Work+Order+Request.docx
DOCX document 18 KB Posted
- Attached to
- Land Title Service
- Contract number
- 003-KYLE
- Issued by
- North Dakota
About this file
This document is a Work Order Request form for a State Term Contract #003 for Land Title Services, primarily involving the State of North Dakota. The form provides instructions and a template for agencies to request specific land title-related services from a contracted vendor under a master contract framework.
The contract covers a range of land title services including leasing/easement surface and mineral title work, current and institutional owner searches, deed and mortgage reports, single index research, curative title work, and surface use/damage negotiations. The work order allows agencies to specify a statement of work, project start and completion dates, and on-site work requirements. Each work order must detail the specific services needed and cannot exceed a predetermined number of hours without a written amendment. The form provides a standardized process for agencies to request and authorize land title services under the state contract.
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Text version
LAND TITLE SERVICES – AGENCY WORK ORDER
Instructions Complete the agency contact information at the top of the form.
· Suggested format for Work Order Request Number is agency department # - two-digit year – two-digit sequence number for the work order, for example 112-15-01.
· Issue date is the date you are sending the Work Order Request to the vendor.
1. Statement of Work – Include information that tells the vendor what is to be done including the desired outcome. Be as specific and comprehensive as possible. Do not assume the vendor will know something or do something if you do not include it in the Statement of Work. You may choose to attach the Statement of Work as an attachment. Specific services covered under the master contract include (see actual contract if you need more detail):
a. Leasing/Easement Surface Title Work
b. Leasing/Easement Mineral Title Work
c. Current Owner Search
d. Institutional Lender Search
e. Deed Report
f. Mortgage Report
g. Single Index Research
h. Curative Title Work
i. Surface Use, Damage, Reclamation, Restoration Negotiations, Lease and Right of Way Acquisitions
j. Curative title work, surface damage negotiations, lease acquisition, and right of way acquisitions
2. Project Start Date – Specify the date when work is to start.
3. Required Completion Date – Specify the date when the services as defined in Statement of Work (#1) is to be completed.
4. Is On-site Work Required – Determine if any agency on-site work is required by listing Yes or No. If yes, provide the location address.
Execution
· Fill in the “Number of Hours to Complete Statement of Work Shall Not Exceed”. You may need to talk with the vendor before completing that section to determine the number.
· Both parties must sign and date using the signature blocks in the Execution section of the work order form.
STATE CONTRACT #003 – LAND TITLE SERVICES
WORK ORDER REQUEST
AGENCY NAME
WORK ORDER REQUEST NUMBER
ISSUE DATE
AGENCY CONTACT
E-MAIL ADDRESS
TELEPHONE NUMBER
ADDRESS
CITY
STATE
ZIP CODE
REFERENCE: In accordance with the terms and conditions of the State Term Contract #003 Land Title Services master contract between STATE and CONTRACTOR, this Work Order Request authorizes delivery of the Deliverables described in accordance with the Statement of Work, Schedule, and terms specified below.
1. STATEMENT OF WORK AND ANY SPECIFIC DELIVERABLES (attach extra sheets if necessary):
2. PROJECT START DATE
3. REQUIRED COMPLETION DATE
4. IS ON-SITE WORK REQUIRED AT THE AGENCY LOCATION (YES OR NO)
IF YES- LIST THE LOCATION ADDRESS
EXECUTION: The parties through their authorized agents have executed this Work Order Request under the terms of the Land Title Services master contract, subject to amendments in this Work Order.
The total number of hours specified below for this Work Order shall not be exceeded unless a written amendment is appended to this Work Order, duly executed by the authorized representative of both parties.
NUMBER OF HOURS AGREED UPON TO COMPLETE STATEMENT OF WORK:
STATE OF NORTH DAKOTA
VENDOR
SIGNATURE
SIGNATURE
PRINTED NAME
PRINTED NAME
TITLE
TITLE
DATE
DATE
File details come from the government source that posted it. Updated .