TASK ASSIGNMENT NOTIFICATION FORM

DEP CONTRACT NO.

Task Assignment Number: Date:

Project Name:

Owner’s Name: County(s):

Parcel ID:

Managing Agency:

Acreage:

Value:

BLA#:

Contractor: FEID No:

Contractor Contract Manager: Phone Number:

DEP Designated Task Manager: Phone Number:

Subcontractors: (List, if any) ___________________________ MBE:

___________________________________________________ MBE:

DEP Contract Manager: Phone Number:

Task Description (Use additional sheets if necessary): This Task is to provide a Title Commitment on the parcels described above and attached as Exhibit “A” in accordance with the specifications attached as Exhibit “F”.

Deliverable: Contractor shall provide Title Commitment.

Performance Measure: DEP Contract Manager will review deliverable to ensure specifications were met.

Financial Consequences: DEP will not pay for unsatisfactory deliverables. Contractor shall be given the right to remedy at no cost to DEP.

, in approved contracted rates for the Contract Title Closing Services: Title Search/Closing Commitment accordance with the rate schedule attached as Exhibit “B”.

Liquidated Damages Per Day Charges:

Task Assignment Type: Amount Not To Exceed:

FLORIDA DEPARTMENT OF ENVIRONMENTAL

PROTECTION

DEP Contract Manager or designee Date

Fee Schedule

Commitment Only

Total Task Assignment Value

Contract Manager Date Authorized to execute Task Assignments

APPROVED:

Contractual Authority Date

Funding Authority Date

If Closing Occurs: The Contractor will be paid the Title Insurance Policy for Closing (Insurance Premium / Promulgated Rate), and Closing Fee ( on the HUD/Closing Statement.

Title Commitment Due Date: days or best time frame if less, after execution of Task Assignment Task Assignment End Date: days after Closing

FOR DEPARTMENT USE ONLY: Funding Information:

Org. Code E.O. Fund Object

Code Budget Entity

Cat Module Project # Year Amount cc: Procurement Section (MS93) -1 PDF

BLA Number Request and Task Initiation Form

Donations/ Title / ESA Please attach all documentation as backup

From:

Date Requested:

Project Name:

Owners Name:

Parcel Id # /Sheets:

Legal Descriptions:

County:

Acreage:

Value:

Contractor:

Type of Interest Per Title Company:

Managing Agency/ ContactPerson:

Funding Source/ Information:

BLA: _______________________

Assigned By: _______________________

Date Assigned: _______________________

COMMITMENT FOR TITLE INSURANCE

SCHEDULE A

File Number - 33631 Project Name - Green Swamp Task Assignment No. - SL010.149

1. Commitment Date: March 15, 2025 at 8:00 a.m.

2. Policy or policies to be issued:

A. ALTA 2021 Owner s with Florida Modifications

PROPOSED AMOUNT: $1,000.00

PROPOSED INSURED: Board of Trustees of the Internal Improvement Trust Fund of the

State of Florida

The estate or interest to be insured: Easement

3. The estate or interest in the Land at the Commitment Date is: Fee Simple

4. The Title is, at the Commitment Date, vested in:

CH Enterprises, LLC, a Florida limited liability and Donald M. Huber

By virtue of deeds recorded December 26, 2024 in Official Records Book 6450, Page 2269 and Official Records Book 6450, Page 2278, of the Public Records of Lake County, Florida.

5. The land referred to in this Commitment is described as follows:

See Exhibit "A", attached hereto.

AMERICAN GOVERNMENT SERVICES CORPORATION

COUNTERSIGNED:___________________________