CN-370000-HW552-DC04ICO1.pdf

This document is a Task Assignment Notification Change Order Form for DEP Contract No. HW552, issued by the state of Florida Department of Environmental Protection (DEP). The contractor is PSI Inc., represented by Nana Westmark, with Christopher Pellegrino serving as the DEP Contract Manager. The task assignment pertains to work at Tempo Cleaners (Site ID 599501358). This is Change Order No. 1 to the original task assignment DC004I.

The change order is solely a time extension with no modification to the fixed price contract amount of $5,319.39. The extension adds four weeks to the original task completion date, moving the final deliverable deadline from July 30, 2014 to August 30, 2014. This extension is required due to scheduling and availability constraints of PSI personnel needed to conduct sampling. The primary deliverable is a Groundwater Monitoring Report and IDW Manifest due by July 30, 2014, with invoice authorization upon submittal and approval of the Groundwater Monitoring Report and IDW manifest (Subtask 1.2). The total contract cost remains $5,319.39 with no cost reimbursement or fixed fees beyond the original fixed price amount. No change in task amount or financial terms is reflected in this modification.