CN-550000-C9T52-00110000.pdf
PDF 185 KB Posted
- Contract number
- AST85
- Issued by
- Florida
About this file
This is a Multiple Task Work Order Closeout Form for Professional Services issued by the State of Florida Department of Transportation (FDOT), involving Consor Engineers, LLC, located in Winter Springs, Florida. The document is associated with Contract No. C-9T52 and is dated 8/10/2022, with the primary purpose of recovering undisbursed funds from multiple task work orders.
The document details six task work orders related to Districtwide Quality Assurance Plans Review, with small remaining balances to be recovered ranging from $0.80 to $5.72. The total authorizations to date for these task work orders amount to $1,499,987.45. The form certifies that final payments have been made, no additional services or charges are authorized, and both the FDOT representative (Gabor Chiorean, QA & Design Services Engineer) and the consultant representative (Frank Hickson, Executive Vice President) have signed to confirm the closeout and acknowledge that no further billings will occur against these work orders.
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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
07/19
Consultant:
Consor Engineers, LLC
Address:
1511 East State Road 434, Winter Springs, Fl. 32708
Contract No.: Date: (To be entered upon execution of Task Work Order Amendment):
C-9T52
Purpose of Amendment Recover undispersed funds
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.
TWO No.
TWO
Amendment No.
Payment FM No. Description
The Following Amount is the Remaining Work Order Balance To Be
Recovered
1 2 417074-1-31-04 Districtwide Quality Assurance Plans Review $ 5.72
2 2 417074-1-31-04 Districtwide Quality Assurance Plans Review $ 1.23
3 2 417074-1-31-04 Districtwide Quality Assurance Plans Review $ 0.82
5 2 417074-1-31-04 Districtwide Quality Assurance Plans Review $ 0.80
6 1 417074-1-31-04 Districtwide Quality Assurance Plans Review $ 3.98
Total Authorizations to date (including this one): $ 1499987.45
Departmental Approval:
Gabor Chiorean QA & Design Services Engr.
(name) (title) (signature)
By signing this, I certify that no additional billings will occur against these work orders.
Consultant Acceptance:
Frank Hickson Executive Vice President
(name) (title) (signature)
Distribution:
DocuSign Envelope ID: 5CDE5529-CD21-4E72-BB4D-6C5B2C57116B
8/10/2022
File details come from the government source that posted it. Updated .