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HomeMy WebLinkAboutexhibit2STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION FORM 350-020-01 ENCUMBRANCE INPUT FORM COMPTROLLER -FIN ADMIN 09/99 RUSH (Needed by Reason for RUSH'``" Advertise (Letting Date) ' Termination/Cert of Comp Award LOA supplemental Renewal _ Correction x New Addition Court Order Overrun /_/ (date) ) Contract #AH877 Contract Type AH Method of Procurement•_G� Vendor Name Miami Downtown Devlopment Auth. Vendor ID F59154607001 Has Written/Verbal Approval from a Participating Federal Agency been received Yes No x Fed Agmt Amt_ state Funds 300,000.00 Local Funds Beginning date of this Agmt: 10/31 /99(Must be after fund approval) Ending date of this Agmt: 12/31/00 Execution date of this Agmt: (Only on original agreements) Has work been authorized to begin? Yes _x_ No Have standard financial provisions been altered by contract terms? Yes x No If so, show Revision date: Does this agreement and/or change order include provisions for reimbursement to D.O.T. from other entities? Yes x No Brief Description of Work/Comments: Corridor Impovements along Flagler Street. JPA with the Miami Downtown Development Authority ORG-CODE *EO * OBJECT * AMOUNT *FIN PROJ or JOB ## *FCT (FISCAL YEAR) (FUND)alpha `--=---------------- =--=- - ___. 55 xxxxxxxxx *xx * xxxxxx * $ * xxxxxxxxxxx *xxx (xx/xx) (xxxx) - - -- 55 062020629*11 *790089 $00,000.00 4067341-34-01 215 (99/00) (00) (ds) 55 xxxxxxxxx *xx * xxxxxx * $ * xxxxxxxxxxx *xxx (xx/xx) (xxxx) TOTAL AMOUNT * $/300,000.00 Originator:_Derrick Lewis V DATE SENT: 10/14/99 PH/SC:_452-5912^ E-mail USERID(s)%pe656d1 ***************************************************************** TO BE COMPLETED OFFICE OF: COMPTROLLER **************************** ********** ************************* BUDGET ENTITY 5590 088849-00 WORK PROGRAM VERIFICATION AUTHORIZED ALLOTMENT R" YEAR CI NEW 6S LINE 0001 FUNDS APPROVED By JOHN FAIN FOR ROBIN M. NAITOVE, CPA, COMPTROLLER DATE: 10-20-1999 ****************************************************************** DATE CHECKED 1 i H ADDITIONAL FUNDING REQUESTS ORG-CODE *EO * OBJECT * AMOUNT *FIN PROJ or JOB # *FCT (FISCAL YEAR) (FUND) alpha ( FY's) To be completed if funded in 2 or more fiscal years. 55 xxxxxxxxx *xx * xxxxxx * $ *xxxxxxxxxxxx *xxx (xx/xx) (xxxx) 55 xxxxxxxxx *xx * xxxxxx * $ * xxxxxxxxxxx *xxx (xx/xx) (xxxx) 55 xxxxxxxxx *xx * xxxxxx * $ (xx/xx). * xxxxxxxxxxx (xxxx) xxx TOTAL AMOUNT * $ * STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION FORM 350-020-01 ENCUMBRANCE INPUT FORM COMPTROLLER -FIN ADMIN 09/99 RUSH (Needed by 1.1 (date)) Reason for RUSH : Advertise (Letting Date) Termination/Cert of Comp Award LOA XXX Supplemental #1 _ Renewal Correction_ New Addition Court Order Overrun Contract AH877 Contract Type AH Method of Procurement G Vendor Name CITY OF MIAMI DDA Vendor ID F591154607001 Has WrittenNerbal Approval from a Participating Federal Agency been received Yes No XX Fed Agmt Amt State Funds $1,900,000 Local Funds Beginning date of this Agmt: 05/31/01(Must be after fund approval) Ending date of this Agmt: 06/30/03 (Estimate if necessary) Execution date of this Agmt: 11/04/99(Only on original agreements) Has work been authorized to begin? Yes XX No Have standard financial provisions been altered by contract terms? _Yes XX No If so, show Revision date: Does this agreement and/or change order include provisions for reimbursement to D.O.T. from other entities? Yes XX No ***************************,K************************************** Brief Description of Work/Comments: SUPPLEMENTAL #1 - FLAGLER STREET MARKETPLACE - ROADWAY RECONSTRUCTION - TWO-WAY CONVERSION OF FLAGLER ST/N 1ST ST/S 1ST ST ****************************************************************** ORG-CODE *EO * OBJECT * AMOUNT *FIN PROJ or JOB # *FCT (FISCAL YEAR) (PROGRAM #) (FUND) alpha 55 064010612 *HC* 790092 * $1,900,000.00 * 40673415401 *215 (00/01) (02 ) (DS) 55 xxxxxxxxx *xx * xxxxxx * $ (xx/xx) (xxxx) * xxxxxxxxxxx *xxx 55 xxxxxxxxx *xx * xxxxxx * $ (xx/xx) (xxxx) * XXXXXXXXXXX *XXX TOTAL AMOUNT * $1,900,000.00 * Originator: J.R. GONZALEZ DATE SENT: 05/17/01 PH/SC: 452-5804 E-mail USERID(s)PE656JG ****************************************************************** TO BE COMPLETED BY OFFICE OF COMPTROLLER ****************************************************************** BUDGET ENTITY 55100100 CATEGORY 088717 WORK PROGRAM VERIFICATION _ENCUMBER FUNDS ALLOTMENT YEAR 01 DATE CHECKED CI SOI 6S LINE 002 FUNDS APPROVED BY JOHN FAIN CPA, COMPTROLLER DATE: _05-21-2001 FOR ROBIN M. NAITOVE, CPA, COMPTROLLER DATE: ****************************************************************** FOR ROBIN M. NAITOVE, STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION FORM 350-020-01 ENCUMBRANCE INPUT FORM COMPTROLLER -FIN ADMIN 03/98 RUSH (Needed by / / (date)) Reason for RUSH : _ Advertise (Letting Date) Termination/Cert of Comp Award — LOA _XX Supplemental Renewal Correction New Addition Court Order Overrun Contract # AH877 Contract Type AH Method of Procurement G Vendor Name CITY OF MIAMI DDA Vendor ID F591154607001 Has WrittenNerbal Approval from a Participating Federal Agency been received Yes No _X_ Fed Agmt Amt State Funds $407.000 Local Funds Beginning date of this Agmt: 10/31/01 Must be after fund approval) Ending date of this Agmt: 06/30/03(Estimate if necessary) Execution date of this Agmt: 11104199(Only on original agreements) Has work been authorized to begin? Yes _X_ No Have standard financial provisions been altered by contract terms? _Yes _X_ No If so, show Revision date: Does this agreement and/or change order include provisions for reimbursement to D.O.T. from other entities? Yes X No Brief Description of Work/Comment: SUPPLEMENTAL # 1 FLAGLER STREET CORRIDOR IMPROVEMENT PROJECT DESIGN AND CONSTRUCTION OF ADDITIONAL DRAINAGE IMPROVEMENTS ORG-CODE *EO * OBJECT* AMOUNT *FIN PROJ or JOB # *FCT (FISCAL YEAR) (PROGRAM #) (FUND) alpha 55 063030643 *PD * 750008 * $ 37,000.00 * 40673413401 *215 (01/02) (87) (CIGP) 55 064010606 *HC * 750008 * $370,000.00 * 40673415401 *215 (01/02) (87) (CIGP) 55 xxxxxxxxx *xx * xxxxxx * $ * xxxxxxxxxxx *xxx (xxlxx) (xxxx) TOTAL AMOUNT * $407,000.00 Originator: J.R. GONZALEZ DATE SENT:10/05/01 PH/SC:452-5804 E-mail USERID(s)PE656JG TO BE COMPLETED BY OFFICE OF COMPTROLLER BUDGET ENTITY 55100100 CATEGORY 088572-02 WORK PROGRAM VERIFICATION OK ALLOTMENT YEAR DATE CHECKED CI SO2 0003 0004 FUNDS APPROVED BY C.B. SMITH FOR ROBIN M. NAITOVE, CPA, COMPTROLLER DATE: 10-11-2001