CAPITAL PROJECT GUIDELINES MANUAL FORM H.44 (12/08/06)

/ GENERAL ENGINEERING CONSULTANT (GEC)
TASK ORDER REQUEST

(NOTE: This form is a template for use on a computer. Boxes will expand if additional space is required.)

INSTRUCTIONS: Use this form for requesting award of work tasks to General Engineering Consultants. All GEC contracts were established without funding. Funded tasks are awarded under GEC contracts through this Request and a competitive award process.
Refer to Procedure 2.7, GEC Contract Management for guidance on using this Request form.

PROJECT TITLE: ______PROJECT NO. ______

TASK NAME: ______
CAT. & SUBCAT. NO.: ______TASK ORDER NO.: ______
TASK DESCRIPTION: (Insert brief description and attach Work Statement, Cost Estimates, etc.)
TASK BUDGET: /

GEC CONTRACT POOL LIMIT:

/

CAT/SUBCAT. LIMIT:

TASK COST ESTIMATE: / Allocated To Date / Project Budget:
Available for this Task
TASK SCHEDULE: Planned Start: ______Planned Finish: ______
Other Applicable Dates: ______
______
______
FUNDING SOURCE(S):
ACCOUNTING DATA: / LEDGER ACCT. /

MGMT. CENTER

/ COST CENTER / PURPOSE ACCT. / WORK ORDER
CAPITAL PROJECT DATA / CENTRAK DATA
(AGENCY/CAT./ELEM./PROJ. NOS.) /

CENTRAK TASK

/ FED. PROJ. NO. / BUDGET LINE / A. & C.
APPROVALS: TASK/PROJECT MANAGER: ______
(for all tasks) (printed name) (signature) (date)
TM/PM DEPT. HEAD: ______
(for all tasks) (printed name) (signature) (date)
GEC PROGRAM ADMIN.: Michael Sickenius______
(for all tasks) (printed name) (signature) (date)
OPERATING CAPITAL PROJECTS: ______
(for force account-managed tasks) (printed name) (signature) (date)
PRBC¹ or BUDGET DEPT.: ______
(PRBC- 5-yr. Capital tasks, Budget- other) (printed name) (signature) (date)
CAPITAL & L.R. PLANNING: ______
(for all tasks) (printed name) (signature) (date)
DIRECTOR, PMM: Anthony J. Bombace, Jr. ______
(for all tasks) (printed name) (signature) (date)
TM/PM VICE PRES. or SR. DIR.: ______
(for all tasks) (printed name) (signature) (date)
PRESIDENT: Peter A. Cannito ______
(for all tasks) (printed name) (signature) (date)
¹ - PRBC = Project Reporting & Budget Control