CN-550000-CAH03-00120000.pdf

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

$94,316.80 Estimate

$21,300.80 Estimate

$0.00

$0.00

$0.00

$0.00

$115,617.60

$0.00

$115,617.60

Attachments:

Distribution:

$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 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.

(LA4) Units worked at loaded billing rates in

Table 6

Compensation Element

Description

This Amendment

Amount

Salary ($21,300.80)

Sub-Consultant $21,300.80

Previous

Amount

$115,617.60

Method of Compensation

(LA4) Units worked at loaded billing rates in

Table 6

(Title)

Ray Monson

Signature

Senior Engineer, Project Manager

(Name)

(Name) (Title) Signature

Tim McCullough Field Operations Specialist IV

Consultant Acceptance:

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

240200-4-62-50

Check all applicable Terms:

Additional Funds Request. See Scope of Services.

5755 Rio Vista Drive, Clearwater, FL 33760

Pennoni Associates, Inc.

Address:

Consultant:

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

5/18/2023CAH03

Purpose of Amendment:

Amendment No.

to Task Work Order No.

RT820TM

TMC1

Scope of Services

To provide inspection, sampling, and testing services as required in connection with construction materials that will be utilized in FDOT construction and maintenance operations at facilities and locations throughout the United States. This contract may also be used for all inspection, sampling, and laboratory testing services that the firm can provide. Inspection services beyond the United States may be required. All services shall conform to the requirements of the contract documents of the Department’s construction contracts for which commercial inspection services are assigned and the desires of the Department has made known to the consultant. The Department may during the life of this agreement issue statements which clarify specification requirements. These statements will apply to all specifications which may be pertinent to Consultants’ inspection, sampling, and laboratory testing services.

The consultant will be qualified to provide services not limited to the following elements as required by the Department:

The inspection of structural steel and miscellaneous metal products. This shall include all investigations, recommendations, observations of fabrication or work in progress, sampling and laboratory testing together with the proper recording and reporting which are necessary to ensure that the work is fabricated of accepted materials by approved processes, completed through shipment where required in accordance with the requirements of the Contract Documents and applicable FDOT Specifications.

Coatings inspections and analysis of metalizing, galvanizing, powder coating, and wet painting or other applicable methods.

Participate with the FDOT Districts when required/planned in the inspections, troubleshooting, and problems solving of the identified problems in the production of cementitious materials and precast/prestressed concrete products at the plants and/or project sites. Provide technical recommendations.

Review of the following documents: quality control plans, construction plans, specifications, procedures, and other appropriate documents as required.

Provide materials related technical support to district and central office in the area of concrete precast pipe and drainage structures. Provided technical support to the District Material Office during the review of the producer’s quality control plans.

Perform field inspection of the pipe and precast drainage structure plants during the initial and routine annual plant qualification reviews.

The Consultant shall furnish the Department with records and reports covering the various work inspected, sampled, and tested. Such records shall be submitted in PDF format to the Project Manager.

Provide engineering expertise to FDOT or the Engineer of Record in helping to solve project related problems related to engineering, design, structural, welding or other problems that may arise during fabrication.

When shipped to the job site, major components, and all Bills of Lading for inspected and accepted material shall bear marks which will identify the Consultant and the inspector.