CN-550000-CAC76-00130000.pdf

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Attached to
Master Agreement FL|ASX47|0ac02e35b1e18155102abbfe7879cf1e
Contract number
ASX47
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 Brindley Pieters and Associates, Inc., a consulting firm located in Maitland, Florida, under Contract No. CAC76. The form is dated November 15, 2023, and serves to close out three specific task work orders.

The document details three task work orders for continuing services design consultant work across different Florida counties: a $0.00 balance task order for an intersection study on SR 369 in Leon County, a $609.64 remaining balance task order for intersection studies on SR 390 in Bay County, and a $5,892.72 remaining balance task order for post-design clear zone expansion on SR 8 (I-10) in Jefferson County. The total authorizations to date for these services amount to $900,385.97. The form certifies that final payments have been made and no additional services or charges are authorized beyond the execution date, with signatures from both the FDOT Director of Transportation Development and the Brindley Pieters President confirming the closeout.

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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:

Brindley Pieters and Associates, Inc.

Address:

2600 Maitland Center Parkway Suite 180, Maitland, FL 32751 Contract No.: Date: (To be entered upon execution of Task Work Order Amendment):

CAC76

Purpose of Amendment Close Task Work Orders

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

6 1 21988143201

Continuing Services Design Consultant Services - Intersection Study / SR 369 (US

319) at Oak Ridge Road and Glover Road in Leon County

$ 0.00

7 1 41843933205 Continuing Services Design Consultant Services - Intersection Studies / SR 390 (Beck Ave.) in Bay County.

$ 609.64

8 1 44565716202 Continuing Services Design Consultant Services - Post Design for SR 8 (I-10) Clear Zone Expansion in Jefferson County

$ 5,892.72

Total Authorizations to date (including this one): $ 900,385.97

Departmental Approval:

Tim Smith, P.E.

Director of Transportation Development

(name) (title) (signature)

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

Consultant Acceptance:

Brindley Pieters President

(name) (title) (signature)

Distribution: Consultant PM Financial Services PSU-K. Patrick

DocuSign Envelope ID: 804A60F2-5D4B-4DF8-9FE9-886CFAD761FE

11/15/2023

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