CN-370000-HW552-DC02KCO1.pdf

This document is a Task Assignment Notification Change Order Form issued by the Florida Department of Environmental Protection (DEP) for Contract No. HW552. The change order modifies Task Assignment DC002K, which was awarded to PSI, Inc. (Professional Service Industries, Inc.), a contractor based in Tampa, Florida. The task is associated with the Dryclean World facility (FAC ID No. 59-9700693) located at 3895 Lake Emma Road, Suite 167, Lake Mary, Seminole County, Florida. The DEP Contract Manager is Emily Hladky, and the contractor representative is Nana Westmark.

Change Order No. 1 extends the task completion deadline by 45 days, from the original completion date of June 30, 2015 to August 14, 2015. This time extension allows PSI, Inc. to complete groundwater monitoring activities and the associated Groundwater Monitoring Report at the Dryclean World site. The task maintains a fixed price of $5,921.55 with no additional cost reimbursement or fixed fees; the total task value remains $5,921.55. The final deliverable is a DEP-approved Groundwater monitoring report and signed IDW manifest, due June 19, 2015 for the original task and by the new completion date under the change order. PSI may invoice upon submittal and DEP approval of the groundwater monitoring report and IDW manifest deliverables.