CN-550000-CAD67-00130000.pdf
PDF 51 KB Posted
- Contract number
- CAM18
- 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 Mehta and Associates, Inc., located in Winter Park, FL. The amendment is associated with Contract No. C-AD67 and is the third amendment to Task Work Order No. 1, specifically focused on closing out the task work order.
The amendment indicates a total authorization to date of $662,752.42, with this specific amendment noting the closure of the task work order. The document shows that the final payment for the task work order has been set to PAID status, with an authorized recovery of $66.79 from the task work order. The amendment has been approved by Deborah Rhine, the FDOT Project Manager, and accepted by Asem Al-Turk, Vice President of Mehta and Associates, Inc., with an execution date of 01/18/2024. An independent assessment has confirmed that the staff hours and quantities for the proposed services are fair, reasonable, and competitive.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CN-550000-CAM18-00020000.pdf.crdownload | CRDOWNLOAD file | |
| CN-550000-CAM18-00030000.pdf | ||
| CN-550000-CAM18-00050000.pdf | ||
| CN-550000-CAM18-S0020000.pdf | ||
| CN-550000-CAM18-S0010000.pdf | ||
| CN-550000-CAM18.pdf | ||
| CN-550000-CAM18-00020000.pdf | ||
| CN-550000-CAM18-00040000.pdf |
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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 recovered is $ .
Subtotal Estimate/L imit
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Attachments:
Distribution:
Payment FM No. (must be the same as original Task Work Order):
429253-5-62-01
Check all applicable Terms:
Close Out TWO
1 Purlieu Place, Suite 100, Winter Park, FL 32792
Mehta and Associates, Inc.
Address:
Consultant:
Date (To be entered upon execution of Task Work Order Amendment):Contract No.:
C-AD67
Purpose of Amendment:
Amendment No.
to Task Work Order No.
$662,752.42
(Name) (Title) Signature
Deborah Rhine FDOT Project Manager
Consultant Acceptance:
(Title)
Asem Al-Turk, P.E.
Signature
Vice President
(Name)
Compensation Element
Description
This Amendment
Amount
Previous
Amount Method of Compensation 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 $ 66.79 . 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: 474B496C-CC1D-4C4D-A731-E546273C256B
01/18/2024 | 3:13 PM EST
File details come from the government source that posted it. Updated .