T3008 Attachment D - Sample Task Order 8.11.23.pdf
PDF 115 KB Posted
- Attached to
- Contract RFP/SC-SBE NJ|26-PROS1-139529
- Contract number
- 26-PROS1-139529
- Issued by
- New Jersey
About this file
This is a Sample Task Order template (Attachment D) issued under Bid Solicitation #22DPP00734 for Land Debris Removal Services (T3008). The document serves as a standardized form for authorized agencies to request services from a contractor under an existing Hurricane/Disaster Debris Removal, Reduction, and Disposal agreement. The template requires designation of the contracting agency, contractor name, and agreement reference number to formalize task order issuance.
The task order format requires specification of the project name, detailed description of work to be performed, work duration with defined start and end dates, and method of payment terms. The document includes signature lines for both contractor and authorized agency representatives, along with a "For Agency Use Only" section that accommodates internal administrative tracking through vendor numbers, account numbers, budget codes, and accounting references. The template is designed for flexibility across multiple projects and payment arrangements while maintaining standardized documentation and approval procedures for debris removal work.
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Text version
ATTACHMENT D
SAMPLE TASK ORDER
TO ____________________
Task Order No.
In accordance with ____________________ (Contractor) contract, with the ____________________
_______________________________________, Agreement No. ________ for Hurricane/Disaster Debris Removal, Reduction, and Disposal dated _______________ the ___________________ hereby requests and authorizes the service to be performed on the project as described below:
Project: _____________________________________________________________________________________
Specific Work to be Performed:
Duration of Work (Include Start Date, End Date and Total Calendar Days):
Method of Payments:
Contractor Signature: ____________________________________________ Date: ________________________
Authorized Signature: ___________________________________________ Date: ________________________
FOR AGENCY USE ONLY
_______________ Monitor: _______________________________________ Date: _________________________
_______________ Director: _______________________________________ Date: _________________________
Vendor No.: _______________ Account No.: ____________________ Project: _____________________________
Purchasing: ____________________ Budget: ____________________ Accounting: _________________________
T3008 - Land Debris Removal Services Bid Solicitation #: 22DPP00734
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