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E204 April 1, 2022 <br />REV: 09-20-2022 SK <br />ATTACHMENT C <br />SAMPLE TASK ORDER <br />Esri Agreement No. <br />Task Order No. <br />In accordance with the terms and conditions of the above-referenced Agreement between Environmental Systems <br />Research Institute, Inc. ("Esri"), and ("Customer"), <br />("Customer Address"), this Task Order authorizes preparation and provision of the Deliverables described and in <br />accordance with the terms, schedule, and start/end date(s) specified below. <br />1. Scope of Work: [As applicable, specifically identify and describe Deliverables including custom code, map data, <br />technical data (including technical assistance), and the resources to be provided by Customer (including <br />Customer-supplied personnel, software, hardware, and digital or hard-copy data) and place of delivery and <br />location where technical assistance will be provided.] <br />In addition to the foregoing, Customer agrees that its employees, representatives, and subcontractors will <br />cooperate and communicate with Esri during performance of this Task Order. Without cost to Esri, Customer <br />shall provide, allow access to, or assist Esri in obtaining all data Esri requests for performance of this Task <br />Order, including, but not limited to, (1) copies of previously prepared reports, maps, plans, surveys, records, <br />and other documents in the control or possession of Customer and (2) copies of ordinances, codes, regulations, <br />or other governmental documents. <br />2. Contract Type: [Firm Fixed Price (FFP) or Time and Materials (T&M)]: <br />3. Total Task Order Value (if FFP) or Not-to-Exceed Value (if T&M): <br />4. Customer Address for the Receipt of Esri Invoices: <br />5. Delivery Schedule or Start/End Date(s) for Each Deliverable: <br />6. Special Considerations: <br />7. Esri Project Manager: [insert name, telephone, fax, and email address] <br />Esri Senior Contract Administrator: [insert name, telephone, fax, and email address] <br />Customer Project Manager: [insert name, telephone, fax, and email address] <br />Customer Senior Contract Administrator: [insert name, telephone, fax, and email address] <br />Customer Accounts Payable Contact: [insert name, telephone, fax, and email address] <br />ACCEPTED AND AGREED: <br />ENVIRONMENTAL SYSTEMS <br />[sample only do not sign]RESEARCH INSTITUTE, INC. <br />(Customer)(Esri) <br />Signature: [sample only do not sign]Signature: [sample only do not sign] <br />Printed Name: Printed Name: <br />Title: Title: <br />Date: Date: <br />ATTY/AGR.2022.349/ESRI (Page 23 of 25)