Task Assignment Notification Change Order Summary

This document is a Task Assignment Notification Change Order Form (Change Order No. 2) for DEP Contract No. HW561, administered by the Florida Department of Environmental Protection (FDEP). The contractor is Golder Associates, Inc., represented by Matt Crews, with DEP Contract Manager Miranda McClure overseeing the task. The work site is Imperial Laundry and Dry Cleaners, identified by Facility ID 489500498.

The change order authorizes an increase in task costs of $2,912.52 due to rectifying WCD 1 permit fee increases, purchasing additional safety signs, and engaging certified flagmen for a two-day traffic lane closure to complete remedial injections. The original task amount was $74,316.12; with this change order, the revised total task amount is $77,228.64. The deliverable consists of an Annual Injection Report due by March 28, 2016. Invoice schedule breakdown totals $77,228.64, distributed across eight subtasks with requirements for FDEP approval of access agreements, permits, and various email reports containing lab reports, groundwater sampling data, and injection reports. The original task completion date was May 14, 2016, which remained unchanged at May 28, 2016 following this change order. All parties signed the document on December 15, 2014.