CN-550000-C8Z57-00010000.pdf

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

CERTIFICATION OF COMPLETION AGREEMENT

375-030-81

PROCUREMENT

OGC – 03/17

Contract No. C8Z57

Financial Project I.D. 420112 1 32 02

F.E.I.D. No. F592594956

THIS CERTIFICATION OF COMPLETION AGREEMENT, made and entered into on , (This date to be entered by DOT only) by and between the STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION, an agency of the State of Florida, hereinafter called the "Department," and of duly authorized to conduct business in the State of Florida, hereinafter called the "Consultant."

WITNESSETH:

WHEREAS, the Department and the Consultant heretofore on entered into an Agreement whereby the Department retained the Consultant to furnish certain services in connection with

District One District Wide Traffic Studies

; and

WHEREAS, the services which the Consultant agreed to furnish are 100% complete, for which the Consultant is entitled to a fee of $ detailed as follows:

Original Contract Amount: $250,000.00 Amended Contract Amount: $1,500,000.00 Amount Paid: $1,499,053.74 Amount to be UN-Encumbered: $946.26 and;

WHEREAS, there has been previously paid to the Consultant under the terms of said Agreement the sum of $1,499,053.74.

Leaving a balance of $0.00 still due and payable to the Consultant by the Department;

Leaving an overpayment of $ due and payable to the Department by the Consultant;

NOW, THEREFORE, THIS INDENTURE WITNESSETH: That the Consultant, does hereby agree with the Department to the completion of the Agreement dated November 4, 2010, and all amendments and supplemental agreements thereto, except for those provisions wherein the Consultant agrees to protect, indemnify, defend, save, and hold harmless the

Department from all claims, demands or liabilities which may arise out of or because of said Agreement, which provisions will remain in full force and effect. The Consultant agrees that the amount to be paid is the final payment due for services rendered pursuant to the Agreement.

IN WITNESS WHEREOF, the parties hereto have caused these presents to be executed, the day and year first above written.

FALLER, DAVIS & ASSOCIATES, INC.

STATE OF FLORIDA

DEPARTMENT OF TRANSPORTATION

Name of Consultant

BY: BY:

Authorized Signature

Carol J. Finn (Print/Type) (Print/Type)

Title: Title: District Transportation Support Manager

Contracting Office Approval:

Professional Services Unit/Office

FALLER, DAVIS & ASSOCIATES, INC.

4200 W. Cypress Street, Suite 500, Tampa, FL 33607

November 4, 2010

$1,499,053.74

DocuSign Envelope ID: AF29C892-0439-4810-8849-CF84ACA9653F

Richard Jardim

Project Manager

2/8/2018 | 11:17 AM EST