CN-550000-CA362-W0020000.pdf

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

TASK WORK ORDER AMENDMENT FORM

FOR PROFESSIONAL SERVICES

375-030-26

PROCUREMENT

06/17 recovered is $ .

600,000.00 .

Subtotal Estimate/L imit

$920,384.00 Estimate

$0.00

$0.00

$0.00

$0.00

$0.00

$920,384.00

$0.00

$920,384.00

Attachments:

Distribution:

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

254547 3 32 02

Check all applicable Terms:

Task revision due to staff hour changes (Engineering Support Services).

4350 West Cypress Street, Suite 800, Tampa, Florida 33607 Attn: David Twiddy Jr., P.E.

H.W. Lochner, Inc.

Address:

Consultant:

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

CA362

Purpose of Amendment:

Amendment No.

to Task Work Order No.

$920,384.00

(Name) (Title) Signature

Rebecca L. Schwarz Procurement Services Manager

Frank Chupka, Jason Dahlvik, Tami Sanchez, D7FSContractDocs

Consultant Acceptance:

(Title) Signature(Name)

Compensation Element

Description

This Amendment

Amount

Loaded Billing Rates $600,000.00

Previous

Amount

$320,384.00

Method of Compensation

(LA4) Units worked at loaded billing rates in

Table 6 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.

$600,000.00

$0.00

$600,000.00

Engineering Continuing Services

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.

Page 1 subtotal

Page 2 thru 6 Subtotal

Total

G:\Professional Services\CONTRACT.398\254xxxx\25454733.202 C A362 19715\TWOs\1 A1 TWO

DocuSign Envelope ID: 5F119847-B377-4491-9CBE-F1F3F2EDBC43

*1=53 ) />533? ,8#" -#+# .46578 0524 -8495346;

,<64 &'" &$%(

Contract No.: CA362

FPN: 254547 3 32 02

Task Work Order No.:1 Amendment 1

A-1

ATTACHMENT "A"

SCOPE OF SERVICES

ENGINEERING CONTINUING SERVICES - DISTRICT SEVEN

CONTRACT NO. CA362

FINANCIAL PROJECT NO. 254547 3 32 02

TASK WORK ORDER NO. 01 – Amendment 01

DESIGN BUILD SUPPORT AND SCOPE DEVELOPMENT TASK WORK ORDER

1.0 DESCRIPTION OF SERVICES

This revision is due to a change in staff hours due to a fluctuation in responsibilities and to add funds for the services of H. W. Lochner, Inc. (Lochner), as the Engineering Support Services – Continuing Services consultant for the Florida Department of Transportation (FDOT), who shall act as an extension of the FDOT and serve as an Owners Representative to provide management and technical support related to the development and management of the Request for Proposals (RFP) for multiple Design Build (DB) or conventional projects as directed by the Department’s Project Manager.

2.0 SERVICES TO BE PROVIDED BY THE CONSULTANT

At the direction of the Department’s Project Manager, the Engineering services to be performed under this task work order may include, but not be limited to, the following:

" Attend coordination meetings with consultants, local governments, agencies, and FDOT staff as directed by the Department PM.

" Preparation of Design Build Request for Proposal or Design scope of services.

" Support FDOT during the advertisement, procurement, and construction phases of Design Build or other types of projects as directed by the Department PM.

3.0 SERVICES TO BE PROVIDED BY THE DEPARTMENT

The following services shall be provided by the Department:

" Provide a central point of authority for assignment of services.

" Conduct periodic project status meetings.

" Provide current construction plans, studies, and documents for applicable projects.

4.0 LENGTH OF SERVICES

The beginning date of services shall be the execution date on the Task Work Order issued by the Procurement Services Manager and shall extend as directed by the Department’s Project Manager.

DocuSign Envelope ID: 5F119847-B377-4491-9CBE-F1F3F2EDBC43

Contract No.: CA362

FPN: 254547 3 32 02

Task Work Order No.:1 Amendment 1

A-2

5.0 ESTIMATE OF SERVICES

For details of the estimated costs to perform the required Engineering Services, see Attachment "B."

DocuSign Envelope ID: 5F119847-B377-4491-9CBE-F1F3F2EDBC43