HomeMy WebLinkAboutA-04-543 DPH Misc. Docs.pdf co
CONTRACT STATUS FORM '0
DATE: December 01, 2020 16�'�
DIVISION(S): Environmental Health
(Lead Division listed first)
CONTRACTOR: CalMat, dba Vulcan Materials Company, Western Division
SERVICES: Field Monitoring Services
CONTRACT TERM: 12/7/04 to 6/30/21 E
ADDITIONAL INFO: Evergreen Agreement-Please Review
ORGANIZATION #(s): 56204886
CONTRACT AMOUNT: $1,500.00
Contract#: A-04-543 State/Vendor#: N/A
Lead Dept: DPH Other Dept(s):
mplete the information below and return to DPH Contracts by:March 1. 2021
0_"
❑ Extend contract through: , 20
❑ With no changes in terms or conditions.
❑ With the following change(s):
Evergreen: Continue contract through: 20
Cancel contract effective: , 20
❑ Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by:
Program Supervisor/Staff Analyst: Date:
Division Manager: Date:
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090
COUP
CONTRACT STATUS FORM 'p
DATE: December 02, 2024 FRESH
DIVISION(S): Environmental Health
(Lead Division listed first)
CONTRACTOR: CalMat, dba Vulcan Materials Company, Western Division
SERVICES: Field Monitoring Services
CONTRACT TERM: 1217/04 to 6/30/25 E
ADDITIONAL INFO: Evergreen Agreement-Please Review
ORGANIZATION #(s): 56204886
CONTRACT AMOUNT: $1,500.00
Contract#: A-04-543 State/Vendor#:
Lead Dept: DPH Other Dept(s):
Complete the information below and return to DPH Contracts by:March 1, 2025
Extend contract through: , 20
❑ With no changes in terms or conditions.
❑ With the following change(s):
Evergreen: Continue contract through: 20
❑ Cancel contract effective: 120
❑ Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by:
Program Supervisor/Staff Analyst: Date:
Division Manager: Date:
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090
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CONTRACT STATUS FORM
O� 56 O
DATE: December 01, 2023 FREc�t'
DIVISION(S): Environmental Health
(Lead Division listed first)
CONTRACTOR: CalMat, dba Vulcan Materials Company, Western Division
SERVICES: Field Monitoring Services
CONTRACT TERM: 12/7/04 to 6/30/24 E
ADDITIONAL INFO: Evergreen Agreement-Please Review
ORGANIZATION #(s): 56204886
CONTRACT AMOUNT: $1,500.00
Contract#: A-04-543 State/Vendor#: N/A
Lead Dept: DPH Other Dept(s):
cmpleteo the information below and return to DPH Contracts by:March 1, 2024
Extend contract through: 20
With no changes in terms or conditions.
❑ With the following change(s):
Evergreen: Continue contract through: 20
Cancel contract effective: 120
Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by:
Program Supervisor/Staff Analyst: Date:
Division Manager: Date:
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090
CO,
CONTRACT STATUS FORM
O� s6 0
DATE: December 01, 2022
DIVISION(S): Environmental Health
(Lead Division listed first)
CONTRACTOR: CalMat, dba Vulcan Materials Company, Western Division
SERVICES: Field Monitoring Services
CONTRACT TERM: 1217/04 to 6/30/23 E
ADDITIONAL INFO: Evergreen Agreement-Please Review
ORGANIZATION #(s): 56204886
CONTRACT AMOUNT: $1,500.00
Contract#: A-04-543 State/Vendor#: N/A
Lead Dept: DPH Other Dept(s):
Complete the information below and return to DPH Contracts by:March 1. 2023
❑ Extend contract through: , 20
i
❑ With no changes in terms or conditions.
With the following change(s):
Evergreen: Continue contract through: 20 _
❑ Cancel contract effective: , 20
❑ Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by:
Program Supervisor/Staff Analyst: Date:
Division Manager: Date:
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090
w COUP
CONTRACT STATUS FORM
O 856 O
DATE: December 01, 2021ES�
DIVISION(S): Environmental Health
(Lead Division listed first)
CONTRACTOR: CalMat, dba Vulcan Materials Company, Western Division
SERVICES: Field Monitoring Services
CONTRACT TERM: 12/7/04 to 6/30/22 E
ADDITIONAL INFO: Evergreen Agreement-Please Review
ORGANIZATION #(s): 56204886
CONTRACT AMOUNT: $1,500.00
Contract#: A-04-543 StateNendor#: N/A
Lead Dept: DPH Other Dept(s):
Complete the information below and return to DPH Contracts by:March 1, 2022
Extend contract through: , 20
❑ With no changes in terms or conditions.
❑ With the following change(s):
Evergreen: Continue contract through: 20
❑ Cancel contract effective: , 20
❑ Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by.
Program Supervisor/Staff Analyst: Date:
Division Manager: Date:
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090
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046NTRACT STATUS F01 M
49, "" -- fp
RECEIVED 6
DATE: December 02, 2019 FRE`i5
DEC 062019
DIVISION(S): Environmental Health
(Lead Division listed first) DEPARTMENT OF PUBLIC H T
CONTRACTS SECTION
CONTRACTOR: CalMat, dba Vulcan Materials Company, Western Divisi n
SERVICES: Field Monitoring Services
CURRENT PERIOD: 12/7/04 to 6/30/20 E Auto-renewal: ❑ through:
(If not checkmarked above,contract will terminate
ENTIRE TERM: 12/7/2004 to Evergreen at the end of the current period.)
ORGANIZATION #(s): 56204886
CONTRACT AMOUNT: $1,500.00
ADDITIONAL INFO: Evergreen Agreement-Please Review
Contract#: A-04-543 State/Vendor#: N/A
Lead Dept: DPH Other Dept(s):
Complete the information below and return to DPH Contracts by:March 1, 2020
Renew contract through: A _
❑ With no changes in terms or conditions.
❑ With the following change(s): _
'Evergreen: Continue contract through: 20
❑ Cancel contract effective: , 20
❑ Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by:
Program Supervisor/Staff Analys . — Date:
Division Manager: Date: C
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090
i
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CONTRACT STATUS FORM
DATE: November 29, 2018
DIVISION(S): Environmental Health 0rtmer!Of
(Lead Division listed first) 'Pfh Yorimc, _
CONTRACTOR: CalMat, dba Vulcan Materials Company, Western Division RECEIVED
SERVICES: Field Monitoring Services JAN 0 7 2019
DEPARTMENT OF PUBLIC HEALTH
CURRENT PERIOD: 12/7/04 to 6/30/2019 E Auto-renewal: ❑ through: CONTRACTS SECTION
(If not checkmarked above,contract will terminate
ENTIRE TERM: 12/7/2004 to Evergreen at the end of the current period.)
ORGANIZATION #(s): 56204886
CONTRACT AMOUNT: $1,500.00
ADDITIONAL INFO: First Executed 12/7/04
Contract#: A-04-543 State/Vendor#: N/A
Lead Dept: DPH Other Dept(s):
_Complete the information below and return to DPH Contracts by:
March 1,2019
Renew contract through: , 20 ,
With no changes in terms or conditions.
With the following change(s):
4 2'-E'vergreen: Continue contract through: 20
Cancel contract effective: , 20 .
4 � Additional Information (e.g., anticipated effective datetterm, contract extension, etc.):
4
Approved by.
Program Supervisor/Staff Analyst: � Date: 1 d 1
Division Manager: 0 N Date: It q
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor- Phone#: 600-7090
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CONTRACT STATUS F
ntutIVED 0
DATE: November 28, 2016
iR 0 8 2017
N
DIVISION(S): Environmental Health DEPARTMENT OF PUBLICSEIOry
(Lead Division listed first) CONTRACTS CT
CONTRACTOR: CalMat, dba Vulcan Materials Company, Western Division
SERVICES: Field Monitoring Services
CURRENT PERIOD: 7/1/16 to 6/30/17 E Auto-renewal: n through:
(If not checkmarked above,contract will terminate
ENTIRE TERM: 12/7/2004 to Evergreen at the end of the current period.)
ORGANIZATION #(s): 56204886
CONTRACT AMOUNT $1,500.00
ADDITIONAL INFO:
Contract#: A-04-543 State/Vendor#: N/A
Lead Dept: DPH Other Dept(s):
Complete the information below and return to DPH Contracts by:March 1, 2017
2<enew contract through: (��.� , 20 Z
D-<ith no changes in terms or conditions.
❑ With the following change(s):
Evergreen: Continue contract through: 20
❑ Cancel contract effective: , 20
Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by:
Program Supervisor/Staff An st: Date: Q� 1
Division Manager: Dated
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090
i co
CONTRACT STATUS FORM
85
DATE: December 0'q, 2014
DIVISION(S): Environmental Health
FEB 0 6 2015
(Lead Division listed first) DEPARTM � PUBLIC
H EALTH
CONTRACTOR: CalMat, dba Vulcan Materials Company, Western Division
SERVICES: Field Monitoring Services
CURRENT PERIOD: 7/1/14 to 6/30/15 E Auto-renewal: ❑ through:
(If not checkmarked above,contract will terminate
ENTIRE TERM: 12/7/2004 to Evergreen at the end of the current period.)
ORGANIZATION #(s): 56204886
CONTRACT AMOUNT: $1,500.00
ADDITIONAL INFO:
Contract#: A-04-543 State/Vendor#: N/A
Lead Dept: DPH Other Dept(s):
Complete the information below and return to DPH Contracts by: March 1, 2015
Renew contract through: L /50 , 20 .
❑ With no changes in terms or conditions.
❑ With the following change(s):
Evergreen: Continue contract through: 20
❑ Cancel contract effective: , 20
❑ Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
��? V
„\r�
pproved by: AkarProgram Supervisor/ a lys : of-�iZ Date:
Ll
Division Manager: Date: 9-z d
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090
COUP
CONTRACT STATUS FORt ti
19
O 1856 O
DATE: December 03, 2012 1P
DIVISION(S): Environmental Health
(Lead Division listed first)
CONTRACTOR: CalMat, dba Vulcan Materials Company, Western Division
SERVICES: Field Monitoring Services
CURRENT PERIOD: 7/1/12 to 6/30/13 E Auto-renewal: ❑ through:
(If not checkmarked above,contract will terminate
ENTIRE TERM: 12/7/2004 to Evergreen at the end of the current period.)
ORGANIZATION #(s): 56204886
CONTRACT AMOUNT: $1,500.00
ADDITIONAL INFO:
Contract#: A-04-543 State/Vendor#: N/A
Lead Dept: DPH Other Dept(s):
Complete the information below and return to DPH Contracts by: March 1, 2013
Renew contract through:
With no changes in terms or conditions.
With the following change(s):
O-Evergreen: Continue contract through: G /3b , 20
❑ Cancel contract effective: , 20
❑ Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by.
1� Program Superviso tall Anal — Date: /a 7 .Z
Division Manager: Date:
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 600-7090
,w COUP
CONTRACT STATUS FOM
O 6O
DATE: December 05, 2011
DIVISION(S): Environmental Health
(Lead Division listed first)
CONTRACTOR: CalMat, dba Vulcan Materials Company, Western Division
SERVICES: Field Monitoring Services
CURRENT PERIOD: 7/1/11 to 6/30/12 E Auto-renewal: !1 through:
(if not checkmarked above,contract will terminate
ENTIRE TERM: 12/7/2004 to Evergreen at the end of the current period.)
ORGANIZATION #(s): 56204886
CONTRACT AMOUNT: $1,500.00
ADDITIONAL INFO:
Contract#: A-04-543 State/Vendor#: N/A
Lead Dept: DPH Other Dept(s):
Complete the information below and return to DPH Contracts by: March 1, 2012
Renew contract through:
With no changes in terms or conditions.
With the following change(s):
Evergreen: Continue contract through: --7c , 20 J-3 ,
Cancel contract effective: , 20
Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by:
Program Supervis tall Analys Date:
Division Manager: Date:
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 445-7090
CONTRACT STATUS FORM
DATE: December 01, 2010ES�
DIVISION(S): Environmental Health
(Lead Division listed first)
CONTRACTOR: CalMat, dba Vulcan Materials Company, Western Division
SERVICES: Field Monitoring Services
CURRENT PERIOD: 7/1/10 to 6/30/11 E Auto-renewal: C' through:
(If not checkmarked above,contract will terminate
ENTIRE TERM: 12/7/2004 to Evergreen at the end of the current period.)
ORGANIZATION #(s): 56204886
CONTRACT AMOUNT: $1,500.00
ADDITIONAL INFO:
Contract#: A-04-543 State/Vendor#: N/A
Lead Dept: nPH Other Deot(sl-
Complete the information below and return to DPH Contracts by: March 1, 2011
Renew contract through: , 20
❑ With no changes in terms or conditions.
❑ With the following change(s):
[!(Evergreen: Continue contract through: 3 20 /2
❑ Cancel contract effective: , 20
Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by:
Program Superviso aff�Analr _ . - Date:
Division Manager: Date:
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor- Phone #: 445-7090
Y
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CONTRACT STATUS FORM
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DATE: November 24, 2009 FRESH
DIVISION(S): Environmental Health
(Lead Division listed first)
CONTRACTOR: CalMat, dba Vulcan Materials Company, Western Division
SERVICES: Field Monitoring Services
CURRENT PERIOD: 7/1/09 to 6/30/10 E Auto-renewal: ❑ through:
(If not checkmarked above,contract will terminate
ENTIRE TERM: 12/7/2004 to Evergreen at the end of the current period.)
ORGANIZATION #(s): 56204886
CONTRACT AMOUNT: $1,500.00
ADDITIONAL INFO:
Contract#: A-04-543 State/Vendor#: N/A
Lead Dept: DPH Other Dept(s):
Complete the information below and return to DPH Contracts by: March 1, 2010
Renew contract through: , 20
❑ With no changes in terms or conditions.
❑ With the following change(s):
Evergreen: Continue contract through: 0 , 20
Cancel contract effective: , 20
Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by: /
Program Supervisor/Staff Analys . (�� Date: Q
Division Manager: Date:
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 445-7090
co
Contract Renewal/TermFP or
i
O f856 O
DATE: December 01, 2008 MAR b 2009 FRESH
DIVISION(S): Environmental Health 6
(Lead Division listed first)
CONTRACTOR: CalMat, dba Vulcan Materials Company, Western Division RECEIVED
SERVICES: Field Monitoring Services
MAR 0 5 2009
DEPARTMENTQF JU8�)C HEALTH
CONTRACCT SE TION
CURRENT PERIOD: 7/1/08 to 6/30/09 E Auto-renewal: ❑ through:
(If not checkmarked above,contract will terminate
ENTIRE TERM: 12/7/2004 to Evergreen at the end of the current period.)
ORGANIZATION #(s): 56204886
CONTRACT AMOUNT: $1,500.00
ADDITIONAL INFO:
Contract#: A-04-543 State/Vendor#: N/A
Lead Dept: DPH Other Dept(s):
Complete the information below and return to DPH Contracts by: March 1, 2009
Renew contract through: 20 _
With no changes in terms or conditions.
With the following change(s):
�( i
Evergreen: Continue contract through: 20
tt
❑ Cancel contract effective: , 20
Additional Information (e.g., anticipated effective date/term, contract extension, etc.):
Approved by:
Program Supervisor/Staff Analyst: _- Date:
Division Manager: Date:
Submit to: DPH Contracts - Stop #147 - Brix Building, 6th Floor - Phone #: 445-7090
coU�,
County of Fresno
DEPARTMENT OF PUBLIC HEALTH
ES David Pomaville, Director
Dr. Sara Goldgraben, Health Officer
October 9, 2018
Steve Cortner, Vice President
CalMat, dba Vulcan Materials Company, Western Division
500 N. Brand Blvd., Suite 500
Glendale, CA 91003
Dear Contractor,
The County of Fresno, Department of Public Health has not received current verification
of your insurance requirements in accordance with the "Insurance" Section of the
Agreement between the County of Fresno and your agency.
Please send us an original insurance certificate(s) verifying that your insurance is in
compliance for the current period of the Agreement at your earliest possible
convenience but no later than thirty (30) days from the date of this letter. Please
forward a copy of the certificate to d ph contra cts(cDfresnoco u ntyca.gov or mail the
original to:
County of Fresno, Department of Public Health
P.O. Box 11867
Fresno, CA 93775
ATTN: Contracts Section — 6th Floor
If you have any questions, please contact me at (559) 600-7090.
Sincerely,
Rob rta Bynum
Senior Staff Analys
RB: Iw
Promotion,preservation and protection of the community's health
1221 Fulton Street, Fresno Ca. 93721/P. O. Box 11867, Fresno, CA 93775
(559)600-3330 • FAX(559)455-4705
The County of Fresno is an Equal Employment Opportunity Employer
www.co.fresno.ca.us • www.fcdph.org
County of Fresno
DEPARTMENT OF PUBLIC HEALTH
ESQ David Pomaville, Director
Dr. Ken Bird, Health Officer
June 30, 2017
Steve Cortner, Vice President
CalMat, dba Vulcan Materials Company
Western Division
500 N. Brand Blvd., Suite 500
Glendale, CA 91203
Dear Contractor,
The County of Fresno, Department of Public Health has not received current verification
of your insurance requirements in accordance with the "Insurance" Section of the
Agreement between the County of Fresno and your agency.
Please send us an original insurance certificate(s) verifying that your insurance is in
compliance for the period of the Agreement at your earliest possible convenience but no
later than thirty (30) days from the date of this letter. Please fax a copy of the certificate
to (559) 600-7687 Attn: Contracts and mail the original to:
County of Fresno, Department of Public Health
P.O. Box 11867
Fresno, CA 93775
ATTN: Contracts Section — 6th Floor
If you have any questions, please contact me at (559) 600-7090.
incerely,
Roberta Bynum
Senior Staff Analyst
RB: Iw
Promotion,preservation and protection of the community's health
1221 Fulton Mail/P. O. Box 11867, Fresno,CA 93775
(559)600-3200 • FAX(559)600-7687
The County of Fresno is an Equal Opportunity Employer
www.co.fresno.ca.us • www.fodph.org
coU 0
_ County of Fresno
O� O DEPARTMENT OF PUBLIC HEALTH
g DAVID POMAVILLE, DIRECTOR
August 10, 2015
Steve Cortner, Vice President
CaIMAT, dba Vulcan Materials Company, Western Division
500 N. Brand Blvd., Suite 500
Glendale, CA 91203
Dear Contractor,
The County of Fresno, Department of Public Health has not received current verification
of your insurance requirements in accordance with the "Insurance" Section of the
Agreement between the County of Fresno and your agency.
Please send us an original insurance certificate(s) verifying that your insurance is in
compliance for the period of the Agreement at your earliest possible convenience but no
later than thirty (30) days from the date of this letter. Please fax a copy of the certificate
to (559) 600-7687 Attn: Contracts and mail the original to:
Roberta Bynum, Senior Staff Analyst
County of Fresno, Department of Public Health
Contracts Section — 6th Floor
P.O. Box 11867
Fresno, CA 93775
If you have any questions, please contact me at (559) 600-7090.
Sincerely,
Roberta Bynum
Senior Staff Analyst
RB:Iw
Promotion,preservation and protection of the community's health
1221 Fulton Mall/P.O. Box 11867, Fresno, CA 93775
(559)600-3200 • FAX(559)600-7687
Equal Employment Opportunity • Affirmative Action . Disabled Employer
www.co.fresno.ca.us • www.fcdph.org
cotj 0
County of Fresno
O� q6 O DEPARTMENT OF PUBLIC HEALTH
ESQ DAVID POMAVILLE, DIRECTOR
July 28, 2015
Steve Cortner, Vice President
CaIMAT, dba Vulcan Materials Company, Western Division
3200 San Fernando Road
Los Angeles, CA 90065
Dear Contractor,
The County of Fresno, Department of Public Health has not received current verification
of your insurance requirements in accordance with the "Insurance" Section of the
Agreement between the County of Fresno and your agency.
Please send us an original insurance certificate(s) verifying that your insurance is in
compliance for the period of the Agreement at your earliest possible convenience but no
later than thirty (30) days from the date of this letter. Please fax a copy of the certificate
to (559) 600-7687 Attn: Contracts and mail the original to:
Roberta Bynum, Senior Staff Analyst
County of Fresno, Department of Public Health
Contracts Section — 6th Floor
P.O. Box 11867
Fresno, CA 93775
If you have any questions, please contact me at (559) 600-7090.
Sincerely,
Roberta Bynum
Senior Staff Analyst
RB:Iw
Promotion,preservation and protection of the community's health
1221 Fulton Mall/P. 0. Box 11867, Fresno, CA 93775
(559) 600-3200 • FAX(559) 600-7687
Equal Employment Opportunity • Affirmative Action • Disabled Employer
www.co.fresno.ca.us • www.fcdph.org