CN-370000-HW561-DC04DCO1.pdf

This is a Task Assignment Notification Change Order Form for DEP Contract No. HW561, issued by the State of Florida Department of Environmental Protection (DEP). The document involves Golder Associates Inc., represented by Matt Crews, P.E., with DEP Contract Manager Miranda McClure overseeing the assignment. The task assignment number is DC004D, and this represents Change Order No. 1. The site under contract is Jet Cleaners, identified by Facility ID 169500980, with the phase designated as Assessment.

The change order extends the time for completion of the final deliverable and task assignment due to delays caused by issues between the tenant and property owner regarding building entrance access. The contract maintains a fixed price of $4,539.57 with no fee schedule charges or cost reimbursements. The primary deliverables include Groundwater Sampling logs and laboratory report (Subtask 2) due January 28, 2014, and an Assessment Letter Report (Subtask 3) due February 28, 2014. The original task completion date of February 28, 2014 was extended by 61 days, resulting in a new completion date of April 30, 2014. Invoice requirements specify FDEP approval of all groundwater sampling logs, laboratory reports, assessment letter reports, and project management deliverables prior to payment of the single invoice amount of $4,539.57.