CN-550000-C9C21-00110000.pdf

STATE OF FLOrunA DEPARTMENT OF 1RANSPOIHATlON FOHM 375.030·:':6

PROCUREMENT

TASK WORK ORDER AMENDMENT FORM

FOR PROFESSIONAL SERVICES

Consultant· The Corradino Group. Inc.

Address:

4055 NW 9ih Avenue Doral. FL 33178

I

Contract Number: (To be entered upon execution of Task Work Order Amendment) C-9C21 Date:

MAY 28.2014

1 05 Payment FM No. (must be the same as original Task Work Order):

Amendment No. to Task Work Order No. 432790-1-62-01 Purpose of Amendment:

Closeout and Recover Funds

Check all applicable terms:

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

..~The subject task work order IS hereby closed. Final payment for the task work order has been paid. No additional services or charges are

OSlO3 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 $ $37-=- '--_ ___ _ _ _6:..::..9:c::5 ___

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

OThe total amount for services performed under this lask work order is increased by S The additional funds will be allocated to the following compensation elements described below.

OThe total amount for services performed under this task work order is decreased by S The decrease in funds will be allocated to the fOllowing compensation elements described below.

'OThere is no increase I decrease in the task work order amount, funds are only redistribut.ed between compensation elements. Revised I Compensation elements are described below.

Compensation Element Description

Method 01 Compensalion

Previous Amounl

ThiS Amendmenl Amount Subtotal Check II

Estimate

Salaries, Expenses and FCCM LA3 Hours worked at defined rates i n Table 58, loaded rates in Table SA

$11,020.93 -$333.99 I

1$10,686.94 LIMIT

Operating Margin LS 12-0per Margin % or Exp % lump Sum paid based on % salary related $1,417.15 -$42.96 I $1,374.19 LIMIT costs, balance at end

I

I ThiS Amendmenl TWO Tolal Total

-$376.95 $12,061.13 DOther Notes:

An independent assessment of the staff hours and Quantities for the proposed services has been performed, and found to be fair, rea sonable.

and competitive. I Attachments:

, District Construclion

Total Contract Authorizations to Date Including this Amendment --+S 539.973.21 -------Departmental Approval:

{~ .... I / Stacey Sasala FOOT Project Mana~ler '- ~~r ) tL '---name Irtl..

~f"Consultant Acceptance:

Mel Pollock PE Vice President of Engineering lname Mle signaTure

Distribution: Professional Services Unit , Financial Services ,....:C:..;E::..;I...;.P...;.M"-___ .____ _____ http:redistribut.ed