16-Appendix A Sample Task Order Form pdf.pdf
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- Solicitation number
- RFSQ 25-43
- Issued by
- Harris County, Texas
About this file
This document is a Sample Task Order Form template, revised on 05.26.23, designed to be used for issuing specific work assignments under a broader contract. The form provides a standardized structure for detailing individual task orders, including fields for task order number, project name and location, service provider information, building name, original contract date, and a dedicated section for describing the specific scope of work to be performed. The template includes spaces to specify the price of the task order and its expected completion date.
The form emphasizes strict change order protocols, explicitly stating that no additional increases in time or money will be considered after a change has been reviewed and ruled upon. It requires signatures from both a requestor and an approver, suggesting a multi-level approval process for task order issuance. The document appears to be a flexible tool for managing service provider assignments within a larger contractual framework, allowing for precise task definition, pricing, and timeline tracking while maintaining clear administrative controls.
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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: |
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