CN-370000-HW552-DC03DCO3.pdf

This document is a Task Assignment Notification Change Order Form for DEP Contract No. HW882, issued by the State of Florida Department of Environmental Protection. The contractor is PSI Inc., represented by Nena Westmark, with DEP Contract Manager Christopher Pellegrino overseeing the work. The task assignment (DC003D) pertains to services at the Brandywine Cleaners facility (ID: 649600826). This change order represents the third modification to the original task assignment.

The change order adds required language to the invoice schedule that was absent from the previous change order. The deliverables include submittal and approval of monthly operations and maintenance data and logs for two quarters with a well abandonment and replacement letter report (due 4/30/2013), a groundwater monitoring report with GIS and ADAPT deliverables (due 4/30/2013), and six months of paid utility invoices including a $240 handling fee (due 6/20/2013). The task amount increased from $18,330.78 in the original assignment to $24,773.10 with all change orders, representing cost reimbursement of $2,250.00 plus fixed costs totaling $27,023.10. The task completion date remains 7/20/2013 with no change to the task period. Invoice amounts total $27,023.10, comprised of $20,605.53 for subtask 2,3; $2,490.00 for subtask 6; and $3,927.57 for subtask 1,7.