Summary of Task Assignment Notification Change Order Form - HW555

This is a Task Assignment Notification Change Order Form for DEP Contract No. HW555, Task Assignment DC012B, issued by the Florida Department of Environmental Protection. The contractor is HSA Engineers & Scientists, represented by Brian Moore, P.E. The DEP Contract Manager is Anastasia Davis. The work is being performed at the International Professional Cleaners facility located at 10420 NW 7th Avenue, Miami, Dade County (Site ID 139500965). The change order, dated January 24, 2013, adjusts costs associated with utility services payment for a six-month Operation and Maintenance task assignment.

The change order modifies the estimated maximum utility cost from $8,407 to the actual cost of $4,180.83, resulting in a total cost decrease of $4,289.17. The task assignment value structure consists of a fixed price component of $11,736.74 and a cost plus fixed fee component with cost reimbursement of $3,900.83 (reduced from the original $8,190.00), yielding a revised total task assignment amount of $15,637.57. The deliverables include a Semi-Annual Remedial Performance Report and Paid Utility Receipts. Invoice requirements specify FDEP approval of the remedial performance report for $11,456.74 and DEP approval of utility invoices for six months of operations and maintenance, not to exceed $3,900.83 plus a $280 utilities handling fee, for a total contract value of $15,637.57. The original task completion date of 2/13/2013 remained unchanged, with the completion date extended to 3/13/2013 through this change order.