CN-370000-SL012-T29.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: _______________________ pin altkey acres_gis sqft_adj s_address s_city s_zipcode mrkt_lnd mrkt_bld mrkt_tot sale1_date sale1_amt o_name1 ' 36-1N-4E-0000-0030-0000 ' 7118 586.51 W P A RD LAMONT 32336 102098 1148452 1250550 1/1/2002 5250 AVALON PLANTATION LLC ' 13-1S-4E-0000-0012-0000 ' 7395 156.87 E CAPPS HWLAMONT 32336 41979 219831 261810 6/1/2000 505562 AVALON PLANTATION LLC ' 12-1S-4E-0000-0011-0000 ' 7391 599.9 W P A RD LAMONT 32336 115854 483996 599850 6/1/2000 1676163 AVALON PLANTATION LLC ' 25-1N-4E-0000-0151-0000 ' 6660 40.41 1750 740 W P A LAMONT 32336 10072 200362 212537 6/1/2000 120372 AVALON PLANTATION LLC ' 26-1N-4E-0000-0011-0000 ' 6687 66.15 W P A RD LAMONT 32336 22599 196401 219000 6/1/2000 219679 AVALON PLANTATION LLC ' 18-1S-5E-0000-0022-0000 ' 9894 11.57 W P A RD LAMONT 32336 3127 64113 67240 6/1/2000 50586 AVALON PLANTATION LLC ' 01-1S-4E-0000-0010-0000 ' 7119 654.32 W P A RD LAMONT 32336 172149 467851 640000 6/1/2000 100 AVALON PLANTATION LLC ' 35-1N-4E-0000-0010-0000 ' 7092 361.56 S JEFFERSO LAMONT 32336 95245 652250 747495 12/1/2002 100 AVALON PLANTATION LLC ' 03-1S-4E-0000-0014-0000 ' 7131 65.96 S JEFFERSO LAMONT 32336 16740 119260 136000 6/1/2000 204630 AVALON PLANTATION LLC ' 02-1S-4E-0000-0010-0000 ' 7120 481.07 S JEFFERSO LAMONT 32336 109781 375659 485440 6/1/2000 1444450 AVALON PLANTATION LLC ' 11-1S-4E-0000-0010-0000 ' 7389 639.35 E CAPPS HWLAMONT 32336 156581 474419 631000 6/1/2000 1682202 AVALON PLANTATION LLC ' 10-1S-4E-0000-0014-0000 ' 7384 90.79 S JEFFERSO LAMONT 32336 27695 162125 189820 6/1/2000 285855 AVALON PLANTATION LLC ' 14-1S-4E-0000-0010-0000 ' 7397 5.28 3540 AVALON RDLAMONT 32336 10439 107758 124271 2/1/2000 81299 AVALON PLANTATION LLC

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