Task Authorization Form.pdf
PDF 177 KB Posted
- Attached to
- Marina Isle Breakwall Reconstruction
- Solicitation number
- 145364
- Issued by
- Seminole County, Florida
About this file
This is a Task Authorization Form issued by the City of Sanford, Florida, used to implement an executed agreement and assign work to be performed by a contractor, consultant, or vendor. The form serves as authorization for professional services related to the Marina Isle Breakwall Reconstruction project, which involves engineering design and environmental permitting services to support the reconstruction of portions of the Marina Isle Breakwater Walls and associated concrete pilings damaged by Hurricane Ian. The project aims to restore the structural integrity, functionality, and long-term stability of the Marina's breakwater system while ensuring compliance with applicable engineering standards, environmental regulations, and permitting requirements. The task authorization form includes provisions for multiple task descriptions with associated contract prices and completion timeframes, with work commencing upon receipt of a purchase order and completion within a specified number of calendar days from the purchase order issuance date.
The form requires documentation of individual task descriptions, contract prices, and contract timelines across up to five enumerated tasks, with a summary section providing total contract price and total contract time. Key attachments to be included are the Consultant RFQ-Executed Agreement, Price Sheet, Proposed Schedule of Subcontractor Participation, Insurance Requirement Form, and Scope of Services. The authorization is subject to all terms, conditions, and provisions of the underlying agreement, and contractors are prohibited from proposing any modifications to contractual terms or conditions. The form requires approval signatures from the City of Sanford representatives, including the City Clerk, Mayor, and City Attorney, as well as authorization from the contractor or consultant.
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Text version
Section 00860 Task Authorization Attachment “A” Consultant RFQ –Executed Agreement Attachment “B” Price Sheet Proposed Schedule of Subcontractor Participation Insurance Requirement Form Scope of Services 00860-1
TASK 00860 AUTHORIZATION FORM ISSUED BY CITY OF SANFORD
Task Authorization No.: ______ PR ______________ PO ___________ Project Title: __________________________________________________________ Contractor/Consultant/Vendor: ____________________________________________ Agreement Date and Solicitation Number: ___________________________________
This Task Authorization implements the above-referenced Agreement and assigns work to be performed under the Agreement. The terms, conditions and provisions of the Agreement apply to and govern all work under this Task Authorization Form. The Contractor shall not under any circumstances attach to any document which proposes in conjunction with this Task Assignment or otherwise propose any term, condition or provision relating to the work. A Contractor/Consultant/Vendor so doing will be in breach of the Agreement and will be engaging in conduct which the City will deem to be as unethical.
Execution of this Task Authorization by the City shall serve as authorization for the Contractor/Consultant/Vendor to provide the above project, professional services as set out herein and further delineated in the specifications, conditions and requirements stated in the following listed documents, which are attached hereto and made a part hereof.
ATTACHMENTS (Check all that apply):
[ ] Drawings/Plans/Specification [ ] Detailed Services and Task for project or Study [ ] Special Conditions
[ ] Schedule of Subcontractor Participation (approved by the City).
[ ] Other please specify __________________________________________
Time for completion: The work authorization by this Task Authorization shall be commenced upon receipt of a purchase order by the Contractor/Consultant/Vendor and shall be completed with (________) calendar days from date of the purchase order issued by the City to the Contractor/Consultant/Vendor. Each enumerated task shall be completed in accordance with the contract time schedule set forth below.
Attachment “B” Price Sheet Proposed Schedule of Subcontractor Participation Insurance Requirement Form
00860-2
TASK AUTHORIZATION
TASK 1
Description of Work: (Insert specific task)
Contract Price:
Contract Time:
TASK 2
Description of Work:
TASK 3
Attachment “B” Price Sheet Proposed Schedule of Subcontractor Participation Insurance Requirement Form
00860-3
TASK 4
TASK 5
Total Contract Time:
Total Contract Price:
TASK AUTHORIZATION SUMMARY
No. Description Contract Price Contract Time TOTAL $ Days
Attachment “B” Price Sheet Proposed Schedule of Subcontractor Participation Insurance Requirement Form
00860-4
Attachment “B” Price Sheet Proposed Schedule of Subcontractor Participation Insurance Requirement Form
00860-5
APPROVAL OF TASK AUTHORIZATION AND ACKNOWLEDGMENTS
IN WITNESS WHEREOF, the City and following named Contractor/Consultant/Vendor have executed this instrument for the purpose herein expressed.
ATTEST: CITY OF SANFORD
By:
Traci Houchin, MMC, FCRM Art Woodruff City Clerk Mayor Date:
Approved as to form and legal sufficiency.
William L. Colbert, City Attorney
ATTEST: (INSERT
CONTRACTOR/CONSULTANT/VEND
OR NAME)
By:
Print Name
Print Name Title:
Title: ___________________________ Dated:
| TASK 00860 AUTHORIZATION FORM ISSUED BY CITY OF SANFORD |
| TASK AUTHORIZATION |
| TASK 1 |
| TASK 2 |
| TASK 3 |
| TASK 4 |
| TASK 5 |
| TASK AUTHORIZATION SUMMARY |
| TOTAL |
| Days |
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