Summary of Task Assignment Notification Change Order Form

This is a Task Assignment Notification Change Order Form for a state and local contract indefinite delivery vehicle under DEP Contract No. HW556. The document involves the Department of Environmental Protection (DEP), the contractor Cardno TBE (represented by Roger Register), and the DEP Contract Manager Justin Cross. The task assignment, designated as BF-004 C, pertains to work at the 3-D Oil Site in South Dakota Beach.

Change Order No. 2 extends the deliverable and completion due date by five weeks, moving the original task completion date from June 10, 2016 to July 29, 2016. The final deliverable is a Monitor Well Installation & Sampling Report, with a draft due on June 1, 2016 and the final report due on July 29, 2016. The task maintains a fixed price of $14,731.96 with no cost increases, fee schedule changes, or cost reimbursement adjustments resulting from this change order. Payment is contingent upon submittal of the Final Monitor Well Installation & Sampling Report (Subtasks 2-5), with the entire contract amount of $14,731.96 to be invoiced upon completion of this deliverable.