14-Appendix A Sample Task Order Form pdf.pdf

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Attached to
Building Envelope Consulting Services
Solicitation number
RFSQ 25-42
Issued by
Harris County, Texas

About this file

This is a sample task order form template (Appendix A) revised on May 26, 2023, that appears to be used by a government or institutional entity for directing service providers to perform specific work tasks under existing contracts. The form contains fields for essential project information including task order number, date, project name and location, purchase order number, service provider identification, building name, and original contract date. It includes a dedicated section for the scope of work where specific tasks are detailed, along with fields for the task order price and expected completion date.

The form establishes a dual approval process requiring both a requestor and an approver to provide their names and signatures before work can commence. The template includes a notable restriction stating that no additional increases in time or money will be considered for change orders after the change has been reviewed and ruled upon. The form serves as a standardized mechanism for authorizing and documenting work assignments under master service agreements, ensuring proper authorization and cost control while maintaining clear documentation of work scope, pricing, and completion timelines.

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Text version

Revised 05.26.23.

APPENDIX A

SAMPLE TASK ORDER FORM

Task Order Number: Date:

Project Name & Location:

PO #:_________________________________

Service provider:

Building Name: Original Contract Date: _

Service provider is directed to perform the following task(s) as per below Scope of Work:

Price of this Task Order $

Expected completion date of this Task Order

Note: No additional increase in time or money will be considered for a Change Order after the change has been reviewed and ruled on.

REQUESTOR

Approved

Requestor's Name:_________________________

Approver's Name:______________________________________

Requestor's Signature:______________________

Approver's Signature:___________________________________

APPENDIX A

Task Order Number:
Date:
Project Name Location:
PO:
Service provider:
BuildingName:
OriginalContract Date:
Service provider isdirected to perform the following tasks asper below Scope of Work:
Price of this Task Order:
Expected completion date of this Task Order:
Name:
Name_2:

File details come from the government source that posted it. Updated .