CN-550000-C9Q74-00110000.pdf

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Attached to
Master Agreement FL|C9V46|f2ddd5acecd14001e7a88978a44c2048
Contract number
C9V46
Issued by
Florida

About this file

This document is a Multiple Task Work Order Closeout Form from the State of Florida Department of Transportation (FDOT), involving Stanley Consultants, Inc. as the consultant. The document is associated with Contract No. C9Q74 and is dated February 27, 2020. The purpose of this form is to close out multiple task work orders, confirming that all work under these orders has been completed and final payments have been processed.

The document details four specific task work orders (Nos. 20, 22, 1, and 21) with their corresponding task work order amendment numbers and payment FM numbers. The total remaining work order balance to be recovered across these four orders is $20,430.26. The form certifies that no additional services or charges are authorized against these task work orders beyond the date of execution, and both the FDOT Contract Coordinator (Bonnie Majcher) and the consultant's Vice President (John P. Downes) have signed to confirm the completion and financial settlement of these professional services task work orders.

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CN-550000-C9V46-00020000.pdf PDF
CN-550000-C9V46.pdf PDF
CN-550000-C9V46-00010000.pdf PDF
CN-550000-C9V46-00030000.pdf PDF

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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:

Stanley Consultants, Inc.

Address:

1641 Worthington Rd., Suite 400, West Palm Beach, FL 33409

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

C9Q74

Purpose of Amendment To Close TWOs; all work is complete

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

20 1 437837-1-62-02 $ 726.99

22 1 434477-3-62-02 $ 17.32

1 1 428724-1-62-02 $ 5,967.72

21 1 436226-1-62-02 $ 13,718.23

Total Authorizations to date (including this one): $ 20,430.26

Departmental Approval:

Bonnie Majcher Contract Coordinator

(name) (title) (signature)

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

Consultant Acceptance:

John P. Downes Vice President

(name) (title) (signature)

Distribution: Consultant, PSU, FDOT PM, Financial Servcies

DocuSign Envelope ID: F0868F04-0214-4B6E-BCBB-F301D4FFBA67

2/27/2020 | 9:55 AM EST

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