CN-370000-HW554-DC11ACO3.pdf

This is a Task Assignment Notification Change Order Form (Change Order No. 3) for DEP Contract No. HW554, issued by the State of Florida Department of Environmental Protection (DEP). The contract involves Shaw Environmental, Inc., with Edward Vehling serving as the Contractor Representative and Walsta Jean-Baptiste as the DEP Contract Manager. The work is being performed at the Blue Ribbon site located in Longwood, Florida (Site ID 5995001616).

Change Order No. 3 authorizes Shaw Environmental to collect confirmatory soil samples in accordance with the Shaw scope of work dated November 1, 2012. The task assignment encompasses soil boring collection, analytical testing, and reporting activities at the Blue Ribbon Cleaners facility. The original task amount was $31,243.92 with a total cost plus fixed fee of $36,193.92. Prior to this change order, the task amount was $25,825.75 ($27,809.37 total). The net increase from this change order is $4,252.20, bringing the total task amount with all change orders to $30,077.95 ($32,061.57 total). The task period was extended by 3 months, with the original completion date of 12/31/2012 extended to 3/31/2013. Key deliverables include a Semi-Annual O&M Report (due 3/31/2012), GIS/ADAPT Electronic Deliverables (due 3/31/2012 and 1/31/2013), and a Revised Annual GW Monitoring/O&M Report (due 12/31/2012), with a total invoiced cost of $32,061.57.