Document Summary

This is a Task Assignment Notification Change Order Form for Florida Department of Environmental Protection (FDEP) Contract No. HW556, Task Assignment DC003D, Change Order No. 1. The contract involves the state agency FDEP and contractor Cardno, Inc., with HSW Engineering, Inc. as the engineer of record. The work is being performed at the Carriage Trade Dry Cleaners facility located at 38225 12th Avenue, Zephyrhills, Pasco County, Florida (Site ID ERIC 5232, FDEP No. 51-9500648). The DCP Contract Manager is Walsta Jean-Baptiste, and the contractor representative is Roger Regisler.

The change order authorizes HSW to oversee the installation of a monitoring well and conduct groundwater sampling in accordance with the project scope of work and cost estimate forms received on January 30, 2017. The task includes three subtasks: Project Management (12.5% of direct labor costs), Monitor Well Installation/Groundwater Sampling (with removal of one drum, waste characterization, and additional IDW disposal), and IDW Management/Interim Summary (report preparation with additional labor for monitoring well data). The original task amount was $8,207.43, with a net increase of $8,566.38 due to this change order, bringing the total task amount with all change orders to $16,773.81. The final deliverable—Groundwater Monitoring Report, AdaPT/GIS update, and final investigation derived waste manifest—is due May 31, 2017, with task completion extended to July 31, 2017 (a 31-day extension from the original June 30, 2017 completion date). All invoicing is contingent upon FDEP approval, with Subtask 2 invoiced at $12,036.13 and Subtasks 1 and 3 invoiced at $4,737.68, totaling $16,773.81 with 80 hours of labor.