CN-550000-CA637-00110000.pdf

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Attached to
Master Agreement FL|C9X53|68262549a6ad7f280b36c59fd0a4efbb
Contract number
C9X53
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 document involves Kisinger Campo & Associates Corp., a consulting firm located in Tampa, Florida, with contract number CA637. The form is specifically related to closing out Phase 32 of certain project task work orders (TWOs) to recover remaining funds.

The document details two specific task work orders being closed: TWO No. 1 for SR 500/US 441 from East of Hermit Smith, with a remaining work order balance of $10,822.58, and TWO No. 3 for US 192 AT McClain - Mast Arm Rebuild, with a $0.00 remaining balance. The total authorizations to date for these task work orders amount to $4,897,540.08. The form certifies that no additional billings will occur against these work orders, and it has been signed by Ed Kestory, P.E. from FDOT, and Paul Foley, President of Kisinger Campo & Associates Corp., on April 25, 2022.

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CN-550000-C9X53-00010000.pdf PDF
CN-550000-C9X53-S0010000.pdf PDF
CN-550000-C9X53.pdf PDF
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CN-550000-C9X53-00050000.pdf PDF
CN-550000-C9X53-00060000.pdf PDF
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CN-550000-C9X53-S0020000.pdf PDF

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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:

Kisinger Campo & Associates Corp.

Address:

201 N. Franklin Street, Suite 400, Tampa FL 33602

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

CA637

Purpose of Amendment Phase 32 has been completed for the projects listed. Closing the TWO's to recover any remaing funds FDOT CM: Jessica Palmer

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 8 442880-1-32-01 SR 500/US 441 from E of Hermit Smith $ 10,822.58

3 3 439130-1-32-01 US 192 AT McClain - Mast Arm Rebuild $ 0.00

Total Authorizations to date (including this one): $ 4,897,540.08

Departmental Approval:

Ed Kestory P.E. DCPME

(name) (title) (signature)

By signing this, I certify that no additional billings will occur against these work orders.

Consultant Acceptance:

Paul Foley President

(name) (title) (signature)

Distribution: FDOT/KCA

DocuSign Envelope ID: 43431DBC-D763-4869-B76E-CB5E8FCA46F5

4/25/2022 | 2:25 PM EDT

File details come from the government source that posted it. Updated .