task_order_2011.pdf

Gallatin National Forest

Task Order – Weed Spraying (updated 03/2010)

Contractor: _ _________ Contract No: _______ District: _ ________ Date of Task Order: _ __________ Task Order No: (CO will complete) ___________________ Requisition No._ Title for Task Order: _ _________ Req. Amount: _______ [This requisition includes the reimbursable amount for herbicide.] Contact person for task order: _ _____ Phone No: _ _______ Bid Item number as stated in Contract: _ _______ Location of project (include map/s): _Maps attached__________________________________

Number of acres: _ _______________________________ Date to start work: __ __________ Work to be completed by: _ _______ Site Specific Information (check those applicable) [ ] Don’t spray on weekends (after Friday at 17:00 and before Monday at 06:00) and holidays [ ] Don’t spray within ___________________________________________________ [ ] Don’t spray near sensitive plants or amphibians (FS will identify these places) [ ] Working behind lock gate. FS will supply the key. Contact for keys to District Roads [ ] Motorize vehicle traveling off road, shall obtain a letter of approval from District Ranger. will get letters prior to work starting [ ] Any grazing considerations –___________________________________________ [ ] Other Contracts in the area to inform the contractor about – [ ] What chemical to use or not to use - _____ [ ] List location/s where signs are to be placed if needed – at all trailheads and gate posts along road right-of-ways. _ __________________________ [ ] ___Total invoice for this task order ( including herbicide costs) cannot exceed $ ______