CN-370000-SL010-T21-2.pdf

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”.

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 timeframe if less, after execution of Task Assignment Task Assignment End Date: days after Closing

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 parcel

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

Parcel ID Number Acreage Just Value

1 32 45 15 A00 0001.0000 549.279 $2,846,315.00 1 32 45 14 A00 0001.0000 492.876 $2,866,129.00 1 32 45 22 A00 0001.0000 593.962 $2,672,830.00 1 32 45 23 A00 0001.0000 640 $2,880,000.00 1 32 45 24 A00 0001.0000 640 $2,880,000.00 1 32 45 27 A00 0001.0000 236.47 $1,064,117.00 1 32 45 26 A00 0001.0200 47.699 $214,647.00 1 32 45 26 A00 0001.0000 38.601 $173,703.00 1 32 45 25 A00 0001.0000 383.566 $2,250,160.00 1 33 45 30 A00 0001.0000 245.474 $1,326,015.00

Parcel ID Numbers Acreage Just Value

1 32 45 03 A00 0001.0000 102.82 $462,690.00 1 32 45 02 A00 0001.0000 637.72 $2,869,740.00 1 32 45 01 A00 0001.0000 598.2 $2,691,900.00 1 33 45 06 A00 0001.0000 52.208 $234,936.00 1 32 45 11 A00 0001.0000 513.443 $2,310,493.00 1 32 45 12 A00 0001.0000 455.144 $2,048,148.00

Parcel ID Number Acreage Just Value

1 32 45 11 A00 0001.0000 513.443 $2,310,493.00 1 32 45 12 A00 0001.0000 455.144 $2,048,148.00 1 32 45 14 A00 0001.0000 492.876 $2,866,129.00 1 32 45 13 A00 0001.0000 469.25 $2,111,625.00 1 32 45 24 A00 0001.0000 640 $2,880,000.00 1 33 45 19 A00 0001.0000 580.46 $2,612,070.00 1 33 45 20 A00 0001.0000 629.99 $2,834,955.00 1 33 45 21 A00 0001.0000 27.37 $123,165.00 1 33 45 29 A00 0001.0000 86.75 $390,375.00 1 33 45 28 A00 0003.0000 3.52 $15,840.00

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/ Contact Person:

Funding Source/ Information:

BLA: _______________________

Assigned By: _______________________

Date Assigned: _______________________