CN-550000-C9U03-00110000.pdf
PDF 57 KB Posted
- Contract number
- ASL06
- 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 Horizon Engineering, located at 2603 Maitland Center Parkway, Suite B, Maitland, FL 32751, under Contract No. C9U03. The amendment is specifically identified as Amendment No. 1 to Task Work Order No. 10, with a Payment FM No. of 439679-1-62-02.
The primary purpose of this amendment is to extend the time for completion of services through 12/31/2020. The total authorizations to date, including this amendment, are $14,481.11. The document includes signatures from Suzanne Phillips, PE, District Consultant Project Management Engineer from FDOT, and Scott Seck, Vice President of Horizon Engineering, indicating mutual agreement to the amendment's terms. An independent assessment has confirmed that the staff hours and quantities for the proposed services are fair, reasonable, and competitive. No specific changes to compensation elements are noted in this amendment.
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| File | Type | Posted |
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| CN-550000-ASL06-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
12/31/2020 .
recovered is $ .
Subtotal Check if
Estimate
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Attachments:
Distribution:
Payment FM No. (must be the same as original Task Work Order):
439679-1-62-02
Check all applicable Terms:
Extend time for completion of services.
2603 Maitland Center Parkway, Suite B; Maitland, FL 32751
Horizon Engineering
Address:
Consultant:
Date (To be entered upon execution of Task Work Order Amendment):Contract No.:
C9U03
Purpose of Amendment:
Amendment No.
to Task Work Order No.
$14,481.11
(Name) (Title) Signature
Suzanne Phillips, PE District Consultant Project Management Engineer
Consultant Acceptance:
(Title)
Scott Seck
Signature
Vice President
(Name)
Compensation Element
Description
This Amendment
Amount
Previous
Amount Method of Compensation 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
$0.00
$0.00
$0.00
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
DocuSign Envelope ID: 43193D0D-BFE2-40D7-932B-D8A2B76EB897
12/19/2019 | 12:53 PM EST
File details come from the government source that posted it. Updated .