The URL can be used to link to this page

Home My WebLink AboutexhibitAOFFICIAL CIP WORK ORDER FORM 8130104 tf i• k ` ,, , City of Miami, Florida WORK ORDER FOR PROFESSIONAL SERVICES ICONTRACT CITY CONTINUING SERVICE CONTRACT FOR Transportation and Transit Professional Services Contract Effective Dates: START END: Contract Number Contract Authorization: 0 Resolution • City Code Section Number CITY WORK ORDER NUMBER Prior Work Orders Issued Number Value WORK ORDER EFFECTIVE DATE I REQUIRED COMPLETION DATE CONSULTANT CONSULTANT FIRM OFFICE LOCATION CITY STATE ZIP CONTACT NAME TITLE PROPOSAL PROJECT NAME PROJECT NUMBER BRIEF SCOPE OF WORK As further detailed In attached Consultant Work Order Proposal Consultant Proposal Date Consultant Project Manager COMPENSATION SUMMARY MAJOR TASKS / WORK PHASES DELIVERABLE DUE FEE FEE BASIS $ Lump Sum, Fixed Fee $ Lump Sum, Fixed Fee $ Lump Sum, Fixed Fee $ Lump Sum, Fixed Fee $ Lump Sum, Fixed Fee $ Lump Sum, Fixed Fee $ Lump Sum, Fixed 'Fee Ali Professional CONSULTANT FEES $0 SUBTOTAL Allowance For Reimbursable Expenses $ Allowance For Additional Services of any) $ TOTAL MAXIMUM AMOUNT $ Lump Sum, Fixed Fee FUNDING AND INCORPORATED DOCUMENTS OTHER NOTES Estimated Construction Cost $ FUNDING $ $ SOURCE(S) $ $ This Work Order shall be performed in accordance wi h the above -referenced Contract and Incorporates by reference all documents described below: 1. Contract referenced above 2. Proposal referenced 3, Requirements of City 4. Other (list) above Authorization co q aReviewed Name Signature Title Date Prepared By City Project Manager Approved By Team Leader Horizontal projects By CIP Administration Team Leader Approved By Director Accepted By Consultant CONSULTANT WORK ORDER PROPOSAL Should be on consultant letterhead and must be dated proposes to provide the services identified below for the project entitled " pursuant to its Professional Service Agreement with the City of Transportation Consulting services, dated I. GENERAL Miami for II. SCOPE OF WORK Detailed description in outline and narrative form of each activity to be undertaken to accomplish Task 9. Example: A. Task 1 — Pre -Design Services & Testing 1. Survey <detailed description of each activity> 2. Materials Testing <detailed description of each activity> B. Task 2 — Design Services 1. Design Development <detailed description of each activity> 2. Construction Documents <detailed description of each activity> C. TASK x Repeat as above for each major task area, sub -task and or activity III. SUBCONSULTANTS The below listed Sub -Consultants will assist in the performance of the Work. SubConsultant Name Specialty or Expertise IV. SCHEDULE OF WORK — TIME OF PERFORMANCE May be a narrative or table specifically identifying tasks, sub -tasks and/or activities, the duration for completion & projected completion from date of written notice to proceed. Should include a listing of deliverables. Example: Consultant shall submit the Deliverables and perform the Work as depicted in the tables below SCHEDULE OF DELIVERABLES L Sheet or ID Number Drawing Name or Deliverable Total Hours Or Anticipated Delivery Date SCHEDULE OF WORK November 29, 2004 WORK ORDER PROPOSAL Page 3 Task or Activity ID # Task Name and/or Activity Description Duration (specify weeks, calendar or working_dayl Projected Start Date Projected Finish Date* The above schedule assumes a Written Notice to Proceed will be issued by City on , 200 , V. COMPENSATION Consultant shall perform the Work detailed in this Proposal for a Lump Sum, Not to Exceed fee of dollars and cents ( ) . Said fee includes an allowance for Reimbursable Expenses required in connection with the Work, which shall be established in an amount not to exceed . Said Reimbursable Expenses shall be utilized in accordance with the Agreement Provisions and shall conform to the limitations of Florida Statutes § 112.061. SUMMARY OF COMPENSATION Task or Activity ID # Major Task Name and/or Activity Description Fee Amount Fee Basis 1.1 Lump Sum, Not to Exceed 1.2 1.3 2 Allowance for Contingencies Allowance for Reimbursable Expenses VI. PROJECT MANAGER CONSULTANT'S Project Manager for this Work Order assignment will be Submitted by: Prepared by: 50-00 ./ day 50.00 / day S0-00 ESTIMATE OF WORK EFFORT AND COST - PRIME CONSULTANT Name of Project Description: Project B#: Consultant Name: Consultant No-: Date: Estimator Enter name of prime or subconsultant enter constltarass proj. number 8/17/2004 insert name STAFF CLASSIFICATION Job Classification Staff Applicable Rate Work Activity 1 2 3 4 5 Position 1 11217111 Rate: S0.00 Position 2 name Rate: $0.00 Position 3 name Rate: 50.00 Position 4 name Rate: 50.00 Position 5 name Rate: S0.00 Position 5 name Rate: $0.00 Position 7 name Rate: $0.00 Position 8 name Classification Man hours 0 0 0 0 0 Cost/ Pchity so So so s0 so Man flours 0 0 0 0 0 Cost/ AcfKY So $0 s0 50 50 Man hours 0 0 0 0 0 Cost/ Actvty so s0 So SO SO Man !tours 0 0 0 0 0 Cost/ Ach+hr 50 SO so $0 SO Man hours 0 0 0 0 0 Cost/ Aclvly 50 SO so S0 S0 Man hours 0 0 0 0 0 Cost/ AcNty 50 S0 SO $0 $0 Man hours 0 0 0 0 0 Cost/ Achy SD SO s0 $0 30 Man hours 0 0 0 0 0 Cost/ Actvty So $0 so S0 50 Staff Hours By Activity 0 0 0 0 0 Salary Cost By Activity 50 50 so s0 so Average Rate Per Task 6 7 8 .................................................... 9 10 11 12 13 14 15 16 17 18 19 120 21 22 23 24 25 26 27 Total Staff Hours 0 0 0 0 O 0 0 0 0 0 0 0 0 0 0 0 0 O a 0 0 s0 s0 $0 so 50 so s0 50 ..__. s0.. _.. s0 so 50 so.._ .. so S0 50 so so so so So so_..... 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $0 30 s0 s0 50 So S0 s0 s0 S0 s0 s0 50 so $o $0 $0 so SD 50 50 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 $0 50 50 $0 $0 $0 S0 S0 $0 30 50 S0 So S0 S0 SO SO $o SO 50 SO $0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SO $0 $0 30 S0 $0 SO S0 S0 $0 SD S0 $0 $0 SO 30 $0 SO SD $0 50 $0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 so s0 s0 50 SO S0 so 50 so s0. s0 $0 so so s0 $0 so $o SO so so s0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 s0 so 50 s0 s0 50 s0 30 s0 so s0 $0 50 $0 $0 $0 S0 SO S0 50 ........ $0 $0..... 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 so s0 s0 30 s0 50 5o s0 s0 SO s0 50 s0 s0 so $0 50 So $0 50 $0 $0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 s4 SO 30 So s0 so 50 50 so 50 so s0 s0 so So s0 s0 s0 s0 so so $0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 so s0 SO so $0 s0 so S0 SO $0 30 $0 50 $0 SD 30 50 50 SO $0 SO S0 #DNro! #DN/0!. _. #DN/0! ✓ -#DNPo! r #DNlO! • #DNro! #DN10! #DN/0! • #DN/0! #DN/0! #DNro! iIIDN/0! #ONrot #0fvro! #DNMO! #DN/Ol #DN/0! #DN/0! #DN/01 #DN/0! #DN/0! //DN/01 • • 0 0 0 0 0 0 0 0 0 Total Staff Cost S0.00 Total % of Work by Classification ##### r... F..`.e dada. Survey (3 man crew) Survey (4 man crew)0.00 4-man crew days $0.00 Survey Field Days for Subconsultart 3-Person Crew 0. 4- Person Crew 0- Notes: 1. This sheet is to be used by Prime Consultant to calculate the Grand Total Fee. 2 Manualy enter fee from each subcorsultart. Unused subcormultart rows may be hidden 3. The basis for work activity descriptions shall be the FCE/FDOT Standard Scope and Staff Hour Estimation Handbook. 0.00 3-man crew days-. - 50.00 $0.00 NEGOTIATED FEE ADJUSTED FEE (INCLUDING 2.9 MULTIPLIER) $0.00 $0.00 $0.00 $0.00 Check = #DN/01 Check = $0.00 _SUBTOTAL ESTIMATED FEE: Subconsultarit: Enter Name Sub 1 Subcansultant: Sub 2 .Subconsultant: Sub 3 Subconsu!tant Sub 4 Subconsultant Sub 5 Subcansultant: Sub 6 SUBTOTAL ESTIMATED FEE: -Geotechnical Field and Lab Testing Survey Fee SUBTOTAL ESTIMATED FEE: 'Additional Services (Allowance) Reimbvrsables (Allowance) GRAND TOTAL ESTIMATED FEE: #DINMOt $0.00 $0.00 $0.00 50.00 ......... . SO.00 $0.00 50.00 $0.00 ............. . $0.00._ $0.00 $0.00 $0.00 $0.00 $0.00 50.00 ............. . $0.00