CN-370000-GC574-T84CCO1.pdf

This document package comprises a Task Assignment Template Performance-Based Cleanup Services Change Order & Invoice (SC-PBC) and supporting certification forms for the Florida Department of Environmental Protection's Bureau of Petroleum Storage Systems Petroleum Cleanup Preapproval Program. The primary parties involved are AECOM Technical Services, Inc. (formerly Earth Tech, Inc.), serving as the contractor, and the Florida Department of Environmental Protection, Bureau of Petroleum Storage Systems, as the client. The work is being performed at the Travis Property located at 200 S Lake Shore Way in Lake Alfred, Polk County, Florida (FDEP Facility No. 53/9804436).

The change order modifies the original contract amount of $12,000.00 by adding $51,855.17 in additional tasks, resulting in a new total contract value of $63,855.17. The invoice documents five line items including system startup ($12,000.00), target levels for all contaminants and modifications ($18,000.00 each), and site rehabilitation completion order ($12,000.00). The previously invoiced amount was $48,000.00, with $15,855.17 due under this invoice and a remaining balance of $0.00. The period of task performance extends through May 20, 2014. The invoice was received and approved on 6/11/13, with certification by Site Manager Russell Rhodes (Environmental Specialist II) on 6/19/2013, confirming satisfactory completion of goods and services.