CN-550000-C9S22-00110000.pdf
PDF 62 KB Posted
- Contract number
- ASQ65
- 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 Miami, Florida, and pertains to Contract No. C9S22, with a specific Task Work Order No. 4 being amended.
The purpose of this amendment is to add additional staff hours to continue services due to ongoing construction work. The amendment increases the task work order amount by $11,727.87, bringing the total compensation for "Loaded Billing Rates per Hour" from $13,478.82 to $25,206.69. The amendment is dated September 20, 2018, and includes an independent assessment confirming that the proposed staff hours and quantities are fair, reasonable, and competitive. The payment FM number associated with this amendment is 435080.1.62.01, and the document is signed by both a FDOT Engineering Specialist and a Metric Engineering Vice President.
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| File | Type | Posted |
|---|---|---|
| CN-550000-ASQ65-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
06/17 recovered is $ .
11,727.87 .
Subtotal Check if
Estimate
$25,206.69
$0.00
$0.00
$0.00
$0.00
$0.00
$25,206.69
$0.00
$25,206.69
Attachments:
Distribution:
C9S22
Amendment No. to Task Work Order No. Payment FM No. (must be the same as original Task Work Order):
1 4 435080.1.62.01
Consultant:
Metric Engineering, Inc.
Address:
1470 NW 107 Ave., Ste. K Miami, FL 33172
Contract No.: Date (To be entered upon execution of Task Work Order Amendment):
from this task work order $ . Note: for Prof. Serv. Task Work Order Amendments, the encumbrance line should never be closed
(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 total amount for services performed under this task work order is increased by $
Purpose of Amendment:
To add additional staff hours for continuation of services due to continuation of construction work.
Check all applicable Terms:
The time for completion of services for the subject task work order is extended thru
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 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
Loaded Billing Rates per Hour $13,478.82 $11,727.87
The additional funds will be allocated to the following compensation elements described below.
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.
There is no increase/decrease in the task work order amount, funds are only redistributed between compensation elements. Revised compensation elements are described below.
Compensation Element
Description Method of Compensation
Previous
Amount
This Amendment
Amount
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.
Total authorizations to date (including this one):
Departmental Approval:
Page 1 subtotal $11,727.87
Page 2 thru 6 Subtotal $0.00
Total $11,727.87
Ed Decresie Vice President
(Name) (Title) Signature
Hyacinth Williams Engineering Specialist
(Name) (Title) Signature
Consultant Acceptance:
DocuSign Envelope ID: B785C475-C21F-4CC7-8774-D0BF1EA0900E
9/20/2018
File details come from the government source that posted it. Updated .