CN-550000-DOA65-00110000.pdf

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Attached to
Master Agreement FL|E4M24|19599f579b084133c615177e6b0d3dcd
Contract number
E4M24
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. The amendment involves HDR Engineering, Inc., located at 4830 W Kennedy Blvd, Suite 400 in Tampa, FL, under Contract No. DOA65. The amendment is specifically Amendment No. 3 to Task Work Order No. 3, with a payment FM No. of 42400954201.

The amendment extends the time for completion of services through 5/2/2022, with a previous authorization amount of $90,079.90. The total authorizations to date, including this amendment, are $1,185,051.36. No additional funds are being added in this amendment, and the purpose is simply a time extension. The document includes an attestation 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 amendment is signed by Jennifer Erin Hunt, PE, Senior Vice President for HDR Engineering, and Barbie Pettis, District Deputy Right of Way Manager - Production for the Florida Department of Transportation.

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Text version

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

TASK WORK ORDER AMENDMENT FORM

FOR PROFESSIONAL SERVICES

375-030-26

PROCUREMENT

06/17

5/2/2022 .

recovered is $ .

Subtotal Check if

Estimate

$90,079.90

$0.00

$0.00

$0.00

$0.00

$0.00

$90,079.90

$0.00

$90,079.90

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 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 paid. No additional services or charges are authorized

(Status 50) by Financial Services staff based on this selection.

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

Compensation Element

Description

This Amendment

Amount

$0.00

Previous

Amount

$90,079.90

Method of Compensation

(Title)

Jennifer Erin Hunt, PE

Signature

Senior Vice President

(Name)

$1,185,051.36

(Name) (Title) Signature

Barbie Pettis District Deputy Right of Way Manager - Production

Consultant Acceptance:

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

42400954201

Check all applicable Terms:

Time Extension

4830 W Kennedy Blvd, Suite 400 Tampa, FL 33609-2548

HDR Engineering, Inc.

Address:

Consultant:

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

10/11/2021+F7DOA65

Purpose of Amendment:

Amendment No.

to Task Work Order No.

DocuSign Envelope ID: EE36EFAB-4BDE-4BD0-A2B0-1272F3A92BC9

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