CN-370000-HW557-CSS1BCO1.pdf

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Attached to
Master Agreement FL|HW557|6d20a3cd85832f58780db610589fb2f8
Contract number
HW557
Issued by
Florida

About this file

This is a Task Assignment Notification Change Order Form for DEP Contract No. HW557, issued by the State of Florida Department of Environmental Protection (DEP). The contractor is Arcadis U.S., Inc., represented by Brooks Baldwin. The DEP Contract Manager is Ferda Yilmaz, and the facility is Allied Decals with COM # 52897. Change Order No. 1 was executed on February 16, 2016, with signatures from the DEP Task Manager, DEP Contract Manager, Contractual Authority, and Contractor Representative.

Task Assignment CSS-1B pertains to Sub Tasks 4 (Site Inspection Report) and covers an expanded site inspection with two primary deliverables: Site Inspection Fieldnotes due January 29, 2016, and an Expanded Inspection Report due May 30, 2016. The total contract amount is $26,103.67, consisting of a fixed price structure with $20,409.41 invoiced upon completion of Site Inspection Fieldnotes and $5,694.26 invoiced upon completion of the Expanded Inspection Report. The original task completion date of April 28, 2016, was extended by 93 days to July 30, 2016. The net increase to the task amount from this change order is $5,694.26, bringing the total task amount with all change orders to $26,103.67.

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Text version

Task Assignment Notification/Change Order Deliverables and Invoice Schedule Attachment

BWC TAFORM 2/03

Contract Number: HW557 Task Assignment #: CSS-1B

Change Order #: 1

Deliverables:

Deliverable Deliverable Due Date

Site Inspection Fieldnotes 29-Jan-16

Expanded Inspection Report 30-May-16

Invoice Schedule:

Requirements for Invoice Submittal Amount to be Invoiced

Site Inspection Fieldnotes $20,409.41

Expanded Inspection Report $5,694.26

TOTAL COST $26,103.67

File details come from the government source that posted it. Updated .