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STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION FORM 350-020-01
ENCUMBRANCE INPUT FORM COMPTROLLER -FIN ADMIN 09/99
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RUSH (Needed by // (date) )
Reason for RUSH-`-"
Advertise (Letting Date) Termination/Cert of Comp
Award LOA Supplemental Renewal _ Correction
x New Addition Court Order Overrun
Contract #AH877 Contract Type AH Method of Procurement._G�
Vendor Name Miami Downtown Devlopment Auth. Vendor ID
_F59154607001
Has Written/Verbs A7 pproval 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 PROD 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
E-mail USERID(s)pe656d1
*****************************
TO BE COMPLETED
*************************
DATE SENT: 10/14/99 PH/SC:452.5912_
•************************************
OFFICE OF:COMPTROLLER
*************************************
BUDGET ENTITY 5590 CATEGORY 088849-00
WORK PROGRAM VERIFICATION AUTHORIZED
ALLOTMENT YEAR
CI NEW 6S LTNE _0001
FUNDS APPROVED- By JOHN FAIN
FOR ROBIN M. NAITOVE CPA,COMPTROLLER DATE: 10-20-1999
**************** '
DATE CHECKED
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 * $
* xxxxxxxxxxx *xxx
(xx/xx) (xxxx)
TOTAL AMOUNT * $
*
r
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION FORM 350-020-01
ENCUMBRANCE INPUT FORM COMPTROLLER -FIN ADMIN 09/99
RUSH (Needed by / / (date))
Reason for RUSH :
Advertise (Letting Date) Terrnination/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 Written/Verbal 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
******************************************Mkt****************N*****
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 *E0 * OBJECT * AMOUNT *FIN PROJ or JOB # *FCT
(FISCAL YEAR) (PROGRAM #)
(FUND) alpha
55 064010612 *HC" 790092 * $1,900,000.00
(00/0 I) (02 ) (DS)
* 40673415401 *215
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 SO1 6S LINE 002
FUNDS APPROVED BY JOHN FAIN FOR ROBIN M. NAITOVE,
CPA, COMPTROLLER DATE: 05-21-2001
FOR ROBIN M. NAITOVE, CPA, COMPTROLLER DATE:
******************************************************************
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/Cent 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: 06130103(Estimate if necessary)
Execution date of this Agmt: 11104/99(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 *PC)* 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) (x)ox)
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 COMPLgTED 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