CN-370000-HW552-DC05FCO1.pdf

This is a Task Assignment Notification Change Order Form for DEP Contract No. HW552, issued by the Florida Department of Environmental Protection to Professional Services Industries Inc. (PSI). The change order, dated August 26, 2013, modifies Task Assignment DC005F for the Jay Lee Cleaners site (Facility ID #679502052). The contract manager is Christopher Pellegrino, and the contractor representative is Nana Westmark. This change order represents Change Order No. 1 to the original task assignment.

The change order authorizes an increase in the disposal of Industrial Destabilized Waste (IDW) drums beyond the original anticipated quantity and provides two additional labor hours to manage the additional IDW drums. The work is divided into two subtasks: Subtask 1 involves project management on a negotiated contract rate basis as a percentage of the overall project, and Subtask 2 covers well installation and sampling report work, which includes four additional IDW drums and two additional labor hours for management. The original task amount was $15,505.17, and with this change order, the total task amount increases to $16,302.44, representing a net increase of $797.27. The final deliverable consists of IDW manifests with a due date of October 30, 2013. Documentation supporting the costs is provided in attached Cost Summary Spreadsheets, Level-of-Effort sheets, and PSI's scope of work. The change order was signed on August 26, 2013.