CN-370000-HW555-DC03CCO1.pdf

This is a Task Assignment Notification Change Order Form for Florida Department of Environmental Protection Contract No. HW555, Task Assignment DC003C, issued by HSA Engineers & Scientists, Inc. The change order was executed on May 2, 2013, under the direction of DEP Contract Manager Anastasia Davis and contractor representative Brian Moore, P.E. The site is identified as "60 Minute Cleaners - College" (Facility ID 369500473). This document represents the first change order to the original task assignment and includes a detailed memorandum from Project Manager Miranda McClure outlining the negotiation summary and scope modifications.

The change order addresses costs associated with locating a missing well cluster of three wells and extends the final deliverable due date and task assignment timeline. The original task amount was $4,174.10, with a net increase/decrease of $350.95, resulting in a total task amount with all change orders of $4,525.05. The final deliverable is an Annual Groundwater Monitoring Report with GIS tables and EDD logs, due July 3, 2013. The invoice will be submitted upon Florida Department of Environmental Protection approval of the Annual Monitoring Report, GIS tables, and EDD logs for the full amount of $4,525.05. The original task completion date of August 3, 2013, was extended by 30 days to September 2, 2013. Subtask 2 (Annual Groundwater Monitoring) increased by $319.14 for additional effort to locate the wells, while the fixed price for the entire task assignment remained $4,525.05, with no additional fees or cost reimbursement structures applied.