CN-550000-DNX51-W0010100.pdf

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Attached to
Master Agreement FL|DNX51|aea9b4b23099f8d57b15b4941b0e82e2
Contract number
DNX51
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). The amendment involves Florida Acquisition and Appraisal, Inc., a consulting firm located in Tampa, FL, under contract number DNX51. The document is specifically Amendment No. 1 to Task Work Order No. 1, with a payment FM number of 43175224201, dated October 21, 2020.

The amendment appears to be for closing out Task Work Order Two, with a remaining work order balance of $52,680.00 to be recovered. While the compensation elements table is blank, indicating no changes to funding, the document notes that an independent assessment of staff hours and quantities for the proposed services has been performed and found to be fair, reasonable, and competitive. The document is signed by Ninoy Lucero, Contracts Coordinator for FDOT, and Jack Curatelli, President of Florida Acquisition and Appraisal, Inc., with distribution to PSU Financial Services, FDOT Project Manager, and File.

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Text version

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

TASK WORK ORDER AMENDMENT FORM

FOR PROFESSIONAL SERVICES

375-030-26

PROCUREMENT

09/18 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):

43175224201

Check all applicable Terms:

To close TWO.

P.O. Box 89007, Tampa, FL 33689

Florida Acquisition and Appraisal, Inc.

Address:

Consultant:

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

DNX51

Purpose of Amendment:

Amendment No.

to Task Work Order No.

(Name) (Title) Signature

Ninoy Lucero Contracts Coordinator

PSU Financial Services FDOT Project Manager File

Consultant Acceptance:

(Title)

Jack Curatelli, SR/WA

Signature

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 $ 52,680.00 . 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: 48CF2159-4B18-46E1-9ED3-725B911C233D

10/21/2020 | 9:23 AM EDT

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