CN-550000-C9W23-00130000.pdf

PDF 48 KB Posted

Attached to
Master Agreement FL|ARZ63|c6d80e4b0728ae1cef7f0b7af72bf1a1
Contract number
ARZ63
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 HNTB Corporation as the consultant. The amendment is for Task Work Order No. 3, Contract No. C9W23, located at SR 30 (US 98) at SR 293 (Danny Wuerffel Way) for Alternatives Analyses. The document is dated 11/19/2018 and is Amendment No. 3 to the original task work order.

The amendment extends the time for completion of services through 3/29/2019, with no changes to the financial amount of the task work order. The compensation method is based on (LA4) units worked at loaded billing rates in Table 6, with a previous amount of $120,667.40 and no changes in this amendment. The total authorizations to date, including this amendment, are $298,598.84, with a remaining balance of $1,401.16. The document indicates that an independent assessment of staff hours and quantities has been performed and found to be fair, reasonable, and competitive.

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CN-550000-ARZ63-S0010000.pdf PDF
CN-550000-ARZ63-00010000.pdf 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

3/29/2019 .

recovered is $ .

Subtotal Check if

Estimate

$120,667.40

$0.00

$0.00

$0.00

$0.00

$0.00

$120,667.40

$0.00

$120,667.40

Attachments:

Distribution:

$0.00

$0.00

$0.00

This TWO amendment in no way alters the financial amount of this TWO.

Remaining Balance: $1,401.16

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 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

Compensation Element

Description

This Amendment

Amount

Basic Services (LA-4) $0.00

Previous

Amount

$120,667.40

Method of Compensation

(LA4) Units worked at loaded billing rates in

Table 6

(Title) Signature(Name)

$298,598.84

(Name) (Title) Signature

Jared Perdue, P.E. Director of Transportation Development

Financial Services Casey Johns PSU (Taylor)

Consultant Acceptance:

Payment FM No. (must be the same as original Task Work Order):

42253811204

Check all applicable Terms:

Time Extension (Original TWO was for SR 30 (US 98) at SR 293 (Danny Wuerffel Way) Alternatives Analyses

610 Crescent Executive Court, Suite 400, Lake Mary, FL 32746

HNTB Corporation

Address:

Consultant:

Date (To be entered upon execution of Task Work Order Amendment):Contract No.:

C9W23

Purpose of Amendment:

Amendment No.

to Task Work Order No.

DocuSign Envelope ID: B07854FA-096B-46B4-B5D9-782A8A6585E7

Leonard Becker Vice President

11/19/2018

File details come from the government source that posted it. Updated .