2011-28 114
Florida Department of Transportation
RICK SCOTT 1405 Thomas Avenue ANANTH PRASAD, P.E.
GOVERNOR Leesburg, FL 34748 -3225 SECRETARY
April 25, 2011
Preston Davis
Director of Public Services
P.O.Box 120219
Clermont, Florida 34712
Re: State Highway Lighting, Maintenance, and Compensation Agreement Work Order (FY 11/12)
Financial Project ID: 413615 -1 -78-01
Contract Number: AM-436
FED No.: VF- 596000290-001
Work Order for Fiscal Year 11112
Resolution No.: City Council Minutes: July 23, 2002
Dear Mr. Davis:
You are hereby authorized to perform maintenance of the State Highway Lighting Systems within your
jurisdiction in accordance with the terms and conditions of the State Highway Lighting, Maintenance, and
Compensation Agreement.
The total compensation for Fiscal Year 11/12 paid under this Work Order is 514,092.00. This amount reflects a
3% increase per unit cost from the previous year. The compensation period for this work order will begin from
July 1, 2011, and expire June 30, 2012.
Please execute and/or return the following documents directly to this office in the enclosed self -addressed
envelope. In i _ , t . _ !L1' of • i ; l i i l i n�i .: mi , y i 1.0 i 1 r ' BO
later than Jute 7.2011.
o Sign this orieinal work order confirming receipt and agreement of the compensation terms listed
above and return.
o Sign and have notarized, the endosed State Highway Lighting, Maintenance, and Compensation
Agreement Certification and return.
o If the Resolution referenced above is no longer current, return a copy of your current Resolution.
www.dot.state fl.us
Page Two
State Highway Lighting, Maintenance and Compensation Agreement Work Order (FY 11/12)
Contract Number: AM -436
If you wish to receive payment for the Fiscal Year 10 /11 Work Order, please submit an invoice to this
office anytime after May 19, 2011. Invoices for Fiscal Year 10 /11 must be received no later than December
27.2011. Per the State Highway Lighting, Maintenance, and Compensation Agreement paragraph 2.c which
states: "Invoices may be submitted anytime after May 19 of the fiscal year in which the services were
provided, but no later than 180 days after the end of the fiscal year. Payment shall be made in one lump sum as
provided in paragraph 4 hereof."
A sample invoice is attached for your information. Please verify that all information contained on the sample
invoice is included on your invoice.
If you have any questions, please contact: Barbara McCabe at (352) 326 -7722.
Attachments: State Highway Lighting, Maintenance, and Compensation Agreement Certification
Sample Invoice
FLORIDA DEPARTMENT MAINTAINING AGENCY
OF TRANSPORTATION
Concurrence By
Phi l' ; o, P.E.
Operations Engineer
Typed Name: LJ 4 a E SA un7 D e(LS
Title: a t T' t MA N P R-
Phone: 3S1 - 35V -1 o $t x 3?iP
Date: S/ IP/ it
STATE HIHGWAY LIGHTING, MAINTENANCE, AND
COMPENSATION AGREEMENT CERTIFICATION
1 Li MA) E SPta N DE 25 , City Manager
(Name) (Title)
C cr.; o F c L EA ,1 o,o 7 — , hereby certify that State Highway Lighting
(Local Maintaining Agency)
Facilities for Financial Project ID: 4 13(o) 5 — ± - 78- 01 , Contract NO. Am -4 3 Co
In L A k E County (Counties)
Were performed to keep all facilities fully operating, properly functioning, with a minimum of
90% of the light burning for any lighting type (ex. Highmast, standard, underdeck, sign) on the
roadway system at all times for their normal expected useful life in accordance with the
original design thereof, whether necessitated by normal were and tear, accidental or intentional
damage, or acts of nature.
All maintenance was performed in accordance with Agreement terms and according to the
Manual of Uniform Traffic Control Devices; and, all other applicable local, state, or federal
laws, rules, resolutions, or ordinances, and FDOT procedures.
S� /a /"
( GN TUBE) (DATE)
State of Florida
County of L cL R e.
Sworn to and subscribed to before me this day l D of /A ct y , 2011
-1 ul&vi itnt a llotary Public, State of r1 Dy ; d 0.- at large
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