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 s_zipcode4 mrkt_lnd mrkt_bld mrkt_tot sale1_date sale1_amt o_name1 o_name1_fo_name1_middle o_name1_ ' 29-1S-5E-0000-0020-0000 ' 10136 325.08 MAGNOLIA HILLS PLANTATIO LAMONT 32336 15096 144904 160000 2/1/2000 1023000 AVALON PL AVALON PLANTATION LLC ' 31-1S-5E-0000-0060-0000 ' 10151 158.42 MAGNOLIA HILLS PLANTATIO LAMONT 32336 33075 110925 144000 2/1/1998 100 RET PROPE RET PROPERTIES LLC ' 32-1S-5E-0000-0010-0000 ' 10152 1202.79 1080 942 MAGNOLIA HILLS PLANTA LAMONT 32336 287504 616857 908141 2/1/1998 100 RET PROPE RET PROPERTIES LLC ' 05-2S-5E-0000-0010-0000 ' 11853 275.26 MAGNOLIA HILLS PLANTATIO LAMONT 32336 70833 471167 542000 2/1/1998 100 RET PROPE RET PROPERTIES LLC ' 28-1S-5E-0000-0010-0000 ' 10134 638.43 1540 942 MAGNOLIA HILLS PLANTA LAMONT 32336 58945 377582 446360 7/1/1998 100 RET PROPE RET PROPERTIES LLC ' 27-1S-5E-0180-0000-0060 ' 10120 4.76 MAGNOLIA HILLS PLANTATIO LAMONT 32336 609 11271 11880 2/1/1998 100 RET PROPE RET PROPERTIES LLC ' 27-1S-5E-0180-0000-011A ' 10123 0.56 MAGNOLIA HILLS PLANTATIO LAMONT 32336 2205 0 2205 6/1/2002 1000 RET PROPE RET PROPERTIES LLC ' 27-1S-5E-0000-0180-0000 ' 10101 78 MAGNOLIA HILLS PLANTATIO LAMONT 32336 9421 208314 217735 2/1/1998 89700 RET PROPE RET PROPERTIES LLC ' 22-1S-5E-0000-0370-0000 ' 10004 42.39 E CAPPS HWY LAMONT 32336 11874 88436 105840 2/1/1998 47500 RET PROPE RET PROPERTIES LLC ' 04-2S-5E-0000-0080-0000 ' 11841 156.18 HALL RD LAMONT 32336 43207 189293 232500 2/1/1998 172700 RET PROPE RET PROPERTIES LLC ' 21-1S-5E-0000-0090-0000 ' 9928 61.41 S SALT RD LAMONT 32336 14558 95517 110075 2/1/1998 100 RET PROPE RET PROPERTIES LLC ' 06-2S-5E-0000-0010-0000 ' 11862 161.08 MAGNOLIA HILLS PLANTATIO LAMONT 32336 31856 128144 160000 2/1/1998 175000 RET PROPE RET PROPERTIES LLC ' 31-1S-5E-0000-0030-0000 ' 10148 233.84 HAMRICK RD LAMONT 32336 235500 0 235500 7/1/1988 100 TURNER R R E TURNER III ' 31-1S-5E-0000-0010-0000 ' 10146 30.2 HAMRICK RD LAMONT 32336 30000 0 30000 7/1/1988 100 TURNER R R E TURNER III ' 06-2S-5E-0000-0020-0000 ' 11863 285.89 WALKER SPRINGS RD LAMONT 32336 286000 0 286000 7/1/1988 100 TURNER R R E TURNER III ' 05-2S-5E-0000-0020-0000 ' 11854 11.71 MAGNOLIA HILLS PLANTATIO LAMONT 32336 3240 24760 28000 11/1/2000 20000 TURNER R R E TURNER III ' 30-1S-5E-0000-0030-0000 ' 10143 5.69 HAMRICK RD LAMONT 32336 10000 0 10000 7/1/1988 100 TURNER R R E TURNER III ' 05-2S-5E-0000-0030-0000 ' 11855 40.45 MAGNOLIA HILLS PLANTATIO LAMONT 32336 12096 73704 85800 11/1/2000 78000 TURNER R R E TURNER III

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