EVT0010591_-_Task_Order_Request_Sample_Form.pdf

This is a Task Order Request Form issued by the State of Kansas under an existing state contract to procure services for a specified project. The form serves as a template for requesting task orders and requires identification of the project name, project manager, and project director. The scope of work section requires detailed documentation including background information, scope of work description, specific task descriptions, and deliverables to be provided. The form includes provisions for establishing a timeline for completion and identifies resources that the Kansas Department of Health and Environment (KDHE) will provide to support the task order execution.

The payment structure for task orders issued under this contract may be made monthly upon receipt of invoices or on a quarterly basis according to a predetermined schedule, with options for multiple payment installments. The form requires identification of funding sources, including federal funding with specific fund numbers and any applicable federal award identification numbers and project names. The template allows for specification of up to five different funding sources, accommodating projects with multiple funding streams or complex funding arrangements. This Task Order Request Form provides the standardized mechanism for initiating work under the master State of Kansas contract and ensures consistent documentation of project requirements, deliverables, timelines, and payment terms across task orders.