4_Attachment3_SampleTaskOrder.pdf

TASK ORDER DATE page / xx/xx/xx 1 of ?

Line Item Item Description Quantitiy Unit Unit Price Amount

1.1 Storm proofing by water-bar installation, driveable

0 Mile

1.2 Storm proofing by water-bar installation, nondriveable

0 Mile

1.3 Storm proofing by rolling dip installation 0 Each

1.4 Road decommmissioning by surface ripping, water-bar installation

0 Mile

1.5 Road ripping and water-bar installation by excavator

0 Linear Foot

1.6 Fill slope pullback 0 Lump Sum

1.7 Road closure by berm barricade installation 0 Each

1.8 Road closure by boulder placement 0 Each

1.9 Removal of culvert with fill less than 8 feet 0 Each

1.10 Removal of culvert with fill greater than 8 feet, not exceeding 15 feet

0 Each

1.11 Removal of culvert with fill exceeding 15 feet

0 Each

1.12 End haul 0 Cubic Yards

1.13 Seeding & straw mulching placement for culvert removal

0 Each

1.14 Seeding placement for culvert removal sites

0 Each

1.15 Stream channel rock 0 Cubic Yards

1.16 Project access and unexpected work 0 Lump Sum

1.17 Mobilization with initial equipment cleaning 0 Lump Sum

1.18 Subsequent equipment cleaning 0 Lump Sum

TOTAL

AMOUNT =

XX Calendar Days xx/xx/xxxx

AcctgLine Fund Code Percentage Amount

CMRD12 100% $

COR

Sample Task Order - Multi Agency Road Decommissioning & Storm Proofing IDIQ

Contractor to be determined

CONTRACT NUMBER

Siuslaw National Forest, ATTN: Contracting 3200 SW Jefferson Way

TASK ORDER NUMBER

AUTHORIZING SIGNATURE

Corvallis, OR 97331

TO: (Contractor Name & Address)

AG-04T0-C-13-xxxx

FROM: (Forest Service Unit Name)

AG-04T0-D-13-xxxx

Start Work on this Task Order shall begin on:

All work on this Task Order shall be completed within

District tracking #; Brief description of work, area, road;

attachments; etc phone no:

Recommended by (Name, Title, Phone) FOR GOVERNMENT USE ONLY: