CN-550000-C9Y50-00120000.pdf
PDF 163 KB Posted
- Contract number
- BDM91
- Issued by
- Florida
About this file
This document is a Multiple Task Work Order Closeout Form for Professional Services issued by the State of Florida Department of Transportation, involving the consultant Greenman-Pedersen, Inc., located in Daytona Beach, Florida. The document is associated with Contract No. C9Y50 and is dated November 16, 2020, with the purpose of closing out multiple task work orders that have been completed and will not incur further charges.
The document details 16 specific task work orders related to various bridge and roadway projects, including work on SR 520, I-4, Grant Road, SR 430, SR 3, SR 44, and SR 404. These projects involved services such as bearing replacements, deck overlays, joint replacements, and fender conversions. Most task work orders have a remaining balance of $0.00, with a few showing small remaining balances ranging from $986.12 to $5,062.97. The total authorizations to date for these professional services amount to $770,699.79, and the document certifies that no additional billings will occur against these work orders.
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Text version
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
MULTIPLE TASK WORK ORDER CLOSEOUT FORM
FOR PROFESSIONAL SERVICES
375-030-99
PROCUREMENT
07/19
Consultant:
Greenman-Pedersen, Inc.
Address:
Attn: Juan Ortega-Rosales, P.E. 1040 Pelican Bay Drive, Daytona Beach, FL 32119
Contract No.: Date: (To be entered upon execution of Task Work Order Amendment):
C9Y50
Purpose of Amendment To close Task Work Orders that will that are completed and will not have any further charges.
The task work orders shown in the table 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.
TWO No.
TWO
Amendment No.
Payment FM No. Description
The Following Amount is the Remaining Work Order Balance To Be
Recovered
2 2 440969-1-32-01 SR 520 Bearings, Bracing, and Bulkheads $ 0.00
3 1 440966-1-32-01 I-4 over Dirksen Bearings and Overlay $ 0.00
4 2 441804-1-32-01 Grant Rd. over I-95 Bearings and Overlay $ 0.00
5 1 443266-1-32-01 SR 430 “Seabreeze” Joint Replacement $ 0.00
6 3 443269-1-32-01 SR 3 over Barge Canal Lock Replacement $ 0.00
7 1 443267-1-32-01 SR 44 over US-1 Deck Overlay $ 0.00
8 1 440969-1-62-02 PDS: SR 520 Bearings, Bracing, & Bulkheads $ 1,145.00
9 2 440966-1-62-02 PDS: I-4 over Dirksen Bearings and Overlay $ 4,077.03
10 1 443271-1-32-01 SR 430 “Seabreeze” Bearing Painting $ 0.00
11 2 441804-1-62-02 PDS: Grant Rd over I-95 Bearings & Overlay $ 5,062.97
12 1 443264-1-32-01 SR 404 Fender Conversion $ 0.00
13 2 443266-1-62-02 PDS: SR 430 “Seabreeze” Joint Replacement $ 3,660.13
15 1 443267-1-62-02 PDS: SR 44 over US-1 Deck Overlay $ 4,207.81
16 1 443271-1-62-02 PDS: SR 430 “Seabreeze” Bearing Painting $ 986.12
Total Authorizations to date (including this one): $ 770,699.79
Departmental Approval:
(name) (title) (signature)
By signing this, I certify that no additional billings will occur against these work orders.
Consultant Acceptance:
(name) (title) (signature)
Distribution:
DocuSign Envelope ID: 5E244230-DAAA-413A-BEEA-7503ACB35368
Juan Ortega-Rosales, P.E. Sen. Struct. Eng. / Ass. Vice Pres.
DSME
11/16/2020 | 7:32 AM EST
Ed Kestory, P.E.
File details come from the government source that posted it. Updated .