HomeMy WebLinkAboutWork OrderOFFICIAL CIP WORK ORDER FORM 830/04
City of Miami, Florida
WORK ORDER FOR PROFESSIONAL SERVICES
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
0
CITY WORK ORDER NUMBER
[ Prior Work Orders Issued Number
Value
JWORK ORDER EFFECTIVE DATE
I REQUIRED COMPLETION DATE
CONSULTANT
CONSULTANT
FIRM
OFFICE
LOCATION
CITY
STATE
ZIP
J
CONTACT NAME
TITLE
PROPOSAL
PROJECT NAME
PROJECT
NUMBER
BRIEF SCOPE OF
WORK As further detailed in attached Consultant Work Order Proposal
Consultant Proposal Date
r
Consultant Project Manager
COMPENSATION SUMMARY
MAJOR TASKS / WORK PHASES
DELIVERABLE
DUE
FEE
FEE BASIS
$
Lump Sum, Not to Exceed Fee
$
Lump Sum, Not to Exceed Fee
$
Lump Sum, Not to Exceed Fee
$
Lump Sum, Not to Exceed Fee
^
$
Lump Sum, Not to Exceed Fee
1
$
Lump Sum, Not to Exceed Fee
$
Lump Sum, Not to Exceed Fee
Alt Professional CONSULTANT FEES,
$0
SUBTOTAL
Allowance For Reimbursable Expenses
$
Direct Expense
Allowance For Additional Services (it any)
$
TOTAL MAXIMUM AMOUNT $ Lump Sum, Not to Exceed Fee
FUNDING AND
INCORPORATED
DOCUMENTS
OTHER NOTES
Estimated Construction Cost $
FUNDING
$
$
SOURCE(S)
$
$
This Work Order shall be performed in accordance with 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
APPROVALS
Name
Signature
Title
Dale
Prepared By
City Project Manager
Approved By
Team Leader Horizontal projects
Approved By
Construction Team Leader
Approved By
Director
Accepted By
Consultant
_