CN-370000-HW553-BF05BCO2.pdf

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Attached to
Master Agreement FL|HW553|a65ff82906642c2458d9d92f26cd546e
Contract number
HW553
Issued by
Florida

About this file

This is a Task Assignment Notification Change Order Form (Change Order No. 2) for DEP Contract No. HW553, issued by the State of Florida Department of Environmental Protection (DEP). The contractor is Ecology & Environment, Inc., represented by Richard Stephens. The DEP Contract Manager is Carrie Kruchell, P.G., and the work site is located at the Corner of Spring and Garden Street in Escambia County School District (ERIC_5558/COM_334397). The contractual authority is Teresa Boeshaghi, and the document was digitally signed by all parties on September 25, 2017.

This change order reduces the total task amount by $4,542.20 due to decreased total tonnage and a reduction in the number of samples collected, as well as the omission of clean backfill sampling and analysis. The original task amount was $73,223.75, with the net decrease resulting in a revised task amount of $68,681.55. The work involves Limited Scope Source Removal (LSSR) with a final deliverable due date of August 4, 2017. Deliverables include field notes, photo logs, and daily status reports (due June 9, 2017); backfill and waste profile sample laboratory reports, waste manifests, weigh tickets, and compaction test results (due August 4, 2017); and the Limited Scope Source Removal Report (due August 4, 2017). The invoice schedule is tied to FDEP approval milestones, with payments of $3,196.21, $8,398.04, and $57,087.30 for the three invoicing phases, totaling $68,681.55. The task completion date remains September 30, 2017, with no change to the overall task period.

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Text version

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

Contract Number: HW553

Task Assignment#: __ __:B:..:.F...:0..::.0..;.SB"----

Change Order#: 2

Deliverables:

Deliverable Deliverable Due Date

Field notes, photo log, daily status reports to evidence oversight of source removal 06/09/2017

Backfill and waste profile sample laboratory final report(s), final waste manifests, backfill weigh tickets, compaction test results, permits (if required), confirmation 08/04/2017 sample laboratory final report(s) and final subcontractor invoice to evidence

Limited Scope Source Removal Report 08/04/2017

Invoice Schedule:

R f eau1rements or nvo1ce s b u m1tta A mount to b I e nvo1ce d

FDEP approval of the Limited Scope Source Removal Letter Report (Subtasks 1 & 4) $3,196.21

FDEP approval of field notes, photo log, daily status reports to evidence oversight of source removal $8,398.04

FDEP approval of backfill and waste profile sample laboratory final report(s), final waste manifests, backfill weigh tickets, compaction test results, permits (if required), $57,087.30 confirmation sample laboratory final report(s) and final subcontractor invoice to

TOTAL COST $68,681.55

BWC TAFORM 2/03

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