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CONTRACT NO
TIRE STATE OF TEXAS Contract Number 582-7-72674
COUNTY OF TRAVIS
AGREEMENT
INTERAGENCYANTERLOCAL
CATEGORY I JUL 2 1 2006
BioWatch Monitoring Activities ENVIRONMENTAL MGMT.DEPT.
Name of Project FOIST WORTH
THIS AGREEMENT is entered into by and between:
the Texas Commission on Environmental Quality, an agency of the State of Texas (hereinafter
TCEQ or `Commission'), and
City.of Fort Worth , an agency or political subdivision of the State of Texas (hereinafter
PERFORMING PARTY),
pursuant to the authority granted and in compliance with applicable provisions of the Interagency Cooperation
Act, TEX. GOVT.CODE ch. 771 and Intergovernmental Cooperation Act, TEx. GOVT CODE ch. 791.
TCEQ and PERFORMING PARTY, in consideration of the mutual covenants hereinafter set forth, agree as
follows:
ARTICLE 1. WORK
See attached Scope of Work.
ARTICLE 2. PRICING AND PAYMENT
See attached Contract Costs Budget,
ARTICLE 3. MAXIMUM AMOUNT OF CONTRACT
The total amount of this Contract shall not exceed:
Five Hundred Twenty Nine Thousand Dollars and no cents $529,000.00
(Written amount) (Numerical amount)
unless this Contract is amended in writing. It is expressly understood and agreed by the parties hereto that the
performance on the part of the TCEQ of its obligations hereunder is contingent upon and subject to actual receipt
by the TCEQ of sufficient and adequate funds from the sources contemplated by this Contract,
ARTICLE 4. TERM OF CONTRACT
This Contract shall begin on 9-1, 2006 and shall terminate on full performance, which is due on 8-31, 2007,
unless terminated early or extended in accordance with the terms of the Contract.
ARTICLE 5. CERTIFICATIONS
1. THE UNDERSIGNED CONTRACTING PARTIES do hereby certify that(1) the services specified above are
necessary and essential for activities that are properly within the statutory functions and programs of the parties,
Contract Number 682-7-72674 15age T of 60
(2) the proposed arrangements serve the interest of efficient and economical administration of State Government,
and (3)the services, supplies or materials contracted for are not required by Section 21 of Article 16 of the
Constitution of Texas to be supplied under contract given to the lowest responsible bidder.
2. The TCEQ further certifies that it has the authority to contract for the above services by authority granted in
the Current Appropriations Act, and TEx.WATER CODE§5.229.
3. PERFORMING PARTY further certifies that it has authority to perform the services contracted for herein.
ARTICLE 6. CONTRACT DOCUMENTS
The Contract Documents which comprise the entire Contract between TCEQ and PERFORMING PARTY
concerning the Work consist of the following:
1. Scope of Work
2- Project Representatives/Records Location
3. Additional exhibits titled: Exhibit A -HUB/MWBE Progress Assessment Report Forms
Exhibit B- Certification Regarding Debarment, Suspension&Other Matters
Exhibit C-Release of Claims Form
Exhibit D-Certification Regarding Lobbying
Exhibit E- Cost and Price Analysis
Exhibit F- Operations Security Procedures for the Bio-Watch Program
Exhibit G-Department of Homeland Security Management Directive 11042.1
Exhibit H- Department of Homeland Security Non-Disclosure Agreement(Form
110M 00-6)
Exhibit I—TCF- Financial Status Report(Form 269a)
4. One of the following (whichever is checked):
X Contracts Costs Budget
or ❑ Schedule of Fixed Rates
(it neither is checked, or both are checked, this Contract is void)
5. Special Terms and Conditions
6. General Terms and Conditions
One of the following (whichever is checked):
X Federal Conditions
or ❑ DELIBERATELY OMITTED (Federal Conditions are not incorporated into this Contract)
(If neither is checked, or both are checked, this Contract is void)
There are no Contract Documents other than those listed above in this Article. The Contract Documents may be
amended, modified or supplemented only as provided in the General Conditions.
Contract Number 582-7-72674 Page 2 of 60
The undersigned bind themselves to the faithful performance of this Contract:
TCEQ: PERFORMING PARTY:
Texas ommission on E Dn ntal Quality City of fort Worth
By. K � By:
Authorized Signature Authorized Signature
Mark R. Vickery," P.G. 1-166Y ----
Printed Name Printed Name nn
Title: Deputy Executive Director Title: 7 . 1i EGA
Date: -7 - t tJ- o� ' Date:
Contract Number 582-7-72674
APPROVED AS TO FORM & LEGALITY:
B, b/UU,Xg, A
Title: Asst. City Attorney
ATTEST:
By
Printed Name: Marty Hendrix
Title: City Secretary
Date�l Aw Dwi-
m & C ojai6z I_�1wLU-0
MY
�1 %;
Scope of Work
A. Facts/Purpose
1. The Texas Commission on Environmental Quality(TCEQ)has a need to contract for the service to
operate and maintain sixteen(16)whole-air samplers in the Fort Worth, Texas area.
2. In general,information about the BioWatch program operations, including locations of sites, cities,
etc, is considered to be "For Official Use Only", or Sensitive But Unclassified (SBU) information.
The PERFORMING PARTY will protect such information in accordance with DHS Management
Directive 11042.1 and the DHS BioWatch Program Security Classification Guide (copies of
both documents are attached). As such, the PERFORMING PARTY cannot publish reports or
disseminate data on this program for general public consumption, unless otherwise approved in
writing by theTCEQ Program Manager or the DHS BioWatch Program Manager.
All PERFORMING PARTY personnel who may have access to SBU or FOUO information will be
required to sign the DHS Non-Disclosure Agreement form(DHS Form 11000-6(08-04)) (copy
attached).
3. The proposed work must be performed in compliance with all applicable federal and state statutes,
regulations, executive orders, Office of Management and Budget(OMB)circulars, and the terms and
conditions presented herein.
4. The proposed work must also be performed in accordance with currently applicable Standard
Operating procedures (SOP)developed by the U.S. Environmental Protection Agency(EPA)
(reference follows), the TCEQ, and the respective instrument manufacturers. (Ref: Compendium of
Standard Operating Procedures-MoWatch Field Monitoring Program:Ambient Air Sampling Using
a Portable Sampling Unit version 2 (PSU-2);Revision No:1.1;Date Issued:June 30, 2005) In the
event of conflict in procedural instructions, instructions approved by the Department of Homeland
Security shall prevail.
5. Funds provided under this contract may only be used for the purposes set forth and relating to the
BioWatch Program as described below.
B. TCEQ Responsibilities
TCEQ staff will be responsible for providing:
1. All computer hardware and software required to perform this service.
2. Specific equipment and supplies necessary to perform this service, unless otherwise noted under
Section C (PERFORMING PARTY Responsibilities)below.
C. PERFORMING PARTY Responsibilities
Contract Number 582-7-72674 Page 4 of 60
The PERFORMING PARTY shall secure sensitive information and shall only transfer such
information through a secure means such as the BioWatch portal.
The PERFORMING PARTY shall provide:
1. Competent personnel who, if a new hire or have not previously held a position in the
BioWatch Program, must meet the following requirements:
a. Have U.S. citizenship;
b. Have successfully passed a background or suitability investigation consistent with
specific guidance from DHS or the local Federal Bureau of Investigation(FBI);
c. Have no criminal record of felonies; and,
d. Have passed an"Initial Display of Analytical Capability(IDAC)" if involved in the
operation of a collector(form provided by TCEQ).
Failure to comply with the above listed personnel requirements may be considered a material
failure to comply with the Contract Terms.
2. Cell phones or pagers to all appropriate BioWatch personnel at all times during assigned
working hours.
3, Vehicles necessary to provide for all on-site services and the maintenance of an accurate
mileage record reflecting all significant BioWatch-related activities.
4. All minor equipment or supply components considered either durable(e.g., hinges, locks)
or consumableldisposable(e.g., fuses, wiring, wipes, gloves)that are considered normally
available at a local hardware or electronics store.
5. Purchases of equipment having a unit cost exceeding$5,000 are subject to review and
prior approval of TCEQ.
D. Qualifications and Experience
Site operators shall have sufficient hands-on experience with the operation and maintenance of
ambient-air particulate samplers/collectors to pass the IDAC as required in Article C.I.d. listed
above.
E. Description and Schedule of Deliverables
All deliverables must be in accordance with currently applicable guidelines including the EPA's
BioWatch Quality Assurance Project Plan(QAPP) (6117105; Revision 1.1), the EPA's
Compendium of Standard Operating Procedures (SOP)referenced in Article A.,3., listed above,
and any other guidance mutually-agreed upon with the TCEQ, DHS, EPA, and the Los Alamos
National Laboratories(LANL), as applicable.
Contract Number 582-7-72674 Page 5 of 60
The PERFORMING PARTY shall provide:
1. The collection of air monitoring samples from each active collector, seven days a week, including,
but not limited to, operations, maintenance, quality assurance/quality control(QA/QC), data review,
and reporting on these activities in accordance with currently applicable SOP'S.
2. Delivery of the collected daily samples to the designated analytical laboratory by the laboratory's
requested deadline and no later than three(3)hours following the collection of the last sample from
the routine daily sampling run.
3. Routine filter-holder cleaning, assembly, and maintenance as assigned.
4. Assurance that each sample meets minimum Measurement Quality Objectives(MQO)specified in the
referenced EPA QAPP including meeting the sampling interval restriction of 24 hours + 3 hours.
5. Exclusive utilization of the information technology (IT)system(hardware and software) as provided
by DHS/EPA/LANL that includes assurance of the daily completion of all appropriate paperwork
and the efficient operation of the assigned Sample Management System(SMS)including:
a. The required maintenance of sample integrity and chain of-custody;
b. The creation of biweekly electronic backup files on securely-stored removable media; and,
c. The maintenance of each full year's data records in a secure Iocation for one full year
following December 31'of the year in which the data was generated and, after which, will
be destroyed in accordance with the currently applicable EPA QAPP,
6. A record and concatenation(linking)of the unique identification(ID)numbers of each collector with
site location information and provide this information as well as any updating or revisions of such
information to the TCEQ within three(3)business days of such changes(not to be confused with the
24-hour reporting deadlines applying to Item 8., listed below).
7. The arrangement for new collector-site setup(s)or the relocation of existing collector(s) including,
but not limited to,property agreements, building contractor negotiations, electrical power, security
(fencing), and site-access requirements.
8. Performing Party shall notify TCEQ by telephone, as soon as possible, and no later than 24 hours
following, any significant exceptions to the normal sample-collection routine. TCEQ shall provide a
list of contact telephone numbers. These exceptions include,but are not limited to:
a. Collector failures or downtimes;
b. Site start-up or closure (whether seasonal or permanent, planned or sudden);
c. Collector relocations(note that consensus approval must be received from the TCEQ and
DHS/EPA/LANL, as applicable, for any relocation of permanent BioWatch-network
collectors);
d. Special-event monitoring (i.e., activation of spare collectors) (note that costs associated with
special-event monitoring may be under specified budget limitations and, therefore, not
reimbursable under this contract without special approval);
Contract Number 582-7-72674 Page 6 of 60
e. Details regarding any breach of security including tampering, break-in, theft, defacement, or
other suspicious activity, or,
L Any deviation from normal operations or the approved and currently applicable SOP.
9. A complete list of persons authorized to access the SMS with a brief description of their
qualifications as described in Article D. listed above.
10. Appropriate training of personnel assigned to BioWatch operations and the maintenance of a pool of
appropriately-trained personnel and participation in the annual National BioWatch Workshop.
11. The designation and assignment of persons experienced with BioWatch operations to be available via
telephone or pager on a 24-hour, 7-day per week, 365-day per year basis.
12. Written quarterly reports submitted to TCEQ electronically within 15 days following the end of each
quarter and in accordance with established security procedures that include the following;
a. Identification the primary point of contact(POC)and all staff conducting operations with
notation of any changes from previous reports(e.g., new hires or turnover);
b. QA information as specified in the currently applicable QAPP;
c. Collector inventory details including number of operable and non-operable collectors in
reserve (i.e., spares), details relating to any malfunctions or lost sampling time due to
human error and the measures taken to address such concerns; and,
d. Information on the number of filter holders in rotation and their attrition rate.
13. Invoicing on a quarterly basis accompanied by a detailed breakdown of expenditures including, but
not limited to:
a. Personnel (FTE)time specifying persons billing under this contract by name, position,
billing rate, weekly billing period, weekly hours billed, and a brief description of the
person's duties fulfilled or accomplishments achieved.;
b. Fringe benefits;
c. Travel outside of normal work routine including mileage/transportation(and specifying
persons involved and reason for travel);
d. Training;
e. Equipment;
f. Supplies;
g. Vehicle purchases;
It. Operational vehicular costs including mileage/transportation;
Contract Number 582-7-72674 Page 7 of 60
i. Collector re-siting; and,
j. Other relevant expenses.
Note that the use of BioWatch funds for construction activities is not allowable. Costs associated with the
set up of new or relocated collector sites or improvements to existing collector sites, subject to prior
written approval of TCEQ, are not generally considered construction activities.
14. Annual inventory of any equipment purchased having a cost of$5,000 or more per unit, due on
September 30 following each year of the Contract. The inventory shall include a description of the item,
serial number, and purchase amount. See Article 7(e) of the Special Terms and Conditions.
15. Maintain a level of inter-governmental exchange and situational awareness through substantial
participation in local BioWatch planning and training activities including, but not limited to, BioWatch
Advisory Committee (BAC)meetings, local and regional exercises,routine communications with TCEQ,
EPA, and DHS as requested or necessitated by unforeseen events.
F. Acceptance Criteria
If, during any quarter, a 90% efficiency in falter delivery to the laboratory is not met(excluding missed deliveries
due to acts of God), TCEQ may take actions consistent with Section 15 of the General Terms and Conditions.
Contract Number 582-7-72674 Page 8 of 60
PROJECT REPRESENTATIVES
RECORDS LOCATION
ARTICLE 1. PERFORMING PARTY
The term`PERFORMING PARTY"as used in this Project Representatives/Records Location means either
PERFORMING PARTY or CONTRACTOR, as applicable.
ARTICLE 2. TCEQ PROJECT REPRESENTATIVE
The individual named below is the TCEQ Project Representative, who is authorized to give and receive
communications and directions on behalf of the TCEQ. All communications including all payment requests must
be addressed to the TCEQ Project Representative or his or her designee.
Dan McClellan Telephone No.: 512/239-6306
(Name)
Air Monitoring Coordinator for Homeland Security 165Facsimile No.: 5121239-1605
(Title) (Mail Code)
Texas Commission on Environmental Quality
P.O. Box 13087
Austin,Texas 78711-3087
ARTICLE 3. PERFORMING PARTY PROJECT REPRESENTATIVE
The individual named below is the PERFORMING PARTY Project Representative, who is authorized to give and
receive communications and directions on behalf of the PERFORMING PARTY. All communications to the
PERFORMING PARTY will be addressed to the PERFORMING PARTY Project Representative or his or her
designee.
T. C. Micheal Telephone No.: 817/871--5455
(Name)
Manager, Air Quali!y Program Facsimile No.: 817/871-5464
(Title)
5000 MLK Freeway
(Mailing Address)
Fort Worth TX 76119
(City) (Slate) 1(zip Code)
ARTICLE 4. SUBMITTAL OF PAYMENT REQUESTS
Payment requests must be submitted to (whichever is checked):
X the TCEQ Project Representative.
t, the TCEQ Disbursements Section.
(f neither box is checked,payment requests must be submitted to the TCEQ Disbursements Section).
ARTICLE 5. DESIGNATED LOCATION FOR RECORDS ACCESS AND REVIEW
The PERFORMING PARTY designates the physical location indicated below for record access and review
pursuant to any applicable provision of this contract:
(Location)
(Mailing Address)
(City) (State) (Zip Code)
Contract Number 582-7-72674 Page 9 of 60
Contract Costs Budget
PERFORMING PARTY shall submit its detailed budget to TCEQ, in the format specified below, within thirty
(30)days prior to the beginning of the Term of this Contract. The total budget amount shall not exceed the
Maximum Amount of Contract listed in Article 1 of the Contract. Upon approval by TCEQ, the budget shall be
incorporated into this contract as the Contract Costs Budget. No expenditures by PERFORMING PARTY shall be
deemed to be in accordance with this contract until the Contract Costs Budget has been approved in writing by
TCEQ.
ARTICLE 1. AUTHORIZED EXPENSE BUDGET
1.1. The authorized expenses, acquisitions, or expenditures under this Contract are as follows:
Budget Category Budget
Personnel/Salary $ .00
Fringe Benefitsl .00
Travel .00
Supplies .00
Equipment .00
Contractual .00
Other .00
Other-Third Party In-kind $ 0
Total Direct Costs $00
Authorized Indirect Costs2 0
TOTAL COSTS $00
Grantee Cost Share 00
TCEQ Share $00
1. Fringe benefits shall be reimbursed at actual costs and shall not exceed_% of total direct
personnel/salary costs for the term of the Contract without written approval of the TCEQ Project
Representative.
2. The indirect rate currently authorized(far the purpose of calculating amounts to be reimbursed
by the TCEQ)shall not exceed"±0 of salaries (distribution base)for the Term of the
Contract, subject to the provisions outlined in the Indirect Cost Rate section of this Article.
1.2. The PERFORMING PARTY is responsible, throughout the term of this Contract, for tracking and
ensuring that expenditure amounts under this Contract remain within the various budgeted cost categories set forth
in this Article. If, after taking into consideration the requirements set forth in this Article, the PERFORMING
PARTY determines that changes or adjustments to any of the current cost category
Contract Number 582-7-72674 Page 10 of 60
amounts are likely to be necessary, the PERFORMING PARTY shall submit a Budget Revision Form to
the TCEQ for review and approval.
1.3. Indirect Cost Rate: The Commission and the PERFORMING PARTY must choose one of the following
options relating to indirect rate, and identify that option clearly in the contract budget. If no option is selected,
indirect rate will NOT be reimbursed.
Option One:
1.3.1. The PERFORMING PARTY shall comply with OMB Circular A-87 and the Uniform Grant
Management Standards (UGMS)relating to Indirect Cost Rates.
1.3.2. The PERFORMING PARTY shall maintain all indirect rate records for the Commission's
inspection or submit records as per the agency's request.
1.3.3. PERFORMING PARTY agrees to utilize the provisional rate as established below and agrees to
conduct an indirect rate audit. A final indirect rate will be established based on the actual allowable costs,
as provided in UGMS, for the period as established by an audit conducted by a currently licensed
independent certified public accountant and submitted to the PERFORMING PARTY and the
Commission. This indirect rate audit may be conducted at the same time as any other audit required of the
PERFORMING PARTY. The cost of the indirect rate audit will be accounted for within the indirect
rate, and not directly charged to the Commission. If the indirect rate audit is not provided to the
Commission within the earlier of 30 days after receipt of the auditor's report or nine months after the end
of the audit period, Option Two (below)will apply.
(i)In accordance with OMB Circular A-87 and the UGMS, when the PERFORMING PARTY
has a federal cognizant agency or a state coordinating agency, the PERFORMING PARTY must submit
the indirect rate approved by the federal cognizant agency or state coordinating agency within the past 24
months as the provisional indirect rate.
(ii)Alternatively, if the PERFORMING PARTY does not have an assigned federal cognizant
agency or a designated state coordinating agency or if no rate is approved by the designated oversight
agency, the Commission and the PERFORMING PARTY may negotiate a provisional indirect rate in
accordance with UGMS.
(iii)In the event,prior to the termination date of this Contract, an audited indirect rate which is
different from the initial provisional indirect rate set forth in this section is accepted by Commission,the
Commission and PERFORMING PARTY may negotiate a new contract budget and incorporate such into
this Contract by way of a contract change.
(iv)The provisional rate will be included in the Authorized Expense Budget and shall remain in
effect subject to determination of a final indirect rate which is based on an audit of the contract period,
performed by a currently licensed independent certified public accountant, which specifically examines
and reports the indirect rate for the PERFORMING PARTY's accounting period(s)covered under this
Contract.
(v)The PERFORMING PARTY agrees to reimburse the Commission any overpayments
received as a result of this provisional rate being higher than the approved final audited indirect rate for
the period under consideration. Nothing in this section, or the results of any indirect cost audit or final
indirect rate approval, shall cause the Commission to owe the PERFORMING PARTY more than the
"Total Obligation Amount" or result in a reduction in the deliverables set forth in the Scope of Work. If
the final indirect rate is higher than the provisional rate, an adjustment may be made in a future year
contract.
Contract Number 582-7-72674 Page 11 of 60
Option Two:
1.3.4. Indirect Cost Rates. The PERFORMING PARTY shall comply with OMB Circular A-87 and the
Uniform Grant Management Standards(UGMS)relating to Indirect Cost Rates.
1.3.5. The PERFORMING PARTY shall maintain all indirect rate records for the Commission's
inspection or submit records as per the agency's request.
1.3.6. PERFORMING PARTY agrees to an indirect rate ofd or less of the direct salary and wage costs of
providing the service, in accordance with UGMS Part II, Attachment E, Paragraph E.2.d. No audit of this rate
will be required by the Commission.
Option Three:
1.3.7. PERFORMING PARTY agrees to direct bill all costs and not require indirect cost for the contract.
1.4. When the PERFORMING PARTY applies for final payment,the PERFORMING PARTY will certify on
a written form provided by TCEQ that the PERFORMING PARTY has not engaged in the lobbying of the
Federal Government or in litigation against the United States unless authorized under existing law.
ARTICLE 2. SUBMITTAL OF PAYMENT REQUESTS
Payment requests must be submitted at the interval specified below (whichever is checked; if none is checked,
payment requests must be submitted monthly; if more than one is checked, invoices must be submitted when both
requirements are met):
❑ monthly
❑upon completion of deliverables specified herein(see ).
❑upon completion of all Work
X Other(specify) Quarterly to be received within 3Q da s after the end of the quarter. Included with the
invoice which shall be provided in a format acceptable to the TCEQ, will be the FSR(Financial Status Report)
and the PAR form.
Contract Number 582-7-72674 Page 12 of 60
SPECIAL TERMS AND CONDITIONS
1. These conditions add to, or in the case of conflicts, supersede and take precedence over the general conditions
set forth in this Contract.
2. The contract period shall be effect from contract execution through August 31, 2007. TCEQ reserves the option
to renew, by written agreement of the parties, the contract for two (2)additional one (1)year periods.
3. Any information provided to, gathered or produced by the PERFORMING PARTY in connection with providing
services under this contract constitutes confidential information under Texas Government Code§§418.176-77 and
418.181, and the PERFORMING PARTY shall not release such information without prior written authorization of
the TCEQ. Confidential information includes, but is not limited to, the areas covered, the number of areas covered,
the total number of monitors, the numbers of monitors in any given areas, the specific location of monitors, the
types of monitors, the identity of employees involved in the project, and the nature of the parameters monitored.
4. Force Majeure. _If either party is delayed in carrying out its obligations due to acts of God, labor stoppages, or
other similar irresistible forces, the party shall give notice and full particulars of such delay supported by sufficient
evidence, in writing,to the other party within a reasonable time after occurrence of the delay. The time of
performance by the party shall be extended for such a period of time as is reasonably necessary to remedy the
effects thereof. Force majeure does not include ordinary delays that are common to the industry or location. Force
majeure does not include an event of the sort that this network is designed to detect.
5. PERFORMING PARTY agrees that the contract award is subject to the following requirements in addition to
other requirements listed in this Contract. The PERFORMING PARTY will ensure that these requirements are
included in any subcontract it awards.
a. TITLE VI OF THE CIVIL RIGHTS ACT OF 1964. As amended,provides that no person in the
United States shall, on the grounds of race, color, or national origin, be excluded from participation in,
or be denied the benefits of, or be subject to discrimination under any program or activity receiving federal
financial assistance. Title VI also extends protection to persons with limited English proficiency. (42
U.S.C. 2000d et seq.)
b. TITLE IX OF THE EDUCATION AMENDMENTS OF 1972. Provides that no person in the
United States shall, on the basis of sex, be excluded from participation in, or be denied benefits of, or be
subject to discrimination under any education program or activity receiving federal financial assistance. (20
U.S.C. 1681 etseq.)
C. THE AGE DISCRIMINA'T'ION ACT OF 1975. Provides that no person in the United States shall,
on the basis of age, be excluded from participation in, or be denied benefits of, or be subject to
discrimination under any program or activity receiving federal financial assistance. (42 U.S.C. 6101 et
seq-)
d. SECTION 504 OF THE REHABIITATION ACT OF 1973. Provides that no other qualified
individual with a disability in the United States, shall, solely by reason of his/her disability, be excluded
from participation in, or be denied benefits of, or be subject to discrimination under any program or
activity receiving federal financial assistance. (29 U.S.C. 794)
e. THE AMERICANS WITH DISABILITIES ACT OF 1990("ADA"). Prohibits discrimination on
the basis of disability in employment (Title 1), state and local government services (Title II), places of
public accommodation and commercial facilities (Title If1). (42 U.S.C. 12101-12213)
Contract Number 582-7-72674 Page 13 of 60
6. PERFORMING PARTY agrees to comply with the following requirements in addition to other requirements
listed in this Contract. The PERFORMING PARTY will ensure that these requirements are included in any
subcontract it awards.
a. DRUG-FREE WORKPLACE ACT. Requires the recipient to publish a statement about its drug-
free workplace program and give a copy of the statement to each employee(including consultants and
temporary personnel)who will be involved in federally funded activities at any site where these activities
will be carried out. Also, place(s) where work is being performed(i.e., street address, city, state, and zip
code)must be maintained on file. The PERFORMING PARTY must notify the TCEQ Project Manager of
any employee convicted of a violation of a criminal drug statute that occurs in the workplace. (41 U.S.C.
701 et seq.)
b. FEDERAL DEBT STATUS. The PERFORMING PARTY may not be delinquent in the
repayment of any federal debt. Examples of relevant debt include delinquent payroll or other taxes,
audit disallowances, and benefit overpayments. (OMB Circular A-129)
C. HOTEL AND MOTEL SAFETY ACT. The PERFORMING PARTY agrees to ensure that all
conference, meeting, convention or training space funded in whole or in part with federal funds, complies
with the Hotel and Motel Fire Safety Act of 1990.
7. Equipment.
a. Subject to the obligations and conditions set forth in this Contract, title to al]equipment acquired
under this Contract shall vest, upon acquisition or construction, in the PERFORMING PARTY.
b. The PERFORMING PARTY agrees to conduct physical property inventories, to maintain property
records and necessary control procedures, and to provide adequate maintenance with respect to all
equipment acquired under this Contract.
C. The PERFORMING PARTY may develop and use its own property management system which
must conform with all applicable State and local laws, rules and regulations. If an adequate system for
accounting for personal property owned by the PERFORMING PARTY or its subcontractor is not in place
or currently in use, the Property Accounting System Manual issued by the State of Texas General Services
Comtnission shall be used as a guide for establishing such a system.
d. Property records must be maintained that include a description of the property, a serial number or"
other identification number, the source of property, who holds title, the acquisition date, and the cost of the
property, percentage of federal participation in the cost of the property, the location, use and condition of
the property, and any ultimate disposition data including the date of disposal and sale price of the property.
e. A physical inventory of all equipment acquired or replaced under this Contract having an initial
purchase price of Five Thousand Dollars ($5,000) or more, shall be conducted annually and the results of
such inventories reconciled with the appropriate property records. Property control procedures utilized by
the PERFORMING PARTY shall include adequate safeguards to prevent loss, damage, or theft of the
acquired property. Any loss, damage or theft shall be investigated. The PERFORMING PARTY agrees to
develop and carry out a program of property maintenance as necessary to keep both originally acquired and
any replaced property in good condition, and to utilize proper sales procedures to ensure the highest
possible return, in the event such equipment is sold.
f. All equipment acquired or replaced under this Contract shall be used for the duration of its
normally expected useful life to support the purposes of this Contract whether or not the original projects
or programs continue to be supported by federal or state funds.
g. Subject to the provisions of this Article, if no longer needed for the support of the authorized
Contract Number 582-7-72674 Page 14 of 60
projects or programs referred to in the Scope of Work, equipment acquired under this Contract, whether
original or replacement, may be used in support of other activities currently or previously supported by the
TCEQ or the Federal Government, or alternatively, may be made available for use on other projects or
programs, providing such other use will not interfere with the work on those projects or programs for
which such equipment was originally acquired.
h. The PERFORMING PARTY may, for the purpose of replacing various equipment utilized under
this Contract, either trade in or sell the equipment or property referred to in paragraph 7(a) and use the
proceeds of such trade-in or sale to offset the cost of acquiring needed replacement property.
i. Items of equipment with a current per-unit fair market value of less than$1,000 may be retained,
sold or otherwise disposed of with no further obligation to the awarding agency. Methods used to
determine per-unit fair market value must be documented, kept on file and made available to the awarding
agency upon request.
Items of equipment with a current per-unit market value of$5,000 or more may be retained or sold and the
awarding agency shall have a right to an amount calculated by multiplying the current market value or
proceeds from sale by the awarding agency's share of the equipment. Methods used to determine per-unit
fair market value must be documented, kept on file and made available to the awarding agency upon
request.
j. If prior to the termination date of this Contract, the PERFORMING PARTY or its subcontractors
or subgrantees determine that any equipment acquired with funds provided as a result of this Contract is no
longer needed for support of the programs or projects referred to in the Scope of Work, the TCEQ may
require the PERFORMING PARTY to transfer title and possession to such equipment to the TCEQ or a
third party named by the TCEQ.
k. The PERFORMING PARTY agrees that if a determination is made within six years of the
initiation date of this contract that any equipment acquired with funds provided as a result of this Contract
is no longer needed for support of the programs or projects referred to in paragraph 4.15, the TCEQ has a
right to require the transfer of any equipment having a fair market, per unit value of more than five
thousand dollars($5,000) to the TCEQ or a third party named by the TCEQ.
8. Administrative and Cost Principles. Performing Party agrees that the following Administrative and Cost
Principles, as applicable,apply to this Contract:
a. The Uniform Grant and Contract Management Act(UGCMA), Texas Government Code, Section
783.001 et seq.,and the Uniform Grant Management Standards (UGMS)for State Agencies
b. OMB Circular A-87 "Cost Principals for State, Local, and Indian Tribal Governments."
c. OMB Circular A-102 "Grants and Cooperative Agreements with State and Local Governments"
d. OMB Circular A-133 "Audits of States, Local Governments, and Non-Profit Organizations"
Aft _7
Contract Number 582-7-72674 Page 15 of 60
GENERAL CONDITIONS
ARTICLE 1. WORK
PERFORMING PARTY agrees to provide the work described in and required by this Contract. In this Contract the
term"Work"means the entire completed undertaking,or the various separately identifiable parts thereof. Work includes
all goods, labor, services, materials and equipment provided in fulfillment of this Contract by any person or entity
including PERFORMING PARTY's employees, agents, assigns, suppliers, and subcontractors.
ARTICLE 2. AMENDMENT
This Contract may be amended only by written agreement signed by both parties.
ARTICLE 3. INSURANCE
PERFORMING PARTY will require its contractors and their subcontractors to maintain insurance coverage sufficient to
protect TCEQ against any and all claims that may arise out of or resulting from their performance of the Work and the
other obligations undertaken in this Contract, and to maintain Workers Compensation Insurance which complies with
Texas statutory requirements.
ARTICLE 4. ACCEPTANCE CORRECTIONS, WAIVER, WARRANTY, QUALITY
1. Acceptance. All Work must be complete and satisfactory in the reasonable judgment of the TCEQ.
2. Corrections. PERFORMING PARTY will correct errors, omissions, and deficiencies at no charge to the TCEQ.
3. Waiver. No waiver,whether expressed or implied,shall be construed as a continuing waiver unless it is specifically
described in writing as a continuing waiver.
4. Warranty. All warranties implied by law are applicable to the Work. Nothing in this Contract nor any action of the
TCEQ will act as a disclaimer of any warranty. All warranties are for a period of ONE YEAR from the date of
acceptance unless a different period is stated in this Contract or in a written warranty. PERFORMING PARTY
expressly warrants that the TCEQ will receive the benefits of third-party warranties(whether manufacturer or supplier)
applicable to the Work.
5. Quality. All materials and equipment shall be of good quality and new,except as otherwise provided in the Contract.
If required by TCEQ, PERFORMING PARTY will furnish satisfactory evidence (which may include reports of
required tests) as to the kind and quality of materials and equipment. All materials and equipment shall be applied,
installed,connected,erected,used,cleaned and conditioned in accordance with instructions of the applicable Supplier,
except as otherwise provided in the Contract.
ARTICLE S. PAYMENT
1. Payment Methods. TCEQ will reimburse PERFORMING PARTY's allowable costs of providing Work which is
satisfactory, accepted by TCEQ, and in conformity with all requirements of this Contract and applicable law.
2. Reimbursement of Actual Cost as Incurred. This Contract contains a Contract Costs Budget indicating expected
contract-related costs for the required Work. PERFORMING PARTY will be paid on the basis of reimbursement of
actual costs. At the intervals specified in the Contract Costs Budget,PERFORMING PANTY may submit a request for
reimbursement of the actual costs it has incurred. All such requests must be accompanied by supporting documentation
as required by this Contract. PERFORMING PARTY agrees that the TCEQ's obligation to reimburse the
PERFORMING PARTY's costs will remain within the Contract Costs Budget and that cumulative transfers among the
budgeted direct cost categories will not exceed ten percent(10%) of the total reflected therein.
a. If PERFORMING PARTY is a state agency as defined in GOVT CODE,Chapter 791,then all reimbursement
requests thrust be submitted to the TCEQ Project Representative on a State of Texas Interagency Transaction
Voucher. All requests must be accompanied by a summary report or invoice showing the budgeted cost
Contract Number 582-7-72674 Page 16 of 60
categories for the reported expenditures and indicating the amount remaining in each category.
b. If PERFORMING PARTY is not a state agency, then all reimbursement requests must be submitted to the
TCEQ Project Representative with a completed TCEQ Financial Status Report(TCEQ Form 269a) and (as
applicable)TCEQ Supplemental Financial Status Report Forms 269a-1,269a-3,and 269a-4. A final Financial
Status Report must be submitted no later than 90 days following the termination date of this Contract.
3. Tlmely Payment Requests Required. TCEQ may refuse to pay any request submitted more than 90 days after the
termination of this Contract.
ARTICLE 6. SUBCONTRACTORS, OTHERS
1. Qualified Personnel. All employees and subcontractors employed by PERFORMING PARTY on or for the Work
must have sufficient qualifications to perform the Work.
2. Objections. PERFORMING PARTY will not employ any particular subcontractor, supplier or other person or
organization on or for the Work if TCEQ makes a reasonable written objection against such subcontractor, supplier,
person,or organization. PERFORMING PARTY will not be required to employ any particular subcontractor,supplier
or other person or organization if PERFORMING PARTY makes a reasonable objection.
3. Subcontracts. PERFORMING PARTY will include all provisions which may be necessary to accomplish all
requirements of this Contract in its employment policies and contracts and its subcontracts, and shall require its
subcontractors to do the same.
ARTICLE 7. INTELLECTUAL PROPERTY
1. License of Future Rights. With respect to any intellectual property which is conceived,developed,written,invented,
first actually reduced to practice or otherwise produced by PERFORMING PARTY, its employees,subcontractors, or
subcontractor's employees during the performance of the Work, PERFORMING PARTY hereby assigns to TCEQ a
nonexclusive,perpetual,irrevocable,enterprise-wide license to use,copy,publish and modify such intellectual property
and authorize others to do so for TCEQ purposes. Upon termination of this Contract, all data and information by
PERFORMING PARTY will be furnished to TCEQ.
2. License of Existing Rights. PERFORMING PARTY grants to TCEQ a nonexclusive, perpetual, irrevocable,
enterprise-wide license to use,copy,publish,and modify any intellectual property in the Work and to authorize others to
do so for TCEQ purposes. PERFORMING PARTY shall secure all necessary intellectual property licenses from third
parties and warrants that the Work and the intended use of the Work will not infringe any property rights of any third-
party. PERFORMING PARTY agrees to require its contractors to indemnify and hold harmless TCEQ from damages
arising from or related to any infringement of rights in intellectual property. To the extent permitted by law,
PERFORMING PARTY agrees to indemnify and hold harmless TCEQ from damages arising from or related to any
infringement of rights in intellectual property.
ARTICLE S. SEVERABILITY
The fact that a particular provision is held under any applicable law to be void or unenforceable in no way affects the
validity of other provisions and the contract will continue to be binding on both parties. Any provision that is held to be
void or unenforceable will be replaced with language that is as close as possible to the intent of the original provision.
ARTICLE 9. SUSPENSION; TERMINATION
1. For Cause. In the event of PERFORMING PARTY's failure to perform the Work as required by the Contract,
violation of applicable law, substantial or material default, or other cause, TCEQ may suspend the Work or terminate
this Contract for cause.
2. Force Majeure. In the event of delay or failure of performance caused by force majeure,TCEQ may terminate this
Agreement in whole or part upon seven(7) days written notice.
3. For Convenience. TCEQ may terminate this Contract for convenience and without cause upon seven(7)days notice.
Contract Number 582-7-72674 Page 17 of 60
4. Payment Adjustment. If the TCEQ terminates for convenience or because offorce majeure,PERFORMING PARTY
shall be paid only for goods and services provided and necessary expenses incurred prior to termination.
ARTICLE 10. SURVIVAL OF OBLIGATIONS
All representations,indemnifications, warranties and guarantees made in,required by or given in accordance with this
Contract, as well as all continuing obligations indicated in the Contract, will survive final payment, completion and
acceptance of the Work and termination or completion of the Contract.
ARTICLE 11. LAWS AND REGULATIONS
PERFORMING PARTY shall give all notices and comply with all applicable law regarding the Work. Except where
otherwise expressly required by applicable law,TCEQ shall not be responsible for monitoring PERFORMING PARTY
compliance with any applicable law.
ARTICLE 12. AUDIT,ACCESS TO RECORDS
The PERFORMING PARTY shall maintain books and records concerning all Work under this Contract(including that
performed by subcontractors), and shall retain them for at least three (3) years from the date of termination of this
Contract. The TCEQ, the Texas State Auditor's Office, or any of their duly authorized representatives may review,
audit, copy, or disclose the contents of such books or records at any time.
ARTICLE 13. MISCELLANEOUS
1. Except as otherwise provided in this Contract, PERFORMING PARTY will direct all communications with the
TCEQ to the Project Representative designated by the TCEQ. The PERFORMING PARTY will designate a Project
Representative to receive all communications from the TCEQ. Both Project Representatives wilt be designated in
writing (see Project Representatives/Records Location).
2. "Time is of the Essence" will apply to all time limits stated in the Contract.
3. The PERFORMING PARTY will adhere to all applicable standards, principles and guidelines detailed in the
Uniform Grant and Contract Management Standards(UGCMS),including those related to financial monitoring,auditing
and record keeping.
ARTICLE 14. DELINQUENT STATE'TAXES
The PERFORMING PARTY agrees that any payments due under this Contract will be applied towards any debt owed to
the State of Texas. This requirement is not applicable to PERFORMING PARTIES who are state agencies as defined in
Gov't Code, Chapter 791.
ARTICLE 15. REMEDIES AND SANCTIONS
1. In accordance with Chapter 2261 Texas Government Code, the following Schedule of Remedies applies to this
Contract in the event of substandard performance or other failure to conform to the requirements of the Contract or
applicable law.
a Reject the substandard performance and request corrections without charge to the TCEQ.
b. Issue a notice of substandard performance or other non-conforming act or omission.
G. Request and receive the return of any over payments or inappropriate payments.
d. Reject associated reimbursement requests and suspend payments,pending accepted revision of substandard
performance or non-conformity. Note: Funds may be retained by TCEQ for recovery of administrative
costs or returned to funding source as authorized by agreements with the funding source and by state or
federal law.
e. Suspend all or part of the Work,pending accepted revision of substandard performance or non-conformity.
f, Terminate the contract, demand and receive: return of all equipment purchased of contract funds, return
of all unexpended funds, and repayment of expended funds. 777-1
Oil
lr
2.If the TCEQ finds the PERFORMING PARTY's performance to be substandard, TCEQ may pro ideg r! cl' „r
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Contract Number 582-7-72674 Page 18 of 60
evaluation report to other governmental entities at any time. TCEQ may also provide its written evaluation report to the
public as authorized by law.
3.TCEQ may avail itself of any remedy or sanction provided in this Contract or in law to recover any losses rising from
or caused by the PERFORMING PARTY's substandard performance or any non-conformity with the Contract or the
law. The remedies and sanctions available to TCEQ in this contract shall not limit the remedies available to the TCEQ
under law.
ARTICLEI6. DISPUTES, CLAIMS, REMEDIES
Continuing the Contract Activities. Performing Party shall carry on the Contract Activities and adhere to the progress
schedule during all disputes or disagreements with TCEQ unless ordered to stop the Contract Activities. No Contract
Activities shall be delayed or postponed pending resolution of any disputes or disagreements.
Payment not a Release.Neither payment by TCEQ nor any other act or omission other than an explicit written release
constitutes a release of Performing Party from Iiability for losses under this Contract.
Cumulative Remedies. The rights and remedies provided to the TCEQ in this Contract,are in addition to, and are not
to be construed in any way as a limitation of,any rights and remedies available under state and federal rules,regulations,
and laws and at common law.
ARTICLE 17, INSURANCE AND INDEMNIFICATION
Insurance. Unless prohibited by law, the Performing Party shall require its contractors and suppliers to obtain and
maintain during the Contract Term adequate insurance coverages sufficient to protect the Performing Party and the
TCEQ from all claims and liability for injury to persons and for damage to property arising from the Contract,whether
caused by the Performing Party or by the contractor(s) or by anyone directly or indirectly employed by either. The
Performing Party shall insure the activity of its contractor in Performing Party's own policies. Unless specifically
waived by the TCEQ,sufficient coverages shall include but are not limited to Workers Compensation and Employer's
Liability Insurance, Commercial Automobile Liability Insurance, and Commercial General Liability Insurance.
Indemnification. To the extent authorized by law, the Performing Party shall require all contractors performing the
Contract Activities on behalf of Performing Party to indemnify, defend, and hold harmless the TCEQ and Performing
Party and their officers,employees and representatives from and against all losses,liabilities, damages,and other claims
of any type arising from the performance of the Contract Activities by the Performing Party or its contractors, suppliers
and agents, including those arising from a defect in design, workmanship,materials,or fromm infringement of any U.S.
or foreign patent,trademark or copyright,or from a breach of applicable laws,regulations,safety standards or directives
regardless of whether such acts or omissions are negligently or recklessly performed. The defense of the TCEQ shall be
subject to the authority of the Office of the Attorney General of Texas to represent the TCEQ This covenant survives
the termination of the Contract.
ARTICLE 18. RELEASE OF CLAIMS
Upon satisfactory completion of the work performed hereunder and prior to final payment under this Agreement for such
work, or prior to settlement upon termination of this Agreement and as a condition to final payment/settlement, the
PERFORMING PARTY shall execute and deliver to the TCEQ a release of all claims against the TCEQ arising under
or by virtue of this Agreement.
ARTICLE 19. BANKRUPTCY CLAUSE
If the Contractor files for bankruptcy,immediately notify TCEQ in writing according to the Notice provisions AND send
notification directly to TCEQ 13ankruptey Program. The Contractor's notice to the bankruptcy program must include the
appropriate contract number(s).
Contract Number 582-7-72674 Page 19 of 60
FEDERAL TERMS AND CONDITIONS
_ ARTICLE 1. FEDERAL REQUIREMENTS
This Contract is funded in part with federal grant money. The following conditions apply to this Contract in
addition to all other contract terms. All applicable requirements of TCEQ's federal grants and 40 CFR Parts 30
through 35 are incorporated herein by reference(TCEQ will provide copies of applicable federal grants or
regulations upon request). The term"PERFORMING PARTY" as used in these Federal Conditions means either
PERFORMING PARTY or CONTRACTOR, as applicable.
ARTICLE 2. FEDERAL INTELLECTUAL PROPERTY REQUIREMENTS
A nonexclusive, perpetual, irrevocable license to use, copy,publish, and modify any intellectual property to which
rights are granted or assigned to TCEQ in this Contract are hereby also granted to, assigned to, or reserved by the
Federal Government. To the extent consistent with the rights of third parties, the Federal Government shall also
have the right to sell any intellectual property right it reserves or acquires through this Contract.
ARTICLE 3. ACKNOWLEDGMENT OF FINANCIAL SUPPORT
The PERFORMING PARTY shall acknowledge the financial support of the TCEQ and the U.S. EPA whenever
work funded, in whole or part, by this Contract is publicized or reported in news media or publications. All reports
and other documents completed as a part of this Contract, other than documents prepared exclusively for internal
use within the TCEQ, shall carry the following notation on the front cover or title page:
PREPARED IN COOPERATION WITH THE
Texas Commission on Environmental Quality AND
DEPARTMENT OF HOMELAND SECURITY AGENCY
The preparation of this report was financed through grants from the U.S. Department of Homeland Security through
the Texas Commission on Environmental Quality.
(If the funding source is a U.S. agency other than U.S. EPA, the name of the appropriate federal agency should be
substituted.)
ARTICLE 4. COST AND PRICE OF THIS CONTRACT
If this Contract was not competitively procured or if payment is based on reimbursement of actual costs, then
PERFORMING PARTY shall submit cost information sufficient for a cost analysis as required by 40 CFR§31:36.
This information must be submitted on forms provided by the TCEQ.
ARTICLE 5. ACCOUNTING SYSTEMS AND PROPERTY MANAGEMENT SYSTEMS
J. PERFORMING PARTY shall have an accounting system which accounts for costs in accordance with generally
accepted accounting standards or principles and complies with 40 CFR§31.20. This system shall provide for the
identification, accumulation, and segregation of allowable and unallowable project costs among projects.
2. PERFORMING PARTY shall have a property management system that complies with the standard of and
requirements in 40 CFR§§31.32 through 31.33.
ARTICLE 6. RECORD DOCUMENTS, DATA, RECORDS, ACCESS, AND AUDIT
The Federal Government and its agencies will have the same rights of access to records as are granted to, assigned
to, or reserved by the TCEQ under this Contract.
ARTICLE 7. DEBARMENT
On or prior to the effective date of this Contract, PERFORMING PARTY must submit a Certification Regarding
Debarment, Suspension, and Other Responsibility Matters. PERFORMING PARTY must also submit a
Certification Regarding Debarment, Suspension, and Other Responsibility Matters/Lower Tier for each
Contract Number 582-7-72674 Page 20 of 60
subcontractor it employs to conduct the.Work. These certifications must be submitted on forms provided by the
TCEQ.
ARTICLE 8. MINORITY BUSINESS ENTERPRISES/WOMEN'S BUSINESS ENTERPRISES (MWBEs)
1. PERFORMING PARTY shall take steps to encourage participation by minority business enterprises and
women's business enterprises (MWBES)in the performance of this Contract.
2. If the General Conditions of this Contract do not contain a requirement that PERFORMING PARTY submit
information regarding its subcontracts with Historically Underutilized Businesses(HUBS)as defined by Texas law,
then PERFORMING PARTY shall comply with the MBE/WBE requirements imposed on TCEQ in the federal grant
or grants funding this Contract, and submit information regarding its subcontracts with MBE/WBEs on forms
provided by the TCEQ.
3. PERFORMING PARTY agrees that qualified MWBEs shall have the maximum practicable opportunity to
participate in the performance of the Work required under this Contract through possible subcontracts to carry out
portions of the Work and by way of goods and/or services procurement contracts that directly support the required
Work.
4. PERFORMING PARTY will submit a completed HUB PROGRESS ASSESSMENT REPORT with each
reimbursement request submitted. At a minimum this report shall include the name of the MWBE, a description of
the work, services or materials provided, the amount paid to the MWBE, and the name and telephone number of a
contact person within the MWBE.
5. The PERFORMING PARTY shall conduct the following actions in connection with solicitations for
subcontractors and for suppliers (vendors)of contract-required goods and/or services:
5.1. Place qualified MWBEs on solicitation lists for subcontractors and vendors;
5.2. Assure that at least three(3)MWBEs are solicited whenever they are potential sources for
subcontractor-performed work or vendor-provided goods and/or services;
5.3. Each solicitation shall include a copy of the specifications, adequate information about the plans,
Scope of Service, and requirements of the work to be subcontracted or the goods and/or services to be
procured, and shall provide sufficient time to allow all interested parties the opportunity to participate
effectively;
5.4. Records of solicitations for subcontractor and/or vendor services, including the responses received
from potential MWBE subcontractors and vendors, shall be maintained and reported to TCEQ;
5.5. Submit explanatory information in cases where bids were not solicited prior to obtaining the services
of subcontractors or vendors, or where a MWBE was low bidder but the subcontract or procurement
contract was awarded to a non MWBE;
5.6 Divide total subcontractor or vendor requirements, when economically feasible, into smaller tasks or
quantities to permit maximum participation by such business enterprises; if sufficient subcontracting or
goods and/or service provider opportunities are not available, PERFORMING PARTY shall submit
explanatory information to TCEQ;
5.7. Establish delivery schedules, where requirements permit, which encourage participation by MWBEs;
5.8. Utilize the Texas General Services Commission (GSC) Centralized Master Bidders List(CMBL)and
Historically Underutilized Business (HUB)Directory (<http://www.gse.state.tx.us>) and the services and
assistance of the Small Business Administration and the Minority Business Development Agency of the
U.S. Department of Commerce(<http://www.doc.gov>)when searching for MWBE subcontractors
Contract Number 582-7-72674 Page 21 of 60
and/or vendors; and
5.9. Require its subcontractors to take the actions listed in 5.1 -5.8 of this Article in all of its subcontracts
that contemplate the letting of lower-tier subcontracts.
ARTICLE 9. PROHIBITION USE OF FEDERAL FUNDS FOR LOBBYING AND LITIGATION
Contractor agrees that none of the funds paid under this Contract will be used to engage in the lobbying of the
Federal Government or in litigation against the United States unless authorized under existing law. When
Contractor applies for final payment, Contractor will certify on a written form provided by the TCEQ that
Contractor has complied with this provision.
Contract Number 582-7-72674 Page 22 of 60
Exhibit A
TCEQ HUB Progress Assessment Report(PAR)
Part A.Identifying Information.
1.TCEQ Contract
No.: 2.You're Invoice No.
3.Work Order No.(if 4. For work completed
applicable) between and
5.Prime Contractor("You"): 6.Prime Contractor Vendor
ID#:
7.Contact
8.Phone:
9.Is the Prime Contractor a Texas certified HUB and performing at least 25%of the total value of the contract? El Yes ❑
No
Part B.Current Invoice FOR HUB and/or Non-HUB Subcontracting Information.
10.Check box if no HUB and/or Non-HUB subcontractors have been used this period,otherwise fill out below listed table:
Value of this subcontractor's
Name and Address of HUB Type of participation for this invoicing
and/or Non-HUB Subcontractor Vendor ID No. FIUB Provided*: period
❑MBE ❑Services $
❑WBE ❑Commodities
❑MBE ❑Services $
❑WBE ❑Commodities
❑MBE ❑Services $
❑WBE ❑Commodities
Total $
*If subcontractor's services include both labor and materials,check"services"only,
Nate:If you need room to list more subcontractors,enter this information on a plain sheet of paper and attach it to this form.
11.Total of current invoice: $
12.Total of current invoices from certified HUB subcontractors: $
13.Percent of HUB expenditures for this invoice:
(line 12-line 11)x 100
Part C.Total Contract/HUB Subcontracting Information
14.Total amount invoiced to date:
15.Total invoiced from certified HUB Subcontractors to date: $
16. Percent of HUB invoices for total contract to date: %
(line I5—line 14)x 100
17.HUB subcontracting goal for this contract: %
Pant D.Affirmation.The information provided on this form is complete and con-eel.You or our representative must sign here:
18.Name Signature 19.
Date:
Type of funding: ❑State ❑Federal ❑Both Date In: PCA Code(s)
Check if prime contractor is one of the fallowing:
❑ River Authority ❑ Interlocal Printed Name:
Index: COB7: Signature:
Contract Number 582-7-72674 Page 23 of 60
General Information submitting with this form.
3.Work Order No.-If applicable,enter your work order number for the site,
The purpose of this form is to help the Texas Commission on Environmental phase,or program,
Quality(TCEQ;"us")to track the value of business we do with Texas-certified
"historically underutilized businesses"(HUBS)and federally designated"minority- 4.For work completed between-Enter the period of time in which the work
or woman-owned business enterprises"(MWBEs),In this form,the acronym covered by these invoices was carried out.
"HUB"refers to both of these classes of businesses.
5.Prime Contractor-Enter the name of the contractor to which we awarded this
Do I Have to Complete This Form? contract.
If we have awarded you a contract to provide us with professional services,other
services,or commodities and your contract contains a subcontracting plan,then 6. Prime Contractor Vendor IDII-Enter the 11-digit vendor identification
You must complete this form each time you submit an invoice or set of invoices to number the Comptroller of Public Accounts has assigned the prime contractor.
us—even ifno subcontracting occurred during the period covered by these
invoices. 7. Contact-Enter the name ofthe person authorized to complete this form for the
prime contractor.We will contact this person if we have any questions about the
If you are a HUB,you must perform at least 25 percent of the total value of the information you have provided on this form.
contract with your own or leased employees as defined by the Internal Revenue
Service in order for the agency to receive 100 percent HUB credit for the entire g, Phone-Enter the phone number at which we can reach the contact person
contract.You may subcontract more than 75 percent of the contract with HUBS or named in Item 7.
non-HUB subcontractors,but you must report to us the valuesboth dollar amount
and percentage---of your contract that was actually performed by you and your 9. Indicate"Yes'or"No".
subcontractors during each invoicing period.
10.HUB and/or Non41UIJ Subcontractor Information-First column—Enter
Where Do I Turn This Form In? the complete name and address of each subcontractor.Enter information about this
When you have completed this form,attach it to your invoices and submit it to our subcontractor in the remaining columns of this row.Check box ifno
project manager for your contract. subcontractors were used during this invoicing period.
Where Can I Get More Answers? Second column:—Enter the 13-digit vendor identification number the Comptroller
Ifyou have any other questions,call the project manager named on your contract of Public Accounts has assigned to this HUB subcontractor,
or our HUB Program Director:(512/239-1273).
Third cohunn,—You have three options:
Definitions • If this subcontractor is a minority-owned business enterprise,check
"MBE."
These brief definitions may help you complete this form.For terms where a fid] If this subcontractor is a woman-owned business enterprise,check
legal definition may be helpful,we have cited the rule or law that gives that "WBE."
definition.. If this subcontractor qualifies as both and MBE and a WBE,check
both boxes
Commodities—materials,supplies,or equipment.May include consumable
articles(for example,office supplies)or durable items(for example,computers, Fourlh-column-Indicate,by checking the appropriate box,whether the
furniture,or equipment), subcontractor provided services orconunodities.(Ifboth,check"services"only.)
Other services—all services other than construction and professional services, Fah column—Enter the total of all invoices attached for the HUB subcontractor.
including consulting services(Texas Government Code,Chapter 2254,Subchapter
B) 11.Total of current invoice-Enter the total of the Prime Contractor's current
invoice.
Prime contractor(or"prime")--any business,agency,or individual who
provides commodities or services to us under a purchase order or other contract. 12.Total of current invoices from certified HUB subcontractors-Enter the
total amount of all attached invoices from HUBS.
Professional services—services of accountants,architects,engineers,land
surveyors,optometrists,and physicians(Texas Government Code,Chapter 2254, 13.Percent of HUB expenditures for this invoice-Use the instructions on the
Subchapter A). PAR form to calculate the percentage of this invoice that HUB subcontractors have
completed.
Services—{1)functions performed for us by an outside source—for example,
equipment repair,consulting,hazardous waste disposal,or work by short-term 14.Total amount invoiced to date-Enter the total of all invoices you have
temporary employees. submitted to us to date for[tris contract,including the invoices attached to this
(2)similar functions performed for the prime contractor by an outside source. PAR form.
Subcontractor—any business,agency,or individual(other than an employee) 15.Total:ofHUB expenditures on the tutu]contract to date-Enter the total of
who provides commodities or services to the prime contractor. all HUB subcontractor invoices for this contract to date.
Total contract(Item 14"n this form,totat value of your contract with us, 16.Percent of HUB invoices for the total contract to date-Use the instructions
including all monetary amendments,if any. on the PAR form to calculate the percentage of this contract that HUB
subcontractors have completed to date.
Vendor ID No.—the I 1-digit taxpayer identification number assigned to this
subcontractor by Comptroller of Public Accounts.The subcontractor should be 17.HUB Subcontracting goal for this contract-The HUB goal is slated as a
able to provide you with this number. percentage in your contract.Enter the IIUB goal here.
Instructions 18.Name and Signature-The contractor or authorized representative of the
contractor.
1.TCEQ Contract No.-Enter the contract number we have assigned to this 19.Date-Enter the date you completed this report.
contract.This number appears on the first page of the contract
2.Your Invoice No.-Enter your invoice number for each invoice you are
Contract Number 582-7-72674 Page 24 of 60
Exhibit B
United States Environmental Protection Agency
Washington,DC 20460
Certification Regarding
Debarment,Suspension,and Other Responsibility Matters
The Prospective participant certifies to the best of its knowledge and belief that it and-its principals:
(a) Are not presently debarred,suspended,proposed for debarment,declared ineligible,or voluntarily excluded from covered
transactions by any Federal department or agency;
(b) Have not within a three-year period preceding this Offer been convicted of or had a civil judgement rendered against them for
commission of fraud or a criminal offense in connection with obtaining,attempting to obtain,or performing a public(Federal,
State,or local)transaction or contract under a public transaction;violation of Federal or State antitrust statutes or
commission of embezzlement,theft,forgery,bribery,falsification or destruction of records,malting false statements,or
receiving stolen property;
(c) Are not presently indicted for or otherwise criminally or civilly charged by a government entity(Federal,Slate,or local)with
commission of any of the offenses enumerated in paragraph(b)of this certification;and
(d) Have not within a three-year period preceding this application/Offer had one or more public transactions(Federal,State,or
local)terminated for cause or default.
I understand that a false statement on this certification maybe grounds for rejection of this Offer or termination of the award. in
addition,under 18 UBC Sec.1001,a false statement may result in a fine of n to 510,000 or imprisonment for up to 5 years,or both.
Fernando Costa, Director Planning Dept. for Libby Matson
Ty ed lSame&Title of Authorized Representative
Signature of Authorized Representative Date
D 1 am unable to certify to the above statements. My explanation is attached.
FPA J-94
Contract Number 582-7-72674 Page 25 of 60
LOWER TIER
EPA
United States Environmental Protection Agency
Washington,DC 20,160
Certification Regarding
Debarment,Suspension,and Other Responsibility Matters
The Prospective participant certifies to the best of its knowledge and belief that it and its principals:
(a) Are not presently debarred,suspended,proposed for debarment,declared ineligible,or voluntarily excluded from covered
transactions by any Federal department or agency;
(b) [lave not within a three-year period preceding this Offer been convicted of or had a civil judgement rendered against them for
commission of fraud or a criminal offense in connection with obtaining,attempting to obtain,or performing a public(Federal,
State,or local)transaction or contract under a public transaction;violation of Federal or State antitrust statutes or
commission of embezzlement,theft,forgery,bribery,falsification or destruction of records,making raise statements,or
receiving stolen property;
®) Are not presently indicted for or otherwise criminally or civilly charged by a government entity(Federal,State,or local)with
commission of any of the offenses enumerated in paragraph(b)or this certification;and
(d) Have not within a three-year period preceding this application/Offer had one or more public transactions(Federal,State,or
local)terminated for cause or default.
I understand that a false statement on this certification may be grounds for rejection of this Offer or termination of the award. In
addition,under 18 USC Sec.1001,a false statement may result in a fine of up to$10,000 or imprisonment for up to 5 years,or both.
Fernando Costa Director Planning Dept. for Libby Watson
ame Title out orized Representative
119-fdii4i-� 7/.%1 O42
Signature of Authorized Representative Date
❑ 1 am unable to certify to the above statements.My explanation is attached.
EPA F.-570949(11-83)
i
Contract Number 582-7-72674 Page 26 of 60
Exhibit C
TEXAS COMMISSION ON ENVIRONMENTAL QUALITY
Release of Claims
hereby releases the Texas Commission on Environmental
Quality (TCEQ), its officers, agents, and employees from any and all future
claims arising under or by virtue of TCEQ Contract Number
Further certifies that all subcontractors, suppliers, employees and any party
which has performed or provided service for this contract has been paid in
full and satisfied.
All services and tasks required to be completed under the referenced
contract have been completed.
Prompt payment, therefore, of any and all funds which may have been
"retained" by TCEQ in accordance with said contract is requested.
Executed on this day of
By:
(sigxra ture1
(name, typed orprinted)
(title)
Contract Number 582-7-72674 Page 27 of 60
Exhibit D
CERTIFICATION REGARDING LOBBYING
Certification for Contracts,Grants,Loan,and Cooperative Agreements
The undersigned certifies, to the best of his or her knowledge and belief, that:
(1) No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any
person for influencing or attempting to influence an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection
with awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan,
the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or
modification of any Federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an
officer or employee of Congress, or any employee of a Member of Congress in connection with this
Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit
Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions.
(3) The undersigned shall require that the language of this certification be included in the award documents
for all subawards at all tiers(including Subcontracts, subgrants, and contracts under grants, loans, and
cooperative agreements)and that all subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was
made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction
imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be
subject to the civil penalty of not less than$10,000 and not more than$100,000 for each such failure.
Statement for Loan Guarantees and Loan Insurance
The undersigned states, to the best of his or her knowledge and belief, that:
If any funds have been paid or will be paid to any person for influencing or attempting to influence an officer or
employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a
Member of Congress in connection with this commitment providing for the United States to insure or guarantee a
loan, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in
accordance with its instructions.
Submission of this statement is a prerequisite for making or entering into this transaction imposed by section 1352,
title 31, U.S. Code. Any person who fails to file the required statement shall be subject to a civil penalty of not
less than$10,000 and not more than$100,000 for each such failure.
ORGANIZATION NAME AWARD NUMBER
Fernando C
#D.TrIrT AUTHO IZjD REPRESS TATIVE
a� T 1/04
SIGNATURE DATE
Please check appropriate box below:
[ ] Disclosure Form attached
[ ] Disclosure Form Forthcoming
[ ] Disclosure Form Not Applicable
Contract Number 582-7-72674 Page 28 of 60
DISCLOSURE OF LOBBYING ACTIVITIES
Complete this forst to disclose lobbying activities pursuant to 31 USC 1352
1. Type of Federal Action: [ ] 2. Status of Federal Action: [ ] 3. Report Type: [ ]
a. contract a. bid/offer/application a. initial filing
h. grant b. initial award b. material change
c. cooperative agreement c. post-award
it. loan For Material change only:
e. loan guarantee year Quarter
f. loan insurance date of last report
4. Name and Address of Report Entity 5. If Reporting Entity in No.4 is Subawardee,enter name and
[ ] prime [ ] subawardee address of Prime:
tier ,if known: Congressional District,if known
Congressional District,if known:
6. Federal Department/Agency: 7. Federal Program name/Description:
CFDA Number,if applicable:
S. Federal Action Number,if known: 9. Award Amount if known:
10. a. Name and address of Lobbying Entity(if individual,last name, b. Individuals Performing Services(including address if different
first name,NM- (attach Continuation Sheet(s) from No.10a) (last name,first name,Ml):SF--LLL-A if necessary)
11. Amount of Payment(check all That apply): 13. Type or Payment(check all that apply):
$ ( ] actual [ ] planned I ] a. retainer
[ ] b. one-time fee
[ ]
C. commission
12. Amount of payment(check all that apply): [ ] it. contingent fee
[ J e. deferred
( ] a. cash [ ] f. other,specify:
[ ] b. in-kind;specify nature
value
14. Brief description of services performed or to he performed and date(s)or service,including officer(s),employee(s),or Member(s)
contacted for Payment indicated in Item 11:
(attach Continuation sheet(s)SF,-LLL-A if necessary)
15. Continuation shect(s)SF-LLIrA attached: I ] Yes [ ] No
16. Information requested through this form is authorized by Title 31 Signature
U.S.C.z Section 1352. This disclosure of lobbying activities is a material
representation of fact upon which reliance was placed by the tier above
when this transaction was made or entered into. This disclosure is Print Name
required pursuant to 31 U.S.C.1352. This information will be reported
to the Congress semi-annually and will be available for public inspection.
Any person who fails to file the required disetosure'shall be suhlect to a Title
civil penalty of not less than$10 000 and not more than$100,000 for each
such failure. Telephone No.
Date
Standard Form-LL
Contract Number 582-7-72674 . Page 29 of 60
DISCLOSURE OF LOBBYING
CONTINUATION SHEET
Reporting Entity: Page of
Authorized for Local Reproduction
Standard Form- LLL-A
Contract Number 582-7-72674 Page 30 of 60
INSTRUCTIONS FOR COMPLETION OF SF-LL DISCLOSURE OF LOBBYING ACTIVITIES
This disclosure form shall be completed by the reporting entity,whether subawardee or prince Federal recipient,at the Initiation or receipt of a covered
Federal action,or a material change to a previous tiling,pursuant to Title 31 U.S.C.Section 1352. The filing of a form is required for each payment or
agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency,a Member of
Congress,an officer or employee of Congress,or an employee of a Member of Congress in connection with a covered Federal action. Use the SF-LLL-
A Continuation Sheet for additional information if the space on the form is inadequate. Complete all items that apply for both the initial filing and
material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional Information.
1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered
Federal action.
2. Identify the status of the covered Federal action.
3. Identify the appropriate classification of this report. If this is a follow-up report caused by a material change to the information previously
reported,enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting
entity for this covered Federal action.
J. Enter the full name,address,city,state and zip code of the reporting entity. Include Congressional District if known. Check the
appropriate classification of the reporting entity that designates if it is,or expects to be,a prime or subaward recipient. Identify the tier of
the subawardee,e.g.,the first subawardee or the prime is the first tier. Subawards include but are not limited to Subcontracts,subgrants,
and contract awards under grants.
5. If the organization filing the report in Item 4 checks"Subawardee",then enter the full name,address,city,state and zip code of the prime
Federal recipient. Include Congressional District,if known.
6. Enter the name of the Federal Agency making the award or loan commitment. Include at least one organizational level below agency name,
if known. For example,Department of Transportation,United States Coast Guard.
7. Enter the Federal program name or description for the covered Federal action(Item 1). If known,enter the full Catalog of Federal Domestic
Assistance(CFDA)number for grants,cooperative agreements,loans,and loan commitments.
8. Enter the most appropriate Federal identifying number available for the Federal action identified in Item 1(e.g.,Request for Offer(RFP)
number,invitation for Bid(IFB)number,grant announcement number,the contract,grant,or loan award number,the application/Offer
control number assigned by the Federal agency) Include prefixes,e.g.,RFP-DE-90-001."
9. For a covered Federal action where there has been an award or loan commitment by the Federal agency,enter the Federal amount of the
award/loan commitment for the prime entity identified in Item 4 or 5.
10. (a) Enter the full name,address,city,state and zip code for the lobbying entity engaged by the reporting entity identified in Item 4 to
influence the covered Federal action.
(b) Enter the full names of the individual(s)performing services,and include full address if different from 10(a). Enter Last Name,First
Name,and Middle Initial(MI).
11. Enter the amount of compensation paid or reasonably expected to be paid by the reporting entity(Item 4)to the lobbying entity(Item 10).
Indicate whether the payment has been made(actual)or will be made(planned). Check all boxes that apply. If this is a material change
report,enter the cumulative amount of payment made or planned to be made.
12. Check the appropriate box(es). Check all boxes that apply. If payment is made through an in-kind contribution,specify the nature and
value of the in-kind payment.
13. Check the appropriate box(ex). Check all boxes that apply. If other,specify nature.
14. Provide a specific and detailed description of the services that the lobbyist has performed,or will he expected to perform,and the date(s)of
any services rendered. Include all preparatory and related activity,not just time spent in actual contact with Federal officials. 'Identify the
Federal official(s)or employee(s)contacted or the officer(s),employee(s),or Member(s)of Congress that were contacted.
15. Check whether or not a SF-LLL-A Continuation Sheet(s)is attached.
16. The certifying official sball sign and date the form,print hislbcr name,title,and telephone number.
Public reporting burden for this collection of information is estimated to average 30 minutes per response,including time for reviewing
instruction,searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the collection of
Information. Send comments regarding the burden estimate or any other aspect of this collection of information,including suggestions for
reducing this burden to the Office of Management and Budget Paperwork Reduction Project(0348-0046),Washington,D.C.29503.
Contract Number 582-7-72674 Page 31 of 60
Exhibit E
PURPOSE AND APPLICABILITY OF THE COST OR PRICE SUMMARY
(COST OR PRICE SUMMARY IS ATTACHED BELOW)
The purpose of this form is to provide a simple form for the display of cost and price data. 40 CFR 33.290
requires the recipient to perform cost or price analysis for every procurement action, including
subagreement modifications. This form is not required by EPA, but may be used at the recipient's option. If
the recipient currently uses a cost and price analysis form which accomplishes the same objectives as this
form, the recipient may use its own form.
INSTRUCTIONS
rate. Overtime premiums should be identified separately on
If this form is used,CAREFULLY READ AND FOLLOW ALL an attachment. Incurrence of unanticipated overtime costs
INSTRUCTIONS. Many items are not self-explanatory. requires the approval of the recipient at the time of
Attach additional sheets if necessary. incurrence. If significant overtime is known to be needed at
the time of completion of the cost review form,the reasons
Use only the applicable portion of this form: therefore, labor categories, rates and hours should be
identified on the attachment. Also included is the cost of
Part I is applicable to all subagreements. partners'or principals'time when they are directly engaged in
Part li is applicable to all subagreements requiring a cost services to be rendered under the subagreement. In case
analysis pursuant to EPA procurement regulations. the full time of any employee is not to be devoted to work to
Part Ili is applicable to all subagreements where review is be performed under the subagreement, only the cost of
based on price comparison(i.e.,price analysis). actual time to be applied should be included. The
Part IV certification will be executed as required by the compensation of a partner or principal shall be included as
instructions for each block. direct cost only for the time that she/he is expected to be
engaged directly in the performance of work under the
PART I-GENERAL subagreement and only if it is the firm's normal practice to
charge such time directly to all jobs. The rate of
Item 1 -Enter the name of the of the recipient as shown on compensation of a partner or principal shall.be
the assistance agreement. commensurate with the cost of employing another qualified
Item 2-Enter the assistance identification number shown on person to do such work, but the salary portion shall not
the assistance agreement(or assigned to the project, if no exceed the actual salary rate of the individual concerned.
assistance agreement has yet been executed). Distribution of profits shall not be included in the rate of
Item 3-Enter the name of the contractor or Subcontractor compensation.
with whom the subagreement is proposed to be executed.
Item 4-Enter the date of the contractor's or Subcontractor's Enter in block 7 the categories of professional or technical
Offer to the recipient. personnel necessary to perform each major element of work
Item 5-Enter the full mailing address of the contractor or under the subagreement scope of services. Estimate hours
Subcontractor. worked for each category and extend them by the wage rates
Item 6-Give a brief description of the work to be performed to be paid during the actual performance of the work.
under the proposed subagreement. Current rates, adjusted for projected increases, if any should
be useful for the actual categories of labor contemplated. All
Part Il-COST SUMMARY projected increases should be supported by recent
experience or established personnel policy. Enter in the far
This portion of the form is to be completed by the contractor right column the total estimated direct labor cost.
(or his/her Subcontractor)with whom a subagreement is a
formally advertised,competitively bid,fixed price Supporting records to be maintained by the contractor and
subagreement, which must be submitted or made available to the recipient or
EPA upon request include:
Nothing in the following discussion should be interpreted as a.The method of estimating proposed hours worked.
recommending the inclusion as direct costs any items b.The computation techniques used in arriving at proposed
normally treated as overhead costs in the firm's accounting or labor rates.
estimating system. 40 GFR Pah 30 identifies general cost c.The specific documents, books or other records used as
principles applicable to subagreements under EPA factual source material to develop proposed hours worked
assistance. Pursuant to that Part, all subagreements and labor rates.
awarded to profit-snaking organizations are subject to cost d. Detailed rate computations which were used in computing
principles of 48 CFR 31.2.Architect engineer and the information submitted on the form.
construction contracts are also subject to 48 GFR 31.105.
If in block 144,the contractor has checked"No,"a brief
Item 7-Direct Labor' narrative description of the methods used in arriving at items
a though d above shall be included on an attached sheet.
Direct labor costs normally include salaries at a regular time
Contract Number 582-7-72674 Page 32 of 60
Item 8-Indirect Costs vary,the use of particular groupings is not required. Neither
Indirect cost may consist of one or more pools of expenses is the use of any particular allocation base mandatory.
which are grouped on the basis of the benefits accruing to However, it is mandatory that the method used results in an
the cost objectives represented by the distribution base or equitable allocation of indirect costs objectives which they
bases to which they are allocated. Since accounting practices support.
Normally,the firm's accounting system'and estimating Supporting records to be maintained by the contractor and
practices will determine the method used to allocate which must be submitted or made available to the recipient or
overhead costs. The firm's established practices, if in accord EPA upon request include:
with generally accepted accounting principles and
PROVIDED THEY PRODUCE EQUITABLE RESULTS IN a. Detailed cost data showing overhead accounts, allocation
THE CIRCUMSTANCES,will generally be accepted. bases, and rate computations for the preceding fiscal period.
Proposed overhead rates should represent the firm's best If more than six months of the current fiscal period have
estimate of the rates to be experienced during the elapsed, cost data for this period should be included as one
subagreement period. They should be based upon recent of the three period(s).
experience and be adjusted for known factors which will
influence experienced trends. b. Company budgets,budgetary cost data and overhead
rates computations for future period(s).
Common overhead groupings are overhead on direct labor
and general and administrative expenses. The first Item 9-Other Direct Costs
groupings usually include employment taxes,fringe benefits,
holidays,vacation idle time,bonuses,applicable and direct The following items are illustrative of costs normally included
labor,etc. The second generally includes the remaining in this category of costs:
costs,which, because of their incurrence for common orjoint
objectives,are not readily subject to treatment as direct a. Travel cost, including transportation, lodging, subsistence,
costs. It is expected, however,that Offer groupings will and incidental expenses incurred by personnel or consultants
correspond with the firm's normal method for accumulating while in travel status in connection with the performance of
indirect costs. (Under some accounting systems,the first services required by the contract. The cost principles
grouping would be included instead under item 7.) No generally require the use of less than first class air
special categorization is required,provided the results are accommodations and also limit the cost of private aircraft.
realistic and equitable.
b. Equipment, Materials, and Supplies
Direct salaries are the normal distribution base for overhead
cost but in some circumstances other bases produce more (1) Long distance telephone calls, telegraph and cable
equitable results. As in the case of overhead cost groupings, expenses to be incurred in connection with the
the method to be used will depend upon the firm's normal performance of services required in connection the
practices and the equity of the results produced in the subagreement.
circumstances.
(2) Reproduction costs,including blueprints, black and white
In the case of multibranch firms,joint ventures,or affiliates, it prints, ozalid prints,photographs,photostats, negatives;
is expected that overhead costs applicable to specific and express charges.
location(s)where work is to be based on cost data from the
most recent fiscal periods updated to reflect changes in (3) Commercial printing,binding, artwork, and models.
volume of business or operations.
(4) Special equipment.
Enter in block 8 the indirect cost pools normally used by the
firm for allocation of indirect costs. Enter indirect cost rate for c. Subcontractors
each pool and extend each one by the rate base to which it
applies to arrive at the estimated indirect costs to be incurred d. Other Direct costs, if any,not included above.
during the actual performance of the work. If the indirect
labor total from block 7 is not used as the rate base for any of Enter in blocks 9a-d all other direct costs proposed. `(ravel
the indirect cost pools,the rate base used must be explained costs entered must be supported by an attachment which
on an attached sheet, identifies the number of staff trips proposed and the
estimated cost per staff trip for both local and long distance
A brief narrative statement outlining the firm's policies and transportation. The number of days and the rate per day
practices for accumulating indirect costs. Enter the indirect must be provided to support the per diem shown. Each
cost rate costs and the method used to compute the Subcontract and consultant agreement must be identified
proposed rate or rates shall accompany the form. Include separately in block 9c.
comment on the firm's policies regarding the pricing and
costing of principals'time. The normal accounting treatment Enter in the far right column on line 9e the total of all other
of principals'salaries,the annual amounts, and the hourly direct costs(9a-d).
charge rate, if used, should be discussed.
Supporting data to be maintained by the contractor and which
Enter in the far right column the total estimated indirect costs. must be submitted or made available to the recipient or EPA
upon request include:
Contract Number 582-7-72674 Page 33 of 60
Item 10 -Total Estimated Cost
a. basis for other direct costs proposed.
Enter the total of all direct labor, indirect costs and other
b. factual sources of costs, rates,etc., used in computing direct costs from items 7, 8,and 9.
proposed amount of each cost element.
Item 11 -Profit
A fair and reasonable provision for profit cannot be made by
simply applying a certain predetermined percentage to the Complete this block only if part II has been completed.
total estimated cost. Rather,profit will be estimated as a
dollar amount after considering: Enter the specific cost principles with which the costs
summary of Part II conforms. Cost principles applicable to
a. degree of risk subagreements with various types or organizations are
identified in 40 CFR Part 30.4010. Cost principles applicable
b. nature of the work to be performed. to subagreements with profit-making organizations are those
at 48 CFR 31.2 and, for architect-engineer or construction
c. extent of firm's investment. contracts,48 CFR 31.105.
d. Subcontracting of work, and c. (1) Describe the Offer, quotation, request for price
adjustment,or other submission involved, giving appropriate
e. other criteria. identifying number(e.g., RFP No. ).
The Federal Acquisition Regulation cost principles applicable (2) Enter the date when the price negotiations were
to subagreements with profit-making organizations(40 CFR concluded and the contract price was agreed to. The
31.2 and 39.105)disallow certain types of costs which are responsibility of the subagreement is not limited by the
sometimes incurred by firms in the normal conduct of their personal knowledge of the contractor's negotiator if the time
business. Examples of costs which are not allowable under of agreement,showing that the negotiated price is not based
these costs principles include,but are not limited to, on complete,current, and accurate data.
entertainment,interest on borrowed capital, and bad debits.
Because the Government considers 'Profit"to be the excess (3) Enter the date of signature. This date should be as
of price over allowable costs,such computation can indicate close as practicable to the date when the price negotiations
a higher profit estimate than the firm's experienced profit as it were concluded and the subagreement price was agreed to
customarily computes it. The contractor may separately (not to exceed 30 days).
disclose to the recipient its customary computations.
Item 15-Recipient Reviewer-FOR USE BY RECIPIENT
Enter the dollar amount of profit in block 11. ONLY.
Item 12-Total Price If required by applicable assistance regulations,the recipient
must submit the signed form for EPA review prior to
Enter the total of items 10 and 11. execution of the subagreement.
Part III-PRICE SUMMARY Item 16-EPA Reviewer-FOR USE BY EPA ONLY.
This portion of the form is for use by a recipient when price
comparison,i.e.,price analysis, is used for subagreement
review. It may also be used by a contractor when price
comparison is used as a basis for award of a Subcontract.
Item 13-Competitor's Catalog Listings, In-House Estimates,
Price Quotes
I=nter sources of all competitive bids or quotes received,or
catalogs used and their prices,or in-house estimates made, if
appropriate, for comparison. Attach additional sheets if
necessary,particularly for purchases of several different
items.
Enter in the far right column the proposed price for the
subagreement.
Part IV-CERTIFICATIONS
Item 14-Contractor-FOR USE BY CONTRACTOR OR
SUBCONTRACTOR ONLY.
Contract Number 582-7-72674 Page 34 of 60
COST OR PRICE SUMMARY Form approvedOMB No.2030-0011
EPA (see accompanying instructions before completing this form) Approval expires 10-31-86
PARTI-GENERAL
1.RECIPIENT 2.ASSISTANCE IDENTIFICATION NO.
3.NAME CONTRACTOR OR SUBCONTRACTOR 4.DATE OF PROPOSAL.
5.ADDRESS OF CONTRACTOR OR SUBCONTRACTOR(Include ZIP Code) 6.TYPE OF SERVICE TO BE FURNISHED
TELEPHONE NUMBER(Inciude Area Code)
PART II-COST SUMMARY
7.DIRECT LABOR(specify labor categories) ESTIMATED HOURLY ESTIMATED TOTALS
HOURS RATE COST
$ $
DIRECT LABOR TOTAL: $
ESTIMATED
8.INDIRECT COSTS(Specify indirect cost pool) RATE x BASE = COST
INDIRECT COSTS TOTAL: $
9.OTHER DIRECT COSTS
ESTIMATED
a.TRAVEL COST
1)TRANSPORTATION $
(2)PER DIEM $
TRAVEL SUBTOTAL: $
ESTIMATED
b.EQUIPMENT,MATERIALS,SUPPLIES(Specify categories QTY COST COST
EQUIPMENT SUBTOTAL:
ESTIMATED
c,SUBCONTRACTS COST
SUBCONTRACTS SUBTOTAL: $
ESTIMATED
d.OTHER(Specify categories) COST
OTHER SUBTOTAL: $
e.OTHER DIRECT COSTS TOTAL: Is
Contract Number 582-7-72674 Page 35 of 60
10.TOTAL ESTIMATED COST $
11.PROFIT $
12.TOTAL PRICE _
PART III_PRICE SUMMARY
13.COMPETITOR'S CATALOG LISTINGS,IN-HOUSE ESTIMATES,PRIOR QUOTES MARKET PROPOSED
Indicate basis for price comparison) PRICE(S) PRICE
PART IV-CERTIFICATIONS
14 CONTRACTOR
OR
14a. HAS A FEDERAL AGENCY OR FEDERALLY CERTIFIED STATE OR LOCAL AGENCY PERFORMED ANY REVIEW OF YOUR ACCOUNTS OR
RECORDS IN CONNECTION WITH ANY OTHER FEDERAL ASSISTANCE AGREEMENT OR CONTRACT WITHIN THE PAST 12 MONTHS?
=YES []NO(If"Yes"give name,address,and telephone number of reviewing office)
14b. THIS SUMMARY CONFORMS WITH THE FOLLOWING COS`(PRINCIPLES
14c. This proposal is submitted for use in connection with and in response to:
(1)
This is to certify to the best of my knowledge and belief that the cost and pricing data summarized (2)DATE
herein are
complete,current,and accurate as of:
further certify that a financial management capability exists to fully accurately account for the financial transactions under this project.I further certify that I
understand that the subagreement price may be subject to downward renegotiation and/or recoupment where the above cost and pricing data have been
determined,as a result of audit,not to have been complete,current,and accurate as of the date above.
(3)TITLE OF SIGNATURE OF REVIEWER DATE OF EXECUTION
PROPOSER
s
15. RECIPIENT
REVIEWER
leertifyythatlhave reviewed the cost) rice summary set forth herein and the proposed costlprice appear acceptable for Buba reennent award.
TITLE OF SIGNATURE OF REVIEWER DATE OF EXECUTION
PROPOSER
16. EPA
REVIEWER
TITLE OF SIGNATURE OF REVIEWER DATE OF EXECUTION
PROPOSER
Contract Number 582-7-72674 Page 36 of 60
Exhibit F
Operations Security.procedures for the Bio-Watch Program[
27 February 2003
1. References:National Security Decision Directive (NSDD)'Number 298;National
Operations Security Program; The White House, Washington D.C.; Dated:
January 22, 1988
I Scope and Applicability:
This document describes the procedures necessary to protect information associated with the
Bio-Watch Program. Information that is generally available to the public through
observation or access to open sources of formation can reveal the existence of, aitd
sometimes details about sensitive information or undertakings. Application of the operations
security(OPSBC)process promotes operational effectiveness by helping to prevent the
inadvertent compromise of sensitive government activities, capabilities or intentions. For
Brio-Watch,the information the public needs to know is that the program is a US
Environmental Protection Agency managed air-monitoring program.. Requests for additional
program information need to be'formally submitted to the US EPA, and if required, to the
Centers for Disease Control and Prevention(for laboratory issues) or the Department of
Horneland Security(for other programmatic issues),
3. Summary of Method
The-operations security process involves five steps: identification of sensitive information,
analysis of threats, analysis of vulnerabilities, assessments of risks, and application of
appropriate Countermeasures. 'The Bio-Watch process began with an examination of fhe total
activity to determine what exploitable indicators could be pieced together to discern critical
information. The indicators stem from routine administrative,physical, or technical actions
taken-to•plan, train and execute the Bio-watch program.
S
Once the indicators are identified, they are analyzed against the threat to determine the extent
to which they may reveal critical information.• The program manager in conjunction with
other Bio-Watch participants,used risk assessment to select and adopt countermeasures.
4. Sensitive Information
a. Number of cities actually protected
b. Names of cities actually protected
c. 'Agents to be detected
d, Size of attacks.that can be detected
e. Names of individuals involved in the deployment
f Names of cities not protected
g. Anything that provides information about areas not-monitored by Bio-Watch -- e.g.
detects only outdoors, or protects only facilities, or only special venues or does not
monitor
h. Nature of attacks that cannot•be detected
i, Specific equipment or protocols used
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Exhibit F
5. Analysis of threats
a. "Terrorists"
b. Enviromnental activists
c. Disgruntled.,employees/disaffected/disrcpter
6. Analysis of Vulnerabilities
a. Detector location accessibility and lack of physical security
b. Sabotage of filter when installed in collector, enroute, or at lab for processing
c. .Sampler.results and.subsequent.chain of-custody
d. . Program associates (employees and those:knDwledgeable of the program)
7. 'Application of appropriate countermeasures
a. Physical security
b. Tag names for cities
:c. , Data entry,processing, and access password protected
d. -Sensitivity..,ta personnel:reliabihty
e. Background clearance checks=(National-Agency Check, or local background checks)
L . Initial.O SEC training.and annual refresher training
S: Ultimately,responsibility for protecting the information associated with the Bio-Watch
program rests with those associated with the program. No trainingbr policy document
can.address-every-conceivable issue'that may arise. When an-individnal encounters a
situation where they feel:they need:giiidance when questioned about the Bio'-watch
program,or how to haiidle requests for.information,the-y:should refer the individual to
the appropriate Department of Homeland,Security representative.
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Exhibit G
Department of Homeland Security
Management Directive System
MD Number:11042.1
SAFEGUARDING SENSITIVE
BUT UNCLASSIFIED
(FOR OFFICIAL USE ONLY)
INFORMATION
1.6.2005
-- w
1. Purpose
This directive establishes Department of Homeland Security (DHS) policy regarding the
identification and safeguarding of sensitive but unclassified information originated within
DHS. It also applies to other sensitive but unclassified information received by DHS
from other government and non-governmental activities.
2. Scope
This directive is applicable to all DHS Headquarters, components, organizational
elements, detailees, contractors, consultants, and others to whom access to information
covered by this directive is granted.
3. Authorities
Homeland Security Act of 2002.
4. Definitions
Access: The ability or opportunity to gain knowledge of information.
For official Use OrriyLF000 . The term used within DHS to identify
unclassified information of a sensitive nature, not otherwise categorized by
statute or regulation, the unauthorized disclosure of which could adversely
impact a person's privacy or welfare, the conduct of Federal programs, or other
programs or operations essential to the national interest. Information impacting
the National Security of the United States and classified Confidential, Secret, or
Top Secret under Executive Order 12958, "Classified National Security
Information," as amended, or its predecessor or successor orders, is not to be
considered FOUO_ FOLIO is not to be considered classified information.
Need-to-know., The determination made by an authorized holder of information
that a prospective recipient requires access to specific information in order to
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Exhibit G
perform or assist in a lawful and authorized governmental function, i.e., access is
required for the performance of official duties.
Orcianizational Element. As used in this directive, organizational element is as
defined in DHS MD Number 0010.1, Management Directive System and DHS
Announcements.
Protected Critical Infrastructure Information PC11; Critical infrastructure
information (CII) is defined in 6 U.S.C. 131(3) (Section 212(3) of the Homeland
Security Act). Critical infrastructure information means information not
customarily in the public domain and related to the security of critical
infrastructure or protected systems. Protected Critical Infrastructure Information
is a subset of CII that is voluntarily submitted to the Federal Government and for
which protection is requested under the PCII program by the requester.
Sensitive Security Information (Sg Sensitive security information (SSI) is
defined in 49 C.F.R. Part 1520. SSI is a specific category of information that
requires protection against disclosure. 49 U.S.C. 40119 limits the disclosure of
information obtained or developed in carrying out certain security or research
and development activities to the extent that it has been determined that
disclosure of the information would be an unwarranted invasion of personal
privacy; reveal a trade secret or privileged or confidential commercial or financial
information; or be detrimental to the safety of passengers in transportation.
5. Responsibilities
A. The DHS Office of Security will:
1_ Be responsible for practical application of all aspects of the program to
protect FOLIO.
2. Promulgate Department-wide policy guidance.
3. Develop and implement an education and awareness program for the
safeguarding of FOUO and other sensitive but unclassified information.
B. Heads of DHS Organizational Elements will:
1. Ensure compliance with the standards for safeguarding FOUO and other
sensitive but unclassified information as cited in this directive.
2. Designate an official to serve as a Security Officer or Security Liaison.
C. The organizational element's Security Officer/Security Liaison will:
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Exhibit G
Be responsible for implementation and oversight of the FOLIO information
protection program and will serve as liaison between the DHS Office of Security
and other organizational security officers.
D. DHS employees, detailees, contractors, consultants and others to whom access
is granted will:
1. Be aware of and comply with the safeguarding requirements for FOUO
information as outlined in this directive.
2. Participate in formal classroom or computer based training sessions
presented to communicate the requirements for safeguarding FOLIO and other
sensitive but unclassified information.
3. Be aware that divulging information without proper authority could result in
administrative or disciplinary action.
E. Contractors and Consultants shall:
Execute a DHS Form 11000-6, Sensitive But Unclassified Information Non-
Disclosure Agreement (NDA), as a condition of access to such information.
Other individuals not assigned to or contractually obligated to DHS, but to whom
access to information will be granted, may be requested to execute an NDA as
determined by the applicable program manager. Execution of the NDA shall be
effective upon publication of this directive and not applied retroactively.
F. Supervisors and managers will:
1. Ensure that an adequate level of education and awareness is established
and maintained that serves to emphasize safeguarding and prevent
unauthorized disclosure of FOUO information.
2. Take appropriate corrective actions, to include administrative or
disciplinary action as appropriate, when violations occur.
6. Policy and Procedures
A. General
1. The Computer Security Act of 1987, Public Law 100-235, defines
"sensitive information" as "any information, the loss, misuse, or unauthorized
access to or modification of which could adversely affect the national interest or
the conduct of Federal programs, or the privacy to which individuals are entitled
under Section 552a of Title 5, United States Code (the Privacy Act) but which
has not been specifically authorized under criteria established by an executive
NO 11042.1
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Contract Number 582-7-72674 Page 41 of 60
Exhibit G
order or an act of Congress to be kept secret in the interest of national defense
or foreign policy." However, with the exception of certain types of information
protected by statute, specific, standard criteria and terminology defining the
types of information warranting designation as"sensitive information" does not
exist within the Federal government. Such designations are left to the discretion
of each individual agency.
2. Within the "sensitive but unclassified" arena, in addition to the various
categories of information specifically described and protected by statute or
regulation, e.g.,-Tax Return Information, Privacy Act Information, Sensitive
Security Information (SSI), Critical Infrastructure Information (Cll), Grand Jury
Information, etc. There are numerous additional caveats used by various
agencies to identify unclassified information as sensitive, e.g., For Official Use
Only; Law Enforcement Sensitive; Official Use Only; Limited Official Use; etc.
Regardless of the caveat used to identify it, however, the reason for the
designation does not change. Information is designated as sensitive to control
and restrict access to certain information, the release of which could cause harm
to a person's privacy or welfare, adversely impact economic or industrial
institutions, or compromise programs or operations essential to the safeguarding
of our national interests.
3. Information shall not be designated as FOUO in order to conceal
government negligence, ineptitude, illegalities, or other disreputable
circumstances embarrassing to a government agency.
4. Information designated as FOUO is not automatically exempt from
disclosure under the provisions of the Freedom of Information Act, 5 U.S.C. 552,
(FOIA). Information requested by the public under a FOIA request must still be
reviewed on a case-by-case basis.
B. For Official Use Only
Within DHS, the caveat"FOR OFFICIAL USE ONLY" will be used to identify
sensitive but unclassified information within the DHS community that is not
otherwise specifically described and governed by statute or regulation. The use
of these and other approved caveats will be governed by the statutes and
regulations issued for the applicable category of information.
C. Information Designated as FOUO
1. The following types of information will be treated as FOUO information.
Where information cited below also meets the standards for designation
pursuant to other existing statutes or regulations, the applicable statutory or
regulatory guidance will take precedence. For example, should information meet
the standards for designation as Sensitive Security Information (SSI), then SSI
guidance for marking, handling, and safeguarding will take precedence.
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Exhibit G
(a) Information of the type that may be exempt from disclosure per 5
U.S.C. 552, Freedom of Information Act, and its amendments.
Designation of information as FOUO does not imply that the information is
already exempt from disclosure under FOIA. Requests under FOIA, for
information designated as FOUO, will be reviewed and processed in the
same manner as any other FOIA request.
(b) Information exempt from disclosure per 5 U.S.C. 552a, Privacy Act.
(c) Information within the international and domestic banking and
financial communities protected by statute, treaty, or other agreements.
(d) Other international and domestic information protected by statute,
treaty, regulation or other agreements.
(e) Information that could be sold for profit.
(f) Information that could result in physical risk to personnel.
(g) DHS information technology(IT) internal systems data revealing
infrastructure used for servers, desktops, and networks; applications.
name, version and release; switching, router, and gateway information;
interconnections and access methods; mission or business uselneed.
Examples of information are systems inventories and enterprise
architecture models. Information pertaining to national security systems
and eligible for classification under Executive Order 12958, as amended,
will be classified as appropriate.
(h) Systems security data revealing the security posture of the system.
For example, threat assessments, system security plans, contingency
plans, risk management plans, Business Impact Analysis studies, and
Certification and Accreditation documentation.
(i) Reviews or reports illustrating or disclosing facility infrastructure or
security vulnerabilities, whether to persons, systems, or facilities, not
otherwise eligible for classification under Executive Order 12958, as
amended.
{j) Information that could constitute an indicator of U.S. government
intentions, capabilities, operations, or activities or otherwise threaten
operations security.
(k) Developing or current technology, the release of which could hinder
the objectives of DHS, compromise a technological advantage or
countermeasure, cause a denial of service, or provide an adversary with
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Exhibit G
sufficient information to clone, counterfeit, or circumvent a process or
system.
2. Other government agencies and international organizations may use
different terminology to identify sensitive information, such as "Limited Official
Use (LOU),"and "Official Use Only(OUO)." In most instances the safeguarding
requirements for this type of information are equivalent to FOUO. However,
other agencies and international organizations may have additional requirements
concerning the safeguarding of sensitive information. Follow the safeguarding
guidance provided by the other agency or organization. Should there be no such
guidance, the information will be safeguarded in accordance with the
requirements for FOUO as provided in this manual. Should the additional
guidance be less restrictive than in this directive, the information will be
safeguarded in accordance with this directive.
D. Designation Authority
Any DHS employee, detailee, or contractor can designate information failing
within one or more of the categories cited in section 6, paragraph C, as FOUO_
Officials occupying supervisory or managerial positions are authorized to
designate other information, not listed above and originating under their
jurisdiction, as FOLIO.
E. Duration of Designation
Information designated as FOLIO will retain its designation until determined
otherwise by the originator or a supervisory or management official having
program management responsibility over the originator and/or the information.
F. Marking
1. Information designated as FOUO will be sufficiently marked so that
persons having access to it are aware of its sensitivity and protection
requirements. The lack of FOLIO markings on materials does not relieve the
holder from safeguarding responsibilities. Where the FOUO marking is not
present on materials known by the holder to be FOUO, the holder of the material
will protect it as FOUO. Other sensitive information protected by statute or
regulation, e.g., PCII and SSI, etc., will be marked in accordance with the
applicable guidance for that type of information. Information marked in
accordance with the guidance provided for the type of information need not be
additionally marked FOUO.
(a) Prominently mark the bottom of the front cover, first page, title
page, back cover and each individual page containing FOUO information
with the caveat "FOR OFFICIAL USE ONLY."
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(b) Materials containing specific types of FOUO may be further marked
with the applicable caveat, e.g., "LAW ENFORCEMENT SENSITIVE," in
order to alert the reader of the type of information conveyed. Where the
sensitivity of the information warrants additional access and dissemination
restrictions, the originator may cite additional access and dissemination
restrictions. For example:
WARNING: This document is FOR OFFICIAL USE ONLY(FOUO). Itis to
be controlled, stored, handled, transmitted, distributed, and disposed of in
accordance with DHS policy relating to FOUO information. This
information shall not be distributed beyond the original addressees without
prior authorization of the originator.
(c) Materials being transmitted to recipients outside of DHS, for
example, other federal agencies, state or local officials, etc. who may not
be aware of what the FOUO caveat represents, shall include the following
additional notice:
WARNING: This document is FOR OFFICIAL USE ONLY(FOLIO). 1t
contains information that may be exempt from public release under the
Freedom of lnfonnation Act(5 U.S.C. 552). It is to be controlled, stored,
handled, transmitted, distributed, and disposed of in accordance with DHS
policy relating to FOLIO information and is not to be released to the public
or other personnel who do not have a valid"need-to-know"without prior
approval of an authorized DNS official.
(d) Computer storage media, i.e., disks, tapes, removable drives, etc.,
containing FOUO information will be marked "FOR OFFICIAL USE
ONLY."
(e) Portions of a classified document, i.e., subjects, titles, paragraphs,
and subparagraphs that contain only FOUO information will be marked
with the abbreviation (FOLIO).
(f) Individual portion markings on a document that contains no other
designation are not required.
(g) Designator or originator information and markings, downgrading
instructions, and date/event markings are not required.
G. General Handling Procedures
Although FOLIO is the DHS standard caveat for identifying sensitive unclassified
information,some types of FOLIO information may be more sensitive than others
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Exhibit G
and thus warrant additional safeguarding measures beyond the minimum
requirements established in this manual. For example, certain types of
information may be considered extremely sensitive based on the repercussions
that could result should the information be released or compromised. Such
repercussions could be the loss of life or compromise of an informant or
operation. Additional control requirements may be added as necessary to afford
appropriate protection to the information. DHS employees, contractors, and
detailees must use sound judgment coupled with an evaluation of the risks,
vulnerabilities, and the potential damage to personnel or property as the basis for
determining the need for safeguards in excess of the minimum requirements and
protect the information accordingly.
1. When removed from an authorized storage location (see section 6.1) and
persons without a need-to-know are present, or where casual observation would
reveal FOUO information to unauthorized persons, a "FOR OFFICIAL USE
ONLY" cover sheet(Enclosure 1) will be used to prevent unauthorized or
inadvertent disclosure.
2. When forwarding FOUO information, a FOUO cover sheet should be
placed on top of the transmittal letter, memorandum or document.
3. When receiving FOLIO equivalent information from another government
agency, handle in accordance with the guidance provided by the other
government agency. Where no guidance is provided, handle in accordance with
the requirements of this directive.
H. Dissemination and Access
1. FOUO information will not be disseminated in any manner- orally,
visually, or electronically -to unauthorized personnel.
2. Access to FOUO information is based on "need-to-know" as determined
by the holder of the information. Where there is uncertainty as to a person's
need-to-know, the holder of the information will request dissemination
instructions from their next-level supervisor or the information's originator.
3. The holder of the information will comply with any access and
dissemination restrictions.
4. A security clearance is not required for access to FOUO information.
5. When discussing or transferring FOLIO information to another
individual(s), ensure that the individual with whom the discussion is to be held or
the information is to be transferred has a valid need-to-know, and that:
precautions are taken to prevent unauthorized individuals from overhearing the
conversation, observing the materials, or otherwise obtaining the information.
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Exhibit G
6. FOLIO information may be shared with other agencies, federal, state,
tribal, or local government and law enforcement officials, provided a specific
need-to-know has been established and the information is shared in furtherance
of a coordinated and official governmental activity. Where FOUO information is
requested by an Official of another agency and there is no coordinated or other
official governmental activity, a written request will be made from the requesting
agency to the applicable DHS program office providing the name(s) of personnel
for whom access is requested, the specific information to which access is
requested, and basis for need-to-know. The DHS program office shall then
determine if it is appropriate to release the information to the other agency
official. (see section 6.17 for marking requirements)
7. Other sensitive information protected by statute or regulation, i.e., Privacy
Act, CII, SSI, Grand Jury, etc., will be controlled and disseminated in accordance
with the applicable guidance for that type of information.
8. If the information requested or to be discussed belongs to another agency
or organization, comply with that agency's policy concerning third party discussion
and dissemination.
S. When discussing FOUO information over a telephone, the use of a STU III
(Secure Telephone Unit), or Secure Telephone Equipment (STE), is encouraged,
but not required.
I. Storage
1. When unattended, FOUO materials will, at a minimum, be stored in a
lacked file cabinet, locked desk drawer, a locked overhead storage compartment
such as a systems furniture credenza, or similar locked compartment. Materials
can also be stored in a room or area that has sufficient physical access control
measures to afford adequate protection and prevent unauthorized access by
members of the public, visitors, or other persons without a need-to-know, such
as a locked room, or an area where access is controlled by a guard, cipher lock,
or card reader.
2. FOUO information will not be stored in the same container used for the
storage of classified information unless there is a correlation between the
information. When FOUO materials are stored in the same container used for
the storage of classified materials, they will be segregated from the classified
materials to the extent possible, i.e. separate folders, separate drawers, etc.
3. IT systems that store FOLIO information will be certified and accredited for
operation in accordance with federal and DHS standards. Consult the DHS
Information Technology Security Program Handbook for Sensitive Systems,
Publication 4300A, for more detailed information.
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Exhibit G
4. Laptop computers and other media containing FOUO information will be
stored and protected to prevent loss, theft, unauthorized access and
unauthorized disclosure. Storage and control will be in accordance with DHS
Information Technology Security Program Handbook for Sensitive Systems,
Publication 4300A.
J. Transmission
1. Transmission of hard copy FOUO within the U.S. and its Territories:
(a) Material will be placed in a single opaque envelope or container and
sufficiently sealed to prevent inadvertent opening and to show evidence of
tampering. The envelope or container will bear the complete name and
address of the sender and addressee, to include program office and the
name of the intended recipient (if known).
(b) FOLIO materials may be mailed by U.S. Postal Service First Class
Mail or an accountable commercial delivery service such as Federal
Express or United Parcel Service.
(c) FOUO materials may be entered into an inter-office mail system
provided it is afforded sufficient protection to prevent unauthorized access,
e.g., sealed envelope.
2. Transmission to Overseas Offices: When an overseas office is serviced
by a military postal facility, i.e., APO/FPO, FOUO may be transmitted directly to
the office. Where the overseas office is not serviced by a military postal facility,
the materials will be sent through the Department of State, Diplomatic Courier.
3. Electronic Transmission.
(a) Transmittal via Fax. Unless otherwise restricted by the originator,
FOUO information may be sent via nonsecure fax. However, the use of a
secure fax machine is highly encouraged. Where a nonsecure fax is
used, the sender will coordinate with the recipient to ensure that the
materials faxed will not be left unattended or subjected to possible
unauthorized disclosure on the receiving end. The holder of the material
will comply with any access, dissemination, and transmittal restrictions
cited on the material or verbally communicated by the originator.
(b) Transmittal via E-Mail
(i) FOUO information transmitted via email should be protected
by encryption or transmitted within secure communications
systems. When this is impractical or unavailable, FOUO may be
transmitted over regular email channels. For added security, when
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Exhibit G
transmitting FOUO over a regular email channel, the information
can be included as a password protected attachment with the
password provided under separate cover. Recipients of FOLIO
information will comply with any email restrictions imposed by the
originator.
(ii) Per DHS MD 4300,,DHS Sensitive Systems Handbook, due
to inherent vulnerabilities, FOLIO information shall not be sent to
personal email accounts.
(c) DHS Internet/intranet
(i) FOLIO information will not be posted on a DHS or any other
internet (public)website.
(ii) FOUO information may be posted on the DHS intranet or
other government controlled or sponsored protected encrypted
data networks, such as the Homeland Security Information Network
(HSIN). However, the official authorized to post the information
should be aware that access to the information is open to all
personnel who have been granted access to that particular intranet
site. The official must determine the nature of the information is
such that need-to-know applies to all personnel; the benefits of
posting the information outweigh the risk of potential compromise;
the information posted is prominently marked as FOR OFFICIAL
USE ONLY; and information posted does not violate any provisions
of the Privacy Act.
K. Destruction
1. FOLIO material will be destroyed when no longer needed. Destruction may be
accomplished by:
(a) "Hard Copy" materials will be destroyed by shredding, burning, pulping,
pulverizing, such as to assure destruction beyond recognition and reconstruction.
After destruction, materials may be disposed of with normal waste.
(b) Electronic storage media shall be sanitized appropriately by
overwriting or degaussing. Contact local IT security personnel for
additional guidance.
(c) Paper products containing FOUO information will not be disposed of in
regular trash or recycling receptacles unless the materials have first been
destroyed as specified above.
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Exhibit G
L. Incident Reporting
1. The loss, compromise, suspected compromise, or unauthorized
disclosure of FOUO information will be reported. Incidents involving FOUO in
DHS IT systems will be reported to the-organizational element Computer
Security Incident Response Center in accordance with IT incident reporting
requirements.
2. Suspicious or inappropriate requests for information by any means, e.g.,
email or verbal, shall be report to the DHS Office of Security.
3. Employees or contractors who observe or become aware of the loss,
compromise, suspected compromise, or unauthorized disclosure of FOUO
information will report it immediately, but not later than the next duty day, to the
originator and the local Security Official.
4. Additional notifications to appropriate DHS management personnel will be
made without delay when the disclosure or compromise could result in physical
harm to an individual(s) or the compromise of a planned or on-going operation.
5. At the request of the originator, an inquiry will be conducted'by the local
security official or other designee to determine the cause and affect of the
incident and the appropriateness of administrative or disciplinary action against
the offender.
Dated: -�
At�Y6
ry of HomelandSecurity
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Exhibit G
Department ®f Homeland Security
FOR OFFICIAL USE ONLY
THE ATTACHED MATERIALS CONTAIN DEPARTMENT OF HOMELAND SECURITY
INFORMATION THAT IS "FOR OFFICIAL USE ONLY," OR OTHER TYPES OF
SENSITIVE BUT UNCLASSIFIED INFORMATION REQUIRING PROTECTION
AGAINST UNAUTHORIZED DISCLOSURE. THE ATTACHED MATERIALS WILL BE
HANDLED AND SAFEGUARDED IN ACCORDANCE WITH DHS MANAGEMENT
DIRECTIVES GOVERNING PROTECTION AND DISSEMINATION OF SUCH
INFORMATION.
AT A MINIMUM, THE ATTACHED MATERIALS WILL BE DISSEMINATED ONLY ON A
"NEED-TO-KNOW" BASIS AND THEN UNATTENDED, WILL BE STORED IN A
LOCKED CONTAINER OR AREA OFFERING SUFFICIENT PROTECTION AGAINST
THEFT, COMPROMISE, INADVERTENT ACCESS AND UNAUTHORIZED
DISCLOSURE.
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DEPARTMENT OF HOMELAND SECURITY
® Exhibit H
NON-DISCLOSURE AGREEMENT
I, an individual official,employee,consultant, or subcontractor of or to
(the Authorized Entity), intending to be legally bound,hereby consent to the terms in this
Agreement in consideration of my being granted conditional access to certain information,specified below,that is owned
by,produced by,or in the possession of the United States Government.
(Signer will acknowledge the category or categories of information that he or she may have access to,and the signer's willingness to comply with
the standards for protection by placing his or her initials in Front of the applicable category or categories.)
Initials: Protected Critical infrastructure Information (PCII)
I attest that I am familiar with,and I will comply with all requirements of the PCII program set out in the Critical
Infrastructure Information Act of 2002(CII Act)(Title 11, Subtitle B, of the Homeland Security Act of 2002,Public Law
107-296, 196 Stat.2135,6 USC 101 et seq.),as amended,the implementing regulations thereto(6 CFR Part 29), as
amended, and the applicable PCII Procedures Manual,as amended,and with any such requirements that may be
officially communicated to me by the PCII Program Manager or the PCII Program Manager's designee.
Initials:
Sensitive Security Information (5S1)
I attest that I am familiar with,and I will comply with the standards for access,dissemination,handling, and
safeguarding of SSI information as cited in this Agreement and in accordance with 49 CFR Part 1520,"Protection of
Sensitive Security Information,""Policies and Procedures for Safeguarding and Control of SSI,"as amended, and any
supplementary guidance issued by an authorized official of the Department of Homeland Security.
Initials: Other Sensitive but Unclassified (SBU)
As used in this Agreement,sensitive but unclassified information is an over-arching term that covers any information,
not otherwise indicated above,which the loss of,misuse of,or unauthorized access to or modification of could adversely
affect the national interest or the conduct of Federal programs, or the privacy to which individuals are entitled under
Section 552a of Title 5,as amended,but which has not been specifically authorized under criteria established by an
Executive Order or an Act of Congress to be kept secret in the interest of national defense or foreign policy.This
includes information categorized by DHS or other government agencies as:For Official Use Only(FOLIO); Official Use
Only(OUO); Sensitive Homeland Security Information(SHSI);Limited Official Use (LOU);Law Enforcement
Sensitive(LES); Safeguarding Information(SGI);Unclassified Controlled Nuclear Information(UCNI);and any
other identifier used by other government agencies to categorize information as sensitive but unclassified.
I attest that I am familiar with,and I will comply with the standards for access,dissemination, handling,and
safeguarding of the information to which I am granted access as cited in this Agreement and in accordance with the
guidance provided to me relative to the specific category of information.
I understand and agree to the following terms and conditions of my access to the information indicated above:
1.1 hereby acknowledge that I have received a security indoctrination concerning the nature and protection of information to which I
have been provided conditional access,including the procedures to be followed in ascertaining whether other persons to whom I
contemplate disclosing this information have been approved for access to it,and that I understand these procedures.
2.By being granted conditional access to the information indicated above,the United States Government has placed special
confidence and trust in me and I am obligated to protect this information from unauthorized disclosure, in accordance with the
terms of this Agreement and the laws,regulations,and directives applicable to the specif c categories of information to which I am
granted access.
3.I attest that I understand my responsibilities and that 1 am familiar with and will comply with the standards for protecting such
information that I may have access to in accordance with the terms of this Agreement and the laws,regulations,and/or directives
applicable to the specifi c categories of information to which I am granted access.I understand that the United States Government
may conduct inspections,at any time or place,for the purpose of ensuring compliance with the conditions for access,dissemination,
handling and safeguarding information under this Agreement.
DHS Form 11000-6(08-04) Page 1
Contract Number 582-7-72674 Page 52 of 60
4. 1 will not disclose or release any information provided to me pursuant to this Agreement without proper aaknOw
or authorization. Should situations arise that warrant the disclosure or release of such information I will do so
only under approved circumstances and in accordance with the laws,regulations, or directives applicable to
the specific categories of information. I will honor and comply with any and all dissemination restrictions cited or verbally
relayed to me by the proper authority.
5. (a)For PCII-(1)Upon the completion of my engagement as an employee,consultant,or subcontractor under
the contract,or the completion of my work on the PCII Program,whichever occurs first,I will surrender promptly
to the PCII Program Manager or his designee,or to the appropriate PCII officer,PCII of any type whatsoever
that is in my possession.
(2)If the Authorized Entity is a United States Government contractor performing services in support of the PCII Program,I
will not request,obtain,maintain,or use PCII unless the PCII Program Manager or Program Manager's designee
has first made in writing,with respect to the contractor,the certification as provided for in Section 29.8(c)of the
implementing regulations to the CII Act, as amended.
(b)For SSI and SBU-I hereby agree that material which I have in my possession and containing information covered by
this Agreement,will be handled and safeguarded in a manner that affords sufficient protection to prevent the unauthorized
disclosure of or inadvertent access to such information,consistent with the laws,regulations, or directives applicable to the
specific categories of information.I agree that I shall return all information to which I have had access or which is in my
possession 1)upon demand by an authorized individual; and/or 2)upon the conclusion of my duties, association, or support
to DHS; and/or 3)upon the determination that my official duties do not require further access to such information.
b. I hereby agree that I will not alter or remove markings,which indicate a category of information or require specific
handling instructions, from any material I may come in contact with, in the case of SSI or SBU, unless such alteration or
removal is consistent with the requirements set forth in the laws,regulations,or directives applicable to the specific
category of information or, in the case of PCII,unless such alteration or removal is authorized by the PCII Program
Manager or the PCII Program Manager's designee.i agree that if I use information from a sensitive document or other
medium, I will carry forward any markings or other required restrictions to derivative products, and will protect them in
the same matter as the original.
7. I hereby agree that I shall promptly report to the appropriate official, in accordance with the guidance issued for
the applicable category of information, any Ioss,theft,misuse,misplacement,unauthorized disclosure, or other security
violation,I have knowledge of and whether or not I am personally involved. I also understand that my anonymity will be
kept to the extent possible when reporting security violations.
8. If I violate the terms and conditions of this Agreement,such violation may result in the cancellation of my conditional
access to the information covered by this Agreement.This may serve as a basis for denying me conditional access to other
types of information,to include classified national security information.
9. (a) With respect to SST and SBU,I hereby assign to the United States Government all royalties,remunerations, and
emoluments that have resulted,will result, or may result from any disclosure,publication,or revelation of the information
not consistent with the terms of this Agreement.
(b) With respect to PCIl I hereby assign to the entity owning the PCII and the United States Government,all
royalties,remunerations, and emoluments that have resulted,will result,or may result from any disclosure,
publication,or revelation of PCII not consistent with the terms of this Agreement.
10.This Agreement is made and intended for the benefit of the United States Government and may be enforced by the
United States Government or the Authorized Entity. By granting me conditional access to information in this context,the
United States Government and,with respect to PCII,the Authorized Entity, may seek any remedy available to it to enforce
this Agreement including, but not limited to,application for a court order prohibiting disclosure of information in breach of
this Agreement.I understand that if I violate the terms and conditions of this Agreement,I could be subjected to
administrative,disciplinary,civil,or criminal action, as appropriate,under the laws,regulations, or directives applicable to
the category of information involved and neither the United States Government nor the Authorized Entity have waived any
statutory or common law evidentiary privileges or protections that they may assert in any administrative or court proceeding
to protect any sensitive information to which I have been given conditional access under the terms of this Agreement.
DHS Form 11000-6(08-04) Page 2
Contract Number 582-7-72674 Page 53 of 60
11. Unless and until I am released in writing by an authorized representative of the Department of HomelandAggp4ity(if
permissible for the particular category of information), I understand that all conditions and obligations imposed upon me by
this Agreement apply during the time that I am granted conditional access,and at all times thereafter.
12.Each provision of this Agreement is severable. If a court should find any provision of this Agreement to be
unenforceable, all other provisions shall remain in full force and effect.
13.My execution of this Agreement shall not nullify or affect in any manner any other secrecy or non-disclosure
Agreement which I have executed or may execute with the United States Government or any of its departments or
agencies.
14. These restrictions are consistent with and do not supersede,conflict with, or otherwise alter the employee
obligations,rights, or liabilities created by Executive Order No. 12958, as amended; Section 7211 of Title 5,United
States Code(governing disclosures to Congress); Section 1034 of Title 10,United States Code,as amended by the
Military Whistleblower Protection Act(governing disclosure to Congress by members of the military); Section
2302(b)(8)of Title 5,United States Code,as amended by the Whistleblower Protection Act(governing disclosures of
illegality,waste, fraud,abuse or public health or safety threats);the Intelligence Identities Protection Act of 1982(50
USC 421 et seq.)(governing disclosures that could expose confidential Government agents);and the statutes which
protect against disclosure that may compromise the national security,including Sections 641,793,794,798,and 952
of Title 18,United States Code,and Section 4(b) of the Subversive Activities Act of 1950(50 USC 783(b)).The
definitions,requirements, obligations,rights,sanctions, and liabilities created by said Executive Order and listed
statutes are incorporated into this agreement and are controlling.
15. Signing this Agreement does not bar disclosures to Congress or to an authorized official of an executive agency
or the Department of Justice that are essential to reporting a substantial violation of law.
16. 1 represent and warrant that I have the authority to enter into this Agreement.
17.I have read this Agreement carefully and my questions, if any,have been answered. I acknowledge that the
briefing officer has made available to me any laws,regulations, or directives referenced in this document so that I
may read them at this time, if so choose.
DEPARTMENT OF HOMELAND SECURITY
NON-DISCLOSURE AGREEMENT
Acknowledgement
Typed/Printed Name: Government/DepartmenVAgency/Business Address Telephone Number:
I make this Agreement in good faith,without mental reservation or purpose of evasion.
Signature:
WITNESS:
TypedlPrinted Name: Government/Department/Agency/Business Address 1 Telephone Number:
Signature:
This form is not subject to the requirements of P.L. 104-13, "Paperwork Reduction Act of 1995"44 USC, Chapter 35.
DHS Form 11000-6 (08-04) Page 3
Contract Number 582-7-72674 Page 54 of 60
Texas Commission on Environmental Quality Exhibit I
FINANCIAL STATUS REPORT
1. STATE AGENCY ORGANIZATION UNIT
TO WHICH REPORT IS SUBMITTED:
2. GRANT/CONTRACT TITLE:
3. PAYEE IDENTIFICATION NUMBER: 4. RECIPIENT ORGANIZATION (NAME AND COMPLETE
ADDRESS, INCLUDING ZIP CODE):
5. TCEQ CONTRACT NUMBER:
6. FINAL REPORT: YES NO
7. ACCOUNTING BASIS: CASH ACCRUAL
8. TOTAL PROJECT/GRANT PERIOD: 9. PERIOD COVERED BY THIS REPORT:
FROM TO FROM TO
10. BUDGET CATEGORIES: Approved Project Cost Cumulative Balance *
Budget This Report Project Cost
a.Personnel/Salary
b.Fringe Benefits
c.Travel
d.Supplies
e.Equipment
(.Contractual
g.Construction
h.Other
i.Total Direct Costs (Sum a-h)
j.lndirect Costs
k.Total (Sum of i&j)
'List (itemize) on the appropriate supplemental form all component expenses comprising the total for each of these categories.
Please attach receipts,as required,in accordance with Attachment B of your contract.
"Negative balances in any of the budget categories should be explained in a brief accompanying narrative.
11. CERTIFICATION I certify to the best of my knowledge and belief that this report is correct and complete and that all outlays and
unliquidated obligations are for the purposes set forth in the award document.
Signature of Authorized Certifying Official
Typed or Printed Name and Title
a UIS°?l N��'U
Telephone (Area code, number and ext.) Date Submitted CNM C� v3` 5 LIiiI-L
TCEQ Form -Page 1 of 6
Contract Number 582-7-72674 Page 55 of 60
ITEMIZATION OF EQUIPMENT AND CONTRACTUAL COSTS Exhibit I
EQUIPMENT PURCHASES durin this reportperiod)
NUMBER ITEM DESCRIPTION UNIT TOTAL TASKS
PURCHASED Should match description rovided for approval COST COST
TOTAL EQUIPMENT EXPENDITURES(must agree with line 10e on Form 269a) $
CONTRACTUAL EXPENDITURES (during this report period)
SUBCONTRACTOR(NAME) FOR COST(THIS PERIOD) TASKS
OTAL CONTRACTUAL EXPENDITURES(must agree with line 10f on Form 269a) $
LEGIBLE PURCHASE ORDER AND/OR INVOICES MUST BE ATTACHED TO THIS FORM FOR EACH LISTED ITEM OR
EXPENDITURE.
TCEQ Form-Page 2 of 6
Contract Number 582-7-72674 Page 56 of 60
ITEMIZATION OF CONSTRUCTION COSTS Exhibit 1
CONSTRUCTION COSTS (during this report period)
DESCRIPTION PURPOSE COST(THIS PERIOD) TASKS
-1 L
IT OTAL CONSTRUCTION EXPENDITURES(must agree with line 10g on Form 269a) $
*LEGIBLE DOCUMENTATION MUST BE ATTACHED FOR ALL LISTED EXPENDITURES.
TCEQ Form-Page 3 of 6
Contract Number 582-7-72674 Page 57 of 60
Exhibit
ITEMIZATION OF SUPPLY AND OTHER COSTS
SUPPLIES PURCHASED (during this report period)
NUMBER ITEM DESCRIPTION UNIT TOTAL TASKS
PURCHASED (Should match description provided for approval) COST COST
TOTAL SUPPLY EXPENDITURES(must agree with line 10d on Form 269a) $
OTHER EXPENDITURES (during this report period)
NUMBER DESCRIPTION UNIT TOTAL TASKS
PURCHASED COST COST
OTAL OT!!ER EXPENDITURES(must agree with line 10h on Form 269a) $
*LEGIBLE RECEIPTS OR OTHER SUBSTANTIATING DOCUMENTATION MAY BE ATTACHED FOR EXPENDITURES THAT
EQUAL OR EXCEED$500.
TCEQ Form-Page 4 of 6
Contract Number 582-7-72674 Page 58 of 60
Exhibit I
ITEMIZATION OF PERSONNEUSALARY AND TRAVEL COSTS
PERSONNEL/SALARY EXPENDITURES (during this report period)
EMPLOYEE NAME TITLE/POSITION SALARY(THIS TASKS
PERIOD
TOTAL PERSONNEUSALARY EXPENDITURES (must agree with line 10a on Form 269a)
[s .
TRAVEL EXPENDITURES (during this report period)
DESCRIPTION REASON COST(THIS PERIO TASKS
TOTAL TRAVEL EXPENDITURES (must agree with line 10c on $
Form 269x)
* SUBSTANTIATING DOCUMENTATION (time sheets, travel receipts,etc.)MAY BE REQUIRED TO BE ATTACHED TO THIS FORM
TCEQ Form - Page 5 of 6
Contract Number 582-7-72674 Page 59 of 60
Exhibit
Financial Status Report Preparation Instructions
1. The PERFORMING PARTY,in order to obtain reimbursement for those expenditures authorized under this Contract,shall
submit, a completed, legible TCEQ Financial Status Report(TCEQ Form 269a)and any required TCEQ Supplemental 269a
forms. Unless directed otherwise in the Contract,the PERFORMING PARTY shall submit such payment request documents
by not later than twenty-one(21)days after the close of each state fiscal year quarter. The reporting periods shall also
correspond to the State of Texas fiscal year quarters(September-November; December-February, March-May,June-August).
Each Financial Status Report shall indicate,for each budget sub-category the PERFORMING PARTY'S project expenditures
for the period in question,the cumulative expenditures with respect to each budget sub-category, and the balance remaining in
each budget sub-category following reimbursement of the amount being requested. A quarterly Financial Status Report is
required even if no expenses were incurred during the report period.
2. All requests for reimbursement of expenditures that fall within either the"Equipment"or"Contractual"categories of the
Contracts Cost Budget shall be itemized by the PERFORMING PARTY on Supplemental Form 269a-1 and identified with
respect to the major tasks or objectives,set forth in the Scope of Work, that such expenditures support or satisfy. In addition,
the PERFORMING PARTY shall attach,for each reimbursable cost listed on Supplemental Form 269a-1, legible
documentation that(1)serves to further identify the specific piece of equipment received or the services provided, (2)clearly
identifies the vendor or subcontractor who provided the equipment or services, and(3)that confirms the reimbursable amount
listed on the form. In the case of equipment purchases,the attached documentation shall be either a purchase order marked
"received/paid"or a vendor-submitted invoice similarly marked. In the case of subcontractor provided services,the
documentation shall consist of a dated invoice that shows the amount billed to the PERFORMING PARTY and any"past due"
amount from previous invoices.
3. All requests under this Contract for the reimbursement of expenditures that fall within the"Construction"category of the
Contracts Cost Budget shall be itemized by the PERFORMING PARTY on Supplemental Form 269a-2 and identified with
respect to the major tasks or objectives,set forth in the Scope of Work, that such expenditures support or satisfy. In addition,
the PERFORMING PARTY shall attach,for each reimbursable cost listed on Supplemental Form 269a-2, legible
documentation that(1)serves to further identify the specific cost, (2)clearly identifies the vendor or subcontractor who
provided the construction related materials or services,and (3)that confirms the reimbursable amount listed on the form. The
attached documentation shall be either a purchase order marked"received/paid"or an invoice similarly marked. In the case of
subcontractor provided construction services,the documentation shall consist of a dated invoice that shows the amount billed
to the PERFORMING PARTY and any"past due"amount from previous invoices.
4. All requests for the reimbursement of expenditures that fall within either the"Supply"or"Other"categories of the Contracts
Cost Budget shall be itemized by the PERFORMING PARTY on Supplemental Form 269a-3 and identified with respect to the
major tasks or objectives,set forth in the Scope of Work,that such expenditures support or satisfy. In addition,for any single-
listed item or service costing more than$500,the PERFORMING PARTY shall attach, for each reimbursable cost listed on
Supplemental Form 269a-3, legible documentation that(1)serves to further identify the specific items or services,(2)clearly
identifies the vendor or subcontractor who provided the items or services,and(3)that confirms the reimbursable amount listed
on the form. Although issued purchase orders and/or invoices marked"received/paid"represent the preferred types of
documentation for purposes of this section,the PERFORMING PARTY may substitute/attach other records or documents that
provide the same type of information. The PERFORMING PARTY shall not intentionally break up single orders of identical or
similar items, materials or supplies simply for the purpose of avoiding the above requirement to provide confirming
documentation when submitting reimbursement requests to the TCEQ.
5. All requests for reimbursement of expenditures that fall within either the"Personnel/Salary"or"Travel"categories of the
Contracts Cost Budget shall be itemized by the PERFORMING PARTY on Supplemental Form 269a-4 and identified with
respect to the major tasks or objectives,set forth in the Scope of Work,that such expenditures support or satisfy. Although no
supporting documentation is required to be attached to Supplemental Form 269a-4 with respect to reported"Personnel/Salary"
expenditures in order to receive reimbursement, the PERFORMING PARTY is expected to maintain signed time sheets that
can serve to verify the total,overall hours of staff time being directly billed to this Contract. With respect to employee travel,
all costs listed on Form 269a-4 must be supported by attached documentation that identifies the name of the traveler's, and
that substantiates the reported reimbursable costs. Documentation,for the purpose of substantiating travel-related costs,
includes the following: (1)legible copies of the PERFORMING PARTY-approved travel vouchers, signed by the employees
who traveled, and (2)for any travel-related expenses under this contract borne directly by the PERFORMING PARTY(and
thus for which reimbursement by the PERFORMING PARTY to the traveler was not required)separate receipts showing, at a
minimum,the traveler's name,the travel location,and the travel date(s).
6. When a single expenditure supports or satisfies more than one task or objective,the PERFORMING PARTY need not
breakdown that particular expenditure by specific contract task or objective but may simply identify, in relative cost order,the
various tasks or objectives supported.
Form Instructions -Page 6 of 6
Contract Number 582-7-72674 Page 60 of 60
City of Fort Worth, Texas
Mayor and Council Communication
COUNCIL ACTION: Approved on 6/20/2006 -Ordinance No. 17011-06-2006
DATE: Tuesday, June 20, 2006
LOG NAME: 52AIRMONITORING REFERENCE NO.: **C-21625
SUBJECT:
Authorize Execution of Inter-Local Agreement with the Texas Commission on Environmental Quality
for the Operation of Local Air Pollution Monitors and Adopt Appropriation Ordinance
RECOMMENDATION:
It is recommended that the City Council:
1. Authorize the City Manager to execute an inter-local agreement with the Texas Commission on
Environmental Quality (TCEQ) in the amount of $529,000.00 for the operation of whole air samplers by the
City of Fort Worth during FY 2006-2007;
2. Adopt the attached appropriation ordinance increasing estimated receipts and appropriations in the
Grants Fund by $ 529,000.00 in FY 2006-2007, subject to receipt of an executed inter-local agreement; and
3. Apply indirect cost at the rate of10.00% in accordance with the terms of the interlocal agreement.
DISCUSSION:
In 2003 the United States Environmental Protection Agency launched a new air monitoring network. The
Texas Commission on Environmental Quality has been designated as the administering agency. Since the
inception of this new monitoring program, the TCEQ has contracted with the City for operation and
maintenance of the monitoring equipment.
The City will be responsible for retrieving the sampling data, sending it for analysis and performing regular
maintenance activities on the equipment under the terms of this agreement.
FISCAL INFORMATION/CERTIFICATION:
The Finance Director certifies that upon approval of the above recommendations and adoption of the
attached appropriation ordinance, funds will be available in the current operating budget, as appropriated, of
the Grants Fund.
TO Fund/Account/Centers FROM Fund/AccountlCCeenters
GR76 451543 052412??? $529,000.00
000
GR76 _5 $529,000.00
(VARIOUS 052412???010
Submitted for City Manager's Office W. Libby Watson (6199)
Logname: 60SOUTHWEST Page 1 of 2
Originating Department Head: Brian Boerner(6647)
Additional Information_Contact: Michael Gange (6569)
Logname: 60SOUTHWEST Page 2 of 2