Form 700-010-79 "Contingency Supplemental Agreement" - Florida

What Is Form 700-010-79?

This is a legal form that was released by the Florida Department of Transportation - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2018;
  • The latest edition provided by the Florida Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 700-010-79 by clicking the link below or browse more documents and templates provided by the Florida Department of Transportation.

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Download Form 700-010-79 "Contingency Supplemental Agreement" - Florida

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700-010-79
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
CONTINGENCY SUPPLEMENTAL AGREEMENT
CONSTRUCTION
08/18
Page
of
Supplemental Agreement No.
Road No(s).
Federal Aid Project No(s).
Fin. Proj. ID
This agreement entered into this
day of
,
, such an agreement to be effective on the last
date of execution by a party hereto, by and between the State of Florida Department of Transportation "Department", and
"Contractor", and
"Surety", the same being supplementary to Contract No.
by and between the parties aforesaid, dated
for the construction or improvement of the road(s) and bridge(s) assigned the project number(s) shown above, in
Count(y)(ies) Florida.
(1)
The purpose of this Supplemental Agreement is to set forth a Procedure and expedite payment for any unforeseen additional work which is
necessary to complete the work and make the project functionally operational in accordance with the intent of the original contract.
Unforeseen additional work shall not include overruns of existing contract items of work at established contract unit prices.
(2)
The cost of unforeseen addtional work approved by the Engineer will be a negotiated amount or in lieu of negotiation reimbursement shall be
made based on material invoices and labor payrolls including mark-ups as shown in subarticle 4-3.2 of the Specifications.
(3)
It is further agreed that this Supplemental Agreement shall not alter or change in any manner the force and effect of the original Contract No.
, including any previous amendments thereto, except insofar as the same is altered
and amended by this Supplemental Agreement.
(4)
The Department and the Contractor agree that the cost agreed to and documented on the work order constitutes a full and complete settlement
of the issues set forth in that work order. The Contractor accepts the terms of this Supplemental Agreement as related to cost determinations as
full compensation for all costs of equipment, manpower, materials, overhead, profit and delay damages and for all their costs.
(5)
The execution of this Supplemental Agreement shall not constitute authorization to proceed with any work. No work shall be performed pursuant
to this Supplemental Agreement until such time as a valid and fully executed work order is issued authorizing work within the scope of F.
S.337.11(9) and the covenants and restrictions of this Supplemental Agreement. No work outside that scope of that statute may be
authorized.
(6)
Time will not be accrued or granted via this Supplemental Agreement. A work order or time extension letter will document any impact or
unforseen additional work on controlling items of work shown on the Contractor's approved work progress schedule.
Net Change in Contract Amount this Agreement: Increase $
Unforeseen additional work will be paid as a percentage of Item No. 9999-(
) (Lump Sum).
Approved By:
Executed By:
(SEAL)
Secretary or Designee Signature
Contractor Signature
Printed Name
Printed Name
Title
Title
Date
Date
Executed By:
ATTEST
Secretary
Date
Secretary or Designee Signature
Printed Name
Title
(SEAL)
Date
Surety
BY
Attorney Signature, Department of Transportation, Legal Review
Florida Licensed Insurance Agent
Date
Printed Name
Date
700-010-79
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
CONTINGENCY SUPPLEMENTAL AGREEMENT
CONSTRUCTION
08/18
Page
of
Supplemental Agreement No.
Road No(s).
Federal Aid Project No(s).
Fin. Proj. ID
This agreement entered into this
day of
,
, such an agreement to be effective on the last
date of execution by a party hereto, by and between the State of Florida Department of Transportation "Department", and
"Contractor", and
"Surety", the same being supplementary to Contract No.
by and between the parties aforesaid, dated
for the construction or improvement of the road(s) and bridge(s) assigned the project number(s) shown above, in
Count(y)(ies) Florida.
(1)
The purpose of this Supplemental Agreement is to set forth a Procedure and expedite payment for any unforeseen additional work which is
necessary to complete the work and make the project functionally operational in accordance with the intent of the original contract.
Unforeseen additional work shall not include overruns of existing contract items of work at established contract unit prices.
(2)
The cost of unforeseen addtional work approved by the Engineer will be a negotiated amount or in lieu of negotiation reimbursement shall be
made based on material invoices and labor payrolls including mark-ups as shown in subarticle 4-3.2 of the Specifications.
(3)
It is further agreed that this Supplemental Agreement shall not alter or change in any manner the force and effect of the original Contract No.
, including any previous amendments thereto, except insofar as the same is altered
and amended by this Supplemental Agreement.
(4)
The Department and the Contractor agree that the cost agreed to and documented on the work order constitutes a full and complete settlement
of the issues set forth in that work order. The Contractor accepts the terms of this Supplemental Agreement as related to cost determinations as
full compensation for all costs of equipment, manpower, materials, overhead, profit and delay damages and for all their costs.
(5)
The execution of this Supplemental Agreement shall not constitute authorization to proceed with any work. No work shall be performed pursuant
to this Supplemental Agreement until such time as a valid and fully executed work order is issued authorizing work within the scope of F.
S.337.11(9) and the covenants and restrictions of this Supplemental Agreement. No work outside that scope of that statute may be
authorized.
(6)
Time will not be accrued or granted via this Supplemental Agreement. A work order or time extension letter will document any impact or
unforseen additional work on controlling items of work shown on the Contractor's approved work progress schedule.
Net Change in Contract Amount this Agreement: Increase $
Unforeseen additional work will be paid as a percentage of Item No. 9999-(
) (Lump Sum).
Approved By:
Executed By:
(SEAL)
Secretary or Designee Signature
Contractor Signature
Printed Name
Printed Name
Title
Title
Date
Date
Executed By:
ATTEST
Secretary
Date
Secretary or Designee Signature
Printed Name
Title
(SEAL)
Date
Surety
BY
Attorney Signature, Department of Transportation, Legal Review
Florida Licensed Insurance Agent
Date
Printed Name
Date