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Okaloosa County BOCC — October 15, 2013 — LAP Supplemental Agreement#1 428115-1 — reading text

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525-010-32 PRODUCTION SUPPORT 09/11 Page 1 of 3 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 PRODUCTION SUPPORT 09/11 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 525-010-32 PRODUCTION SUPPORT 09/11 Page 3 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 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.

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