CN-370000-HW552-DC05CCO1.pdf

This is a Task Assignment Notification Change Order Form for DEP Contract No. HW552, specifically Change Order No. 1 for Task Assignment DC005C. The document involves PSI Inc., represented by contractor representative Nana Westmark, and the Department of Environmental Protection (DEP), represented by contract manager Christopher Pellegrino. The task assignment pertains to Jay Lee Cleaners, a facility with ID 679502052.

The change order extends the task assignment timeline by one month, from the original completion date of November 20, 2012, to December 20, 2012, to allow PSI Inc. to receive invoices from the utility provider and make necessary changes before expiration. The task involves managing paid utility invoices as the only Cost Plus Fixed Fee component, with a total task amount of $44,200.47. Deliverables include monthly operations and maintenance data, RASS reports, groundwater monitoring reports, and six months of paid utility invoices, with specific delivery dates between April and October 2012. The fixed fee cost reimbursement is $7,968.00, and the invoice schedule totals $44,200.47, covering subtasks related to O&M data submission, utility invoice processing, and groundwater monitoring documentation.