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TASK ORDER <br /> <br />EXHIBIT <br /> <br />NO. <br /> <br />CH2M HILL office address <br /> <br />Project <br />Name <br /> <br />Client <br /> <br />Address <br /> <br />Date <br /> <br />Project <br />Number <br /> <br />hereby requests and authorizes CH2M HILL to perform the following services: <br />SCOPE OF SERVICES: <br /> <br />TIME FOR COMPLETION: <br /> <br />FEE FOR SERVICES: <br /> <br />PAYMENT OF FEE: <br /> <br />Services covered by this authorization shall be performed in accordance with <br />that AGREEMENT between CLIENT and CH2M HILL dated <br /> <br />Approved for CLIENT <br /> <br />By <br /> <br />Title <br /> <br />Accepted for CH2M HILL <br /> <br />By <br /> <br />Title <br /> <br /> <br />