5-AG04T0S170010-SampleTaskOrder.pdf

TASK ORDER DATE page / xx-MAY-xxxx 1 of 2

Line Item Item Description Quantitiy Unit Unit Price Amount

807(1) Excavator 0 HOUR $0.00 $0.00

807(2) Backhoe 0 HOUR $0.00 $0.00

807(3) Grader 0 HOUR $0.00 $0.00

807(4) Dump Truck 0 HOUR $0.00 $0.00

807(5) Brush Cutter 0 HOUR $0.00 $0.00

807(6) Roller 0 HOUR $0.00 $0.00

811(1) Surface Maintenance: Single Lane Roads 0 S-Mi $0.00 $0.00

811(2) Surface Maintenance: Double Lane Roads 0 D-Mi $0.00 $0.00

811(3) Roller Compaction: Single Lane Roads 0 S-Mi $0.00 $0.00

811(4) Roller Compaction: Double Lane Roads 0 D-Mi $0.00 $0.00

811(5) Shoulder Maintenance: Paved Roads 0 Mile $0.00 $0.00

813(1) Spot Surfacing, Government Source 0 CY $0.00 $0.00

813(2) Spot Surfacing, Commercial Source 0 CY $0.00 $0.00

814(1) Paved Surface Cleaning: Single Lane 0 Mile $0.00 $0.00

814(2) Paved Surface Cleaning: Double Lane 0 Mile $0.00 $0.00

832(1) Load, Haul, and Place Material (Slides 5-20 CY) 0 LS $0.00 $0.00

832(2) Load, Haul, and Place Material (Slides 21-50 CY) 0 LS $0.00 $0.00

832(3) Load, Haul, and Place Material (Slides 51-100CY) 0 Ls $0.00 $0.00

834(1) Clean Ditches 0 Each $0.00 $0.00

834(2) Clean Ditches and Drainage Structures 0 Each $0.00 $0.00

842(1) Cutting Roadway Veg (10 feet from roadway edge)

0 Mile $0.00 $0.00

842A(1) Cutting Roadway Veg (5 feet from roadway edge) 0 Mile $0.00 $0.00

851(1) Logging Out 0 Mile $0.00 $0.00

851(2) Logging Out (Trees >10" to 24" in Diameter) 0 Each $0.00 $0.00

851(3) Logging Out (Trees > 24" in Diameter) 0 Each $0.00 $0.00

851(4) Hazard or Obstruction Removal 0 Each $0.00 $0.00

872(1) Install or Replace Single Post and Sign, Government Furnished

0 Each $0.00 $0.00

872(2) Install or Replace Double Post and Sign, Government Furnished

0 Each $0.00 $0.00

872(3) Install or Replace Sign, Government Furnished 0 Each $0.00 $0.00

881(1) Mobilization - Central Coast 0 LS $0.00 $0.00

891(1) Water Supply and Watering 0 Mgal $0.00 $0.00

TOTAL

AMOUNT = $0.00

XX Calendar Days xx/xx/xxxx

AcctgLine Fund Code Percentage Amount

Central Coast Ranger District SAMPLE TASK ORDER

Contractor Address

CONTRACT NUMBER

Siuslaw National Forest 3200 SW Jefferon Way

TASK ORDER NUMBER

AUTHORIZING SIGNATURE

Corvallis, OR 97331

TO:

AG-04T0-C-xx-xxxx

FROM:

AG-04T0-D-xx-xxxx CC-xx-xxxx

Start Work on this Task Order shall begin on:

All work on this Task Order shall be completed within

Work will take place on the following roads:

See attached Road Log phone no.:

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

DATE Page 2 of 2

ROAD NO LENGTH

MI S-MI S-MI MI MI MI LS

sheet total 0.00 0.00 0.0 0.0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 delivery unit cost $ order total

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 xx-MAY-xxxxContractor: SAMPLE TASK ORDER: CC-xx-xxxx