CN-550000-C9P76-00110000.pdf
PDF 52 KB Posted
- Contract number
- C9W67
- 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 Kisinger Campo & Associates, Corp., a consulting firm located in Tampa, FL, under Contract No. C-9P76. The amendment is specifically for Task Work Order No. 17 and is dated 6/19/2019.
The amendment relates to a scour mitigation project for State Road 30 (US 98) over the Apalachicola River in Franklin County, Florida. The compensation method is based on (LA4) units worked at loaded billing rates in Table 6. The total amount for basic services remains unchanged at $44,539.00, with total authorizations to date reaching $683,090.00. The purpose of this amendment appears to be a correction to the Payment FM Number. The document has been signed by Jason D. Peters, P.E., Director of Transportation Operations for FDOT, and Paul Foley, President of Kisinger Campo & Associates, Corp.
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Other files
| File | Type | Posted |
|---|---|---|
| CN-550000-C9W67.pdf | ||
| CN-550000-C9W67-S0020000.pdf | ||
| CN-550000-C9W67-00030000.pdf | ||
| CN-550000-C9W67-00040000.pdf | ||
| ContractBudgetExport.csv | CSV file | |
| CN-550000-C9W67-00020000.pdf | ||
| CN-550000-C9W67-S0010000.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
$44,539.00
$0.00
$0.00
$0.00
$0.00
$0.00
$44,539.00
$0.00
$44,539.00
Attachments:
Distribution:
$0.00
$0.00
$0.00
Encumber by Task
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 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
Basic Services $0.00
Previous
Amount
$44,539.00
Method of Compensation
(LA4) Units worked at loaded billing rates in
Table 6
(Title) Signature(Name)
$683,090.00
(Name) (Title) Signature
Jason D. Peters, P.E. Director of Transporation Operations
Bill Howell, Hunter Hambright, Timothy Barnard, Financial Services, Ashley Taylor, Beth Shiver
Consultant Acceptance:
Payment FM No. (must be the same as original Task Work Order):
42543833201
Check all applicable Terms:
Correction to Payment FM Number - Scour Mitigation SR 30 (US 98) over Apalachicola River (Bridge No. 490031) in Franklin County
201 N. Franklin Street, Suite 400, Tampa, FL 33602
Kisinger Campo & Associates, Corp.
Address:
Consultant:
Date (To be entered upon execution of Task Work Order Amendment):Contract No.:
6/19/2019C-9P76
Purpose of Amendment:
Amendment No.
to Task Work Order No.
DocuSign Envelope ID: ABAEAE53-64AF-44F5-91E7-AC6B4CCA9AED
PresidentPaul Foley
File details come from the government source that posted it. Updated .