Attach_D.xlsx

example Task Order Request Form fsdefaultUser: This form and a Request for Contract Action (RCA) are the only forms that the District will need to fill out in order to request work under the Job Order Contract. After filling out the left portion of this form send it to the appropriate C.O.R via Lotus Notes:

Government Request fsdefaultUser: The Forest Service fills out the left side of this form.

fsdefaultUser: Provide your District # - FY - followed by a sequential number (1, 2, 3, etc.)

Contractor's Clarification and Adjustment fsdefaultUser: The Contractor will fill out the right side of this form.

a. Date of Task Order Request:

fsdefaultUser: Insert todays Date.

a. Date of Task Order Proposal:

d. Define Volume of Work fsdefaultUser: Define the Volume of Work in general terms such as:

- Sq. Ft.

- Actual quantity of items

- Lineal feet d. Define Volume of Work:

f. Special Conditions:

fsdefaultUser: Identify all special conditions such as:

- If the building will be occupied.

- Restrictive work hours

- Water, power, and telephone access

- Toilet facilities

- Traffic requirements

- Storage requirements f. Special Conditions:

g. Time:

fsdefaultUser: Identify how long you feel that it should take the Contractor to perform the Work - lets say 90 days (Performance Time).

Also Identify how long until you want the Work to be fully accomplished - lets say 120 days (Job Order Time)

fsdefaultUser: fsdefaultUser:

List all Submittals that you want the Contractor to provide. h. Required Submittals:

i. Government Contact:

fsdefaultUser: List your Name and contact telephone number.

fsdefaultUser: The Contractor will fill out the right side of this form.

fsdefaultUser: Insert todays Date.

fsdefaultUser: Identify the Project Location in sufficient detail that the Contractor can locate the site without assistance. i. Name of Site Superintendent:

j. Attachments and Drawings:

fsdefaultUser: Provide a listing of all attachments such as:

- As-Built Drawings

- Special Product Specifications

- Special requirements fsdefaultUser: Provide a General Description of the Work. It is not necessary to be technical. Provide sufficient narrative for the Contractor to understand what it is that you desire them to do.

fsdefaultUser: Define the Volume of Work in general terms such as:

- Sq. Ft.

- Actual quantity of items

- Lineal feet fsdefaultUser: Identify conditions or requirements regarding the identified work.

fsdefaultUser: Identify all special conditions such as:

- If the building will be occupied.

- Restrictive work hours

- Water, power, and telephone access

- Toilet facilities

- Traffic requirements

- Storage requirements fsdefaultUser: Identify how long you feel that it should take the Contractor to perform the Work - lets say 90 days (Performance Time).

Also Identify how long until you want the Work to be fully accomplished - lets say 120 days (Job Order Time) fsdefaultUser: fsdefaultUser:

List all Submittals that you want the Contractor to provide. j. Attachments:

Attachment D