CN-370000-HW555-DC02ICO4.pdf

This is a Task Assignment Notification Change Order Form for DEP Contract No. HW555, Change Order No. 4, issued by the State of Florida Department of Environmental Protection (DEP). The contractor is GHD Services, Inc., represented by Brian Moore, with DEP Contract Manager Sam Hankinson overseeing the work at Dolphin Fabricare (Site ID 36-9502257).

The change order rectifies utility costs associated with operations and maintenance (O&M) activities at the facility. The payment of utility invoices represents the only portion of this task assignment subject to Cost Plus Fixed Fee pricing. The task involves six months of paid utility invoices covering April through December 2015, with a final deliverable due date of March 10, 2016. The original task amount was $16,868.63; prior to this change order, the amount was $21,805.59. This change order decreased the task amount by $951.91, resulting in a final task amount of $20,863.68. Under the Cost Plus Fixed Fee structure, the cost reimbursement totals $400.56 with no fixed fee. The deliverables include completion of O&M activities from October 2014 through December 2015, submission of system update reports, confirmatory soil sampling, and submittal of the annual Remedial Action Status Report (RASR). The completion date with all change orders is May 12, 2016, with no net change in task period.