CN-550000-C8N74-00050000.pdf

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Attached to
Master Agreement FL|C8N74|e27f791e8225f45f4920428b941d4b71
Contract number
C8N74
Issued by
Florida

About this file

This document is a Task Work Order Amendment Form for Professional Services issued by the State of Florida Department of Transportation. The amendment involves Dunkelberger Engineering & Testing, Inc., located in Port St. Lucie, Florida, and is associated with Contract Number CSN74. The document is Amendment No. 3 to Task Work Order No. 16, dated 6/25/2013.

The purpose of this amendment is to extend the time for completion of services for the task work order through 11/30/2013. The amendment does not involve any changes to monetary compensation, as indicated by the $0.00 subtotals across all sections. The document is signed by Mr. Ronald D. Arcalas, P.E., District Laboratory Operations Engineer, and Mr. Craig E. Dunkelberger, P.E., Principal Engineer, representing the state agency and the consulting firm, respectively. The amendment will be distributed to Professional Services, Financial Services, and the Project Manager.

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02105 p .

/II ("1RECtD JUN 28 2013

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 375·030-26

PROCUREMENTTASK WORK ORDER AMENDMENT FORM

FOR PROFESSIONAL SERVICES

Ig~~~~\tant:kelberger Engineering & Testing, Inc.

Address:

607 NWCommodity Cove, Port St. Lucie, FI349S6 ..

Contract Number:

CSN74

(To be entered upon execution of Task Won.Qrl!er trrndment) Date: 6/2S/2013 ?~ '?

Amendment No. 3 to Task Work Order No, 16 Payment FM No. (must be the same as original Task Work Order):

41971626201

Purpose of Amendment:

Time extension of work order.

Check all applicable terms:

Igj The time for completion of services for the subject task work order is extended thru o The subject task work order is hereby canceled (no work has been performed and no payment is due).

o The total amount for services performed under this task work order is increased by $

The additional funds will be allocated to the following compensation elements described below, o The total amount for services performed under this task work order is decreased by $ _______

The decrease in funds will be allocated to the following compensation elements described below.

o There is no increase/decrease in the task work order amount, funds are only redistributed between compensation elements, Revised compensation elements are described below.

o Other Notes:

Compensation Element Method of DeSCription Compensation

" ~r~\cfJ' q

Previous This Amendment Subtotal

Amount Amount

$O.OC

$O.OC

$0,00

Check if Estimate

This Amendment Total

$0.00

I....., 7'

Page 1 subtotals $0.00

Page 2 through 5 subtotals

T,W.O.

Total

$0.00

$0,00

$0.00

$0,00

$0.00

Attachments:

Total Contract Authorizations to Date Including this Amendment

~i Departmental Approval: \ ~ rl Mr. Ronald D. Arcalas, P.E. Dist. Laboratory Operations Engineer .v '1 /

(name) (title) - / (sill'llture) // Consultant Acceptance: /.! If

J~/Mr. Craig E. Dunkelberger, P.E. Principal Engineer (name) (title) ~ ./ ~gnature) 1\

Distribution: Professional Services , Financial Services , 'f>roject Manager IJ

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