Document Summary

This is a Task Assignment Notification Change Order Form (Change Order #1) for DEP Contract No. HW552, issued by the Florida Department of Environmental Protection (FDEP) on May 3, 2016. The contract is with Professional Service Industries, Inc. (PSI), with contractor representative Nasma Westmark and DEP Contract Manager Kevin McCranie. The work is being performed at the Dryclean World facility (Site ID 59-9700593). This change order authorizes PSI to mobilize personnel to contain and analyze carbon from a damaged carbon vessel that requires clean-up, containment, and characterization as described in Work Change Directive #1.

The original task assignment amount was $21,688.83, and this change order increases the total task amount by $785.19 to $22,454.02 through fixed price increases for labor and materials related to carbon sampling and disposal. The change order does not modify the original task completion date of 8/31/2016. The final deliverable is a Site Restoration Completion Report & Digital Photos, due 6/30/2016. Invoice requirements specify that full payment of $22,454.02 is due upon FDEP receipt and approval of the Site Restoration Completion Report & Digital Photos. The work covers labor hours, equipment rental, and subcontractor costs for carbon characterization and Carbonair's 250-pound GAC transport and disposal services at $588.50.