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11-056.00 Benthin & Associates: Street Maintenance FacilityFormal Task Assignment Document Task Number H The general provisions and clauses of Agreement 10 -027 shall be in full force and effect for this Task Assignment Location of Project: Street Maintenance Facility — 17002E Euclid Road Project Title: Site Topo Maximum Amount Payable Per Task Assignment: $3,000 Completion Date: June 1 2011 Description of Work: (Note attachments and give brief description) Provide on -call surveying services in accordance with Exhibit A -1 involving a topographic survey of the City Maintenance Facility located at 17002 E Euclid. Agency Project Manager Signature: y�i �� ` Date: Oral Authorization Date: See Latter Dated: Consultant Signature: Date: Agency Approving Authority: 0 Date: DOT Form 140.088 EF Forman Task Assignment Revised 8105 5-1 Co 1 1- 05(0