CN-370000-HW550-BF04CCO3.pdf

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Attached to
Master Agreement FL|HW550|85d144626a85584193b4b253697535d5
Contract number
HW550
Issued by
Florida

About this file

This is a Task Assignment Notification Change Order Form for DEP Contract No. HW550, issued by the Florida Department of Environmental Protection (DEP). The contractor is Geosyntec Consultants, represented by Mike Ladato, with the DEP Contract Manager being Carrie L. Kruchell, P.G. The task assignment pertains to work at Bob Lee's Auto Repair facility (Facility ID: BF04C).

Change Order No. 3 extends the task completion date by 21 days due to delays in the final review of the Interim Source Removal (ISR) Work Plan and Bid Package. The original task completion date of July 13, 2017 was previously extended to July 28, 2017, and is now further extended to August 31, 2017. The task maintains a fixed price of $6,663.66 with no cost reimbursement or additional fees. The final deliverable, the Interim Source Removal (ISR) Work Plan with Bid Package, is due by July 21, 2017 for DEP approval. Invoicing is contingent upon DEP approval of the ISR Work Plan and Bid Package (Subtasks 1-3), at which point the full contract amount of $6,663.66 will be payable. No cost increase is associated with this change order.

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Text version

DEP CONTRACT NO. HW550

Task Assignment #: Change Order No.: 3 Contractor Name:

Contractor Representative:

DEP Contract Manager: Phone #: 850.245.8968 Ste ID / Facility ID::

Description of Change [use additional pages if necessary]:

Final Deliverables: Final Deliverable Due Date: 7/21/2017

TASK ASSIGNMENT TYPE AND NOT TO EXCEED AMOUNTS:

Cost Reimbursement Fixed Fee

Original Task Amount $6,663.66 $0.00 $0.00 $0.00

Task Amount Prior to this Change Order $6,663.66 $0.00 $0.00 $0.00 Net Increase/decrease in task amount $0.00 $0.00 $0.00 $0.00 Task amount with all change orders $6,663.66 $0.00 $0.00 $0.00

Original Task Completion Date: 7/13/2017

Completion Date Prior to this Change: 7/28/2017

Net Increase/Decrease in Task Period: 21 days

Completion Date with all Change Orders: 8/31/2017

DEP Task Manager: Date: 8/18/2017

DEP Contract Manager: Date: 8/18/2017

Contractual Authority: Date: 8/18/2017

Contractor Representative: Date:

Section Representative ________

Due to the delays with the final review for the Interim Source Removal (ISR) Work Plan & Bid Package, the DEP is issuing this Change Order (#3) to extend the final Task Completion Date to 8/31/17. We expect to finalize our review

FIXED PRICE

TASK ASSIGNMENT NOTIFICATION CHANGE ORDER FORM

Geosyntec Consultants Mike Ladato Phone #: (813) 558-0990 Carrie L. Kruchell, P.G.

Bob Lee's Auto Repair

BF04C

sooner, but have extended the date to the end of the month to be sure.

Interim Source Removal (ISR) Work Plan

ITEM

$6,663.66

$6,663.66

$0.00

$6,663.66

CHANGE IN TASK TIME

FEE SCHEDULE

COST PLUS FIXED FEE

TOTAL

BWC TAFORM 03/03

8/18/2017

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

Contract Number: HW550 Task Assignment #: BF04C

Change Order #: 3

Deliverables:

Deliverable Deliverable Due Date Draft Bid Package 14-Jul-17

Interim Source Removal (ISR) Work Plan w/ Bid Package 21-Jul-17

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

FDEP Approval of Interim Source Removal (ISR) Work Plan w/ Bid Package (Subtasks 1-3) $6,663.66

TOTAL COST $6,663.66

BWC TAFORM 2/03

Task Assignment CHANGE ORDER
Deliverable & Invoice Schedule

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