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525-010-32
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SUPPLEMENTAL NO. STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION FPN
1 LOCAL AGENCY PROGRAM 428115-1-58-01 & 428115-1-68-01
DUNS NO. SUPPLEMENTAL CONTRACT NO.
61-327-7649 AGREEMENT AR197
The Department of Transportation desires to supplement the
original Agreement entered into and executed on June 19, 2013 as identified above. All provisions in the original
Agreement and supplements, if any, remain in effect except as expressly modified by this supplement.
The changes to the Agreement and supplements, if any, are described as follows:
PROJECT DESCRIPTION
Name 12th Avenue Sidewalk Project Length 0.944 miles
th
Termini From 12 Street to State Road 85 (Eglin Parkway)
Description of Work:
The project is to construct sidewalk along 12th Avenue from 12th Street to State Road 85 (Eglin Parkway) in Shalimar.
Reason for Supplement and supporting engineering and/or cost analysis:
Local Agency Program Agreement funding is being increased to due recent bid amounts. The responsive low bidder was over the
amount originally programmed for construction.
525-010-32
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ADJUSTED EXHIBIT B SCHEDULE OF FUNDING Page 2 of 3
SUPPLEMENTAL NO. STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION FPN
LOCAL AGENCY PROGRAM
1 428115-1-58-01 & 428115-1-68-01
SUPPLEMENTAL
DUNS NO. AGREEMENT CONTRACT NO.
61-327-7649 AR197
FUNDING
TYPE OF WORK
(1) (2) (3) (4) (5)
By Fiscal Year PREVIOUS TOTAL ADDITIONAL CURRENT TOTAL TOTAL AGENCY TOTAL STATE &
PROJECT FUNDS PROJECT FUNDS PROJECT FUNDS FUNDS FEDERAL FUNDS
Planning
FY:
FY:
FY:
FY:
FY:
FY:
Total Planning Cost $0.00 $0.00 $0.00 $0.00 $0.00
Project Development &
Environment (PD&E)
FY:
FY:
FY:
FY:
FY:
FY:
Total PD&E Cost $0.00 $0.00 $0.00 $0.00 $0.00
Design
FY: $0.00 $0.00
FY:
FY:
FY:
FY:
FY:
Total Design Cost $0.00 $0.00 $0.00 $0.00 $0.00
Right-of-Way
FY:
FY:
FY:
FY:
FY:
FY:
Total Right-of-Way Cost $0.00 $0.00 $0.00 $0.00 $0.00
Construction
FY: 2011-2012
FY: 2012-2013 $153,736.00 $153,736.00 $0.00 $153,736.00
FY: 2013-2014 $32,930.00 $32,930.00 $0.00 $32,930.00
FY: 2014-2015
FY: 2015-2016
FY: 2016-2017
Total Construction Cost $153,736.00 $32,930.00 $186,666.00 $0.00 $186,666.00
Construction Engineering and
Inspection (CEI)
FY: 2011-2012
FY: 2012-2013 $17,082.00 $0.00 $17,082.00 $0.00 $17,082.00
FY: 2013-2014
FY: 2014-2015
FY: 2015-2016
FY: 2016-2017
Total CEI Cost $17,082.00 $0.00 $17,082.00 $0.00 $17,082.00
Total Construction & CEI Costs $170,818.00 $32,930.00 $203,748.00 $0.00 $203,748.00
TOTAL COST OF THE $170,818.00 $32,930.00 $203,748.00 $0.00 $203,748.00
PROJECT
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SUPPLEMENTAL NO. STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION FPN
LOCAL AGENCY PROGRAM
1 428115-1-58-01 & 428115-1-68-01
SUPPLEMENTAL
DUNS NO. AGREEMENT CONTRACT NO.
61-327-7649 AR197
IN WITNESS WHEREOF, the parties have caused these presents to be executed the day and year first above written.
AGENCY Okaloosa County B.O.C.C. STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
By: By:
Name: Name: Jason D. Peters, P.E.
Title: Title: Director of Transporation Development
Attest: Attest:
Name: Name:
Title: Title:
Date: Date:
Legal Review:
See attached Encumbrance Form for date of funding approval by Comptroller.
