CN-550000-DNX51-W0020100.pdf
PDF 365 KB Posted
- Contract number
- DNX51
- Issued by
- Florida
About this file
This document is a Task Work Order Amendment Form from the State of Florida Department of Transportation (FDOT) involving Florida Acquisition and Appraisal, Inc., a licensed real estate brokerage firm located in Tampa, FL. The amendment is for Contract No. DNX51, Task Work Order No. 2, with a Payment FM No. of 43175224201, dated June 28, 2021. The purpose of this amendment is to close out the task work order.
The task work order is being closed with no work issued, no invoices submitted for payment, and no outstanding items. The amendment authorizes a reduction of $7,503.00 from the task work order, with a note that for Professional Services Task Work Order Amendments, the encumbrance line should never be closed. The document is signed by Ninoy Lucero, Contracts Coordinator for FDOT, and Jack Curatelli, President of Florida Acquisition and Appraisal, Inc., indicating mutual agreement to the task work order's closure.
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Other files
| File | Type | Posted |
|---|---|---|
| CN-550000-DNX51-W0020000.pdf | ||
| CN-550000-DNX51-00020000.pdf | ||
| CN-550000-DNX51-00030000.pdf | ||
| CN-550000-DNX51-W0010000.pdf | ||
| CN-550000-DNX51-W0030000.pdf | ||
| CN-550000-X0478-W0010300.pdf | ||
| CN-550000-DNX51-00010000.pdf | ||
| CN-550000-DNX51-W0010100.pdf | ||
| CN-550000-DNX51.pdf.crdownload | CRDOWNLOAD 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:
$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 $ 7,503.00 . 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.
Compensation Element
Description
This Amendment
Amount
Previous
Amount Method of Compensation
(Title)
Jack Curatelli, SR/WA
Signature
President
(Name)
(Name) (Title) Signature
Ninoy Lucero Contracts Coordinator
PSU Financial Services FDOT Project Manager File
Consultant Acceptance:
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.
DocuSign Envelope ID: 0735959A-00E5-4F64-9E02-A825AB6F5E9A
6/28/2021 | 8:15 AM EDT
DocuSign Envelope ID: 0735959A-00E5-4F64-9E02-A825AB6F5E9A
File details come from the government source that posted it. Updated .