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10-190.03 Benthin & Assoc: Thorpe Rd Dishman Mica to Madison 1e--(qo - o3 Formal Task Assignment Document Task Number K The general provisions and clauses of Agreement 10-027 shall be in full force and effect for this Task Assignment Location of Project: Thorpe Road.Dishmaa-Mioa to Madison Project Title: Thorpe Road Topo Survey Maximum Amount Payable Per Task Assignment: $6.000 and no/100. Completion Date: 7 Oct 2011 Description of Work: Provide on-call surveying services in accordance with Exhibit A-1 involving topographic survey of Thorpe Road Right-of-Way from Dishman-Mica to Madison Road and to include up to 300 feet of Madison Road north of the intersection with Thorpe Road. • Determine Right of Way for Thorpe road,a portion of Madison and East Right of way for Dishman. • Provide topographic data 1'contours within right of way as shown on exhibit provided. • 13ridge Footings,ditches,culverts,and drywalls along with other above ground evidence of utilities will be shown. • Horizontal Datum will be project datum with vertical datum to match Chester Creek x-section datum. • Deliverables will be ACAD drawings in CSV standards. • Monuments found to determine rights of way will be shown on mapping and flagged in field. These should be protected during construction, • Permit for Temporary Monument Removal is not included in this scope. Agency Project Manager Signature: JCS,`� Date: Vo SEA"Zo 11t Oral Authorization Date: See Latter Dated: Consultant Signature: Date: ,--7,c,„—1 • Agency Approving Authority: Date: 670 06 ' DOT Form 140.080 EF Formal Task Assignment Weed 0/05