EVT0010591_-_Task_Order_Proposal_Sample_Form.pdf
PDF 31 KB Posted
- Attached to
- Public Health and Environmental Services
- Solicitation number
- EVT0010591
- Issued by
- Sedgwick County, Kansas
About this file
This is a Task Order Proposal form template issued by the Kansas Department of Health and Environment (KDHE) for use under existing state contracts. The form establishes the structure for contractors to submit proposals for task order work, requiring submission of methodology, deliverables, assigned key staff, total cost information, and anticipated start and completion dates. The task order operates under the provisions of an existing State of Kansas master contract, with the contractor's response forming the basis of the executed task order upon signature by both the contractor and KDHE representatives.
The form requires contractors to specify pricing structure, whether fixed price or alternative pricing arrangements, and requests identification of any additional costs or contingent fees. The document mandates execution by contractor signature, KDHE Project Manager signature, and KDHE Project Director signature to become effective. The form does not specify funding sources, amounts, or renewal options, as these details would be incorporated through reference to the underlying master contract and the specific Task Order Request number referenced in the proposal submission.
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Text version
TASK ORDER PROPOSAL
CONTRACTOR
NAME
ADDRESS
CITY/STATE/ZIP
CONTACT
NAME
PROJECT
NAME
PHONE EMAIL
TASK ORDER PROPOSALS MUST INCLUDE AT A MINIMUM:
I. METHODOLOGY
II. DELIVERABLES
Ill. KEY STAFF (assigned to project)
IV.
V. TOTAL COST {FIXED PRICE, PER
VI. ,, REQUESTED (if applicable)
VII . ANTICIPATED START D LEDGEMENT OF COMPLETION DATE
CONTRACTOR SIGNATURE/DATE
PRINTED NAME/TITLE
Per the provisions of State of Kansas contract XXXXX which are incorporated herein, the services requested in Task Order Request XXXX and the Contractor's response thereto, this Task Order is executed by signature of both parties on the date of KDHE Project Director signature .
CONTRACTOR SIGNATURE/DATE KDHE PROJECT MANAGER SIGNATURE/DATE
PRINTED NAME/TITLE PRINTED NAME/TITLE
KDHE PROJECT DIRECTOR SIGNATURE/DATE
PRINTED NAME/TITLE
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