2012-32 _
Florida Department of Transportation
RICK SCOTT 1405 Thomas Avenue AN4NTH PRASAD, P.E.
GOVERNOR SECRETARY
Leesburg, FL 34748 -3225
May 2, 2012
Preston Davis
Director of Public Services
City of Clermont
P.O.Box 120219
Clermont, Florida 34712
Re: State Highway Lighting, Maintenance, and Compensation Agreement Work Order (FY 12/13)
Financial Project ED: 413615 -1 -78-01
Contract Number: AM -436
FEED No.: VF- 596000290 -001
Work Order for Fiscal Year 12/13
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 12/13 paid under this Work Order is $14,514.00. This amount
reflects a 3% increase per unit cost from the previous year. The compensation period for this work order will
begin July 1, 2012, and expire June 30, 2013.
Please execute and/or return the following documents directly to this office in the enclosed self -
addressed envelope. In order to guarantee availability of funds, these documents must be returned to
this office no later than June 7, 2012.
-
o Sign this orisinal work order confirming receipt and agreement of the compensation terms listed
above and return.
o Sign and have notarized, the enclosed 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o If the Resolution referenced above is no longer current, return a copy of your current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.
Page Two
State Highway Lighting, Maintenance and Compensation Agreement Work Order (FY 12/13)
Contract Number. AM -436
If you wish to receive payment for the Fiscal Year 11/12 Work Order, please submit an invoice to this
office anytime after May 19, 2012 Invoices for Fiscal Year 11/12 must be received no later than December
27, 2012 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 m 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
mvoice 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
t,
Ar Concurrence By: / A _
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hi`ii-' = ggio, P.E.
• sera ins Engineer Typed Name• aS _-
Title. `i� Sl U/ CEO & E 6IZ
Phone: ( 3 s 3 L ` 7-7
Date / / /1;--
STATE HIGHWAY LIGHTING, MAINTENANCE, AND
COMPENSATION AGREEMENT CERTIFICATION
�.1, � LC
(Name) (Title)
r-
etri I L'1 2 J7' kMJ( , hereby certify that State Highway Lighting
.Local Maintaining Agency)
Facilities for Financial Project ID: 4/ ?Co 1S-1- - g -47 /Contract NO. - 3
In licte&" 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 pro res.
(SIGNATURE) (DATE)
State of Florida
County of Lok e,
Sworn to and subscribed to before me this day 1 ' of �' a `' , 2012
tir∎ 1 n Wyly( Notary Public, State of r I o r ; d at large
My Commission expires
o cot , ° ue ^ Notary Public State of Florida
, Rodriguez
v c My Commission DD552771
' EOr „Of= Expires 01/19/2013