Part_of_Addendum_2_Executed_LAP_Agreement_Connect_Kissimmee.pdf
PDF 25 MB Posted
- Solicitation number
- RFQ2026013
- Issued by
- Polk County, Lake Harbor CDP, Florida
About this file
This is an executed addendum document related to a Grant Disbursement agreement between the Florida Department of Transportation (FDOT) and the City of Kissimmee for the Connect Kissimmee Complete Streets project. The project involves construction engineering and inspection (CEI) services for Phase 1 improvements along Emmett Street and Broadway, extending from Orlando Avenue to Neptune Road in Kissimmee, Florida. The contract was executed on January 10, 2022, with an effective period from January 4, 2022, through June 30, 2023. Key signatories include C. Jack Adkins (FDOT Director of Transportation Development), Daniel McDermott (Senior Attorney, FL DOT), and Precious L. Lewis (District Local Program Administrator). The agreement was processed through DocuSign with completion confirmed on January 10, 2022.
The contract is funded under CFDA 20.205 with a total grant amount of $1,430,000.00. The financial project number is 437472-2-38-01, with the budget entity identified as 55100100 and object code 780000. The agreement is classified as a governmental agency grant under Florida Statute 287.057, administered through FDOT's Local Programs office. The project represents a Complete Streets initiative designed to promote transportation improvements and completion of the specified corridor improvements. The contract was assigned amendment ID O001 with sequence number 00 and encompasses 30 document pages with three executed signatures.
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Text version
G2473
12/20/2021
C. Jack Adkins Director of Transportation Development
Precious L. Lewis
Action: Original
Reviewed or Approved: APPROVED
Organization Code: 55053010541
Expansion Option: AY
Object Code: 780000
Amount: $1,430,000.00
Financial Project: 43747223801
Work Activity (FCT): 215
CFDA: 20.205
Fiscal Year: 2022
Budget Entity: 55100100
Category/Category Year: 088849/22
Amendment ID: O001
Sequence: 00
User Assigned ID:
Enc Line (6s)/Status: 0001/04
G2473
GD - GRANT DISBURSEMENT (GRANT)
KISSIMMEE, CITY OF
F596000348006
01/04/2022
06/30/2023 ct = $1,430,000.00
G - GOVERMENTAL AGENCY (287.057,F.S.)
Connect Kissimmee Complete Streets
Page1 of 1
Envelope Id: E8488F9236F3460F8A2834190A337DED Status: Completed
Subject: Please DocuSign: Partially - Executed 437472-2-38-01 CONNECT KISSIMMEE COMPLETE STREETS.pdf
Contract Number (ex. C9A12, optional): G2473
Document Contains Confidential Information?: No
Fin Proj Num (ex.123456-1-32-01, Optional): 437472-2-38-01
Office (contact Procurement if add is needed):
Local Programs
Source Envelope:
Document Pages: 30 Signatures: 3 Envelope Originator:
Certificate Pages: 2 Initials: 0 Allison Godwin
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-05:00) Eastern Time (US & Canada)
605 Suwannee Street
MS 20
Tallahassee, FL 32399-0450 allison.godwin@dot.state.fl.us
IP Address: 156.75.252.6
Status: Original
1/6/2022 3:05:06 PM
Holder: Allison Godwin allison.godwin@dot.state.fl.us
Location: DocuSign
Precious Lewis precious.lewis@dot.state.fl.us
District Local Program Administrator
Florida Department of Transportation
Security Level: Email, Account Authentication (None)
Signature Adoption: Pre-selected Style
Using IP Address: 156.75.180.190
Sent: 1/6/2022 3:09:27 PM
Viewed: 1/10/2022 9:25:17 AM
Signed: 1/10/2022 9:25:41 AM
Not Offered via DocuSign
Daniel McDermott
Daniel.McDermott@dot.state.fl.us
Senior Attorney
FL DOT
Signing Group: D5 General Law Legal Group
Security Level: Email, Account Authentication (None)
Signature Adoption: Pre-selected Style
Using IP Address: 156.75.252.6
Sent: 1/10/2022 9:25:44 AM
Viewed: 1/10/2022 10:05:03 AM
Signed: 1/10/2022 10:45:16 AM
Not Offered via DocuSign
C. Jack Adkins jack.adkins@dot.state.fl.us
Director of Transportation Development
FDOT
Security Level: Email, Account Authentication (None)
Signature Adoption: Pre-selected Style
Using IP Address: 156.75.252.6
Sent: 1/10/2022 10:45:19 AM
Viewed: 1/10/2022 11:44:33 AM
Signed: 1/10/2022 11:44:45 AM
Not Offered via DocuSign
Kim Kipp kim.kipp@dot.state.fl.us
Paralegal Specialist
Florida Department of Transportation
Security Level: Email, Account Authentication (None)
Sent: 1/10/2022 9:25:45 AM
Not Offered via DocuSign
Linda Lee linda.lee@dot.state.fl.us
FDOT
Security Level: Email, Account Authentication (None)
Sent: 1/10/2022 9:25:46 AM
Viewed: 1/10/2022 9:30:41 AM
Not Offered via DocuSign
Allison Godwin allison.godwin@dot.state.fl.us
Teresa Hutson
Teresa.Hutson@dot.state.fl.us
Precious L. Lewis
Precious.Lewis@dot.state.fl.us
Kristen Webb
Kristen.Webb@dot.state.fl.us
Lorien Wise
Lorien.Wise@dot.state.fl.us
Rachel Sarno
Rachel.sarno@dot.state.fl.us
Signing Group: D5 Local Programs
Security Level: Email, Account Authentication (None)
Sent: 1/10/2022 11:44:48 AM
Resent: 1/10/2022 11:44:54 AM
Viewed: 3/2/2022 2:18:25 PM
Not Offered via DocuSign
Envelope Sent Hashed/Encrypted 1/6/2022 3:09:27 PM
Certified Delivered Security Checked 1/10/2022 11:44:33 AM
Signing Complete Security Checked 1/10/2022 11:44:45 AM
Completed Security Checked 1/10/2022 11:44:49 AM
File details come from the government source that posted it. Updated .