CN-370000-SL012-T30.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: _______________________

Tax Parcel ID County Acreage Just Value Land Value 3412200500000 Leon 326 $586,800 $44,937 3413200500000 Leon 643.02 $1,157,436 $104,189 3414200600000 Leon 515.47 $927,846 $79,742 3421200020000 Leon 510.158 $918,284 $111,868 3422200020000 Leon 817.57 $1,471,626 $127,734 3423200020000 Leon 606.77 $1,092,186 $97,194 3423204620000 Leon 21.54 $38,772 $6,850 3423204630000 Leon 127.25 $229,050 $40,466 3424206010000 Leon 589.05 $1,060,290 $105,006 3425202040000 Leon 171.649 $308,968 $29,909 3426202200001 Leon 27.83 $50,094 $4,118 3427204210001 Leon 28.86 $51,948 $4,604 07-2S-3E-0000-0012- 0000 Jefferson 107.77 $161,655 $17,293 18-2S-3E-0000-0010- 0000 Jefferson 424.19 $169,676 $53,285 19-2S-3E-0000-0010- 0000 Jefferson 328.67 $328,670 $34,016 19-2S-3E-0000-0012- 0000 Jefferson 0.62 $2,790 $120 20-2S-3E-0000-0010- 0000 Jefferson 47.76 $85,830 $8,188 30-2S-3E-0000-0010- 0000 Jefferson 160.43 $300,645 $25,563 30-2S-3E-0000-0014- 0000 Jefferson 1.36 $2,040 $2,040