Attachment__6_-_Task_Order_Request.docx

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FORESTRY ASSISTANCE - STATE OF CALIFORNIA
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AG-4D90-S-16-0039
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United States Department of Agriculture National Resources Conservation Service Forestry Assistance Indefinite Delivery Indefinite Quantity (IDIQ)

IDIQ Contact #: _______________

TASK ORDER FORM

Requesting Field Office: ________________________ NRCS Contact: Name _____________________________________________________ Phone____________ Email_______________________________ Task Order Request #: __________________________________________________________ (First three digits of Field Office # and sequential three digits. e.g.- YRE 001)

Name of Client Receiving Service: _________________________________________________ Address of Client: ______________________________________________________________ Client Contact Info:

Phone____________________Email____________________________________ EQIP Contract #: _____________________

Location Where Services are Provided: _____________________________________________

(Address)
Date/Time Service to Begin:Date _____________Time (Military) ___________________

Type of Service Requested:

CLIN #001: Forest Management Plan

CAP 106___________________________________
(description)
Tree Mortality FMP___________________________________
(description)
CLIN #002:Design:___________________________________
(description)
Install:___________________________________
(description)
Checkout:___________________________________
(description)
CLIN #003:Consulting With NRCS Staff_____________________________
(description)
Technical Assistance to Client_____________________________

(description)

Task Order Period of Performance: Beginning: __/ /_____ End: __/ /_____

Signature of NRCS Staff Ordering Service: ___________________________________ Signature Date: _____________________

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