CN-550000-C8Q69-00010000.pdf

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Attached to
Master Agreement FL|C8Q69|35a9c26f3af28e53ef7c0a935b9d7d5f
Contract number
C8Q69
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 HNTB, a consulting firm located at 300 Primera Blvd., under Contract Number C-8069. The specific Task Work Order being amended is Number 036, with Payment FM Number 243811-1-12-06.

The purpose of Amendment No. 001 is to adjust the completion date for the task work order to match the new contract end of services date. The amendment closes the task work order, with final payment having been made. The total contract authorization to date, including this amendment, is $1,991,253.93. The amendment decreases the consultant fees by $57.64, reducing the previous amount of $37,674.18 to a new subtotal of $37,616.55. The document is approved by Brian M. Stanger, a DS Environmental Engineer, and accepted by Isais Diaz, P.E., representing the consultant.

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Text version

fl 11pt1.//3

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

TASK WORK ORDER AMENDMENT FORM

FOR PROFESSIONAL SERVICES

375-030-26

PROCUREMENT

02105

Consultant:

HNTB

Address:

300 Primera Blvd.

Contract Number: (To be entered upon execution of Task Work Order Amendment) C-8069 Date: II \J1hnl?-)

Amendment No. 001 to Task Work Order No. 036 Payment FM No. (hiust be the same as original Task Work Order):

243811-1-12-06

Purpose of Amendment:

Adjust the completion date for the Task Work Order to match the new contract end of services date.

Check all applicable terms:

D The time for completion of services for the subject task work order is extended thru

181 The subject task work order is hereby closed. Final payment for the task work order has been paid . No additional services or charges are authorized against this task work order beyond the date of execution of this amendment. The following amount is the remaining work order balance to be recovered from this task work order $ 57.64 -------

0 The subject task work order is hereby canceled (no work has been performed and no payment is due).

D 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.

181 The total amount for services performed under this task work order is decreased by$ _5_7_.6_4 _____ _

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

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

Compensation Element Method of Previous This Amendment Subtotal Check if

Description Compensation Amount Consultant Fees (LA3) Hours worked at defined salary rates in Table 58, loaded with rates in $37,674 .18 rTable SA

Page 1 subtotals

Page 2 through 5 subtotals

D Other Notes:

Attachments:

Total Contract Authorizations to Date Including this Amendment $ 1,991 ,253.93

Departmental Approval :

Brian M. Stanger

(name)

Consultant Acceptance: n . . 0 lsais Dia:i:, P.E. \ JaMti t'· .fu\glut,l'b •

(name)

Distribution : MS 4-522F (1)

DS Environmental Engineer

(title)

, MS 4-524 (1)

Amount Estimate

$-57.64 $37,616.55 D

$0.00 D

$0.00 D

$0.00 D

$0.00 D

$0.00 D $-57.64 $37,616.55

This Amendment T.W.0 .

Total Total

$-57.64 $37,616.55

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