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: _______________________ pin altkey acres_gis sqft_adj s_address s_city s_zipcode mrkt_lnd mrkt_bld mrkt_tot sale1_date sale1_amt o_name1 ' 19-1S-4E-0000-0070-0000 ' 7462 84.13 WAUKEENAH HWY MONTICELL 32344 23943 133057 157000 6/1/2000 234702 AVALON PLANTATION LLC ' 09-1S-4E-0000-0011-0000 ' 7371 211.99 W CAPPS HWY MONTICELL 32344 48134 334564 382698 2/1/2000 682026 AVALON PLANTATION LLC ' 10-1S-4E-0000-0013-0000 ' 7383 247.91 W CAPPS HWY MONTICELL 32344 50088 328632 378720 2/1/2000 673701 AVALON PLANTATION LLC ' 13-1S-4E-0000-0011-0000 ' 7394 134.29 E CAPPS HWY LAMONT 32336 52671 245985 298656 2/1/2000 531276 AVALON PLANTATION LLC ' 16-1S-4E-0000-0010-0000 ' 7411 478.68 W CAPPS HWY LAMONT 32336 99219 380781 480000 2/1/2000 1536900 AVALON PLANTATION LLC ' 21-1S-4E-0000-0010-0000 ' 7471 640.95 PETER BROWN LN MONTICELL 32344 141000 275000 416000 2/1/2000 2050000 AVALON PLANTATION LLC ' 28-1S-4E-0000-0010-0000 ' 7481 532.11 PETER BROWN LN MONTICELL 32344 143907 403483 547390 2/1/2000 1752700 AVALON PLANTATION LLC ' 20-1S-4E-0000-0011-0000 ' 7465 345.27 PETER BROWN LN MONTICELL 32344 98920 250330 349250 6/1/2000 100 AVALON PLANTATION LLC ' 15-1S-4E-0000-0010-0000 ' 7410 647.25 AVALON RD LAMONT 32336 199051 440949 640000 2/1/2000 2050000 AVALON PLANTATION LLC ' 14-1S-4E-0000-0011-0000 ' 7398 201.2 1536 221 AVALON SIDE RD LAMONT 32336 61444 393597 456875 2/1/2000 629641 AVALON PLANTATION LLC ' 33-1S-4E-0000-0011-0000 ' 7630 109.72 PETER BROWN LN MONTICELL 32344 34644 170664 205308 2/1/2000 397240 AVALON PLANTATION LLC ' 11-1S-4E-0000-0010-0000 ' 7389 639.35 E CAPPS HWY LAMONT 32336 156581 474419 631000 6/1/2000 1682202 AVALON PLANTATION LLC ' 14-1S-4E-0000-0010-0000 ' 7397 5.28 3540 AVALON RD LAMONT 32336 10439 107758 124271 2/1/2000 81299 AVALON PLANTATION LLC

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