CN-550000-C9P72-00110000.pdf

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Attached to
Master Agreement FL|ASS24|17b232ead4d7f7478356c99d1a4ee1cc
Contract number
ASS24
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 Metric Engineering, Inc., located in Chipley, Florida, under Contract No. C9P72. The document is Amendment No. 3 to Task Work Order No. 5, dated March 27, 2017.

The amendment pertains to two specific Florida highway projects: FIN 43078516201, SR 10A (US 90) Mobile Highway from Edison Drive to Lynch Street, and FIN 43253916201, SR 10A (US 90) from V Street to SR 292 Pace Blvd. The purpose is to utilize a Contract Support Specialist as a Final Estimate Reviewer. The total authorization to date is $410,538.28, with the current amendment showing no additional funds ($0.00) for CEI (Construction Engineering and Inspection) Services. The previous amount for CEI Services was $125,632.00, and the method of compensation is based on units worked at loaded billing rates in Table 6. The document indicates that $261,674.72 in funds remain after this Task Work Order Amendment.

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Text version

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

TASK WORK ORDER AMENDMENT FORM

FOR PROFESSIONAL SERVICES

375-030-26

PROCUREMENT

02/17 recovered is $ .

Subtotal Check if

Estimate

$125,632.00

$0.00

$0.00

$0.00

$0.00

$0.00

$125,632.00

$0.00

$125,632.00

Attachments:

Distribution:

$0.00

$0.00

$0.00

Funds remaining after this TWO (Original Encumbrance + LOA#1-3): $261,674.72

Departmental Approval:

Total authorizations to date (including this one):

Other Notes:

Page 1 subtotal

Page 2 thru 6 Subtotal

Total 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 $ . 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

Compensation Element

Description

This Amendment

Amount

CEI Services $0.00

Previous

Amount

$125,632.00

Method of Compensation

(LA4) Units worked at loaded billing rates in

Table 6

(Title) Signature(Name)

$410,538.28

(Name) (Title) Signature

Jason D. Peters, P.E. Dir. Of Transportation Operations

Financial Services, Kelli Rice, Peggy Croft, Dennis Thomason Eric Benson, Heather Baril

Consultant Acceptance:

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

22083516217

Check all applicable Terms:

Add FIN 43078516201, SR 10A (US 90) Mobile Hwy from Edison Drive to Lynch Street and (Goes with) FIN 43253916201, SR 10A (US 90) from V Street to SR 292 Pace

Blvd to utlize a Contract Support Specialist as a Final Estimate Reviewer.

1265 Church Avenue, Chipley, Florida 32428

Metric Engineering, Inc.

Address:

Consultant:

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

C9P72

Purpose of Amendment:

Amendment No.

to Task Work Order No.

DocuSign Envelope ID: 3023D9CF-B0AB-4541-9F78-E1A6126FA277

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