CN-550000-C9O62-W0010100.pdf
PDF 63 KB Posted
- Contract number
- ASN80
- Issued by
- Florida
About this file
This document is a Task Work Order Amendment Form from the Florida Department of Transportation (FDOT) for professional services, involving Universal Engineering Sciences, a consulting firm located in Orlando, FL. The document is associated with Contract No. C9O62, which is specifically for materials testing services, and pertains to Amendment No. 1 to Task Work Order No. 1.
The contract covers materials testing services with a total budgetary ceiling of $4,874,333.00, procured through a Request for Proposal method. This particular amendment closes and recovers funds of $126,659.94 from the task work order, effectively concluding the task work order and setting its final payment status to PAID in the state's financial system. The contract was originally established on 04/01/2016 and was set to end on 03/31/2021, with the amendment dated 4/9/2021. The financial project number is 40355913201, and the work is associated with fiscal year 2016 and work activity 011.
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| CN-550000-ASN80-W0010000.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
09/18 recovered is $ .
Subtotal Estimate/L imit
$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):
40355913201
Check all applicable Terms:
Closing and recovering funds on TWO 1
3532 Maggie Blvd. Orlando FL 32811
Universal Engineering Sciences
Address:
Consultant:
Date (To be entered upon execution of Task Work Order Amendment):Contract No.:
4/9/2021C9O62
Purpose of Amendment:
Amendment No.
to Task Work Order No.
(Name) (Title) Signature
John Petty Operations Manger
Consultant Acceptance:
(Title) Signature(Name)
Compensation Element
Description
This Amendment
Amount
Previous
Amount Method of Compensation 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
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 $ 126,659.94 . 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 set to PAID status in CITS. No additional services or charges are
(Status 50) by Financial Services staff based on this selection. Additional Note: Please be sure you want to close out before marking. Premature close outs that must
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 be corrected in CITS may require programmer time and costs borne by the program office.
$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
DocuSign Envelope ID: 1A3BE0C1-3CC0-4F3A-B2C2-BEE31509B49E
Regional ManagerKeith L. Butts, P.E.
FLORIDA DEPARTMENT OF TRANSPORTATION
FUNDS APPROVAL
C9O62
4/13/2021
CONTRACT INFORMATION
FUNDS APPROVAL INFORMATION
FUNDS APPROVED/REVIEWED FOR ROBIN M. NAITOVE, CPA, COMPTROLLER ON 4/13/2021
Action: Task Work Order
Reviewed or Approved: APPROVED
Organization Code: 55502000820
Expansion Option: A1
Object Code: 131512
Amount: ($126,659.94)
Financial Project: 40355913201
Work Activity (FCT): 011
CFDA:
Fiscal Year: 2016
Budget Entity: 55100100
Category/Category Year: 088849/16
Amendment ID: W001
Sequence: 01
User Assigned ID: TWO 1
Enc Line (6s)/Status: 0001/10
Total Amount: ($126,659.94)
Contract: C9O62
Contract Type: CF - TESTING MATERIALS (TEST MAT)
Vendor Name: UNIVERSAL ENGINEERING SCIENCES
Vendor ID: F591117804026
Beginning Date of This Agreement: 04/01/2016
Ending Date of This Agreement: 03/31/2021
Contract Total/Budgetary Ceiling: bc = $4,874,333.00
Method of Procurement: C - REQUEST FOR PROPOSAL (287.55,F. S.)
Description: Materials Testing Contract
Page1 of 1
To: John.Petty@dot.state.fl.us
File details come from the government source that posted it. Updated .