CN-370000-HW550-DC15ICO1.pdf

This is a Task Assignment Notification Change Order Form for Florida Department of Environmental Protection (FDEP) Contract No. HW550, Task Assignment DC015I, Change Order No. 1. The contractor is Geosyntec Consultants, with Mike Lodato as the contractor representative and Walsta Jean-Baptiste serving as the FDEP Contract Manager. The work site is Fulmers Cleaners, located in Leesburg, Florida (FDEP Facility ID 359500897). The change order was issued based on an email from Geosyntec dated October 5, 2016, and was signed by all parties in October 2016.

The change order grants additional funds to dispose of a carbon drum as hazardous waste and extends the deadline for the first deliverable. The original task amount was $9,981.75; the net increase from this change order is $336.99, bringing the total task amount to $10,318.74. Deliverables include submittal of field notes documenting system transfer, property reporting forms, subcontractor invoices, and IDW manifest (due November 23, 2016), and submittal of a System Decommissioning Letter Report (due November 30, 2016). The invoice schedule allocates $7,954.82 for Subtasks 3 (field completion notification and property reporting) and $2,363.92 for Subtasks 1, 2, and 4 (System Decommissioning Letter Report submission). The original task completion date of February 28, 2017 remained unchanged despite the change order.