CN-550000-C9V15-00100000.pdf
PDF 120 KB Posted
- Contract number
- ASR14
- Issued by
- Florida
About this file
This document is a Task Work Order Amendment Form for Professional Services issued by the Florida Department of Transportation (FDOT), involving Cambridge Systematics, Inc. as the consultant. The amendment is associated with Contract No. C9V15 and Task Work Order No. 4, with Amendment No. 1, and is dated October 26, 2017. The document is specifically for a professional services task work order with a Payment FM Number of 190970-1-A1-01.
The amendment extends the time for completion of services through January 15, 2018, with no change to the total authorized amount of $69,081.00. The compensation method is based on (LA4) Units worked at loaded billing rates in Table 6, with the compensation element being Salary Related Labor. The amendment maintains the existing total amount, redistributing no additional funds, and represents an administrative extension of the original task work order's timeline. An independent assessment has verified the staff hours and quantities as fair, reasonable, and competitive, and the amendment is approved by both the FDOT's State Traffic Services Program Engineer and the consultant's Principal.
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| File | Type | Posted |
|---|---|---|
| CN-550000-ASR14-00010000.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
1/15/2018 .
recovered is $ .
Subtotal Check if Estimate
$69,081.00
$0.00
$0.00
$0.00
$0.00
$0.00
$69,081.00
$0.00
$69,081.00
Attachments:
Distribution:
Payment FM No. (must be the same as original Task Work Order):
190970-1-A1-01
Check all applicable Terms:
Time Extension.
100 Cambridge Park Drive, Suite 400 Cambridge, Massachusetts 02140
Cambridge Systematics, Inc.
Address:
Consultant:
Date (To be entered upon execution of Task Work Order Amendment):Contract No.:
C9V15
Purpose of Amendment:
Amendment No.
to Task Work Order No.
(Name) (Title) Signature
Alan El-Urfali State Traffic Servies Program Engineer
Consultant Acceptance:
(Title)
Anita Vandervalk
Signature
Principal
(Name)
Compensation Element Description
This Amendment Amount
Salary Related Labor $0.00
Previous Amount
$69,081.00
Method of Compensation
(LA4) Units worked at loaded billing rates in Table 6 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 close
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: FFC408A1-E7BD-4E42-9E17-9430ABEADA19
10/26/2017 | 11:26 AM EDT
File details come from the government source that posted it. Updated .