CN-550000-C9W85-00110000.pdf

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

TASK WORK ORDER AMENDMENT FORM

FOR PROFESSIONAL SERVICES

375-030-26

PROCUREMENT

06/17 recovered is $ .

17,264.43 .

Subtotal Estimate/L imit

$554,226.94 Limit

$15,553.00 Limit

$29,184.88 Limit

$5,669.11 Limit

$81,348.75 Limit

$2,087.65 Estimate

$688,070.33

$553,559.32

$1,241,629.65

Attachments:

Distribution:

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

441145-1-32-01

Check all applicable Terms:

To remove previously scoped design activites for SR 527/S Orange Ave from Grant Street to Gore Street as stated in attached Scope of Services.

FDOT PM: Joseph Fontanelli / FDOT CM: Dana Stewart

1650 Prudential Drive, Suite 400, Jacksonville, FL 32207

Arcadis U.S., Inc.

Address:

Consultant:

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

C9W85

Purpose of Amendment:

Amendment No.

to Task Work Order No.

$4,774,236.40

(Name) (Title) Signature

Ed Kestory, PE DCPME

ARCADIS/FDOT

Consultant Acceptance:

(Title)

Gene Howerton, PE

Signature

Vice President

(Name)

(LS2) Lump sum paid based on % of completion

(LS2) Lump sum paid based on % of completion

(LS2) Lump sum paid based on % of completion

(LS2) Lump sum paid based on % of completion

(LA4) Units worked at loaded billing rates in Table 6

($595.61)

Compensation Element Description

This Amendment Amount

Design Services - Arcadis $0.00

$0.00

Public Outreach Services - QCA $0.00

Previous Amount

$554,226.94

$15,553.00

Method of Compensation

(LS2) Lump sum paid based on % of completion

$0.00 authorized 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 set to PAID status in CITS. No additional services or charges are

(Status 50) by Financial Services staff based on this selection. Additional Note: Please be sure you want to close out before marking. Premature close outs that must

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 be corrected in CITS may require programmer time and costs borne by the program office.

Utilities Design Services - BPA

Environmental & Permitting Services - Esciences

Supplemental Mapping Services -

DRMP

Mapping Services - DRMP

$0.00

$29,780.49

$5,669.11

$81,348.75

$2,087.65

($595.61)

($16,668.82)

($17,264.43)

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.

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Page 2 thru 6 Subtotal

Total

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

TASK WORK ORDER AMENDMENT FORM

FOR PROFESSIONAL SERVICES

375-030-26

PROCUREMENT

06/17

Subtotal Estimate/L imit

$254,440.64 Estimate

$136,748.69 Estimate

$96,225.51 Limit

$66,144.48 Estimate

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$553,559.32 ($16,668.82)

Signlization and Lighting Design Services - Peters and Yaffee Geotechincal Services - GEC

($16,668.82)

$0.00

(LS2) Lump sum paid based on % of completion

$112,894.33

(LA4) Units worked at loaded billing rates in Table 6

$66,144.48

Purpose of Amendment:

To remove previously scoped design activites for SR 527/S Orange Ave from Grant Street to Gore Street as stated in attached Scope of Services.

FDOT PM: Joseph Fontanelli / FDOT CM: Dana Stewart

Compensation Element Description

Survey Services Authorized -

DRMP

Survey Services Supplemental -

DRMP

This Amendment Amount

$0.00

$0.00

Method of Compensation Previous Amount

(LA4) Units worked at loaded billing rates in Table 6

$254,440.64

(LA4) Units worked at loaded billing rates in Table 6

$136,748.69

Amendment No.

Arcadis U.S., Inc.

Address:

1650 Prudential Drive, Suite 400, Jacksonville, FL 32207

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

C9W85 0 to Task Work Order No. Payment FM No. (must be the same as original Task Work Order):

7 441145-1-32-01

Consultant:

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