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APPENDIX D <br />TASK ORDER TEMPLATE <br />This Task Order No. Statement of Work for for the <br />("Task Order") effective as of <br />between ("Client") and Witt O'Brien's, LLC ("Consultant"). <br />WHEREAS, this Task Order is in support of the ("Agreement"), dated <br />, and attached herein as an exhibit; <br />WHEREAS, the Client selected the Consultant to provide Services, as defined in the proposal ("Proposal") <br />dated , and attached herein as an exhibit; <br />NOW, THEREFORE, in consideration of the terms and conditions contained in the Agreement, and for <br />other good and valuable consideration, the receipt and sufficiency of which are acknowledged, Client and <br />Consultant hereby agree as follows: <br />1. Parties mutually agree to add the following terms (if applicable): <br />2. Parties mutually agree to add the following specific scope: <br />3. Parties mutually agree to add the following performance period: <br />4. Parties mutually agree to add the following not to exceed amount: <br />5. Other Terms and Conditions: All other terms and conditions of the basic Agreement remain in full <br />force and effect. <br />IN WITNESS WHEREOF, the Parties hereto, by their duly authorized representatives, execute this Task <br />Order to be effective as of the date set forth above. <br />Indian River County, FL <br />Witt O'Brien's, LLC <br />Name: <br />Title: <br />Date: <br />Name: <br />Title: <br />Date: <br />227 <br />PSA w/ FEMA Clauses Page 13 of 13 <br />