Task Assignment Notification Change Order Form Summary

This document is a Change Order Form (Change Order No. 4) for DEP Contract No. HW561, Task Assignment No. DC001G, issued by the State of Florida Department of Environmental Protection. The contractor is Golder Associates Inc., represented by Matt Crews, P.E. The contract manager is Miranda McClure. The task assignment pertains to Critical Response services across multiple facilities and is managed under the Critical Response phase.

The change order rectifies Work Change Directive (WCD) #4 for shutting down systems in preparation for Hurricane Hermine. The task amount increased from the original $2,500.00 to $11,611.61 across all change orders, with this specific change order adding $273.62 to the previous task amount of $11,337.99. The deliverables include an Air Monitoring Report ($1,527.18), Site Visit Letter Report and Offsite Notification Package ($6,673.16), Tropical Storm System Shutdown and Restart documentation ($637.65), SVE Systems shutdown documentation for Hurricane Hermine ($273.62), and Documentation of completed site activities ($2,500.00). All deliverables were completed by the final due date of December 28, 2020. The total contract cost under this change order is $11,611.61, with payment structured as fixed-price billing tied to DEP approval of specific deliverables.