CN-550000-CA054-00110000.pdf

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

TASK WORK ORDER AMENDMENT FORM

FOR PROFESSIONAL SERVICES

375-030-26

PROCUREMENT

09/18

12/31/2020 .

recovered is $ .

Subtotal Check if

Estimate

$118,173.00

$0.00

$0.00

$0.00

$0.00

$0.00

$118,173.00

$0.00

$118,173.00

Attachments:

Distribution:

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

43661233201

Check all applicable Terms:

Extend Time - Design Services for the installation of the Wrong Way Vehicle Detection Systems (WWVDS) at the following exit ramps in Escambia County: I-110 South Exit

1A, I-110 South Exit 1C, I-110 South Exit 2, I-110 South Exit 3, I-110 South Exit 5, I-10 East Exit 13, I-10 West Exit 13, I 10 East Exit 10B, I-10 West Exit 10B and I -10 East

Exit 10A

1590 Village Square Boulevard, Tallahassee, Florida 32309

Greenman-Pedersen, Inc.

Address:

Consultant:

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

CA054

Purpose of Amendment:

Amendment No.

to Task Work Order No.

$3,862,762.00

(Name) (Title) Signature

Jason Peters, P.E. Director of Transportation Operations

Michael Lewis, Jimmy Smith, Financial Services, Procurement File, CITS File

Consultant Acceptance:

(Title)

Travis Justice, P.E.

Signature

Assistant Vice President

(Name)

Compensation Element

Description

This Amendment

Amount

Basic Services - LS $0.00

Previous

Amount

$118,173.00

Method of Compensation

(LS2) Lump sum paid based on % of completion 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.

$0.00

$0.00

$0.00

Encumber by task

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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DocuSign Envelope ID: DB8925A6-8E7F-4F34-B957-9151D1D11D9A

5/1/2020