CN-370000-SL012-T38.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.

, inapproved 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

SL012

SL012.038 05/08/2023

Lake Wales Ridge Ecosystem

Lake Wales Ridge Ecosystem

Arthur Clemente Highlands

C-22-37-30-210-2770-0100 FWC - Larame Ferry

0.24 $1,800 328763

Tallahassee Title Group, LLC

Tallahassee Title Group, LLC

59-1904715001 Jamie Temples 850-580-2222

Casey Jones 850-245-2642

Susan Branch 850-245-2706

1 275 275

No No

TTG

Lake Wales Ridge Ecosystem

27537102000000 QH 423001 132600 37100400 084108 N/A 50193 22

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: _______________________

Jeff Gentry

Lake Wales Ridge

Arthur Clemente

Highlands

0.24

1,800.00

N/A

Fee Simple

Larame Ferry

FF

328763

APIS

05/08/2023

C-22-37-30-210-2770-0100