CN-550000-C9T52-00110000.pdf

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Attached to
Master Agreement FL|CA343|0220e2c66f7f070f404cbacf80cdbf97
Contract number
CA343
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, 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 undispersed funds from previous task work orders.

The document details six task work orders related to Districtwide Quality Assurance Plans Review, with minimal remaining balances to be recovered ranging from $0.80 to $5.72. The total authorizations to date for these task work orders are $1,499,987.45. The form certifies that final payments have been made, and no additional services or charges are authorized against these specific work orders. The document is signed by Gabor Chiorean from the Florida Department of Transportation's QA & Design Services and Frank Hickson, Executive Vice President of Consor Engineers, LLC, who both confirm 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 .