CN-370000-HW554-DC02BCO1.pdf

This document is a Task Assignment Notification Change Order Form for DEP Contract No. HW554, issued by the State of Florida Department of Environmental Protection. The contractor is Shaw Environmental, Inc., represented by Edward Vehling, with the DEP Contract Manager being Walsta Jean-Baptiste. The work is being performed at the Dry Clean USA site (Site ID 509502008), located in Jacksonville.

Change Order No. 1 extends the task assignment completion date by three weeks and 17 days, moving the final deliverable due date from December 31, 2011 to January 17, 2012. The task maintains a fixed price of $82,907.16 with no cost reimbursement or fixed fee adjustments. The deliverables include a Construction Completion Report, Completed SVE System Purchase, and Property Reporting Forms, all originally due November 4, 2011. The invoice schedule specifies three payment milestones: $29,165.93 upon FDEP approval of the Construction Completion Report, $61,241.23 upon FDEP approval of the Completed System Purchase, and $2,500.00 upon FDEP approval of the Property Reporting Forms, totaling $82,907.16.