CN-370000-SL011-T24.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

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/ Contact Person:

Funding Source/ Information:

BLA: _______________________

Assigned By: _______________________

Date Assigned: _______________________

Parcel ID County Owner Full or Partial 073S11000000010000 Calhoun BEAR CREEK TIMBER LLC Partial 083S11000000010000 Calhoun BEAR CREEK TIMBER LLC Partial 093S11000000010000 Calhoun BEAR CREEK TIMBER LLC Partial 103S11000000010000 Calhoun BEAR CREEK TIMBER LLC Partial 183S11000000010000 Calhoun BEAR CREEK TIMBER LLC Partial 173S11000000010000 Calhoun BEAR CREEK TIMBER LLC Full 163S11000000010000 Calhoun BEAR CREEK TIMBER LLC Full 153S11000000010000 Calhoun BEAR CREEK TIMBER LLC Full 193S11000000010000 Calhoun BEAR CREEK TIMBER LLC Full 203S11000000010000 Calhoun BEAR CREEK TIMBER LLC Full 213S11000000010000 Calhoun BEAR CREEK TIMBER LLC Full 223S11000000010000 Calhoun BEAR CREEK TIMBER LLC Full 03261000R Gulf BEAR CREEK TIMBER LLC Full