratory analysis quality assurance protocol codified in Chapter 62 -160 FAC Standard Operating Procedures for Field Activities (FDEP SOP - 001/01). Groundwater samples will be property packaged and sent to a certified laboratory and analyzed for the Gasoline Analytical Croup, in accordance with EPA Methods 8020, 8100, and FL -PRO. 1663 HSA will notify the Florida Department of Environmental Protection Department of the ISR activities, oversee and manage the excavation activities of the licensed tank contractor, arrange for disposal of the impacted soils, provide the manifests for the soil disposal and oversee the backfilling of the project. Quality assurance (QA) procedures for the collection of samples and decontamination of sampling apparatus prior to and during use in the field was conducted in general conformance with the Florida Department of Environmental Protection field sampling and laboratory analysis quality assurance protocol codified in Chapter 62 -160 FAC Standard Operation Procedures for Field Activities (FDEP SOY - 001 101). Engineering and technical support services will also be required to analyze the data obtained and prepay an engineering report. Costs HSA has completed remedial activities at similar sites and the costs and tintcframes provided are within the range expected for such a site. Cost Estimate Service Activity. Average Cost _ A. Delineation of Impacted Soils_ $2,050 B. Installation of up to 3 monitoring tSum Dare t Push Rig wells 53,500 A. Mobilization, excavation equipment and load trucks ($2,500 per day est. 2 $5,M) Task 2 - Lump Excavation Activities 1 B Remobilization and equipment for Sum SZ,000 backtillin _ Transportation and disposal of 168 tons of Task 3 — Impacted soil and clean backfill material n $12,620 Time & Waste Management $75.00 per ton Materials j Task 4 — _ Organizing and managing the project, soil Lump Engineering Services and groundwater sampling, laboratory 515,300 Sant analysis and final en gimetin, report Fxpensrsable Fstimated Budget $1,000 Time al F.x arses Materials - -- Total: 541,470 The aforementioned costs are estimates and day not purport to be representative of the final consulting costs, should information that affects our understanding of the needs of the project change. However, it does represent our best estimate based upon the current knowledge of the needs for this project. Our assumption is that a total of 168 tons of clean soil will replace the impacted soil that was removed frnm the site. Should this aforementioned fee be determined inaccurate. HSA will notify you before the above limit is reached, and indicate the amount of work to be completed, the amount of work yet to perform, the approximate costs of the 16G3 remaining work, and a written explanation describing the circumstances that caused the estimate to be inaccurate. 1;'rtiten uulhorizeltion to proceed_(or additional work is required. These services will be provided on a Lump Sum not -to- exceed, basis per the attached fee schedule performed under the attached Terms and Conditions. if you have further questions, please feel free to contact me at (239) 936.0789. if you have further questions, please feel free to contact me at (239) 936 -4003. LISA ENGINEERS & SCIF MSTS Roxanne (iause P.E. Environmental Project Manager 16G3 cONTRACTMIORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: Underarou nd SWARe Tank Removal• 4315 Bavahorg Drive PROJECT MANAOER:Dsvld Jackson CONTRACTtt 053970_MOD V. 4 POe:4500111875 WORK ORDER 0:_45W1li875 DEPARTMENT:Baya1`101e0stsway Triangle CRA CONTRACTOMFIRM NAME:HSA Enalneore 8 Scientists Ortginal Contract Amount: s _19200 {;Farting Point) I Current BCC Approved Amount: s_ NIA (Last Total Amount Approved by the BCC] Current Contract Amount: $106,475 (Including A t Changes Print To This Modification) Change Amount: f 6• Revised ContractMork Order A scum: $_715.420 (Inciudwg This Change Order) Cumulative Dollar Value of Changes to this CortractJwork Omer. S_ 66,220 Date of Last 8CC Approval N!A—_ Agenda Item a —tvA Percentage of the change overtunder Current contract amou nt_135. 59_ % Fonnuta: (Revised Amount 1 Last BCC approved ambuntFI CURRrt4T COMPLETION DATE (SI ORIGINAL;_ February 1 2010 CURRENT: Seolembet 20,2010 This change order wifl: D Adds new Task for S U Increase Task Number._ILfS R_ by ;_8,945_ Other - -- Describe the change(s):_Adjusted Task #3 ISR scope of work to correct an addition error on original ISR scope of work and associated war% order, This increased amount is for the purchase order (Line 40) in total for ISR scope from $72,525 to $41,470 to cover the cost of contaminated soil removal. Specify the reasons for the change(s) 1. Planned or EieAiva 2. Unforeseen Conditions 3. Quantity Adjustments rc. 4. Correction of Errors (Plans, specifications or Scope of Work) ' 5. Value Added 6. Schedule Adjustments Note: One or more maybe checked, depending on the nature of the change(s). tden0ty all negative impacts to the project If this change order were not procassed: CRA would not be able to comply with FDEP directives to remediate all contamination for subject site. This change was requested by: - lC00traCt0f /Caneukt8nt 'I Owner I Using Department ' CDES Design Professional I (Regulatory Agency (Specify) Other tSpecify) CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: Yes ~ No This form is to h APPROVED BY: REVIEWED BY: Date: os- o 7 //U Date: / a 0 HSA EnSineers & Scierdets 1520 Royal Palm Square Blvd. Ste260 Ft Myers, FL 33919 uST Removal: 4315 Bayshom Drive 16G3 Bayshore Drive, Naples, Fl 34112 Interim Source Removal (fSR) Services October 5. 2009 POkt4500111675 Catanae A4 __. April 10, 2010 Charge Order Description This change order is to adjust the Interim Source Removal (ISR) Scope of Work and increase the 'total" amount of the purchase ordei s Line 40, Original [SR scope's Task 03 was not added in correctly and the total scope value was in error. This MOD is to correct an addition error and adequately cover the cost of contaminated soil removal - a Time & Material Une. Original agreement amount ......... ................. ...................... ............... 34Y.ZUU Sum of Previous changes ........................... ........................557,275 77ds Change Order No. 4 Amount (add or subtract) .........................56.945 Revised Agreement Amount ....... ............................... .......................$115,420 Original contract time in calendar days ... ............................... _.........112 days Adjusted number of calendar days due to previous change orders ............. 241 days This change order adjusted time is ........ ........................ ................... 0 days Revised Conoud Time in working days ..................... ............................353 days Original Notice to Proceed date .......................... ........................ October 12, 2009 Completion date based on original contract time ........................ February I, 2010 Revised completion date due to change order (s) ......................... September 30, 2010 Your acceptance of this change order shall constitute a modification to our Agreement and will be performed subject to all the same terms and conditions as contained in said Agreement indicated above, as fully as if the same were repeated in this acceptance. The adjustment, to this Agreement shall constitute a full and final settlement of any and all claims arising out of, of related to, the ch forth herein, including claims for impact and delay costs. //; Accepted by: . Date: rSlile) Roxanne Gause, P.B., Project Manager iiSAA gineers & cIt"iiqs Approved by: M.ly' C:4 Dater ? %l I U tlavid lacks. n. BayshortAbs6wav Trianaie CRA Approved by: y�� Date: ✓ /� rU Lyn W . contract spxialist 16G3 CONTRACT/WORK ORDER MODIFICATION CHECKLIST FORM PROJECT NAME: underground Storage Tank Removal' 4915 Bayshors Dllre PROJECT MANAGER:Davld Jackson CONTRACT p: 08 -3970 MOD#t 5 poYA5d011t8T5__„ WORK. ORDER #= 4550011187S DEPARTMENT:Sayshore Gateway Triangle CRA CONTRAC:TORIFIRM NAM F: HSA Eno ineers B Scientists Oetglnei Contract Amount: S T49,204,_- - !(Sladjny Point; t Current OCC Approved Amount: S_ - WA _ -- _ - -_, ` (Last Total Anrod]M Approved tv the PC;,i i i I I Current Contract Amount: - ftnriud rg Al ::names F':or TO ih:s A1!:drFUaDnj I Ctnange Amount: 5 rw I 'lr Revtsod ContradJKork Order Amount: S X9;948-• /. «.? -- - - -- IIncludingTn;sCcaggstM err i cumulative Dollar Value Df charges to _ this ContractNJork Order. Date of Last SCC Approval MIA_ - -_ Agenda Rem 9 r °IN Porcenage of the change overfUnder current contrail amou It Fcm- �:.ia (Rovised Amount 1101 t3CC. appro," arnDuntj -f Gt.fRrtEtiT C Mok.F I ION DATE (Si ORIGINAL_ - -- Feb, :., - ___'-) 10 __- . CURRENT. _ Fehn,ary 2[. 29t0 This change order wile [j Add a near Tauk for£ _[l Irrreasn t ask NumL <r,- _ISR_by S_4,7 Describe the change(s)'.—Adjusted Task 94 ISR scope of erork to ccmpiy with FDEP orders for turth ad�quamty cover cost of eonlaminated soil removal: the increased amount Is for (Line 40) $4,700. Specify the reasons for the change(s) 1. Planned or Etectivc X 'T.. Unfnreseen Conditions - 3. Quantity �Akkd/justments 4. Correction of Errors (Plans, SpecHications or Scoplg of Mork) 5. Value Added A 6. Schedule Adjustments Note: One or more may to checked, dapeading on the nature of the change(s). identify all negative impacts to the project iT this change order were not processed: CRA vrouid not he able to comply with FDEP directives to remediate all contamination for subject site. This change was mcluasted by: )Contractor /Consullant 'i Ormei i Using Deparbnent - CDES - Design Professional IRegulatoty Agency (Specify)_,__. Other (Specify)_ ._ CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: Ve::, ~ Nc This fort is to be signed and da -� 7 ) �i APPROVED BY: _.,s- R.frT'� �sr — _ Dato.�� r r - REViEWED BY 16G3 MEMORANDUM Date: January 19, 2012 To: David Jackson, Executive Director Bayshore Gateway Triangle CRA 4069 Bayshore Drive From: Ann Jennejohn, Deputy Clerk Minutes & Records Department Re: 2011 CRA Brownfield Voluntary Cleanup DEP Tax Credit Application Attached for your records is a copy of the application referenced above, (Item #16G3) approved by the Board of County Commissioners on Tuesday December 1, 2009. The original will be held with the Minutes and Record's Department for the Board's Official Record. If you have any questions, please contact me at 252 -8406. Thank you. Attachment .. ■/ .■ .. Memorandum BAYS Hb61�"� GATEW Y TRIANGLE RECEIVED JAN 17 2012 Board of Count Commissioners To: Ian Mitchell !\ From: Sue Tr(�e� Date: 1/17/2012 Re: Request your help in obtaining Commissioner Coletta's notarized signature Enclosed is the original and a copy of the Brownfield Voluntary Cleanup Tax Credit (VCTC) application for 2011 for the Bayshore Gateway Triangle CRA. As Commissioner Coletta is the chairman of the CRA, this application requires his notarized signature to be complete. Ian, could you please help me with getting Commissioner Coletta's signature and notarize it for me on the original application and the copy? When you are finished you can let me know and I can walk the applications up to Minutes and Records. I apologize again for the inconvenience I caused about my confusion this morning. Thank you for your continuing support. (r ♦ X !M4 o r ' ITEM NO.: AI �hq FD: 9 FILE NO.: ROUTED TO: I I - C" DO NOT WRITE ABOVE THIS SPACE (Orig. 9/89; Rev. 6/97) REQUEST FOR LEGAL SERVICES 3% 2 (Please type or print) Date: Dec. 29, 2011 To: Office of the County Attorney, At Tammy Altho e From: Sue Trone Project Manager (Name) (Title) CRA Bayshore Gateway (Division) (Department) Telephone 4 (Very Important): 643 -1115 P91Vi Re: Brownfield Voluntary Cleanup Tax Credit: SRCO Bonus VCTC 5 J J J (Subject) 5-1,Z J BACKGROUND OF REQUEST/PROBLEM: ('213c e am (Describe problem and give background information - be specific, concise, and articulate.) The Collier County CRA designated a brownfield site by resolution (Resolution 09 -273). In 2009 and 2010 the CRA applied for Voluntary Cleanup Tax Credits (VCTCs) to the FL Dept. of Environmental Protection (DEP) for cleanup costs of $51,580.40 and $56,337.11 each year respectively. VCTCs are worth 50% of expenses; therefore, the VCTC value expected to the CRA is $54,093.76. On January 20, 2011 the CRA received a Site Rehabilitation Completion Order (SRCO) from DEP. The SRCO indicates that the CRA has completed the remediation of the site to the satisfaction of DEP and no more remediation is required. Having received the SRCO, the CRA is now eligible for the SRCO VCTC Bonus. The VCTC Bonus is 25% of qualified expenses, or 25% of $108,187.51 ($27,046.88). (Are there documents or other information needed to review this matter? If yes, attach and reference this information.) This item has/has not been previously submitted. (If previously submitted provide County Attorney's Office File No.) No. ACTION REQUESTED: (Be very specific. Identify exactly what you need in the way of legal services.) Please review the VCTC SRCO Bonus application for legal sufficiency. This application requires the signature of the CRA Chairman on page 11. OTHER COMMENTS: 16G3 cc: David Jackson (All requests must be copied to your appropriate Division Head or Constitutional Officer.) PR�IECiION 41 G3 Department of W t FLOR A' Environmental Protection pill VOLUNTARY CLEANUP TAX CREDIT APPLICATION AND AFFIDAVIT Pursuant to the provisions of s. 376.30781, F. S., application for a Voluntary Cleanup Tax Credit (VCTC) is hereby made. The following information is submitted in support of this application. Please complete the applicable sections of this form, draw a diagonal line through inapplicable sections, and submit the entire application form along with any other required documentation. SECTION I. - APPLICANT INFORMATION A. APPLICANT' Name: Collier County Community Redevelopment Agency Address: 4069 Bayshore Drive (Street or P.O. Box) Na les Florida 34112 (city) (State) (Zip Code) Applicant's Point of Contact: Sue Trone Telephone Number: (239) 643 -1115 E -mail: suetrone °,collier y.net Application Number (FDEP Use Only) I request that all correspondence related to this application be sent to the applicant's point of contact at their: ❑ postal address ® e -mail address (Choose one) Federal Employment Identification Number (FEID), if applicant is a business: 59- 6000558 -OR- (9 -digit number) Social Security Number, if applicant is an individual: _ _ _ - - _ _ _ digit mum er B. APPLICANT'S AUTHORIZED AGENT OR REPRESENTATIVE (OPTIONAL) Name: Address: (Street or P.O. Box (City) (State) Zip Code) Telephone Number: () - E -mail: I request that, in addition to the applicant's point of contact, all correspondence related to this application be sent to the applicant's authorized agent or representative at their: ❑ postal address ❑ e -mail address (Choose one) I If multiple tax credit applicants are submitting a joint application for one site, please make copies of this page and have each tax credit applicant complete Section I, Applicant Information of this application. 1 of 12 DEP Form# 62- 788.900(1) - Voluntary Cleanup Tax Credit Application - Effective Date XX /XX /XXYX SECTION II. - SITE INFORMATION A. SITE IDENTIFICATION Brownfield Site /Drycleaning Facility Name: Hubert's Welding Address: 4315 Bayshore Drive (Street or P.O. Box) Na les Florida 34112 (City) (State) (Zip Code) Brownfield Site Identification Number: B F 110901001 (9 -digit number) 16G3 Is there more than one contaminated site, as defined by Department rule, covered by the above Brownfield Site Rehabilitation Agreement (BSRA)? NO (Yes/No) •U DEP Drycleaning Facility Identification Number: (9 -digit number) If this application is for a Drycleaning Solvent Cleanup Program (DSCP) site and the Real Property Owner is not the applicant, please provide Real Property Owner information. Name: Address: (Street or P.O. Box Telephone Number: ( ... ) B. TYPE OF SITE (State) Zip Code) E -mail: ❑ (1) A drycleaning solvent contaminated site eligible for state - funded site rehabilitation under s. 376.3078(3), F.S. The applicant must complete Section II.C. on page 3; ❑ (2) A drycleaning solvent contaminated site at which cleanup is undertaken by the real property owner pursuant to s. 376.3078(11), F.S., if the real property owner is not also, and has never been, the owner or operator of the drycleaning facility where the contamination exists. The applicant must complete Section II.D. on page 3; or ® (3) A brownfield site in a designated brownfield area under s. 376.80, F.S. 2of12 DEP Form# 62- 788.900(1) - Voluntary Cleanup Tax Credit Application - Effective Date XX /XX/XXYX C. DSCP SITES ELIGIBLE FOR STATE - FUNDED SITE REHABILITATION See paragraph 62- 788.300(3)(d), F.A.C. If box B.(1) is checked on page 2, the applicant must submit with this application a copy of the Department's eligibility order for the DSCP and the appropriate deductible payment, as indicated in the order. Please include a cashier's check or money order (DO NOT SEND CASH, PERSONAL CHECKS, OR CORPORATE CHECKS) made payable to the Water Quality Assurance Trust Fund. This check or money order must be separate from the $250 non - refundable application review fee required by Section VIII of this application. Please check the appropriate box below to indicate the amount enclosed or previously paid: ❑ $1,000 (complete DSCP applications submitted by June 30, 1997) ❑ $5,000 (complete DSCP applications submitted July 1, 1997, through September 30, 1998) ❑ $10,000 (complete DSCP applications submitted October 1, 1998, through December 31, 1998) ❑ Deductible previously paid in (year) VCTC application D. REAL PROPERTY OWNER AFFIDAVIT See paragraph 62- 788.300(3) (b), F.A.C. If box B.(2) is checked on page 2, the following affidavit must be signed by the real property owner and notarized: The undersigned, under penalties of perjury, does solemnly swear that the applicant is the real property owner of the property containing the drycleaning solvent contaminated site at which the applicant is voluntarily conducting site rehabilitation, and that the applicant is not, and has never been, the owner or operator of the drycleaning facility where the contamination exists. Signature of Real Property Owner or Authorized Corporate Real Property Owner Representative Date Print Name of Real Property Owner or Corporate Real Property Owner Print Name of Authorized Corporate Real Property Owner Representative Title STATE OF FLORIDA COUNTY OF Sworn to (or affirmed) and subscribed before me this Personally known OR Produced Identification Type of Identification Produced day of , 20 , by Real Property Owner's Name Signature of Notary Public - State of Florida (Print, type, or stamp Commissioned Name of Notary Public) 3of12 DEP Form# 62- 788.900(1) - Voluntary Cleanup Tax Credit Application - Effective Date XX/XX/XXXX 16G3 SECTION 111. - DOCUMENTATION For more detail, seeparagraphs 62- 788.300(3)0 and.330(3)(d), F.A.C. This application package must include copies of documentation sufficient to demonstrate that the tax credit applicant, which must be the signatory to a Voluntary Cleanup Agreement or BSRA, incurred and paid the costs that were either integral to site rehabilitation or that were for solid waste removal (applies to BSRAs only). Costs for site rehabilitation must have been incurred between January 1 and December 31 of the year for which the application is being submitted and paid prior to submittal of the tax credit application; costs for solid waste removal must have been incurred and paid since July 1, 2006. The documentation must clearly describe the goods or services and associated costs that are being claimed in the application. Copies of documents for goods or services that are being claimed must be sufficient to demonstrate a link between the contractual records, the payment requests associated with the contractual records, and the payment records for the claimed portions of the payment requests, as required by each of the following three paragraphs: 1. Contractual records that describe the scope of work performed during the applicable time period that was either integral to site rehabilitation or for solid waste removal. Examples include: contracts, documentation of contract negotiations, proposals, work orders, task orders, and change orders; and 2. Payment requests that describe the goods or services provided in support of the above scope of work. Examples include: invoices, sales tickets, and account statements. Payment request documents that include costs for goods or services that are not being claimed in the VCTC application must clearly identify which costs are being claimed; and 3. Payment records that describe the actual costs incurred and paid for the goods or services above. Examples include: cancelled checks, or other payment records from purchases, sales, leases, or other transactions. The Certified Public Accountant (CPA) and Technical Professional Certifications are not required if the applicant is claiming only an Affordable Housing, Health Care, and /or SRCO VCTC, because the tax credit applicant will have previously provided this documentation in the annual site rehabilitation application(s). 4of12 DEP Form# 62- 788.900(1) - Voluntary Cleanup Tax Credit Application - Effective Date XX/XX /XXXX 16G3 SECTION IV. - TAX CREDIT CLAIM AND CALCULATION A. TYPE OF TAX CREDIT CLAIMED (Check all that apply and complete additional sections as directed) ❑ (a) Site Rehabilitation; requires completion of Section IV.B. ❑ (b) Site Rehabilitation Completion Order bonus; requires completion of Section IV.C. ❑ (c) Affordable Housing bonus; requires completion of Section IV.D. ❑ (d) Health Care bonus; requires completion of Section IV.E. ❑ (e) Solid Waste Removal; requires completion of Section IV.F. B. SITE REHABILITATION See Rule 62- 788.300, F.A. C. Complete this section to claim a credit in the amount of 50% of the cost of voluntary cleanup activity that was integral to site rehabilitation conducted during the calendar year for which this tax credit application is being submitted. 1. Total site rehabilitation costs incurred and paid by the applicant for this calendar year 2. 50% of the amount on line 1. or $500,000 whichever is less 3. Joint applicant — The percentage and corresponding amount of site rehabilitation costs on line 1. contributed by the joint applicant for this calendar year $ Site Rehabilitation tax credit claimed Joint applicant name C. SITE REHABILITATION COMPLETION ORDER BONUS % contributed Amount contributed See Rule 62- 788.300, F.A.C. If the Department issued a "No Further Action" (NFA) order (i.e., Site Rehabilitation Completion Order - SRCO) for the contaminated site, complete this section to claim the SRCO bonus in accordance with the dates and percentages in the table below. 1. Total eligible site rehabilitation costs incurred and paid by the applicant from July 1, 1998 through June 30, 2006 2. 10% of the amount on line 1. or $50,000 - whichever is less 3. Total eligible site rehabilitation costs incurred and paid by the applicant on or after July 1, 2006 4. 25% of the amount on line 3. or $500,000 - whichever is less 5. Joint applicant — The percentage and corresponding amount of total eligible site rehabilitation costs on lines 1. and 3. contributed by the applicant $ SRCO bonus claimed before July 1, 2006 $ _108,187.51 $ 27,046.88 SRCO bonus claimed on or after July 1, 2006 Joint applicant name % contributed Amount contributed If multiple tax credit applicants are submitting a joint application for one site, please have each applicant indicate that applicant's percentage and amount contributed to payment of site rehabilitation costs on a copy of this page and have each applicant complete a separate copy of the affidavit in Section VII. ➢ The combined SRCO bonus amount claimed for site rehabilitation conducted before and after June 30, 2006 cannot exceed $500, 000. 5of12 DEP Form# 62- 788.900(1) - Voluntary Cleanup Tax Credit Application - Effective Date XX/XX/XXXX E�3 D. AFFORDABLE HOUSING BONUS See Rule 62- 788.310, F.A.C. If use of the brownfield site identified in the BSRA is limited to affordable housing, complete this section to claim a tax credit in the amount of 25% of the eligible cost of voluntary cleanup activity that was integral to site rehabilitation and incurred on or after July 1, 2006. 1. Total eligible site rehabilitation costs incurred and paid by the applicant on or after July 1, 2006 2. 25% of the amount on line 1. or $500,000 - whichever is less 3. Joint applicant — The percentage and corresponding amount of total eligible site rehabilitation costs on line 1. contributed by the applicant $ Affordable Housing bonus claimed Joint applicant name % contributed $ Amount contributed In accordance with Rule 62- 788.310(2), F.A.C., please provide a certification letter from the party to the use agreement that is identified below. ❑ (a) Florida Housing Finance Corporation ❑ (b) Local housing authority ❑ (c) Other government agency (Name of Agency) (Name of Agency) If multiple tax credit applicants are submitting a joint application for one brownfield site, please have each applicant indicate that applicant's percentage and amount contributed to payment of site rehabilitation costs on a copy of this page and have each applicant complete a separate copy of the affidavit in Section VII. 6of12 DEP Form# 62- 788.900(1) - Voluntary Cleanup Tax Credit Application - Effective Date XX /XX /XXXX E. HEALTH CARE FACILITY OR HEALTH CARE PROVIDER BONUS 16 G3 See Rule 62- 788.320, F.A.C. If use of the brownfield site identified in the BSRA includes a health care facility or a health care provider, pursuant to Sections 408.032, 408.07, or 408.7056, F.S., complete this section to claim a credit in the amount of 25% of the eligible cost of voluntary cleanup activity that was integral to site rehabilitation and incurred on or after January 1, 2008. 1. Total eligible site rehabilitation costs incurred and paid by the applicant on or after January 1, 2008 S 2. 25% of the amount on line 1. or $500,000 - whichever is less 3. Joint applicant — The percentage and corresponding amount of total eligible site rehabilitation costs on line 1. contributed by the applicant Health Care Facility/Provider bonus claimed Joint applicant name % contributed $ Amount contributed Please check the category of health care facility or health care provider and specify the type of facility /provider in the space provided. IN (a) Health Care Facility pursuant to Section 408.032, F.S., (b) Health Care Facility/Provider pursuant to Section 408.07, F.S., (c) Health Care Provider pursuant to Section 408.7056, F.S., Health Care Facility/Provider claimed in this application: Doing Business As: Address: City: Telephone Number: () County: In accordance with Rule 62- 788.320(2), F.A.C., please provide a copy of one of the required supporting documents listed below. ❑ (a) Certificate of Occupancy ❑ (b) License for the operation of the Health Care Facility or Health Care Provider ❑ (c) Certificate for the operation of the Health Care Facility or Health Care Provider ➢ If multiple tax credit applicants are submitting a joint application for one brownfield site, please have each applicant indicate that applicant's percentage and amount contributed to payment of site rehabilitation costs on a copy of this page and have each applicant complete a separate copy of the affidavit in Section VII. 7of12 DEP Form# 62- 788.900(1) - Voluntary Cleanup Tax Credit Application - Effective Date XX /XX /XXYX no K09� F. SOLID WASTE REMOVAL TAX CREDIT See Rule 62- 788.330, F.A.C. Complete this section to claim a credit in the amount of 50% of the costs incurred and paid by the applicant on or after July 1, 2006 for solid waste removal from within the boundary of the eligible brownfield site identified in the BSRA. 1. Total costs for solid waste removal incurred and paid by the applicant on or after July 1, 2006 2. 50% of the amount on line 1. or $500,000 - whichever is less 3. Joint applicant — The percentage and corresponding amount of the solid waste removal costs on line 1. contributed by the applicant $ Solid Waste Removal tax credit claimed Joint applicant name % contributed $ Amount contributed In accordance with 62- 788.330(2), F.A.C., I have consulted with the following local government and DEP officials. With this application, I certify that, to the best of my knowledge, the Brownfield site as identified in the BSRA was never operated as a permitted solid waste disposal area or for monetary compensation. Name of local government official consulted: Title: Name of DEP representative consulted: Title: Telephone Number: () - Telephone Number: ( ...) If multiple tax credit applicants are submitting a joint application for one brownfield site, please have each applicant indicate that applicant's percentage and amount contributed to payment of solid waste removal costs on a copy of this page and have each applicant complete a separate copy of the affidavit in Section VII, 8of12 DEP Form# 62- 788.900(1) - Voluntary Cleanup Tax Credit Application - Effective Date XX/XX/XXXX 16 ?-"� SECTION V. - TECHNICAL PROFESSIONAL CERTIFICATION For more detail see paragraphs 62- 788.300(3)0 and.330(3)(e), F.A.C. The following certification shall serve as proof that the voluntary cleanup activities have been conducted under the observation of, and related technical documents have been signed and sealed by, an appropriate professional registered in the State of Florida in each contributing technical discipline associated with the documentation listed in Section III of this application for either annual site rehabilitation or for solid waste removal that has occurred since July 1, 2006, in accordance with department rules and regulations. Under penalties of perjury, I declare that I have read and understand the requirements of Chapter 62 -788, F.A.C., and Sections 376.30781 and 220.1845, F.S. In addition, I certify that I have read the foregoing Voluntary Cleanup Tax Credit application, including all the backup documentation; that I understand and have adhered to the requirements stated on page 4 of this tax credit application; and that the costs incurred and paid by the applicant and claimed in this application were integral, necessary, and required for either site rehabilitation or for solid waste removal, as applicable. Site Rehabilitation Period Covered by Application Solid Waste Removal Period Covered by Application (SEAL) Signature of Registered Technical Professional Date Print Name Technical Professional Information: Name: Address: (Street or P.O. Box Print Title (e.g., Professional Engineer, Professional Geologist) (city) rate (Zip Code) Telephone Number: () State of Florida License Number: Expiration Date: 9of12 DEP Form# 62- 788.900(1) - Voluntary Cleanup Tax Credit Application - Effective Date XX /XX/XXXX 16 G3 SECTION VI. - CERTIFIED PUBLIC ACCOUNTANT CERTIFICATION For more detail, see paragraphs 62- 788.300(3)(h) and.330(3)0, F.A.C., and subsections 62- 788.300(4) and .330 (4), F.A.C. The following certification shall serve as proof that the documentation submitted in accordance with Section III of this application has been reviewed by the undersigned independent CPA in accordance with standards established by the American Institute of Certified Public Accountants. Specifically, the undersigned CPA is attesting to the accuracy and validity of the costs incurred and paid by the applicant after having conducted an independent review of the data presented by the applicant; that the costs included in the application form are not duplicated within the application; and that the application contains only those costs that were incurred during the timeframe represented in the tax credit application and paid prior to submittal of the tax credit application. In addition, a copy of the Independent CPA's report must be completed whenever an annual site rehabilitation or solid waste removal application is submitted. The CPA is not responsible for attesting to whether the costs claimed are for site rehabilitation or solid waste removal. Under penalties of perjury, I declare that I have read A Guideline for Agreed -Upon Procedures for Attestation Service for the Voluntary Cleanup Tax Credit (VCTQ Program], Chapter 62 -788, F.A.C., and Sections 376.30781 and 220.1845, F.S., and that I understand the accounting requirements associated with these documents. In addition, I attest that I have read the foregoing Voluntary Cleanup Tax Credit application and that the facts stated in it are true to the best of my knowledge and belief. For Site Rehabilitation applications: For Solid Waste Removal applications: Total Site Rehabilitation Amount Claimed in Application Total Solid Waste Removal Amount Claimed in Application Total Site Rehabilitation Amount Approved by CPA Total Solid Waste Removal Amount Approved by CPA Time Period Covered by Site Rehabilitation Application Signature of CPA CPA Information: Name: Address: (Street or P.O. ox (City) Telephone Number: () License Number: Expiration Date: Original Issue Date: Time Period Covered by Solid Waste Removal Application Date (State) Zip Code) I DEP has developed guidance to assist CPAs in the review of VCTC applications. This guidance is entitled A Guideline for Agreed -Upon Procedures Attestation Service for the Voluntary Cleanup Tax Credit (VCTC) Program October 2010, and may be obtained by calling the VCTC program manager at (850) 245 -8927. 10 of 12 DEP Form# 62- 788.900(1) - Voluntary Cleanup Tax Credit Application - Effective Date XX/XX/XXXX 16G3 SECTION VII. — APPLICANT CERTIFICATION AFFIDAVIT The undersigned applicant, under penalties of perjury, certifies that (s)he has read and understands the requirements of Chapter 62 -788, F.A.C., and Sections 376.30781 and 220.1845, F.S., and that all information contained in this application, including all records of costs incurred and paid and claimed in this tax credit application were by the applicant, and are true and correct. The following sections of this application have been completed and the appropriate documentation to support these claims is transmitted with this application. (Check all that apply) ❑ Section II.C. Drycleaning Solvent Cleanup Program Sites eligible for State - funded Site Rehabilitation ❑ Section ILD. Real Property Owner Affidavit ❑ Section IV.B Site Rehabilitation Tax Credit ® Section IV.C. Site Rehabilitation Completion Order Bonus ❑ Section IV.D. Affordable Housing Bonus ❑ Section IV.E. Health Care Facility or Health Care Provider Bonus Time Period Covered by the Application ❑ Section ME Solid Waste Removal Tax Credit 2oI2_ igna re of App t Date JIM N. CoL_E7-T(-A CIAAtO_AiAr�1 C(�A Print Name Print Title ATTEST: Print Company Name (if applicable) DWIGHT E. BROCK, CLERK Notary Seal for Applicant's Certification A Aa #rlNlrt' i'glnat�re a,�, STATE OF FLORIDA COUNTY OF CO L L I G(2, Sworn to (or affirmed) and subscribed before me this I day of�ANUA , 201 't- , by J ( M N. . Co L. G=q Applicant's Name Personally known OR Produced Identification Signature ofNPWPAflic I St4rVbfflorida » u o.............. ............ ............... Type of Identification Produced NI "t+ AN MITCHELL (Printgtyp� �fnmmis o e e c o ary u ic) : Expires 7/29/2012 e - y/ . ��i, o °�� Florida Notary Assn., Inc —4 L-7 7 1� 11 of 12 DEP Form# 62- 788.900(1) - Voluntary Cleanup Tax Credit Application - Effective Date XX/XX/XXYX 16 G3 SECTION VIII. - NON - REFUNDABLE APPLICATION REVIEW FEE For more detail see paragraphs 62- 788.300(3)(e), 310(3)(c), 320(3)(c) or 330(3)(c) F.A.C. Please include a cashier's check or money order made payable to the Water Quality Assurance Trust Fund in the amount of $250 to cover the administrative costs associated with the Department's review of the tax credit application. The $250 application review fee is non - refundable. Failure to submit the non - refundable application review fee as required by s. 376.30781(6)(a), F.S., shall result in the application being deemed "incomplete ", in accordance with Rule 62- 788.400, F.A.C. Send Completed Applications to: Department of Environmental Protection Division of Waste Management Voluntary Cleanup Tax Credit 2600 Blair Stone Road, Mail Station 4505 Tallahassee, Florida 32399 -2400 � Hand Deliver to: Department of Environmental Protection Division of Waste Management Bureau of Waste Cleanup 2600 Blair Stone Road Room 309 Tallahassee, Florida Attn.: Voluntary Cleanup Tax Credit KEEP A COPY OF THE COMPLETED APPLICATION FOR YOUR RECORDS. 12 of 12 DEP Form# 62- 788.900(1) - Voluntary Cleanup Tax Credit Application - Effective Date XX /XX/XXXX