Task Assignment Notification Change Order Form

This document is a Task Assignment Notification Change Order (Change Order No. 1) for Florida Department of Environmental Protection Contract No. HW554. The contractor is Shaw Environmental, Inc., represented by Edward Vehling, with the contract manager being Walsta Jean-Baptiste. The task assignment is designated DC011B and is associated with the Blue Ribbon Cleaners facility (ID No. 599500616).

The change order reconciles costs associated with annual groundwater sampling conducted in accordance with Shaw Environmental's scope of work and cost estimate form received on December 4, 2013. The original task amount of $6,458.35 was reduced by $153.37 due to a 2-hour reduction in labor costs ($44.40) and a $1.14 reduction in material costs, resulting in a revised total task amount with all change orders of $6,304.98. The deliverables include an Annual Groundwater Sampling Report (due September 15, 2013) and a GIS/AdaPT Electronic Deliverable (due October 15, 2013). The invoice is to be submitted upon FDEP receipt and approval of the annual groundwater sampling report in electronic format and GIS/AdaPT updates, with the total invoice amount of $6,304.98. The task completion date remained December 31, 2013.