CN-550000-CA394-00110000.pdf
PDF 176 KB Posted
- Contract number
- C8M61
- Issued by
- Florida
About this file
This document is a Task Work Order Amendment Form for Professional Services issued by the State of Florida Department of Transportation (FDOT), involving Element Engineering Group located in Tampa, Florida. The amendment is associated with Contract No. CA394 and specifically relates to Task Work Order No. 31, with this being Amendment No. 2 to that original task work order.
The amendment extends the completion of service date for post-design services through 4/28/2024, utilizing a compensation method of (LA4) Units worked at loaded billing rates in Table 6. The previous amount for the task work order was $8,101.80, with no additional amendment amount added in this document. The method of compensation remains consistent with the original task work order, and an independent assessment has verified that the staff hours and quantities for the proposed services are fair, reasonable, and competitive. The document is signed by Paul Webb, P.E., Program Administration Engineer for FDOT, and Derek Gil, P.E., President of Element Engineering Group, indicating mutual agreement to the amendment's terms.
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Text version
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
TASK WORK ORDER AMENDMENT FORM
FOR PROFESSIONAL SERVICES
375-030-26
PROCUREMENT
08/21
4/28/2024 .
recovered is $ .
Subtotal Estimate/L imit
$8,101.80 Estimate
$0.00
$0.00
$0.00
$0.00
$0.00
$8,101.80
$0.00
$8,101.80
Attachments:
Distribution:
Payment FM No. (must be the same as original Task Work Order):
441218-1-68-40
Check all applicable Terms:
Extend Completion of Service Date
1713 East 9th Avenue, Tampa, Fl 33605
Element Engineering Group
Address:
Consultant:
Date (To be entered upon execution of Task Work Order Amendment):Contract No.:
CA394
Purpose of Amendment:
Amendment No.
to Task Work Order No.
(Name) (Title) Signature
Paul Webb, P.E. Program Administration Engineer
Consultant Acceptance:
(Title)
Derek Gil, P.E.
Signature
President
(Name)
Compensation Element
Description
This Amendment
Amount
Post Design Services
Previous
Amount
$8,101.80
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.
$0.00
$0.00
$0.00
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
DocuSign Envelope ID: E11F8E53-5153-450D-90CC-5A4468FA7F19DocuSign Envelope ID: 85E36B4F-A84D-4F7C-9137-1B794BA052AC
03/04/2024 | 2:36 PM EST
File details come from the government source that posted it. Updated .