CN-550000-CAW25-00100000.pdf

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

TASK WORK ORDER AMENDMENT FORM

FOR PROFESSIONAL SERVICES

375-030-26

PROCUREMENT

08/21 recovered is $ .

22,698.90 .

Subtotal Estimate/L imit

$98,361.90 Limit

$8,566.55 Limit

$13,224.44 Limit

$15,425.92 Limit

$14,470.32 Limit

$9,104.76 Limit

$159,153.89

$11,986.56

$171,140.45

Attachments:

Distribution:

Burgess & Niple (Sub-Consultant)

Harbor Coordination (Sub-Consultant)

Stantec (Sub-Consultant)

Oz-Matic(Sub-Consultant)

$0.00

$13,224.44

$15,425.92

$14,470.32

$9,104.76

$22,698.90

$0.00

$22,698.90

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

(LA4) Units worked at loaded billing rates in

Table 6

(LA4) Units worked at loaded billing rates in

Table 6

(LA4) Units worked at loaded billing rates in

Table 6

(LA4) Units worked at loaded billing rates in

Table 6

$0.00

Compensation Element

Description

This Amendment

Amount

Basic Services Prime Consultant

(SRD) $22,698.90

$0.00

Bentley (Sub-Consultant) $0.00

Previous

Amount

$75,663.00

$8,566.55

Method of Compensation

(LA4) Units worked at loaded billing rates in

Table 6

$0.00

(Title)

Jason Smith

Signature

Vice President

(Name)

$407,585.86

(Name) (Title) Signature

Staci Nester District Utility Administrator

Consultant Acceptance:

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

241085-1-32-25

Check all applicable Terms:

To add funds for Basic Support Services for SRD. See scope of services.

17425 Bridge Hill Ct., STE 200 Tampa, FL 33647

SRD, INC

Address:

Consultant:

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

CAW 25

Purpose of Amendment:

Amendment No.

to Task Work Order No.