Task Assignment Change Order Summary

This document is a Task Assignment Notification Change Order Form for the Florida Department of Environmental Protection (DEP), issued under DEP Contract No. HW552 for Task Assignment DC002L. The contractor is PSI, Inc., represented by Nana Westmark, with DEP Contract Manager Emily Hladky overseeing the work at the Dryclean World facility (Site ID 59-9700693) located in Lake Mary, Seminole County, Florida.

The change order extends the task completion date by 60 days from May 30, 2015 to July 29, 2015 to allow the Department to complete its review of the Remedial Action System Status (RASS) Report. The total task assignment value remains $12,224.55 with no increase in cost, consisting of fixed price work ($9,464.55), cost reimbursement ($2,760.00), and fee schedule components ($0.00). The deliverables include three months of paid utility invoices for electrical and telephone services related to the Supervisory Vehicle Equipment (SVE) system and three months of monthly Operations & Maintenance checklists with PID data and laboratory data. Final deliverables are due April 30, 2015, with invoicing broken down as $9,344.55 for O&M services and $2,880.00 for utilities (not to exceed $2,760.00 plus a $120.00 handling fee).