CN-550000-C9N59-00040000.pdf

PDF 54 KB Posted

Attached to
Master Agreement FL|C9N59|f7cca69b938202387432de995fcf035a
Contract number
C9N59
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 (FDOT). The amendment involves Kimley-Horn and Associates, Inc., a consulting firm located in Tallahassee, Florida, under Contract No. C9N59. The amendment is specifically for Task Work Order No. 2 related to the Statewide Airfield Pavement Management Program Phase 2, with Project Manager Abdul Hatim.

The amendment (Amendment No. 1) is to closeout the task work order, indicating that final payment has been made and no additional services or charges are authorized. The document shows zero dollar amounts for all compensation elements, suggesting this is a formal closure of the task work order with no further financial transactions. The amendment was executed on 12/23/2019 and was approved by Aaron N. Smith, State Aviation Manager, and accepted by Jon Sewell, Project Manager from Kimley-Horn. The document includes a note confirming an independent assessment of staff hours and quantities, which was found to be fair, reasonable, and competitive.

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Other files

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CN-550000-C9N59-W0010000.pdf PDF
CN-550000-C9N59-00050000.pdf PDF
CN-550000-C9N59.pdf PDF
CN-550000-C9M75-00110000.pdf PDF
CN-550000-C9M75-00100000.pdf PDF
CN-550000-C9N59-00030000.pdf PDF
CN-550000-C9N59-00020000.pdf PDF

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Text version

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

TASK WORK ORDER AMENDMENT FORM

FOR PROFESSIONAL SERVICES

375-030-26

PROCUREMENT

06/17 recovered is $ .

Subtotal Check if

Estimate

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

Attachments:

Distribution:

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

408226-2-12-04

Check all applicable Terms:

This amendment is to closeout the task work order for Statewide Airfield Pavement Management Program Phase 2, Project Manager: Abdul Hatim can be reached at 850-

414-4504

2615 Centennial Blvd., Suite 102, Tallahassee, Fl 32308

Kimley -Horn and Associate, Inc. Jon Sewell

Address:

Consultant:

Date (To be entered upon execution of Task Work Order Amendment):Contract No.:

C9N59

Purpose of Amendment:

Amendment No.

to Task Work Order No.

(Name) (Title) Signature

Aaron N. Smith State Aviation Manager

Co Proserv CO Contact Satus Change CO-AVCO

Consultant Acceptance:

(Title)

Jon Sewell

Signature

Project Manager

(Name)

Compensation Element

Description

This Amendment

Amount

Previous

Amount Method of Compensation 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

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

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

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.

elements are described below.

from this task work order $ 0.00 . Note: for Prof. Serv. Task Work Order Amendments, the encumbrance line should never be closed

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

(Status 50) by Financial Services staff based on this selection.

The subject task work order is hereby canceled (no work has been performed and no payment is due). The total amount of the task work order which is

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

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

$0.00

$0.00

$0.00

Departmental Approval:

Total authorizations to date (including this one):

Other Notes:

An independent assessment of the staff hours and quantities for the proposed services has been performed, and found to be fair, reasonable, and competitive.

Page 1 subtotal

Page 2 thru 6 Subtotal

Total

12/23/2019 | 8:23 AM EST12/23/2019 | 8:23 AM EST

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