CN-550000-C9Z73-00110000.pdf
PDF 114 KB Posted
- Contract number
- ASQ47
- 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 (FDOT). The contract involves Cardno, Inc., located in Riverview, FL, under Contract No. C9Z73. The document is dated November 10, 2020, and pertains to closing out multiple Task Work Orders (TWOs).
The closeout form covers 11 Task Work Orders, all related to the "Districtwide Safety Program Studies & Design" with a Payment FM No. of 237995-1-32-15. The total authorizations to date for these task work orders amount to $506,097.72. Each task work order has a remaining work order balance of $0.00, indicating that all work efforts and invoicing are complete. The document certifies that no additional billings will occur against these work orders, and final payments have been made. The form is signed by both a FDOT representative (Suzanne Phillips, PE DCPME) and a Cardno representative (Lance D. Lairscey, President, Infrastructure Division).
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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:
Cardno, Inc.
Address:
3905 Crescent Park Dr, Riverview, FL 33578
Contract No.: Date: (To be entered upon execution of Task Work Order Amendment):
C9Z73
Purpose of Amendment Closing out multiple Task Work Orders (TWOs); all work efforts and invoicing is complete; there are no remaining funds assigned to the below TWOs; if there was any R/W Monumentation it is complete and invoiced.
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
1 3 237995-1-32-15 Districtwide Safety Program Studies & Design $ 0.00
2 2 237995-1-32-15 Districtwide Safety Program Studies & Design $ 0.00
3 1 237995-1-32-15 Districtwide Safety Program Studies & Design $ 0.00
4 1 237995-1-32-15 Districtwide Safety Program Studies & Design $ 0.00
5 1 237995-1-32-15 Districtwide Safety Program Studies & Design $ 0.00
6 1 237995-1-32-15 Districtwide Safety Program Studies & Design $ 0.00
7 1 237995-1-32-15 Districtwide Safety Program Studies & Design $ 0.00
8 2 237995-1-32-15 Districtwide Safety Program Studies & Design $ 0.00
9 1 237995-1-32-15 Districtwide Safety Program Studies & Design $ 0.00
10 1 237995-1-32-15 Districtwide Safety Program Studies & Design $ 0.00
11 1 237995-1-32-15 Districtwide Safety Program Studies & Design $ 0.00
Total Authorizations to date (including this one): $ 506,097.72
Departmental Approval:
Suzanne Phillips, PE DCPME
(name) (title) (signature)
By signing this, I certify that no additional billings will occur against these work orders.
Consultant Acceptance:
Lance D. Lairscey President, Infrastructure Division
(name) (title) (signature)
Distribution: Cardno FDOT
DocuSign Envelope ID: B2309E1C-F220-4E85-BC65-551E16FA6B2A
11/10/2020 | 8:47 AM EST
File details come from the government source that posted it. Updated .