CN-550000-C9N37-00110000.pdf

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Attached to
Master Agreement FL|C9Z03|d4aa47458712e032126eb568bc6f0c63
Contract number
C9Z03
Issued by
Florida

About this file

The document is a Multiple Task Work Order Closeout Form for Professional Services issued by the State of Florida Department of Transportation (FDOT). The contract involves Comprehensive Engineering Services, Inc., located in Orlando, Florida, under Contract No. C9N37, dated December 17, 2018. The form is specifically designed to close multiple task work orders associated with a professional services contract.

The document details the closeout of 16 separate task work orders (numbered 0001 through 0016), with most orders having a remaining balance of $0.00. One exception is Task Work Order No. 0006, which has a remaining balance of $36,923.75 to be recovered. The form certifies that final payments have been made for these task work orders, and no additional services or charges are authorized beyond the date of execution. The document is signed by Jason Peters, P.E., Director of Transportation Operations for FDOT, and Arthur L. Shipley, P.E., Vice President of Comprehensive Engineering Services, Inc., confirming the closure of these work orders.

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Text version

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

MULTIPLE TASK WORK ORDER CLOSEOUT FORM

FOR PROFESSIONAL SERVICES

375-030-99

PROCUREMENT

04/18

Consultant:

Comprehensive Engineering Services, Inc.

Address:

201 South Orange Street, Suite 1300, Orlando, Florida 32801 Contract No.: Date: (To be entered upon execution of Task Work Order Amendment):

C9N37 Purpose of Amendment Close TWO

The task work orders shown in the table below are hereby closed. Final payment for the task work orders have been paid. No additional services or charges are authorized against these task work orders beyond the date of execution of this agreement. Note: for Prof. Serv. Task Work Order Amendments, the encumbrance line should never be closed (Status 50) by Financial Services staff based on this agreement.

Task Work Order No.

Task Work Order Amendment No.

Payment FM No.

The Following Amount is the Remaining Work Order Balance To Be Recovered

0001 1 22087693279 $ 0.00

0002 1 22087693280 $ 0.00

0003 1 22087683264 $ 0.00

0004 1 22087683265 $ 0.00

0005 1 22087693282 $ 0.00

0006 1 22087683250 $ 36,923.75

0007 1 22087693284 $ 0.00

0008 1 22087693285 $ 0.00

0009 1 22087683266 $ 0.00

0010 1 22087683268 $ 0.00

0011 1 22087693291 $ 0.00

0012 1 22087683201 $ 0.00

0014 1 22087683265 $ 0.00

0015 1 22089813212 $ 0.00

0016 1 22089813212 $ 0.00

Total Authorizations to date (including this one): $

Departmental Approval:

Jason Peters, P.E. Director of Transportation Operations

(name) (title) (signature)

By signing this, I certify that no additional billings will occur against these work orders.

Consultant Acceptance:

Arthur L. Shipley, P.E. Vice President

(name) (title) (signature)

Distribution: Brian Pettis Financial Services Procurement/CITS File

DocuSign Envelope ID: D6074779-3DFA-4936-B46C-BCDD9F9AC892

12/17/2018

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