CN-370000-HW554-DC12ECO1.pdf

This is a Task Assignment Notification Change Order Form (Change Order No. 1) issued under Florida Department of Environmental Protection Contract No. HW554. The parties involved include CB&I Environmental & Infrastructure, Inc. (contractor), the Florida Department of Environmental Protection (state agency), and Johnson's Cleaners (site location in Leesburg). The document is signed by DEP Task Manager Walsta Jean-Baptiste and contractor representative Edward Vehling, with authorization from contractual authority. The change order was executed on October 23, 2015.

Change Order No. 1 reconciles costs related to annual groundwater sampling at the Johnson's Cleaners site (Facility ID 359500984) and extends the task completion date to allow for invoicing. The original task amount was $4,914.76; estimated hotel and per diem costs were reduced by $190.00, resulting in a net task amount decrease from $4,914.76 to $4,724.76. The task completion date was extended 61 days from October 31, 2015 to December 31, 2015. Deliverables include an Annual Groundwater Sampling Report and GIS/ADaPT electronic deliverables, both due upon receipt. Invoice is due upon FDEP approval of the deliverables for the total amount of $4,724.76. Labor allocation totals 38 hours, with costs broken down across direct labor, fringe benefits, equipment, and laboratory analysis as detailed in the attached cost estimate worksheets.