CN-550000-C9X90-W0030100.pdf
PDF 676 KB Posted
- Contract number
- ASZ80
- Issued by
- Florida
About this file
This document is a Multiple Task Work Order Closeout Form from the Florida Department of Transportation (FDOT) involving Professional Services Industries, Inc. (PSI), a professional services consulting firm located in Orlando, Florida. The document is associated with Contract No. C9X90, which was procured through a Request for Proposal method under Florida Statute 287.55.
The contract covers Districtwide Materials Testing & Construction Support services, with a total budgetary ceiling of $1,500,000 and a contract period from February 6, 2018, to February 5, 2023. The closeout form details the closure of three specific task work orders (8, 12, and 13) with remaining balances totaling $103,214.63: Task Work Order 8 with a balance of $50,119.48, Task Work Order 12 with a balance of $40,350.27, and Task Work Order 13 with a balance of $12,744.88. The funds were approved on February 15, 2022, with organization codes and financial project numbers specified for each task work order, primarily using 2018 and 2019 fiscal year budget allocations.
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Text version
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
MULTIPLE TASK WORK ORDER CLOSEOUT FORM
FOR PROFESSIONAL SERVICES
Department Approval:
Consultant Acceptance:
Distribution: DMROFINANCIAL SERVICES
(signature)
PROCUREMENT
(signature) Materials Contracts Manager
(title)
REGIONAL VICE PRESIDENT
CESAR Z. RICARDO, JR.
(name)
JUAN D. VILLEGAS, P.E.
(name) (title)
By signing this, I certify that no additional billings will occur against these work orders.
Total Authorization to date (including this one): 1,188,442.80$
12 2 251684 6 62 61 $40,350.27 13 3 434722 1 62 41 $12,744.88
8 2 419345 2 62 03 $50,119.48
PROFESSIONAL SERVICES INDUSTRIES, INC.
1748 33RD STREET, ORLANDO, FLORIDA 32839
C9X90 Contract No.:
Consultant:
Address:
Date: (To be entered upon execution of Task Work Order Amendment):
2/9/2022
Task Work Order No.
Task Work Order Amendment No.
Payment FM No.
The following Amount is the Remaining Work Order Balance To Be Recovered
Purpose of Amendment To close completed projects and recover unused balances, if any.
The task work orders shown 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 .
DocuSign Envelope ID: 9814B210-B91F-4C53-8F1D-F1C783E12997
FLORIDA DEPARTMENT OF TRANSPORTATION
FUNDS APPROVAL
C9X90
2/15/2022
CONTRACT INFORMATION
FUNDS APPROVAL INFORMATION
FUNDS APPROVED/REVIEWED FOR ROBIN M. NAITOVE, CPA, COMPTROLLER ON 2/15/2022
Action: Task Work Order
Reviewed or Approved: APPROVED
Organization Code: 55063030643
Expansion Option: A4
Object Code: 131512
Amount: ($40,350.27)
Financial Project: 25168466261
Work Activity (FCT): 011
CFDA:
Fiscal Year: 2019
Budget Entity: 55150200
Category/Category Year: 088718/19
Amendment ID: W006
Sequence: 01
User Assigned ID: TWO 12
Enc Line (6s)/Status: 0008/10
Total Amount: ($40,350.27)
Contract: C9X90
Contract Type: CA - ENGINEERING (ENGINEER)
Vendor Name: PROFESSIONAL SERVICE INDUSTRIES
Vendor ID: F370962090001
Beginning Date of This Agreement: 02/06/2018
Ending Date of This Agreement: 02/05/2023
Contract Total/Budgetary Ceiling: bc = $1,500,000.00
Method of Procurement: C - REQUEST FOR PROPOSAL (287.55,F. S.)
Description: Districtwide Materials Testing & Construction Support
Page1 of 1
To: Cesar.Ricardo@dot.state.fl.us
C9X90
2/15/2022
CONTRACT INFORMATION
FUNDS APPROVAL INFORMATION
FUNDS APPROVED/REVIEWED FOR ROBIN M. NAITOVE, CPA, COMPTROLLER ON 2/15/2022
Action: Task Work Order
Reviewed or Approved: APPROVED
Organization Code: 55044040419
Expansion Option: A6
Object Code: 131500
Amount: ($12,744.88)
Financial Project: 43472216241
Work Activity (FCT): 011
CFDA:
Fiscal Year: 2019
Budget Entity: 55150200
Category/Category Year: 088718/19
Amendment ID: W007
Sequence: 01
User Assigned ID: TWO 13
Enc Line (6s)/Status: 0009/10
Total Amount: ($12,744.88)
Contract: C9X90
Contract Type: CA - ENGINEERING (ENGINEER)
Vendor Name: PROFESSIONAL SERVICE INDUSTRIES
Vendor ID: F370962090001
Beginning Date of This Agreement: 02/06/2018
Ending Date of This Agreement: 02/05/2023
Contract Total/Budgetary Ceiling: bc = $1,500,000.00
Method of Procurement: C - REQUEST FOR PROPOSAL (287.55,F. S.)
Description: Districtwide Materials Testing & Construction Support
C9X90
2/15/2022
CONTRACT INFORMATION
FUNDS APPROVAL INFORMATION
FUNDS APPROVED/REVIEWED FOR ROBIN M. NAITOVE, CPA, COMPTROLLER ON 2/15/2022
Action: Task Work Order
Reviewed or Approved: APPROVED
Organization Code: 55044040419
Expansion Option: A6
Object Code: 131500
Amount: ($50,119.48)
Financial Project: 41934526203
Work Activity (FCT): 011
CFDA:
Fiscal Year: 2018
Budget Entity: 55150200
Category/Category Year: 088718/18
Amendment ID: W003
Sequence: 01
User Assigned ID: TWO 8
Enc Line (6s)/Status: 0005/10
Total Amount: ($50,119.48)
Contract: C9X90
Contract Type: CA - ENGINEERING (ENGINEER)
Vendor Name: PROFESSIONAL SERVICE INDUSTRIES
Vendor ID: F370962090001
Beginning Date of This Agreement: 02/06/2018
Ending Date of This Agreement: 02/05/2023
Contract Total/Budgetary Ceiling: bc = $1,500,000.00
Method of Procurement: C - REQUEST FOR PROPOSAL (287.55,F. S.)
Description: Districtwide Materials Testing & Construction Support
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