CN-370000-HW553-DC02ICO1.pdf

This is a Task Assignment Notification Change Order Form for DEP Contract No. HW553, Change Order No. 1, issued under Task Assignment DC0021. The document involves the Department of Environmental Protection (DEP), the contractor Ecology and Environment, Inc. (E&E), and the site facility Prestige Cleaners (ERIC_4873). The DEP Contract Manager is Daisy H. Sim, and the contractor representative is Perry Kelso. The change order was executed on September 7, 2018, with all parties providing authorization signatures.

The change order authorizes the installation and sampling of a replacement monitoring well (MW006R) and the abandonment of a compromised well (MW006R) in accordance with the September 6, 2018 Scope of Work. The change order reconciles an 11.5-hour labor error found in the previous task assignment. The original task amount was $4,192.58, with a net increase of $5,926.92, resulting in a total task amount of $10,119.50. The final deliverable is the Annual Groundwater Monitoring Report, due November 16, 2018. Invoice amounts are specified at $2,612.08 for the Annual Groundwater Monitoring Report and $7,507.42 for the Annual Groundwater Monitoring Letter Addendum, totaling $10,119.50. The task completion date was extended from September 18, 2018 to December 7, 2018, representing an 11-week increase in the task period.