EXHIBIT A-1 - TASK ORDER.pdf

PDF 279 KB Posted

Attached to
As-Needed Battery Supply and Install
Solicitation number
PS139177
Issued by
California

About this file

This is an Exhibit A-1 Task Order form template utilized by the Los Angeles County Metropolitan Transportation Authority (LACMTA) for managing contract task orders related to the agency's as-needed battery supply and installation services across its service area in California. The template is designed to document task order details including contractor information, contract number, task/revision number, and task order type (Fixed Price, Unit Rate, Time and Materials, or other arrangements). The form requires specification of the period of performance, a summary of work to be performed with an attached Statement of Work (SOW), task documentation requirements, deliverables, and milestone schedules. The document structure includes sections for tracking task order financial history, capturing the current action amount, previously approved amounts, and the new total amount, though specific quantities, response deadlines, site visit information, bidder conference details, and contract award dates are not populated in this template version.

The task order form includes provisions for documenting DBE/SBE/DVBE commitments applicable to the specific task order and payment provisions to be determined based on the selected task order type. Authorization signature blocks are provided for both the contractor's authorized representative and LACMTA's authorized representative, along with spaces for project manager contact information. The form does not contain specific pricing information, funding sources, or incumbent contractor details, as these would be completed for individual task orders issued under the master battery supply and installation contract. The template serves as a standardized mechanism for LACMTA to issue, track, and manage discrete work assignments and associated costs under the broader as-needed battery supply and installation services contract.

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Text version

EXHIBIT A-1 - TASK ORDER

TITLE:_______________________________________________________

OFPAGE ______ _______

DATE: __________________

1. CONTRACTOR: 2. CONTRACT NO.:

3. TASK/REVISION NO.: 4. TASK ORDER TYPE:

FFP UNIT RATE T&M

OTHER: ___________________________

5. DBE/SBE/DVBE COMMITMENT

FOR TASK ORDER:

7. TASK ORDER $ HISTORY

THIS ACTION AMOUNT: ____________________

PREVIOUSLY APPROVED AMOUNT: ____________________

NEW TOTAL AMOUNT: _____________________

(For Unit Rate & T&M Task Orders, the $ amounts are Not to Exceed amounts)

6. PERIOD OF PERFORMANCE:

Except as otherwise expressly provided herein, the Contractor shall perform the work described below in accordance with all of the terms and conditions of the Contract referenced above.

8. SUMMARY OF THE WORK TO BE PERFORME FOR TASK ORDER (SOW ATTACHED):

9. TASK DOCUMENTATION REQUIREMENTS /

DELIVERABLES / MILESTONE ITEMS:

10. MILESTONE / DELIVERABLE SCHEDULE:

11. PAYMENT PROVISIONS:

12. PROJECT MANAGER: _______________________________ PHONE: _______________________

AUTHORIZED SIGNATURES

13. CONTRACTOR'S AUTHORIZED

REPRESENTATIVE

14. METRO'S AUTHORIZED REPRESENTATIVE

Signature Signature

Name (Printed) Name (Printed)

Title Title

Date Date

TITLE:
DATE:
FFP: Off
UNIT RATE: Off
TM: Off
OTHER:
THIS ACTION AMOUNT:
PREVIOUSLY APPROVED AMOUNT:
NEW TOTAL AMOUNT:
Name Printed:
Title:
Date:
Page #:
Total Pages:
CONTRACTOR:
CONTRACT NO:
TASKREVISION NO:
DBE/SBE/DVBE COMMITMENT FOR TASK ORDER:
PERIOD OF PERFORMANCE:
SUMMARY OF THE WORK TO BE PERFORME FOR TASK ORDER SOW ATTACHED:
MILESTONE DELIVERABLE SCHEDULE:
TASK DOCUMENTATION REQUIREMENTS DELIVERABLES MILESTONE ITEMS:
PAYMENT PROVISIONS:
Project Manager:
Project Manager Phone Number:
Name Printed 2:
Title 2:
Date 2:

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